Built by operators, clinicians and organisers.

Movement, extraction timings, comms resilience, checkpoint operations, staffing pressure, escalation, continuity. The people designing the system have carried those responsibilities themselves.

Operational understanding does not replace medical quality. Expedition and remote medicine experience, structured governance, deployed capability, clinically credible leadership.

An organiser-owned medical operation plans for the entire undertaking, not simply the casualty. The difference shows long before the event begins.

Medical Director and co-owner. Holds the clinical standard across every GEM deployment: governance, protocols, SOPs and the review after every event. With Dr Gagg, provides 24/7 remote senior clinical support to teams in the field. GP background spanning emergency, sports, expedition, and remote medicine. Former Medical Officer with Exmoor Search and Rescue. Registered with the College of Physicians & Surgeons of British Columbia and the General Medical Council, UK.

Operations Director and co-owner. Runs the operation end to end: planning, deployment, logistics and the 24/7 medical control point. Paramedic with South Western Ambulance Service, currently serving as Lead Paramedic and on-scene Operational Commander. Former Team Leader of Exmoor Search and Rescue. Field experience across the Spine Race, the Highland Ultra, and every Beyond the Ultimate event from the Tian Shan mountains to the Amazon jungle.

Director and co-owner. Archi brings the organiser’s view. He co-owns and runs Beyond the Ultimate and The Spine Race, the world-class endurance events GEM was built around. That both-sides-of-the-table perspective is what GEM operates on: medical and risk planning that comes from inside the event, not outside it.

Director and co-owner. Simon holds the commercial side of GEM: positioning, brand and the digital systems the business runs on. He is also a director and co-owner of Beyond the Ultimate and The Spine Race, which puts a second organiser’s voice in the room alongside Archi. A career in marketing strategy and digital transformation across multiple sectors, in both creative and strategic roles. Fellow of The Marketing Society. Teams under his direction have won more than 100 awards.

Sets prescribing policy, protocols and controlled-drugs governance behind every deployment.

Named oversight, audit, and the clinical review after every event.

The standards and procedures every GEM deployment runs to.

Keeps GEM’s clinical practice current and evidence-based.

Equipment, consumables and field-ready stock for every deployment.

Internal continued professional development and external training programmes.

The platforms, data and tooling behind the operation.

Non-Executive Director, Clinical. Consultant in Emergency Medicine at Musgrove Park Hospital and Vice President of the Royal College of Emergency Medicine. Team Doctor for Exmoor Search and Rescue since 2013, with a research portfolio spanning trauma, sepsis and pre-hospital care. With Dr Bunce, provides 24/7 remote senior clinical oversight to GEM teams on the ground.

Non-Executive Director, Security and Risk. Former Royal Marines Officer with two decades of operational leadership in financial services, including M&A integration and platform delivery for MSCI and Morgan Stanley. Brings independent oversight of GEM’s security and risk discipline. Marathon des Sables finisher and Spine Challenger competitor.