Background Global Health Alliance (GHA) consists of medical experts from leading universities, royal colleges and hospitals of UK. The organisation works towards skilling and up-skilling healthcare professionals worldwide.

Aims GHA has focused its efforts in developing countries. One of the main areas has been improving rural and urban healthcare delivery in India In India the healthcare system is still in its primitive stages, hundreds die due to the lack of a proper emergency medical system (EMS). Our aim is to see the day to day running’s of the Indian EMS and help improve the system by implementing much needed changes.

Methods GHA was involved with the collaboration of Indian EMS specialists with UK experts by holding talks and discussions with both groups to see where the Indian system can improve. Courses were then created. These courses ran monthly assessments over a 6 month period where opportunity for staff and patient group input was encouraged and further improvements were discussed and implemented.

Results Once our course was delivered we decided to get feedback in the form of a national survey, where staff trained by GHA described their experiences and changes in practice. We have results which show that delivery of EMS, post GHA courses, has shown improvements in clinical skills, confidence and patient-centeredness in >90% of those that had taken the course.

Conclusions In the near future India will be the most populous country. The implementation of these courses is moving healthcare in the right direction but major work still needs to be done to cope, sustain and further advance the Indian EMS.