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The challenge of being a medical
escort: who is looking after you?
Giles Hall
2
Medical Escort Safety
1. Introduction
2. The 6 Principles of Personal Security
3. The Security Score – Medical Escorts
4. Q&A
4
The 6 Principles
Preparation
Awareness
Low Profile
Communications
Varied Routine
Layered Protection
Risk Profile
‘Visible aspects of your personality/preferences that
raise risk’
Threat = Intent x capability
Risk = Likelihood x impact
5
Preparation
1. Travel magnifies risk
2. Gather information
• Documentation, main risks in destination, patient risk-profile, logistics
3. Act on the information
• Use info to mitigate risk, e.g laptop bags…
4. Know what you don’t know
Key messages to medical escorts
• Use info to identify risk; reduce likelihood and/or impact
• Every mission is different, even though you are the same
• “Well it worked last time, so…”
6
Awareness
1. Apply information
2. Cultural
• Customs, attitudes, values
• What blends in, what stands out?
3. Situational Awareness
• Protective vigilance – two antennas
• Fatigue – reduces vigilance
• What is normal here? Does this picture look good? ATM’s…
• Patient-focus – reduces vigilance
Key messages for medical escorts
• Develop 2 antenna…Medical stable AND security stable
• Your preparation should help your awareness
7
Low Profile
1. Reasonable targets
• Opportunity, wealth, ease
2. To lower your profile…
• Blend in (as best you can), or at least…
• Don’t stand out (voice, pointing, maps)
• Free time – avoid overt displays of wealth
• Free time – don’t let your guard down
• Free time – social media – keep it quiet
Key messages for medical escort
No patient No medical concerns (generally)
No security concerns (always)No patient
Risk Profile
‘Aspects of your personality/preferences that raise
risk and are visible to others’
8
Communication
1. Vital security kit
2. Know who & when to contact
• Have numbers saved (digital and written)
• Spare batteries, local SIM, charger and adapter plug
3. Keep low profile
Key messages for medical escorts:
• Remember low-profile when communicating on phone
• Use communication to reduce impact
• If there is ever any doubt…
9
Varied Routine
1. Routine surveillance
• Change your routine
• Surveillance is a prelude to planned crime
• 3 days off in-country? Change timings of beach trips
2. Be aware of possible surveillance
• Remember the two antennas
Key messages for medical escorts:
Low-profile + Varied routine = safer long-term trips
10
Layered Protection
1. Combine everything
2. Game face on…always
3. Remain alert
Key messages for medical escorts:
The 6 Principles = P / A / LP / C / VR / LP
11
Current research – The Security Score
Medical escort survey
Divided responses; 2 groups
Comparative research
Gp 1 Security Score 30% higher
10
1
+ve experience of non-medical issues
Feel supported
-ve experience of non-medical issues
Feel unsupported
Support
Logistics
Threat
Non-medical
Support
Logistics
Threat
Non-medical
12
Findings and recommendations
1. Security training increases a medical
escorts Security Score
2. Medical escorts report knowing the impact
of their risk profile well
3. Risk profile of patient is usually unknown
and not asked
Recommendation:
Creation of a medical escort-specific security training
course.
13

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The challenge of being a medical escort: Who is looking after you?

  • 1. The challenge of being a medical escort: who is looking after you? Giles Hall
  • 2. 2 Medical Escort Safety 1. Introduction 2. The 6 Principles of Personal Security 3. The Security Score – Medical Escorts 4. Q&A
  • 3.
  • 4. 4 The 6 Principles Preparation Awareness Low Profile Communications Varied Routine Layered Protection Risk Profile ‘Visible aspects of your personality/preferences that raise risk’ Threat = Intent x capability Risk = Likelihood x impact
  • 5. 5 Preparation 1. Travel magnifies risk 2. Gather information • Documentation, main risks in destination, patient risk-profile, logistics 3. Act on the information • Use info to mitigate risk, e.g laptop bags… 4. Know what you don’t know Key messages to medical escorts • Use info to identify risk; reduce likelihood and/or impact • Every mission is different, even though you are the same • “Well it worked last time, so…”
  • 6. 6 Awareness 1. Apply information 2. Cultural • Customs, attitudes, values • What blends in, what stands out? 3. Situational Awareness • Protective vigilance – two antennas • Fatigue – reduces vigilance • What is normal here? Does this picture look good? ATM’s… • Patient-focus – reduces vigilance Key messages for medical escorts • Develop 2 antenna…Medical stable AND security stable • Your preparation should help your awareness
  • 7. 7 Low Profile 1. Reasonable targets • Opportunity, wealth, ease 2. To lower your profile… • Blend in (as best you can), or at least… • Don’t stand out (voice, pointing, maps) • Free time – avoid overt displays of wealth • Free time – don’t let your guard down • Free time – social media – keep it quiet Key messages for medical escort No patient No medical concerns (generally) No security concerns (always)No patient Risk Profile ‘Aspects of your personality/preferences that raise risk and are visible to others’
  • 8. 8 Communication 1. Vital security kit 2. Know who & when to contact • Have numbers saved (digital and written) • Spare batteries, local SIM, charger and adapter plug 3. Keep low profile Key messages for medical escorts: • Remember low-profile when communicating on phone • Use communication to reduce impact • If there is ever any doubt…
  • 9. 9 Varied Routine 1. Routine surveillance • Change your routine • Surveillance is a prelude to planned crime • 3 days off in-country? Change timings of beach trips 2. Be aware of possible surveillance • Remember the two antennas Key messages for medical escorts: Low-profile + Varied routine = safer long-term trips
  • 10. 10 Layered Protection 1. Combine everything 2. Game face on…always 3. Remain alert Key messages for medical escorts: The 6 Principles = P / A / LP / C / VR / LP
  • 11. 11 Current research – The Security Score Medical escort survey Divided responses; 2 groups Comparative research Gp 1 Security Score 30% higher 10 1 +ve experience of non-medical issues Feel supported -ve experience of non-medical issues Feel unsupported Support Logistics Threat Non-medical Support Logistics Threat Non-medical
  • 12. 12 Findings and recommendations 1. Security training increases a medical escorts Security Score 2. Medical escorts report knowing the impact of their risk profile well 3. Risk profile of patient is usually unknown and not asked Recommendation: Creation of a medical escort-specific security training course.
  • 13. 13