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responsibility for medical officers passed to the victualling board in 1832 the navy board and the victualling board were both abolished following recommendations by the first lord of the admiralty sir james graham at the same time sir william burnett who had served as one of the medical commissioners on the victualling board since 1822 3 was appointed physician general of the navy 4 as such he had charge of the navy medical department and reported directly to the board of admiralty 5 the title of his post was changed to inspector general of naval hospitals and fleets in 1841 4 and was again changed in 1844 to director general of the medical department of the navy in 1917 following further re structuring within the admiralty department it became known as the royal navy medical service headed by medical director general of the navy also known as the medical director general naval which was the official title by the start of the 21st century headquarters edit the medical department of the navy was initially like its predecessor the sick and hurt board based in somerset house 6 in the 1860s along with the other civil departments of the admiralty it was removed from somerset house to spring gardens where the admiralty extension now stands 7 in 1879 the offices of the director general were located at 9 new street spring gardens london the director general was at this time under the direction of the junior naval lord 8 in the early 1960s with the establishment of the ministry of defence in place of the admiralty the medical director general and his staff moved into the empress state building in december 1984 he moved with a reduced staff into a new combined defence medical services central headquarters building in first avenue house high holborn 9 which had been established with a view to bringing together the three medical services under a single administrative head the surgeon general albeit in spite of expectations to the contrary 10 the rn medical service and its army raf counterparts maintained their autonomy in 1993 the office of the medical director general moved to victory building in hmnb portsmouth as part of the relocation of the second sea lord and various directorates from london to portsmouth 11 personnel edit see also naval surgeon surgeon s mate and sick berth attendant from the early days of the royal navy surgeons had been carried on board ships albeit intermittently depending on the length of voyage and likelihood of hostilities 12 in the tudor period surgeons were regulated by the company of barber surgeons william clowes sometime warden of the company and his colleague john banister both of whom had served at sea early in their careers did much to ensure that naval surgeons were properly qualified and prepared clowes emphasized the fact that although surgeons were prohibited from acting as physicians on land at sea they would routinely be required to prescribe medicines administer treatment and offer medical advice appropriate instruction was provided and clowes advised ships captains only to engage as surgeons those whom the company had approved 12 later british colonization of the americas led to longer sea voyages battles and skirmishes far from home and encounters with new diseases all of which contributed to a greater regularisation of the naval medical service 13 in 1629 the company of barber surgeons was empowered to examine every individual intending to act as a surgeon on any ship whether in the service of the crown or of a merchant and likewise to conduct an examination of their surgical instruments and medicine chest prior to their departure 12 as well as a surgeon each fighting ship was provided with one or more surgeon s mates depending on the size and rating of the vessel surgeon s mates were recruited from the age of sixteen a junior rating assigned to assist the surgeon and mate was known as a loblolly boy physicians who unlike most surgeons were university graduates were regarded as belonging to a higher social class 12 physicians served on the sick and hurt board in addition the principal royal naval hospitals at haslar and stonehouse both established in the mid eighteenth century were overseen by physicians with surgeons working under them towards the end of the century superintending physicians were appointed to naval fleets 13 but other than when seconded to fleets physicians did not usually serve at sea the title of physician was abolished in the royal navy in 1840 14 nursing services in the naval hospitals were initially provided by locally recruited women overseen by matrons but in 1854 the women were except for a few specialists dismissed and replaced by men mostly aged pensioners thirty years later a review of naval nursing provision led to the employment of a number of trained nursing sisters who would later be constituted as queen alexandra s royal naval nursing service qarnns and the establishment of a sick berth staff to provide nursing assistance