JSP 950 MEDICAL POLICY LEAFLET 6-7-7 JOINT SERVICE MANUAL OF MEDICAL FITNESS JSP 950 Lft 6-7-7 (V1.2 Dec 17) Intentionally blank Contents Amendments table iii-v Section One: Description of the PULHHEEMS System 1-1 to 1-5 Section Two: The Joint Medical Employment Standard 2-1 to 2-2 Annex A Medical Deployment Standard 2-A Annex B Medical Employment Standard 2-B-1 to 2-B-6 Annex C Medical Limitations 2-C-1 to 2-C-8 Section Three: Medical Assessment for PULHHEEMS 3-1 to 3-4 Annex A Functional Interpretation of Grades for each Quality 3-A-1 to3-A-2 Annex B Guidelines for the Conduct of the Pre-Service Medical Assessment 3-B-1 to 3-B-6 Annex C Assessment of Body Mass Index 3-C-1 to 3-C-2 Annex D Assessment of hearing acuity (H) 3-D Annex E Assessment of distant visual acuity (E) 3-E-1 to 3-E-2 Annex F Evaluation of Mental Capacity (M) and Emotional Stability (S) 2-F Annex G Assessment of Red/Green Colour Perception (CP) 3-G-1 to 3-G-3 Annex H Health declaration - example for use at demobilisation 3-H-1 to 3-H-2 Annex I Guidelines for Undertaking Screening Pure Tone Audiometry 3-I-1 to 3-I-7 Section Four: The Influence of Particular Conditions on PULHHEEMS Assessment for Entry 4-1 to 4-2 Annex A Eyes Pre-entry 4-A-1 to 4-A-4 Annex B Ear Nose and Throat Pre-entry 4-B-1 to 4-B-3 Annex C Cardiovascular Pre-entry 4-C-1 to 4-C-3 Annex D Respiratory Pre-entry 4-D-1 to 4-D-3 Annex E Gastrointestinal Pre-entry 4-E-1 to 4-E-3 Annex F Renal and Urological Pre-entry 4-F-1 to 4-F-2 Annex G Neurological Pre-entry 4-G-1 to 4-G-5 Annex H Endocrine Pre-entry 4-H-1 to 4-H-2 Annex I Dermatological Pre-entry 4-I-1 to 4-I-2 Annex J Reproductive Pre-entry 4-J-1 to 4-J-3 Annex K Musculoskeletal Pre-entry 4-K-1 to 4-K-9 Annex L Psychiatry Pre-entry 4-L-1 to 4-L-9 Annex M Dental and Oro-Maxillofacial Pre-entry 4-M-1 to 4-M-2 Annex N Other Conditions Pre-Entry 4-N-1 to 4-N-7 Section Five: The Influence of Particular Conditions on PULHHEEMS Assessment During Service 5-1 to 5-3 Annex A Eyes In-Service 5-A-1 to 5-A-3 Annex B Ear Nose and Throat In-Service 5-B Annex C Cardiovascular In-Service 5-C-1 to 5-C-2 Annex D Respiratory In-Service 5-D Annex E Gastrointestinal In-Service 5-E-1 to 5-E-2 Annex F Renal and Urological In-Service 5-F Annex G Neurological In-Service 5-G-1 to 5-G-3 Annex H Endocrine In-Service 5-H Annex I Dermatological In-Service 5-I Annex J Reproductive In-Service 5-J-1 to 5-J-15 Annex K Musculoskeletal In-Service 5-K-1 to 5-K-6 Annex L Psychiatry In-Service 5-L-1 to 5-L-8 Annex M Dental and Oro-Maxillofacial In-Service 5-M-1 to 5-M-2 Annex N Other Conditions In-Service 5-N-1 to 5-N-7 Section Six: Harmonisation of Medical Boards Leading to Discharge ii JSP 950 Lft 6-7-7 (V1.2 Dec 17) Amendments table Date and Summary of amendments/remarks Version JSP 950 Part 1 Leaflet 6-7-7 1 Aug16 1.0 New JSP format to comply with DRU JSP review. Merged leaflets 6-7-1 to 6-7-6 (inclusive). Section 1 Description of the PULHHEEMS system 1 Aug16 1.0 Content unchanged. Last reviewed Jun 07. 2 Sep 16 1.1 Content unchanged. Last reviewed Jun 07. Section 2 The Joint Medical Employment Standard 1 Aug16 1.0 Major review. 2 Sep 16 1.1 Content unchanged. Last reviewed 1 Aug 16. 15 Dec 17 1.2 Major review. Section 3 Medical Assessments for PULHHEEMS 1 Aug16 1.0 Content unchanged. Last reviewed Oct 13. 2 Sep 16 1.1 Content unchanged. Last reviewed Oct 13. Section 3 Annex A Functional Interpretation of Grades for each Quality 1 Aug16 1.0 Content unchanged. Last reviewed Oct 13. 2 Sep 16 1.1 Content unchanged. Last reviewed Oct 13. Section 3 Annex B Guidelines for the Conduct of the Pre-Service Medical Assessment 1 Aug16 1.0 Content unchanged. Last reviewed Oct 13. 2 Sep 16 1.1 Content unchanged. Last reviewed Oct 13. Section 3 Annex C Assessment of Body Mass Index 1 Aug16 1.0 Content unchanged. Last reviewed Oct 13. 2 Sep 16 1.1 Content unchanged. Last reviewed Oct 13. Section 3 Annex D Assessment of hearing acuity (H) 1 Aug16 1.0 Content unchanged. Last reviewed Oct 13. 