PULHHEEMS
Encyclopedia
The PULHHEEMS is a system of grading physical
Physical fitness
Physical fitness comprises two related concepts: general fitness , and specific fitness...

 and mental fitness
Mental health
Mental health describes either a level of cognitive or emotional well-being or an absence of a mental disorder. From perspectives of the discipline of positive psychology or holism mental health may include an individual's ability to enjoy life and procure a balance between life activities and...

 used by Britain's
United Kingdom
The United Kingdom of Great Britain and Northern IrelandIn the United Kingdom and Dependencies, other languages have been officially recognised as legitimate autochthonous languages under the European Charter for Regional or Minority Languages...

 armed forces. PULHHEEMS is tri-service, which is to say that it is used by the British Army
British Army
The British Army is the land warfare branch of Her Majesty's Armed Forces in the United Kingdom. It came into being with the unification of the Kingdom of England and Scotland into the Kingdom of Great Britain in 1707. The new British Army incorporated Regiments that had already existed in England...

, the Royal Navy
Royal Navy
The Royal Navy is the naval warfare service branch of the British Armed Forces. Founded in the 16th century, it is the oldest service branch and is known as the Senior Service...

 and the Royal Air Force
Royal Air Force
The Royal Air Force is the aerial warfare service branch of the British Armed Forces. Formed on 1 April 1918, it is the oldest independent air force in the world...

. Its purpose is to determine the suitability of its employees for posting into military zones. It is not a fitness test as such; rather, it is a test of suitability for purpose.

The PULHHEEMS system, or variations of it, is also used by several members of the British Commonwealth
Commonwealth of Nations
The Commonwealth of Nations, normally referred to as the Commonwealth and formerly known as the British Commonwealth, is an intergovernmental organisation of fifty-four independent member states...

, including Singapore
Singapore
Singapore , officially the Republic of Singapore, is a Southeast Asian city-state off the southern tip of the Malay Peninsula, north of the equator. An island country made up of 63 islands, it is separated from Malaysia by the Straits of Johor to its north and from Indonesia's Riau Islands by the...

, Canada
Canada
Canada is a North American country consisting of ten provinces and three territories. Located in the northern part of the continent, it extends from the Atlantic Ocean in the east to the Pacific Ocean in the west, and northward into the Arctic Ocean...

, Australia
Australia
Australia , officially the Commonwealth of Australia, is a country in the Southern Hemisphere comprising the mainland of the Australian continent, the island of Tasmania, and numerous smaller islands in the Indian and Pacific Oceans. It is the world's sixth-largest country by total area...

 and New Zealand
New Zealand
New Zealand is an island country in the south-western Pacific Ocean comprising two main landmasses and numerous smaller islands. The country is situated some east of Australia across the Tasman Sea, and roughly south of the Pacific island nations of New Caledonia, Fiji, and Tonga...

. The USA
United States armed forces
The United States Armed Forces are the military forces of the United States. They consist of the Army, Navy, Marine Corps, Air Force, and Coast Guard.The United States has a strong tradition of civilian control of the military...

 uses a system called PULHES. In civilian life there is a similar system called PULSES which is used to grade levels of disability; it differs from the PULHHEEMS in that it also examines the digestive system, something which the PULHHEEMS does not.

Usage

For new recruits
Military recruitment
Military recruitment is the act of requesting people, usually male adults, to join a military voluntarily. Involuntary military recruitment is known as conscription. Many countries that have abolished conscription use military recruiters to persuade people to join, often at an early age. To...

 it is part of the first step into the armed forces, whilst for established service people it is a requirement of ongoing employment. Although a PULHHEEMS is carried out on new recruits, it is not itself an entrance examination, the attributes of which depend on the unit conducting the examination.

The examination is carried out on recruits, and five-yearly after a serviceman or woman reaches the age of 30. After the age of 50, people in service are examined every two years. All General
General
A general officer is an officer of high military rank, usually in the army, and in some nations, the air force. The term is widely used by many nations of the world, and when a country uses a different term, there is an equivalent title given....

s of any persuasion must be examined yearly. Furthermore, service personnel under the age of 30 are required to undergo a PULHHEEMS in order to attend certain courses, whether occupational or promotional, and also if medically downgraded. A PULHHEEMS is also carried out prior to leaving the armed forces, in part because many former servicemen remain as reserves.

The PULHHEEMS examination can result in medical downgrading if fitness standards do not reach required levels, whether as a consequence of injury, neglect, pregnancy, or old age. Downgrading can reduce a serviceman's pay, and prevent him or her from attending courses, which in turn can prevent the serviceman from being promoted. Ultimately a serious, permanent medical downgrade can result in discharge from the armed forces on medical grounds.

Acronym

PULHHEEMS is an abbreviation for the factors it is intended to test. These include:

Physique

Upper limbs

Lower limbs (or 'Locomotion', as this includes the back)

Hearing (left)

Hearing (right)

Eyesight left (corrected / uncorrected)

Eyesight right (corrected / uncorrected)

Mental function

Stability (emotional)

Scoring

The attributes examined in PULHHEEMS receive a score from 1 to 8, with 1 being excellent and 8 being unfit for service. Although in theory all attributes can be scored from 1 to 8, in practice only eyesight and hearing can be graded 1. Although there is provision for grading a serviceman's physical measurements as P1, the examination required would be impossible within the constraints of the PULHHEEMS system.

The Mental and Stability measurements are not exhaustive psychological examinations. The former is a test of the ability to form coherent thought processes, whilst the latter is a measurement of the serviceman's stress level.

PES/MES

Once a person in service has undergone a PULHHEEMS, they receive a score. In the Royal Air Force (RAF), the score is the MES, which stands for "Medical Employment Status." In the other branches, the score is the PES, which stands for "PULHHEEMS Employment Status". This PES is used to determine whether the soldier is "employable in full combatant duties (in any area) in any part of the world" or if they must remain away from the combat area, or within a specific geographic limitation. Sometimes it may be used in determining whether they are unfit for all duties. A PES grade of P2 is excellent, that of P7 is very poor, and P8 is unfit for duty. MES encapsulates the suitability of personnel for posting in the air, on the ground, and in different climates. Thus, a fully fit RAF serviceman will be graded A1G1Z1 rather than P2. Conversely the Royal Navy, which includes the Royal Marines
Royal Marines
The Corps of Her Majesty's Royal Marines, commonly just referred to as the Royal Marines , are the marine corps and amphibious infantry of the United Kingdom and, along with the Royal Navy and Royal Fleet Auxiliary, form the Naval Service...

, makes no distinction between postings at sea or on land.

History

The PULHHEEMS system dates from WWII
World War II
World War II, or the Second World War , was a global conflict lasting from 1939 to 1945, involving most of the world's nations—including all of the great powers—eventually forming two opposing military alliances: the Allies and the Axis...

, although before 1983 it was simply PULHEEMS with one H. It replaced an earlier, simpler system which dated from before WWI
World War I
World War I , which was predominantly called the World War or the Great War from its occurrence until 1939, and the First World War or World War I thereafter, was a major war centred in Europe that began on 28 July 1914 and lasted until 11 November 1918...

in which soldiers were graded from A1 to D3 in four bands of three ratings.
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