Reach-back to subject matter experts improves healthcare quality, influences the decision to evacuate and reduces costs: an observational study of the UK Defence Medical Services Deployed Telemedicine System

The DMS Deployed Telemedicine System is used most days, and users report improvement in healthcare quality for patients. There has been a meaningful impact on the decision to evacuate service persons, with the likelihood of significant cost savings. Benefits may be realised during warfighting activity if assured bearers and bandwidth can be provisioned to military medical services.