By 1929, very few candidates had put themselves forward for commissions in the RAMC.
The three medical services were undermanned and had to manage with the assistance of retired officers and civilian doctors engaged on short term contracts. These, however, could not be employed overseas, and regular medical officers had to bear an increase burden of overseas service.
In addition, regular officers had few opportunities to attend specialist training and follow other advanced studies. The Government set up the First Warren Fisher Committee in 1925 to look into the shortage of doctors. This recommended an increase in pay. A Second Warren Fisher Committee was convened in 1931 when measures proposed by the First Committee had failed to attract candidates.