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Medical grading

If a soldier has a particularly complex injury or illness, and it is likely that they will be on WISMIS for more than 56 days, the unit must apply for them to be graded as Temporarily Non-Effective (TNE). The unit is advised to do this as soon as it is evident the soldier will require several months of medical treatment if not more, but must have applied for the soldier to be graded as TNE by the 56 day point. The application is registered on WISMIS and approved by the Occupational Health team at Glasgow. Approval to be graded as TNE usually takes one or two days, but may take as long as a week.

Units can also put the soldier forward to the monthly Army Recovery Capability Assessment Board (ARCAB) which will decide if the soldier should be transferred from their regular unit to a Personnel Recovery Unit (PRU).

The ARCAB is made up of experts in clinical medicine and welfare as well as representatives from the PRUs, and PRCs. The ARCAB orders each application for each regional PRU according to need. Some PRU’s have greater capacity than others, so not every application will result in a transfer to a PRU.

Unit Adjutant and Welfare Officers are invited to attend an ARCAB, which is held at Army Headquarters, to see the process and talk to the expert panel to better enable them to complete the paperwork. Requests to attend an ARCAB should be sent to the WISMIS team.

If a transfer is not possible from the first submission to the ARCAB the soldier’s unit can resubmit the file for a further two ARCABs. If there is still not space for the soldier at their preferred PRU by the end of the third ARCAB submission, the unit will be asked to rewrite and update the paperwork so that the next ARCAB has the most up-to-date information on the soldier’s condition and needs.

The paperwork submitted to the ARCAB includes a statement from the MO and the CO, as well as the soldier. It is important for all three statements to be completed. Advice is given on the form for each, and can be discussed at the ARCAB.

The only reason a wounded or ill soldier would not be put forward to the ARCAB is if they are expected to make a full recovery in the next 44 days – i.e. they are expected to be removed from WISMIS within 100 days. In which case, their recovery would not need the support of a PRU.