About Remote Medic UK

Our Mission and Philosophy

Remote Medic UK is established to provide event medical services, expedition medicine and remote area medical care both in the UK and overseas. Our services extend from basic first aid cover to the establishment of a complete field medical centre. We specialise in the provision of medical support for complex and high risk events but we are happy to provide a competitive quotation for any size event. Our experience includes major sporting events, music festivals, air shows and other mass gathering public events.

Our approach to event medicine is one of zero drama, quiet competence. Our role is to mitigate the medical risks associated with the event and to minimise the impact of the event on local NHS resources, both ambulance services and acute hospitals. To achieve this we provide a level of medical care sufficient to treat and discharge patients from the scene, avoiding the need for hospital attendance wherever possible. Always mindful that people would rather not spend the better part of their day out in the local emergency department, our clinicians are trained to assess and manage a wide range of medical conditions without referral to hospital.

Planning is an important part of the service we provide and, for larger and more complex events, we work with the event organisers to assess the medical risk profile of the event and ensure an appropriate level of medical provision for the nature of the event and the numbers of people involved. As part of our service, we provide the organisers with a medical plan that can be integrated into the event management plan and will satisfy the requirements of licensing bodies, insurers, etc.

Another strand to our philosophy is that of continuous learning. Remote Medic UK is a 'learning organisation' and this means, not only that we continually adapt our services to ensure that we remain a leading provider of out-of-hospital medical care but we invest heavily in the training and development of our staff. Our staff are our greatest asset and we aim to enhance opportunites for those who choose to work with us. In addition to a core training package for all staff and regular CPD sessions, our staff can access a range of educational opportunities including both in-house and external courses and exams.

Our Executive Management Team

The Executive Management Team includes all of the Board level appointees and the managers for particular areas of the Company's operations. This team manages the day-to-day functions of Remote Medic UK and are responsible for the safe and effective running of our services.

Dr Paul D Bromley
PhD DipCardiol MSc MCPara CCP-C DipIMC(RCSEd) FESC FRGS FAWM
Chief Operating Officer and CQC Registered Manager

Paul grew up with a love of the outdoors and of adventurous pastimes (particularly climbing things . . . all manner of things) and continued his passion as a Physical Training Instructor and Mountain Leader in the Royal Navy. With a strong background in cardiology and pre-hospital emergency care, Paul's clinical qualifications and experience are extensive and varied, including urgent and emergency care, critical care, travel and expedition medicine, diving medicine, search and rescue medicine and disaster relief.  He is an instructor for a range of advanced medical and trauma courses including ALS, APLS, EPALS, ATACC, PEPP and for wilderness and expedition medicine courses.  He is one of only 12 UK clinicians, and the only UK paramedic, to hold the Fellowship of the Academy of Wilderness Medicine (FAWM).

Paul has worked in a wide variety of the World's most challenging and hostile environments, including mountainous (Asia, Europe, North America), desert (Kuwait, Oman, UAE), tropical and jungle (Africa, Malaysia, South America, Sri Lanka), Antarctic and Arctic Circles and diving (Antarctic, Caribbean, Mediterranean, Indian Ocean, Red Sea, UK).

As the COO, Paul leads the Executive Team and guides the strategic direction of Remote Medic UK and, as the CQC Registered Manager he holds the legal responsibility for the conduct of the Company's clinical activities.

Dr Andrew Grieve
BSc BM BCh MRCGP DipMtnMed(UIAA) DipIMC(RCSEd) FRGS
Medical Director

Andy is a military General Practitioner and an immediate care physician. He has enjoyed a varied training which has included basic anaesthetics and he holds both the Diploma in Immediate Medical Care (RCSEd) and the Diploma in Mountain Medicine, and is due to complete the Liverpool DTMH in 2016. He is currently serving as Deputy Senior Medical Officer for Brunei and Nepal where he has responsibility for 3000 servicemen, diplomatic staff and their families spread across two continents. He also advises the Army's Jungle Training School in Brunei.