afloat as well as ashore 14 current structure edit the medical branch today is made up of medical officers physicians and surgeons medical assistants non commissioned officers and ratings allied healthcare professionals operating department practitioners odp pharmacy technicians pt paramedics pm biomedical scientist bms and radiographers rad nursing services are provided by qarnns in 2012 1 522 personnel were employed by the service 15 dental services are provided by the royal naval dental service which since 1996 has formed part of a tri service organisation defence dental services medical assistants edit main article medical assistant royal navy medical assistants are deployed on all major warships and submarines of the royal navy and provide primary care to the crew they also have the role of training the crew in first aid 16 capital ships often carry non commissioned medical technicians as part of the larger medical department who perform laboratory work to aid the medical assistants and officers 17 medical assistants both male and female provide medical close support and shore side medical care to all units of 3 commando brigade royal marines all medical assistants are ranked in the same manner as other ratings medical officers edit medical officers may be embarked temporarily on smaller vessels when on a long operational tour 18 but the queen elizabeth class aircraft carriers have medical departments permanently staffed by one or two medical officers 1 medical officers are ranked in the same manner as other officers but wear red stripes between the gold on their epaulettes and have the title surgeon added to their rank surgeon lieutenant for example all medical officers are required to be registered with the general medical council and to hold a current licence to practise 19 although royal navy medical officers are qualified doctors they do not use the dr prefix like those in other british military medical organisations 20 medical services officers edit medical services officers provide support in areas such as medical administration training logistics and planning as well as in more specialised areas such as environmental health and radiological protection they do not have to be registered medical practitioners 19 head of royal navy medical services edit the head of navy healthcare head of royal navy medical services continues to hold the appointment of medical director general naval 21 in 2009 the title chief naval medical officer was introduced to be held together with the title medical director general naval which was retained for liaison with outside authorities 22 in 2015 the rank of the medical director general naval was de enriched from surgeon rear admiral to surgeon commodore 23 surgeon commodore peter buxton who was at that time in the discrete post of head of royal naval medical service and assistant chief of staff medical was the following year promoted to medical director general naval retaining in addition the designation assistant chief of staff medical 24 subsequently the separate appointment of head of royal naval medical service was merged with that of assistant chief of staff medical medical director general naval in 2022 the post of assistant chief of staff medical head of the royal naval medical service was eliminated in favour of the title head of navy healthcare head of royal navy medical services 25 2 as of 2024 the head of navy healthcare head of royal navy medical services reports to the director of people training and naval secretary 2 physician general of the navy edit 9 jun 1832 24 january 1841 sir william burnett inspector general of naval hospitals and fleets edit 25 january 1841 31 december 1843 sir william burnett director general of the medical department of the navy edit 1 january 1844 29 april 1855 sir william burnett 30 april 1855 20 january 1864 sir john liddell 21 january 1864 14 april 1869 dr alexander bryson 15 april 1869 31 january 1880 inspector general of hospitals and fleets sir alexander armstrong 1 february 1880 26 february 1888 inspector general of hospitals and fleets sir john watt reid 27 february 1888 31 march 1898 inspector general of hospitals and fleets sir james nicholas dick 26 1 april 1898 11 september 1904 inspector general of hospitals and fleets sir henry frederick norbury 12 september 1904 10 may 1908 inspector general of hospitals and fleets sir herbert mackay ellis 11 may 1908 10 may 1913 surgeon general sir james porter 11 may 1913 31 may 1917 surgeon general sir arthur william may medical director general of the navy edit 1917 1919 surgeon vice admiral sir william henry norman 1919 1923 surgeon vice admiral sir robert hill 27 1923 1927 surgeon vice admiral sir joseph chambers 28 1927 1931 surgeon vice admiral sir arthur gaskell 29 1931 1934 surgeon vice admiral sir reginald st george smallridge bond 1934 1937 surgeon vice admiral sir robert william basil hall 30 1937 1941 surgeon vice admiral sir percival thomas nicholls 31 1941 1945 surgeon vice admiral sir sheldon