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

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