Andy's early career in expedition medicine took him to Uganda where he led a military team on Mt Elgon, to Madagascar where he looked after coral reef conservationists, to Lesotho where he cared for 150 cadets in a mountain environment. More recently, he has deployed to jungle (Belize), desert (Oman) and mountain (Nepal) environments with the military. He will be SMO for the Royal Gurkha Rifles Battlegroup exercise to Kenya in 2016 where he will be researching anti-malarial drug concordance and compliance alongside the Army's Consultant Advisor in Public Health.

Closer to home, Andy has clinical expertise in medical planning, minor procedures, deployed primary and prehospital care, and cold injury. Whilst with RMUK he has deployed to cover the Tour-de-France and V-Festival in Essex.

As Medical Director, Andy provides leadership and oversight for all of the Company's clinical activities.

Dr Richard J Booker
MBBS BMedSci MCEM DipIMC(RCSEd) MRCGP
Clinical Director and Caldicott Lead

Richard is a military GP with a special interest in pre-hospital emergency medicine developed through military deployments and overseas training exercises. In the civilian sector, he responds for Basics Essex Accident Rescue Service (BEARS), has provided medical support to V Festival, and is a registered DFID doctor on the International Emergency Trauma Registry. He is also registered with the Motor Sports Association and is a circuit doctor for the Abu Dhabi Formula 1 Grand Prix and Desert Challenge Rally. In addition to his role with RMUK, Richard is currently seconded to a full-time role as an air ambulance doctor in the East of England.

As Clinical Director, Richard is our Lead Clinician whilst the Medical Director is overseas. He provides oversight and leadership for all of the Company's clinical activities, leads our team of doctors and is the Company's Caldicott lead.

Mr Mark Wigley
Director of Operations and Named Professional for Safeguarding

Mark joined Remote Medic in 2012 and became a director in 2013 having moved from a high-pressure job in sales to pursue his passion for teaching first aid and health & safety courses.  He has built up a successful business in this field with his company Meducate Training Ltd (http://www.meducatetraining.co.uk/).

As Director of Operations, Mark takes the lead on many of the business and operational aspects of the company's work, he is our lead professional for safeguarding and is also our senior risk manager with responsibility for health and safety. In addition to his management role, Mark works as an Emergency Medical Technician and Duty Officer.

In his spare time, Mark enjoys travelling, hiking and camping.

Dr David Ridley
MB ChB MCAI MRCEM
Deputy Medical Director

Dave trained as a doctor following a decade of service in the Metropolitan Police, for most of which he worked in frontline policing as a public order medic.  He completed his medical degree whilst continuing to serve as a police officer.

Dave's medical career to date has been mainly in the acute medical specialties and he continues to work as a Specialist Registrar in anaesthetics, critical care and emergency medicine.  He has a specialist interest in pre-hospital care and has undertaken medical cover for motorsport and other large scale events.  Dave is an instructor for PHTLS and ATACC.

In addition to his role as Deputy Medical Director and clinical work as a pre-hospital care physician, Dave is also our lead clinician for critical care and pre-hospital anaesthesia.

Ms Claire Simpson
PGCert DCR(R)
Director of Quality and Clinical Governance

Claire is a State Registered Radiographer and has worked in the NHS for over 20 years. Her experience includes general and emergency radiography but in recent years she has been employed as a specialist radiographer in the breast screening service, where she works in an  Advanced Practitioner (film reading) role. Claire has extensive experience in the training and mentoring of more junior clinical staff within a large multi disciplinary team.

As Director of Quality and Clinical Governance, Claire provides leadership for and oversight of all of our compliance and quality enhancement processes including audit, patient and client feedback and learning opportunity capture. In addition to her role as a Director, Claire works as an EMT(B) at some of the events we cover.

In her spare time, Claire enjoys walking, running, cycling and days out with her children.

Mr Stewart Campbell
FdSc MCPara
Associate Director for Training & Dvelopment

Stewart is a serving British Army Paramedic with many years experience delivering pre-hospital emergency care and primary healthcare for both military personnel and indiginous populations in remote locations all over the world.

