VIP medical transport: security, discretion, and emergency care
ITIJ speaks with Maximilian Jankowski, Owner and Managing Director of maxis. group and Maxis Rettung, about transporting VIP patients
What are the differences in the criteria for transporting a patient between regular emergency medical services and a civilian VIP medical transport service?
Various factors must always be taken into account. For one thing, it is necessary to shield the patient from, for example, the press or fans. It is also important to ensure that all points of contact are kept to a minimum and that they work together seamlessly. The sharing of information must also be handled with great care. Additionally, travel routes, alternate routes, or other insights must be taken into account. Factors such as the presence of bodyguards must also be considered. In some cases, special plans must be developed to ensure absolute discretion. Every mission is unique and not simply a matter of transporting someone from point A to point B.
What specific operational advantages do unmarked emergency vehicles offer compared to standard emergency service vehicles?
It is clear that one does not attract attention when paramedics and vehicles are inconspicuous. This provides media shielding, as the focus is more likely to be on a vehicle with red stripes and a blue light, just as it is on people in red uniforms rather than on civilians.
The vehicle blends in with general traffic and ensures a more relaxed transport experience. The loading and equipment for emergency situations are also different. In terms of additional features, it cannot be compared to a regular ambulance.
How do the strategies for minimising transport risks differ between regular emergency medical services and VIP emergency medical services?
Protecting the individual and shielding them from third parties are the two main criteria. Additionally, the handling of data, documents, and medical records must be treated with even greater sensitivity. One example would be potential allergies. If this information becomes known, it poses a risk for potential attacks months or years later. Therefore, planning must be significantly more careful and comprehensive overall. Sources of information from third parties, such as hospital staff, must also be minimised. The key point is, the better the advance planning, the better the outcome. This applies to procedures, routes, and potential workflows.
In some cases, special plans must be developed to ensure absolute discretion
What are the key differences in the training and qualifications of personnel in public emergency medical services compared to VIP emergency medical services?
In principle, the basic medical training is identical. Additional training is required, particularly regarding dealing with the press or communication. In the tactical segment, all emergency responders are trained as medics, as patient care in crisis or emergency scenarios can differ. Furthermore, paramedics must possess a high degree of stress resilience and operational experience.
What different developments do you anticipate in the future for traditional emergency medical services compared to medical repatriation in the VIP segment?
There are an increasing number of patients who wish to undergo surgery in Germany or elsewhere in Europe – such as Switzerland – due to the high standards of care available there. It is becoming clear that adjustments must also be made in the area of medical requirements. This market is a niche, but it requires coverage that cannot be provided by traditional providers. In addition to medical knowledge, this requires, above all, knowledge of security and, for example, police coordination.
Maximilian Jankowski
Owner and Managing Director, maxis.group and Maxis Rettung
Maximilian is the German Owner and Managing Director of maxis.group and Maxis Rettung. After completing his A-levels, he trained as a paramedic and has remained in an operational role ever since. During this time, he also undertook management training to become an emergency services operations manager. He is also a qualified driving instructor and driving coach for all categories. In 2013 he founded maxis.group and developed it into a provider of mobility and safety solutions, including the conversion of specialist vehicles as well as driving licence training and safety training for public authorities and emergency services.
June 2026
Issue
Welcome to your June issue! In this month’s magazine we look at medical escorts – a critical part of patient transport, with direct implications for patient safety, clinical outcomes, operational efficiency and cost. We also examine the interplay between governments and private business when responding to a disaster.
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The Editorial Team updates the ITIJ website daily, and works on features for the print edition. With expert industry knowledge and years of experience in writing about complex travel insurance issues, the Editorial Team is ready to investigate and report on the topics that matter most to ITIJ's readers.