What are the core FMT standards?

Standard a:
FMTs agree to:

  • Agree to register with the relevant national authority or lead international agency on arrival.
  • Collaborate with inter-agency response coordination mechanisms at global, national and sub-national levels, as well as with other FMTs and health systems.

Standard b:
Will undertake to report on arrival what type, capacity and services they can offer.

Standard c:
Will undertake to report at regular intervals during response, and prior to departure, to the national authorities using national reporting formats.

Standard d:
Will undertake to keep confidential records of interventions, clinical monitoring and possible complications.

Standard e:
Will undertake for the individual patient, to have record of treatment performed and referral for follow-up planned as needed.

Standard f:
Will undertake to be part of the wider health referral system, and depending on type, offer to accept or refer or both accept and refer patients to other FMTs, the national health system or, if approved, other countries.

Standard g:
FMTs will adhere to professional guidelines:

  • All their staff must be registered to practice in their home country
  • All their staff must have licence to practice for the work they are assigned to by the agency

Standard h:
FMTs will ensure that:

  • All their staff are specialists in their field.
  • Their personnel are appropriately trained. The majority should have training and experience in global health, disaster medicine and providing care in austere environments. Acknowledging the need to train and provide experience to new staff, there may be scope for junior and inexperienced staff in the later phase of the crisis and working under direct supervision of experienced colleagues.

Standard i:
FMTs will ensure that all pharmaceutical products and equipment they bring complies with international quality standards and drug donation guidelines.

Standard j
FMTs are self sufficient and not put demand on logistic support from the affected country, unless agreed otherwise before deployment.

Standard k
FMT complies with:

  • minimal hygiene and sanitation standards.
  • Minimal standards required for management of medical waste.

Standard l:
FMTs must ensure:

  • The team and individuals within it are covered by adequate medical malpractice insurance.
  • That there are mechanisms in place to deal with patient complaints and allegations of malpractice.

Standard m:
FMTs must have arrangements in place for the care of their team members health and safety including repatriation and exit strategies if required.