Abstract
A study was made of recruit medical discharges in the British Army in 1988 with the aim of ascertaining the number of medical discharges amongst recruits. AFBs 6863 (Notification of Discharge of a Regular Recruit) were used as the source of data. Recruit medical wastage rate for 1988 was 897 cases, or 16.7% of all known discharges. Three types of medical discharges were present. Four hundred and ninety-six Type 1 or concealed discharges, (9.2% of discharges for all reasons) were made up of cases who had not been boarded and had mainly been discharged under QR 9.381 (defect of enlistment). Two hundred and seventy-five Type 2 discharges (5.1% of discharges for all reasons) represented boarded cases discharged under QR 9.385 (ceasing to fulfil medical requirements). One hundred and twenty-six Type 3 discharges (2.3% of all discharges) were boarded cases mainly discharged under QR 9.381 (defect of enlistment). As all discharges under paragraphs other than QR 9.385 are given administrative discharge outflow code, only the 275 Type 2 discharges (or 31.7% of medical discharges) appeared on the Army's own source of medical data, the TRIMEDS database. This had the effect of concealing the majority of those discharges caused by conditions predating enlistment therefore decreasing the number of known false negatives not detected at recruiting medicals. The biggest causes of discharge were conditions of the lower limbs and back (54.5% of medical discharges), a conglomerate of minor categories of pathology (14.6%), asthma (9.6%) and deformities (7.4%). Within each type the bulk of the discharges was concealed in Type 1 discharges especially for conditions predating enlistment.(ABSTRACT TRUNCATED AT 250 WORDS)
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