The evaluation has produced four key conclusions, which are substantiated in the body of this report: • UNHCR has de facto established its own Medical Service since the mid-1990s and should now draw the administrative conclusions therefrom, fully incorporating the UNHCR Medical Service; • As the vast majority of UNHCR staff serve in C, D, E, U and M duty stations, that is where the major focus of the UNHCR Medical Service should be, more than it has been until now; • The preceding paragraph is not so much a criticism of the UNHCR Medical Service, as it is a call for some extra personnel (one medical doctor, one nurse, one medical secretary) who can be dedicated to prevention and health training in the field; this is cost effective, as failing to care for staff in the remotest duty stations is costly; • Staff at HQs is disproportionately more on sick leave and the underlying reasons thereof need to be addressed.