MIMMS- Major Incident Medical Management and Support


ALSG‘s Major Incident Medical Management and Support (MIMMS) exists to teach the nature and management of the major incident and how to deliver the medical support needed. It’s the internationally recognised training programme for managing major incidents and mass-casualty events.

If you’re a healthcare professional or emergency responder and need to be prepared, confident & ready to respond to any type of incident, accident or emergency, this is the course for you.

The course runs as blended learning over three days in total. One day is completed online, and the other two are spent with an instructor. Distance learning must be completed before the face-to-face classroom session.

A play mat with cars, buses, train carriages, ambulances, fire appliances & police vehicles setup to simulate a major incident in a town centre
MIMMSville is the fictional setting where accidents happen daily, giving MIMMS candidates the chance to practice their command knowledge

By the end of the course, you’ll be able to manage complex incidents using the structured CSCATTT approach.

Upcoming Major Incident Medical Management and Support (MIMMS) courses

DatesLocationCostBooking link
21-22 January 2027Bolsover£495.83+VATBook Now
01-02 February 2027Manchester£479.17 + VATBook Now
04-05 May 2027Manchester£479.17 + VATBook Now
02-03 August 2027Manchester£479.17 + VATBook Now
01-02 November 2027Manchester£479.17 + VATBook Now
Each day runs from 0800 – 1700 (approx)

These courses are provided by our training partners, PLAB Guide Ltd (an ALSG Approved Centre) or APLUS Medical Services and Training Ltd (an ALSG Approved Centre).

We can also provide our courses for groups of 4-24 people at your own premises. If you have 4-24 staff members interested in this qualification, please email training@promed999.co.uk or call 03333 445442 to discuss.

MIMMS qualfication details

This qualification contains 2 mandatory units with a Total Qualification Time (TQT) of 24 hours. This is made up of 16 Guided Learning Hours (GLH); the time your are being taught and assessed under the immediate guidance of a trainer/assessor. The additional 8 hours are what you will reasonably spend preparing & studying and towards assessment, directed (but not supervised) by a trainer/assessor, and in applying your practice.

There are no formal academic credits for this qualification.

Topics covered

On the Major Incident Medical Management and Support (MIMMS) course, you’ll first learn the knowledge and practical skills required to respond effectively to incidents such as mass casualty events, transport incidents, terrorist attacks, industrial accidents & major public event emergencies.

You’ll develop practical skills in major incident command structures, scene safety and hazard management, multi-agency communication, major incident triage systems, patient prioritisation, casualty clearing stations, resource coordination & transport planning.

The MIMMS course emphasises teamwork and decision-making under pressure.

Assessment

Assessment takes place on day two of the course.

You must complete all assessments & skills tests in the unit successfully within the registration period to achieve the qualification. The minimum time to complete this qualification is 3 days and the maximum is 10 weeks.

Assessment of performance is carried out on a 1:1 basis.

1 x theory assessment:

  • MCQ – 60 minutes – 80% pass mark

7 x Objective Structured Practical Examination (OSPE) assessments:

  • Prepare METHANE message
  • Radio test
  • Choosing the site of the CCS
  • Prepare to brief for duty
  • Brief for duty
  • Triagesieve
  • Triage sort/NHS sieve

1x practical exercise

  • Practical Exercise Without Casualties (PEWC), focus on CSCATTT

Pre-requisites

  • Be from a medical, nursing, or paramedic background
  • Physician Associates are eligible

Typical attendees include paramedics, doctors, nurses, emergency planners, event medical teams, fire service officers, police incident commanders, rescue teams, humanitarian responders & disaster response personnel.

The course is suitable for both NHS professionals and private sector responders.

Major Incident Medical Management and Support (MIMMS) certificate

You’ll receive your ALSG Major Incident Medical Management and Support (MIMMS) provider e-certificate soon after your results have been submitted.

We’ll issue you with an interim ecertificate confirming what you have been assessed on to cover the time from our Internal Quality Assurer (IQA) confirming your have met the requirement for the award until your certificate is issued. You can show this to employers pending the certificate from the awarding body.

Recommended reading

The core text on all MIMMS courses is Major Incident Medical Management and Support: The Practical Approach at the Scene (ISBN 9781119634669). The Fourth Edition is the most current coursebook for the MIMMS curriculum. This new edition is also available as an e-book.

This new edition has been fully revised to ensure doctors, nurses and paramedics are able to prepare for, and implement, a structured response to major incidents such as those involving hazardous materials, natural disasters, mass gatherings, multiple burn casualties and large numbers of children. The wide range of topics covered include communications, personal and medical equipment, command and control, planning, assessment and the psychological aspects of major incidents.

Requalification

Your ALSG Major Incident Medical Management and Support (MIMMS) provider certificate is valid for 4 years. This is dated when you achieve the final unit.

You need to retake the qualification before the certificate expiry date to remain qualified. A shorter (1-day) requalification course is available, within six months of expiry.

Progression

The Major Incident Medical Management and Support (MIMMS) provider course may aid career progression in a relevant profession.