In addition to his clinical experience, Stewart is a senior instructor in military medicine, teaching both recruits and experienced medics.  Stewart has been involved with Remote Medic UK from its inception. As well as working clinically as a Paramedic, Stewart takes the lead on our training and development activities.

Mr Conrad Boddington
Clinical Operations Manager

Conrad is a serving Police Officer with the Metropolitan Police in Hackney, London. He has been involved in pre-hospital care since the age of 17 and has held positions with a number of private ambulance and pre-hospital care organisations, has worked as a school medic with responsibility for over 1000 pupils and staff and served as an officer with St John Ambulance.

Conrad has developed a wide range of knowledge and skills in the pre-hospital and ambulance sector. He works clinically as an EMT and is currently undertaking his Paramedic Science degree via our collaborative arrangement with the Open University.

Involved with Remote Medic UK from its very beginning, in addition to his role as an EMT, Conrad holds the position of Clinical Operations Manager with particular responsibility for our vehicles.

Mr James Whitfield
Clinical Operations Manager

James is an Emergency Medical Technician and Coastguard Rescue Officer.  He has acquired a broad experience in pre-hospital care and rescue, including marine and land search and rescue, marine policing, and both beach and pool lifeguarding.  He was the winner of the CIMSPA & IQL National Lifeguard Triathlon in 2012.

James' qualifications include, Water Safety and Rescue Operator, Rope Rescue Technician, Mud Rescue Technician, Land Search and Rescue OIC, Sea Survival, ATACC, RC(UK) ILS and FPOS(I).  He is currently completing his Paramedic degree with Remote Medic UK through the Open University.

In addition to his clinical role as an EMT, James is Clinical Operations Manager with particular responsibility for our clinical equipment.

Ms Helen Pascoe
BSc (Hons) RN
Human Resources Manager

Helen qualified as a Registered Nurse in Adult Nursing at University of Essex following a 20 year career as a manager in the hotel industry, including 10 years with Thistle Hotels in London.

For five years of her career, Helen specialised in human resources before becoming a general manager with HR responsibilities. Helen also worked for five years as an accommodation manager at the University of Essex.

Helen is currently working on the stroke unit of a major NHS acute hospital. As well as advising on human resources and recruitment matters, Helen works clinically for Remote Medic UK, utilising her nursing skills in helping to manage medical centres at our larger events.

Our Clinical Advisory Team

Our Clinical Advisory Team provide specialist advice and guidance to the Executive Management Team in areas of policy development and clinical management, so helping to guide the clinical governance processes within Remote Medic UK.

Dr Chris Lee SB.St.J., A.E.
BSc MBChB MSc DTM&H DPH DRCOG DCCH DOccMed CertAvMed DLSTMH MCPS(Sask) MFFP MFOM
Consultant Advisor for Remote, Tropical and Travel Medicine

Chris began his career studying for a degree in geology and zoology before moving on to medical school in Bristol. He brings a wealth of experience in tropical medicine, travel medicine, parasitology, medical entomology and epidemiology and has spent most of his medical career working overseas, having recently returned to the UK following a 16 year stint in Africa.

Chris has held Consultant positions with a variety of Government agencies and departments including the Ministry for Overseas Development (now DFID) and the Foreign Office, and served for 18 years in the Royal Air Force, including as a doctor on an Aeromedical Retrieval Squadron.

During his varied career posts, Chris has worked all over the World, including the Turks & Caicos Islands, the Canadian prairie, the steppes of Kazakhstan, the deserts of Yemen and Saudi Arabia and the lush tropics of Equatorial Guinea, Nigeria and Montserrat.

Chris has been involved with Remote Medic UK from the very beginning and continues to provide expert counsel as well as practical support to all of our activities. Now back in the UK, when he's not doing general medical work, Chris continues to take every opportunity to travel as an expedition doctor on a variety of overseas missions. 

