At Medical Support Solutions Ltd (MSS) we are acutely aware of the impact of global events on our operation, and the impact they could potentially have on clients’ business continuity.

MSS has a robust business continuity plan in place that reflects our normal operating environment on a daily basis.

We continue to function at full strength at all of our project sites, in some instances we had staff returning to site from leave breaks early to pre-empt local travel restrictions imposed by authorities.

We have ramped up our supply chain to provide additional support to our clients, and are further engaging on a local level with client management teams to support their COVID-19 response though planning and training programmes.

As with every other provider in the area we operate in, travel restrictions would likely have an impact on medical logistics.  Our planning to mitigate this started some time ago, and is adapted on a daily basis to ensure uninterrupted support to our sites.

The UK head office team is functioning though a combination of office based and remote working.

We remain committed to strike the best balance between government advice, local knowledge and individual risk management in ensuring our clients are fully supported.


MSS Commercial Role 2 Medical Facility in Mogadishu Operational

Medical Support Solutions Commercial Role 2 Medical Facility in Mogadishu, Somalia is now operational.

The operating theatre, or operating room (OR) went live on Sunday 7 April 2019. It has a full OR and  a minor procedure room. Staffed by surgeons, anaesthetists and scrub nurses, the focus is on damage control surgery, however elective cases can be handled comfortably. Positive pressure in the OR and the rest of the facility is maintained by a four stage air treatment system to European Standards, including HEPA filtration.

The OR unit was flown in from Europe on an Ilyushin Il-76 Jet in modular format and assembled on site within 5 days and fully operational 2 days later.

This is the first commercially available Role 2 facility at Mogadishu’s Aden Abdulle International Airport (AAIA).

MSS Operating Room, Mogadishu

Earlier this year, we launched our own, independent and standalone Medical Treatment Facility (MTF), in Mogadishu, Somalia. Working closely with The Chelsea Village at Aden Abdulle International Airport (AAIA), this service comprises an Advanced Life Support Emergency Medical Service, Role One MTF, Medical Ward, ICU, X-Ray & Ultrasound Imaging Service, Laboratory and Blood Bank. It is located within The Chelsea Village about 100m from the terminal building at AAIA.

MSS has been supporting clients in Somalia since 2010 providing a full scope of services ranging from primary care through to damage control surgery. MSS has operated Role 2 facilities at AAIA before but these were solely for the use of specific organisations.

MSS Medical Treatment Facility in Mogadishu, Somalia

Medical Support Solutions has launched our own, independent and standalone Medical Treatment Facility (MTF), in Mogadishu, Somalia. Working closely with The Chelsea Village at Aden Abdulle International Airport (AAIA), we have launched a Role One MTF, Advanced Life Support Emergency Medical Service, Medical Ward, ICU, X-Ray and Ultrasound Imaging Service, Laboratory and Blood Bank.

It is located within The Chelsea Village about 100m from the terminal building at AAIA.

Emergency Room

MSS has been supporting clients in Somalia since 2010 providing a full scope of services ranging from primary care through to damage control surgery.

A Surgical Suite is currently being added and will be operational by Mid April 2019.

Rapid Deployment Surgical Suite being loaded in Europe for transport to Mogadishu.

DRC Mining Code

With our locally registered company, shareholding, management structure and local content strategies, MSS is proud to be in compliance with the DRC mining code. “This is very important for us” said Peter Brink, Commercial Business Unit Manager. “We are passionate about local talent development and finding ways for local healthcare professionals to benefit from the opportunities in the Energy, Mining and Infrastructure industries”.

Petroleum Authority of Uganda

After evaluating our submission and experience, the Petroleum Authority of Uganda has, for the third consecutive year, registered Medical Support Solutions on the official PAU database of organisations who may do business in the Oil and Gas sector in Uganda.

MSS grows its global footprint

With clients across Africa, from Nigeria and Guinea in the west, through the Democratic Republic of Congo to Mozambique in the East, Medical Support Solutions has opened offices in the DRC and Mozambique. “We are truly excited about these developments”, says Pieter De Weerdt, “they are testament to the fact that our products and our approach to remote site healthcare really works for our clients” MSS operational footprint continues to expand, and more announcements are expected shortly.

Top Quality Award for Medical Support Solutions

Medical Support Solutions has successfully transitioned from ISO9001:2008 to the coveted ISO9001:2015 quality certification. Having held the 2008 certification since 2007, we felt the time was right to transition, also using the opportunity to test some of our systems, processes and policies. “We are very proud of this certification, which we feel once again demonstrates our commitment to quality, innovation and service delivery” said Pieter De Weerdt, Managing Director of Medical Support Solutions.



