Emergency planning: major incidents and command training

Major, complex, multi-casualty incidents occur with surprising regularity and previously, the command of these from a health perspective was often delegated to those with the most experience. Time served in the ambulance service was often the measure of one's ability to take command of such an event. The police and fire and rescue services have long established training programmes for their commanders. This training is in addition to their normal day job and is specific to incident command. Police and fire officers can only perform in that role if they have successfully completed the training required. The same cannot be said of health incident commanders.

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