Dr John Chatterjee
MBBS FRCA MACAP Dip RTM (RCSEd) PGDip Aero RT (Ottago)
Consultant Advisor for Pre-hospital and Emergency Care

John is a Consultant anaesthetist with an interest in pre-hospital care and difficult airway management.

In the pre-hospital and emergency medical environment, he has worked and advised around the world with various ambulance and retrieval services including the Taranaki Rescue Helicopter Service in New Zealand, Sydney HEMS, Thames Valley HEMS, Kent, Surrey, Sussex Air Ambulance, Cega Air Ambulance as well as the Thames Valley, Essex and SECAMB BASICs organisations. He also provides medical cover for the World Rally Championship and circuit racing as well as major festivals such as the V Festival.

John is currently employed as an anaesthetist at Guys and St Thomas' Hospital, London and as a doctor with London's Air Ambulance. In addition to working as one of our pre-hospital care doctors, John is our Consultant Advisor for pre-hospital and emergency care, using his extensive experience to advise the Executive Team on policy and procedure in this important area of our work.

Mr Steven De-Giovanni
MPharm MRPharmS
Pharmacy and Medicines Advisor

Following his MPharm degree at the University of East Anglia and pre-registration year, Steven worked as a rotational pharmacist at Colchester Hospital University Foundation Trust for two years before taking up his current appointment as medicines information and medication safety pharmacist.

Steven's role involves providing information on medicines to hospital doctors, GPs, other pharmacists and members of the public. He produces and reviews medicines guidance documents, assists in the evaluation of new medications, and provides clinical pharmacy input to medical, surgical and care of the elderly wards within the hospital.

As our Pharmacy and Medicines Advisor, Steven provides support and advice to our senior clinical team on all matters related to medicines management and policy.

Our Governance and Regulation

As a healthcare organisation, it is important for Remote Medic UK to have in place robust systems of corporate and clinical governance. Clinical governance is a systematic approach to maintaining and improving the quality of patient care. It includes elements such as risk management, clinical audit, staffing and staff management, training and education, evidence-based care and effectiveness, and engagement with patients and service users.  The purpose of all of this is to consistently deliver recognisably high standards of care, with transparent responsibility and accountability for those standards, and within a constant dynamic of improvement.

This section briefly outlines the governance and regulatory processes that exist within Remote Medic UK.
Care Quality Commission Registration (Provider ID 1-455795372)

Remote Medic UK is fully registered with the Care Quality Commission for the regulated activities of:

- Treatment of disease, disorder and injury; and,
- Transport services, triage and medical advice provided remotely.

With the exception of some limited circumstances that are considered to be 'out of scope', the provision of a regulated activity without CQC Registration is illegal and could result in prosecution under the Health and Social Care Act 2008.

The CQC routinely inspects Registered Providers to ensure that they continue to meet stringent standards against a series of 28 Outcomes.

Click the link opposite to view our CQC Registration page and to read our most recent (April 2015) CQC inspection report.
Insurances

Remote Medic UK holds the following insurances:

Medical Malpractice Insurance for up to £5,000,000 in a single claim. Our insurer is the Medical Indemnity Register, part of the Park Insurance Group.

Employer Liability Insurance for up to £10,000,000 in a single claim.

Public and Products Liability Insurance for up to £2,000,000 in a single claim.

Licenses

We are registered as a Data Controller with the Information Commissioner's Office (ICO).
Registration No. Z3081430.

We are OfCom licensed for the operation of radio telecommunications equipment.
License No. 0947623/1
 
Clinical Governance Group

Chaired by our Medical Director and including members of our senior staff and our Clinical Advisors, the Clinical Governance Group meets three times each year and reviews matters against a standard agenda including:

- Clinical activity reporting
- Clinical incidents
- Safeguarding issues
- Health and safety matters
- Medicines management and policy
- Equipment management
- Vehicle related issues
- Clinical audit activity
- Staffing and training matters
- Patient and public feedback and concerns
Policies and Procedures

Remote Medic UK operates within a robust system of policies and procedures. Our policies are divided into three groups, Management Policies, Clinical Policies and Safety Policies.  Policies give rise to operating procedures that guide the way in which we operate our service as well as the way in which we recruit and train our staff and the methods we use to gather feedback and to improve our service. Like the service itself, policies and procedures are kept under constant review and updated whenever necessary to ensure that they remain fit for purpose.
 