2 Sep 16 1.1 Content unchanged. Last reviewed Oct 13. Section 3 Annex E Assessment of distant visual acuity (E) 1 Aug16 1.0 Content unchanged. Last reviewed Oct 13. 2 Sep 16 1.1 Content unchanged. Last reviewed Oct 13. Section 3 Annex F Evaluation of Mental Capacity (M) and Emotional Stability (S) 1 Aug16 1.0 Content unchanged. Last reviewed Oct 13. 2 Sep 16 1.1 Content unchanged. Last reviewed Oct 13. Section 3 Annex G Assessment of Red/Green Colour Perception (CP) 1 Aug16 1.0 Content unchanged. Last reviewed Oct 13. 2 Sep 16 1.1 Content unchanged. Last reviewed Oct 13. Section 3 Annex H Health declaration - example for use at demobilisation 1 Aug16 1.0 Content unchanged. Last reviewed Oct 13. 2 Sep 16 1.1 Content unchanged. Last reviewed Oct 13. Section 4 The influence of particular conditions on PULHHEEMS assessment for entry 1 Aug16 1.0 Content unchanged. Last reviewed Apr 14. 2 Sep 16 1.1 Content unchanged. Last reviewed Apr 14. Section 4 Annex A Eyes pre-entry 1 Aug16 1.0 Content unchanged. Last reviewed 1 Feb 16. 2 Sep 16 1.1 Content unchanged. Last reviewed 1 Feb 16. Section 4 Annex B Ear, nose and throat pre-entry 1 Aug16 1.0 Content unchanged. Last reviewed 1 Feb 16. 2 Sep 16 1.1 Content unchanged. Last reviewed 1 Feb 16. iii JSP 950 Lft 6-7-7 (V1.2 Dec 17) Amendments table Date and Summary of amendments/remarks Version Section 4 Annex C Cardiovascular pre-entry 1 Aug16 1.0 Content unchanged. Last reviewed 1 Feb 16. 2 Sep 16 1.1 Content unchanged. Last reviewed 1 Feb 16. Section 4 Annex D Respiratory pre-entry 1 Aug16 1.0 Content unchanged. Last reviewed Oct 13. 2 Sep 16 1.1 Content unchanged. Last reviewed Oct 13. Section 4 Annex E Gastrointestinal pre-entry 1 Aug16 1.0 Content unchanged. Last reviewed Oct 13. 2 Sep 16 1.1 Content unchanged. Last reviewed Oct 13. Section 4 Annex F Renal and urological pre-entry 1 Aug16 1.0 Content unchanged. Last reviewed Oct 13. 2 Sep 16 1.1 Content unchanged. Last reviewed Oct 13. Section 4 Annex G Neurological pre-entry 1 Aug16 1.0 Content unchanged. Last reviewed 1 Feb 16. 2 Sep 16 1.1 Content unchanged. Last reviewed 1 Feb 16. Section 4 Annex H Endocrine pre-entry 1 Aug16 1.0 Content unchanged. Last reviewed Oct 13. 2 Sep 16 1.1 Content unchanged. Last reviewed Oct 13. Section 4 Annex I Dermatological pre-entry 1 Aug16 1.0 Content unchanged. Last reviewed Jun 07. 2 Sep 16 1.1 Content unchanged. Last reviewed Jun 07. 15 Dec 17 1.2 Major review. Section 4 Annex J Reproductive pre-entry 1 Aug16 1.0 Content unchanged. Last reviewed Oct 06. 2 Sep 16 1.1 Content unchanged. Last reviewed Oct 06. Section 4 Annex K Musculoskeletal pre-entry 1 Aug16 1.0 Content unchanged. Last reviewed 1 Feb 16. 2 Sep 16 1.1 Content unchanged. Last reviewed 1 Feb 16. Section 4 Annex L Psychiatry pre-entry 1 Aug16 1.0 Content unchanged. Last reviewed Oct 13. 2 Sep 16 1.1 Content unchanged. Last reviewed Oct 13. Section 4 Annex M Dental and oro-maxillo-facial pre-entry 1 Aug16 1.0 Major review. 2 Sep 16 1.1 Content unchanged. Last reviewed 1 Aug 16. Section 4 Annex N Other conditions pre-entry 1 Aug16 1.0 Content unchanged. Last reviewed Apr 14. 2 Sep 16 1.1 Major review. Section 5 The influence of particular conditions on PULHHEEMS assessment during Service 1 Aug16 1.0 Content unchanged. Last reviewed Oct 13. 2 Sep 16 1.1 Content unchanged. Last reviewed Oct 13. Section 5 Annex A Eyes in-service 1 Aug16 1.0 Content unchanged. Last reviewed Oct 13. 2 Sep 16 1.1 Content unchanged. Last reviewed Oct 13. Section 5 Annex B Ear, nose and throat in-service 1 Aug16 1.0 Content unchanged. Last reviewed Oct 13. 2 Sep 16 1.1 Content unchanged. Last reviewed Oct 13. iv JSP 950 Lft 6-7-7 (V1.2 Dec 17) Amendments table Date and Summary of amendments/remarks Version Section 5 Annex C Cardiovascular in-service 1 Aug16 1.0 Content unchanged. Last reviewed Mar 14. 2 Sep 16 1.1 Content unchanged. Last reviewed Mar 14.