Medical Support Solutions Expands Our Training Capabilities

Following our recent successful further accreditation with the Emergency Care and Safety Institute, Medical Support Solutions is able to provide additional training courses. These courses are provided by our accredited on site Medical Professionals to lay people and healthcare professionals. “We are now able to expand our training beyond just First Aid, CPR and AED courses which is very exciting”, said Commercial Business Unit Manager and ALS Paramedic, Peter Brink.

Courses include:

Standard First Aid, CPR and AED

Advanced Level First Aid, CPR, and AED

Bloodborne and Airborne Pathogens



ECSI Refresher Courses

Emergency Medical Responder

Healthcare Provider CPR & AED

Oxygen Administration


ECSI Training is partnered with the American Academy of Orthopaedic Surgeons and the American College of Emergency Physicians.




Petroleum Authority of Uganda

MSS is pleased to confirm our registration on the National Suppliers Database with the Petroleum Authority of Uganda (PAU).

Any supplier wishing to provide services for the Oil and Gas industry within Uganda must be registered on the PAU Suppliers Database, so we are especially excited to be able to service the Oil and Gas Community in Uganda.

We also feel its an excellent opportunity to partner with Ugandan healthcare professionals to provide skills transfer, emergency medical training and mentorship.

See more here…

Local Empowerment and Medical Skills Transfer

International best practice emergency medical training does not exist in most of Africa, with the result that many national healthcare practitioners are not equipped to assess, diagnose and treat medical and trauma emergencies.

However, many of these personnel are willing and able to learn, increase their skills and contribute more to a remote site healthcare system and their communities.

MSS has developed programs aimed at identifying individuals who have the potential to be trained and up-skilled in western standard emergency care, leaving a lasting legacy and contributing to local healthcare.

Medical skills assessments and gap analysis

Medical Support Solutions will conduct a medical and emergency skills assessment of the Local healthcare practitioner. Knowledge, skills and capabilities are assessed according to medical best practice, international standards and objective assessment criteria.

Intermediate / Advanced Life Support training and skills transfer

Based on the medical skills assessment, Medical Support Solutions will advise to which level we are able to uplift the capabilities of local healthcare practitioners. They are provided with focused training, refreshing anatomy, physiology and pathophysiology, progressing to diagnostics, patient assessment and treatment of medical and trauma emergencies.

Mentorship and experiential learning

MSS medical staff conducts experiential learning with national healthcare practitioners during daily routine medical services, enabling them to learn key assessment, diagnostic and treatment skills. MSS staff who have a teaching background are carefully selected to place on sites where we conduct these programs.


Remote Site Healthcare – Just how appropriate is your on-site resource?

Published on Oil News Kenya 20th August 2016 – full article here

With the oil & gas and commodity prices low, companies are forced to operate leaner and reduce both capital and operational costs. All aspects of the operation are scrutinized and cost vs. benefit interrogated. This does not come without certain risks, some of which can be to on-site healthcare in a more pressurized environment.

From a workforce health perspective, companies may be forced to look for more cost effective, logistically easier solutions to satisfy their duty of care for employees and workers. This includes making use of local healthcare faculties and medical professionals, becoming more reliant on evacuation plans and having access to evacuation or medical assistance on a “call when needed” basis.

The potential risks with these approaches are that

a) Not all healthcare professionals are created equally,

b) Where time is a critical factor, “call when needed” is likely to be too late and,

c) An evacuation or emergency plan is nothing more than a list of things to do and numbers to call – it does not treat a patient.

Experience has shown that some decision makers are not aware of the limitations or differences between training and experience of various healthcare professionals. A lack of understanding of these two factors can lull clients into a false sense of security – feeling comfortable in the belief that having any level of healthcare professional on a remote site or a medical facility close by is adequate.

When we say that not all healthcare professionals are created equally, we think of the horses for courses concept. For example, a doctor (either national or “western trained” general practitioner) may be perceived to be best suited to a remote site, however, general practitioners do not spend as much time on actual emergency medicine and do not have the focused training and experience that, say, a Paramedic would have. Generally speaking, a doctor may spend 5 or 6 years studying general medicine, but a paramedic would spend 3 or 4 years studying emergency medical care and rescue, almost exclusively. (This obviously excludes doctors who have specialized in or have a keen interest in emergency medicine)

When we look deeper into the healthcare training capabilities within Africa, the unfortunate truth is that there is no formalized Advanced Life Support (ALS) paramedic training in most of Africa outside of South Africa – with the possible exception of a developing EMT (Emergency Medical Technician) training program and some short courses in cardiac care in Kenya.