francis dudley 1945 1948 surgeon vice admiral sir henry st clair colson 1948 1951 surgeon vice admiral sir clarence edward greeson 32 1952 1956 surgeon vice admiral sir kenneth alexander ingleby mackenzie 33 1956 1960 surgeon vice admiral sir robert cyril may 34 1960 1963 surgeon vice admiral sir william robert silvester panckridge 35 1963 1966 surgeon vice admiral sir derek duncombe steele perkins 1966 1969 surgeon vice admiral sir eric dick caldwell 36 37 1969 1972 surgeon vice admiral sir eric blackburn bradbury 38 1972 1977 surgeon vice admiral sir james watt 39 1977 1980 surgeon vice admiral sir john stuart pepys rawlins 40 1980 1983 surgeon vice admiral sir john albert bews harrison 41 medical director general naval edit 1983 1984 surgeon vice admiral roger john william lambert 42 1985 1990 surgeon vice admiral sir godfrey james milton thompson 1990 1993 surgeon rear admiral david askey lammiman 43 1993 1994 surgeon rear admiral anthony leslie revell 1994 1997 surgeon rear admiral alexander sandy craig 1997 1999 surgeon rear admiral michael patrick william halden paine 44 1999 2002 surgeon rear admiral ian lawrence jenkins 2001 2003 surgeon rear admiral ralph donaldson curr 2003 2007 surgeon rear admiral michael atholl farquharson roberts 2007 2009 surgeon rear admiral philip iain raffaelli 45 2009 2012 surgeon rear admiral lionel jarvis chief naval medical officer medical director general naval 22 2012 2015 surgeon rear admiral calum james gibb mcarthur chief naval medical officer medical director general naval 46 2015 2016 surgeon rear admiral alasdair james walker chief naval medical officer medical director general naval 47 2016 2017 surgeon commodore peter buxton assistant chief of staff medical and medical director general naval 2017 2021 commodore inga jane kennedy assistant chief of staff medical head of the royal navy medical service and medical director general naval 2021 2023 surgeon commodore fleur t marshall head of the royal navy medical service and medical director general naval 48 2023 present commodore alison hofman head of the royal navy medical service and medical director general naval 49 commodore in chief edit on 8 august 2006 queen elizabeth ii appointed members of the royal family to serve as royal patrons styled commodores in chief of various royal navy commands in recognition of the strong links between the royal navy and the royal family 50 camilla duchess of cornwall was appointed commodore in chief naval medical services at that time and has continued in the role as queen see also edit army medical services raf medical services william job maillard vc kate nesbitt mc surgeon vice admiral ian jenkins surgeon captain rick jolly physician military medicine references edit 1 2 3 defence medical services gov uk uk government retrieved 14 august 2024 1 2 3 navy command senior personnel pdf armed forces review mod may 2024 retrieved 16 august 2024 reports from commissioners 7 naval and military promotion london house of commons 1840 pp 185 191 1 2 dod charles r 1848 the peerage baronetage and knightage of britain and ireland london whittaker and co p 116 mclean david 2006 public health and politics in the age of reform cholera the state and the royal navy in victorian britain london i b tauris p 59 hamilton admiral sir r vesey 1896 naval administration london george bell and sons pp 22 25 gater g h hiorns f r 1940 spring gardens survey of london volume 20 st martin in the fields pt iii trafalgar square and neighbourhood british history online ed london london county council pp 58 65 retrieved 16 august 2024 chisholm hugh ed 1911 admiralty administration encyclopædia britannica 11th ed cambridge university press editorial journal of the royal naval medical service 71 2 69 1985 doi 10 1136 jrnms 71 69 defence medical services 1984 parliamentary debates hansard house of commons 22 october 1984 grant e j 2013 9 the toothwrights tale a history of dentistry in the royal navy 1964 1995 andrews uk limited isbn 9781909183315 1 2 3 4 wakeley sir cecil november 1957 surgeons and the navy pdf annals of the royal college of surgeons of england 21 5 267 289 retrieved 15 june 2024 1 2 turnbull william 1806 the naval surgeon london richard phillips pp v xxvii 394 395 1 2 tait william 1906 a history of haslar hospital portsmouth griffin co pp 103 113 124 defence medical services healthcare commission careers medical assistant royal navy retrieved 25 august 2009 hms ark royal medical department archived from the original on 26 august 2009 retrieved 14 february 2010 medical branch royal navy archived from the original on 6 august 2009 retrieved 25 august 2009 1 2 the queen s regulations for the royal navy version 6 pdf royal navy the defence council 2017 pp 15 3 15 8 retrieved 15 august 2024 medical officers output pdf royal navy archived from the original pdf on 14 november 2008 retrieved 25 august 2009 court circular the royal family 26 january 2023 retrieved 16 august 2024 1 2 s...
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