Audit and Review

In order to monitor and continuously improve our service delivery, we routinely audit essential activities to ensure that standards are being maintained and to identify any shortfalls in procedure as well as staff training needs. Audit is the responsibility of the Director for Quality and Clinical Governance and and audit outcomes are routinely reported to the Medical Director and as well as to the Clinical Governance Group.

Examples of things that we routinely audit are:

- Hand hygiene practices
- Completion of patient report forms
- Currency of information held in our HR files

We also routinely gather feedback from the patients we treat at events so that we can guage the public perception of our services and our clinical staff.

Staff Recruitment and Training

We take great care in the recruitment of staff to ensure that the clinicians we employ are safe, effective and current in their field of practice. Before appointing a new member of staff they undergo a rigorous application and selection process which involves both paper-based and face-to-face assessment of their suitability.

As well as assessing qualifications and experience for the role, we check the registration status of the healthcare professionals that we appoint and every member of staff undergoes an Enhanced Disclosure and Barring Service check.

Our staff receive a core training package each year that covers the following essential areas of practice:

- Safeguarding of children and vulnerable adults
- Infection prevention and control
- Data protection and medical records security
- Safety, security and administration of medicines
- Consent to care and treatment and mental capacity
- Risk assessment and incident reporting
- Moving and handling
- Equipment familiarisation and competence assessment

In addition to core training, all staff have access to regular CPD sessions and have an assigned mentor to monitor and review their progress and identify any training needs that they may have.

Staff are also offered opportunities for specialist training to enhance their skill set. This not only aids the objectives of the company but also affords training opportunities that may not be routinely available in their other employments, e.g with the NHS, etc.

Management of Medicines, Equipment and Vehicles

The equipment that we employ and the medicines we use are vital to the delivery of safe and effective medical services. We, therefore, take very seriously the management and maintenance of our equipment, medicines and consumables. We have a Clinical Operations Manager to oversee our equipment and we have in place robust policies and procedures to ensure the appropriateness, effectiveness and security of our equipment; these include:

- Purchasing from reliable and trusted sources
- Security marking of equipment and maintaining an accurate asset register
- Routine cleaning schedules for all equipment and maintenance of cleaning records
- Routine servicing of medical electronic equipment with an authorised EBME department
- Regular checks of stock levels and expiry dates


The safe management of medicines, of course, requires some additional care and attention. We keep stocks of medicines against an agreed formulary which is set and reviewed by the Clinical Governance Group. Our medicines management procedures are overseen by our Medical Director and include:

- Purchasing from an NHS hospital pharmacy
- Maintenance of a medicines inventory to record batch numbers and stock levels held
- Receiving all MHRA alerts so that we are aware of product recalls and other potential problems
- Storage of medicines in a safe, secure and clean environment
- The appointment of a Pharmacy and Medicines Advisor to guide our medicines policy and procedures


Another important area of our equipment management is that of our vehicles. We appoint a Clinical Operations Manager to oversee the safety, cleanliness and routine servicing of our vehicles. All ambulance vehicles that we deploy will be properly serviced and insured including, where appropriate, for blue light driving and will be registered as ambulance vehicles with the DVLA. Our staff that are required to drive in emergency situations will be properly trained and will hold an appropriate emergency driving qualification.

Financial Probity

Naturally, we take our responsibilities as a Limited Company just as seriously as our clinical responsibilities. To aid us in meeting the requirements laid down by HMRC and Companies House, we have appointed chartered accountants Wood and Disney Ltd as our principal accountant.
 

 Remote Medic UK Ltd - Incorporated in England - Company Number 7701438