Medical support to Armies is as old as those Armies themselves but it seems sensible to start off the story of the evolution of the RAMC at the Restoration of Charles II and the establishment of Britain’s Standing Army. That wasn’t a blank canvas, of course, but it is a useful start line in that there was to be a clear stable organisation thereafter to give support to, it was about the time that wider medical science and medical careers started to develop, and the great expansion of the Army to build and sustain the Empire commenced. Running alongside all this is the relationship of medical with the chain of command, which is important on two grounds, non-combatant medical status on the one hand against advice to commanders who were, and still are, the determinants of the occupation, lifestyle and environment influences on the health of the Army on the other.
The timeline shows the progress of professional development, organisation and relationships, via 60 key occurences since the Restoration, which culminated in the formation of the RAMC in 1898 but, of course, has continued to evolve to the present day. It is the story of how, in a series of steps, the officers and soldiers of the RAMC have come together over the last 360 years. It tracks the relationship between Regular and Auxiliary Forces. Whether this has meant that we have progressed and advanced every 6 years over the era, one leaves the reader to make his or her own mind up as they scroll through the chronology.
1660
Commissioned, one per regiment/battalion
1690
From within the Staff Surgeons (until 1798) alongside Hospital Mates and Physicians
1686
Apothecaries and Apothecaries Mates appointed to fixed hospitals from 1690
1756
For governance of the medical services, stands down 1763, under Secretary at War
1793
Composed of SG, Physician General & Inspector of Regimental Infirmaries
1804
As Hospital Assistants, then Assistant Surgeons from 1830
1808
After the 5th Report Military Enquiry (into the Medical Department of the Army), by Parliament, infers AMD established in 1793 as the AMB supported by a permanent staff from then; term AMD fully established in 1810
1810
With two Deputies; previous AMB membership, plus Apothecary General post, abolished
1854
Other ranks, subsumed into the Land Transport Corps in 1855
1855
Other ranks, commanded by an Officer of Orderlies, organised into companies
1857
Other ranks, some Officers of Orderlies
1870
Changes in TOS, service split between Regular and residual Reserve service, further developed in 1877
1873
Less Household Troops; regimental hospitals abolished
1873
Existing ones transfer to AHC as Officers of Orderlies
1879
Through earlier retirement and residual call up liability to age 55.
1884
Medical Officers of AMD grouped with QMs of the AHC
1885
Includes Medical Officers as well as Soldiers
1888
From Medical Officers of the Militia, Yeomanry and Volunteers
1891
eg Surgeon Lieutenant Colonel
1891
Includes Medical Officers as well as Soldiers
1898
From amalgamating the AMS with the MSC, proper military rank given to Medical Officers
1902
From Militia and Volunteer MSC
1904
Seat on Army Council lost, Department becomes a Directorate
1908
Incorporating Volunteer and Yeomanry RAMC plus Volunteer Brigade Bearer Companies
1908
Reverts to Militia in 1921 and then on to Supplementary Reserve (SR) in 1924
1914
Dental officers leave to form an Army Dental Corps in 1921
1918
The 3*s become Lieutenant General
1944
Not medically qualified, becoming the Admin cadre - today’s Medical Support Officers (MSO)
1950
Permanent commissions from 1961
1967
Thus incorporating AER, TAVR reverts to TA again in 1982
1976
Remaining in role, some previously had been commissioned as MSOs
1985
Absorbs AMD; SG post to rotate between the Three Services thereafter
1992
Return to under AG, DG as a 2*; SG and DMSD remain in the centre
1992
And QARANC Support Officers convert to RAMC as MSOs