The title “Paramedic” refers to ALS providers, all other levels are Basic or Intermediate Providers – not Paramedics. The term EMT refers to a basic life support provider, and the term Paramedic refers to Advanced Life Support. Nevertheless, many EMT-Basic and EMT-Intermediate consider themselves to be Paramedics.

With the greatest respect to our colleagues, national healthcare practitioners – doctors, clinical officers, nurses and “Paramedics” are generally not specifically trained, experienced or equipped to diagnose and treat significant medical and trauma emergencies. It’s not their fault, or for us to question their willingness or belief that they are trained. It is however, a reality. Some do travel abroad for specialized training, but many have neither the funds or ability to do so.

A short course in Advanced Cardiac life Support or Advanced Trauma Life Support may provide insight into emergency care; but without an existing experience base or knowledge of the equipment, these courses are largely ineffective.

Many decision makers don’t know the difference, a doctor is a doctor and a paramedic is a paramedic.

We place emphasis on the word “experience”. This is critical because on a remote site, thankfully medical emergencies or significant injuries are infrequent. Despite the infrequency of these events, the implications thereof are dramatic to both the patient, the operation, insurers and funders. However, when one does happen, the healthcare practitioner should be able to rely on solid training and experience, having performed enough advanced life support procedures for it to become second nature.

Technological advancements in the oil & gas, mining and exploration environments have allowed organizations to drill faster, extract better and refine more cost effectively.

The same holds true for general and emergency medicine; where technology and up to date, evidence based medicine can improve outcomes, save lives and reduce long term disability as a result of a medical emergency or injury. For example:

  • A simple medication such as Aspirin could have a significant effect on the long term outcome of a heart attack,
  • High flow, high concentrations of oxygen can be detrimental in certain circumstances,
  • Some of the medications traditionally used for a cardiac arrest have no benefit, waste time or can even be detrimental to a successful outcome,
  • Knowing when to administer a certain medication is as important and life-saving as the medication itself,
  • Spine boards / backboards, neck braces and extrication devices have been shown to do more harm than good and are only used in specific circumstances.

Sending a patient off-site for primary healthcare diagnosis and treatment can be appropriate, provided that the facility is suitably equipped, staffed and resourced. This is especially relevant in a medical emergency.

When deciding on the most appropriate healthcare resource for a remote site, key points to bear in mind are:

  • Risk vs. Cost vs. Benefit,
  • Medical qualifications and experience levels of the healthcare practitioner,
  • Availability of, training and experience of the selected healthcare practitioner on emergency equipment,
  • Availability of local healthcare resources, clinics, hospitals and emergency services,
  • The time it would take to activate an emergency plan, air ambulance or drive to a medical facility,
  • Capability of a local resource, clinic or hospital which, for example, may have an operating theater, however, the presence and availability of a surgeon and anesthetist should be confirmed.
  • The significant risk with this approach is that true emergencies are time-critical in nature – they do not allow for delays in treatment and outcomes deteriorate by the second rather than by the hour.

MSS appoints Peter Brink as Commercial Business Unit Manager

With the opening of the Johannesburg, South African office, the Commercial Business Unit Manager, Peter Brink, brings a wealth of experience operating with large and small organistions in Sub-Saharan Africa.

After holding a senior operations management position in the largest global medical services and assistance company, Peter Joined MSS in April 2016. The South African business unit was established to serve the commercial market for energy, mining and infrastructure clients. 

Peter specialises in the scoping, deployment and management of medical services and consulting services to clients seeking to provide healthcare services to their employees as part of their duty of care. He has significant experience operating in much of Sub-Saharan Africa in countries such as the DRC, Mozambique, Ethiopia, Tanzania and Kenya to name a few.

Said Peter: “ I really believe in the types of services we provide, having had first hand experience of when things go right and also horribly wrong. In the current global economic climate, cost vs benefit is a major factor influencing the level of healthcare our clients can afford. We strive to meet this challenge with a pragmatic approach, innovative thinking, products and costing models.”

Quality Award to Medical Support Solutions Limited

Following an assessment by an independent body, Medical Support Solutions has been awarded ISO 9001 certification.

This certification has only been achieved by about 5% of UK businesses and this prestigious award is supported by the Government and recognized world-wide.

Said a delighted Pieter de Weerdt “We have always been proud of the service we offer our clients and the way that we conduct our business. Now with the award of ISO 9001 certification, this has been confirmed by outside experts who are used to judging standards on a daily basis in a wide variety of trades and industries”.

Mr Ian McGleish, who undertook the assessment for QMS Quality Management Systems, paid particular tribute to “the investment in people and training that enables Medical Support Solutions to provide an efficient service to their customers.”