NATO UNCLASSIFIED Releasable to the INTERNET

L2 Strategic Context

Brian Tolbert, CDR, US Navy, MSC SHAPE Joint Medical Division (JMED), Medical Intelligence

and CIMIC

NATO UNCLASSIFIED Releasable to the INTERNET

Shape Structure Overview Shape Organization Structure JMED Structure JMED OrganizationSignificant Actions

Design: Future NCS Overview

SHAPE(950)

(Mons)

ACCI

AlliedJoint HQ

(850)(Brunssum)

LandCommand HQ

(350)(Izmir)

AirCommand HQ

(500)(Ramstein)

CAOC(185)

(Uedem)

CAOC(185)(Torrejon)

DACC(280)

(Poggio Renatico)

MaritimeCommand HQ

(300)(Northwood)

AlliedJoint HQ

(850)(Naples)

NAEW AGS SFN ASC JEWCSNSHQ(Mons)

NATO Force Structure

OtherNATO

Entities

AlliedCommandOperations

(ACO)

Joint

Air

Land

Maritime

Theatre/Op

Colour Key

SOF

ACT(Norfolk(+))

HQ NATO(Brussels

C&I Agency(Brussels

NATO UNCLASSIFIEDReleasable for EU, PfP

J1 1/2

- Full Time Presence - As Required

SPECIAL STAFFSACEURREP INTAF LEGAD PAO FINCON* DSOO ODA PMO MEDAD* STRATCOM CSEL CIVAD*

DSACEUR SACEUR COS

BSG

Director ofManagement

KMB Protocol

Military PartnershipsDirectorate

(Bi-SC)

Coordination &Integration

Development & Implementation

Operations Directorate

Nuclear Ops

CJ2 XS

J2 J9J3

CFC

Support To Ops

CJ2 Policy, Sys & ISTAR

HRDS

Personnel Log

Movement &Transport1 CIS Service

Management

J6

CIS Ops &Plans

Manpower

Evaluation& Lessons

Training &Exercise

J7

StrategicPlans & Policy

Comprehensive Crisis Operations Management Center

ICC

ForceGeneration

ManpowerSMEs

Cyber Awareness J6 SMEsCrisis/Short

Term Plans Log SMEs

SPECIAL STAFFINTAF LEGAD PAO DSOOSTRATCOM

CJ2 Ops J3 Ops24/7

Integrated Air & Missile Def KDC DIR

CCOMC

4/30

38 14155

4/65

1/6

11

28 605

17

1/6

1/3

21

22

12

15 8

1/2 1/2 1/2

3121

23

1/211

17

1/2

1/3

8

14 22

29

18

14

TOTAL 950

CJ2 GEO-METOC15

214

4

2(10)Cyber

Defense15

ACCI 1

Eng SMEs

Med SMEs

Civil Military Interaction SMEs

3(25)

J5 1/2

JENG15

JMED1/9

J4 1/2

Plans Directorate

1/3 ResourcesDirectorate

1/3

J81/61

*Twinned with Commander CIS Grp

CIV MILInteraction

AC2 PM14

CIMIC8

74 32

CIS & CDDirectorate

0*178

214

1

69 34

Urgent CapMngt 11

Strat Mngt &Resource Plan8

Future CapPlanning 9

232 1187

JCAM1/2

SHAPE Final Structure

NATO UNCLASSIFIEDReleasable for EU, PfP

Current Organization

Future Organization

Medical Posts in theNATO Command Structure

ACO Reform - Medical

5NATO UNCLASSIFIEDReleasable for EU, PfP

ACO Medical PECurrent NCS Future NCS

ACO Mons 9 / 9 ACO Mons 9

JFC Brunssum 7 / 7 JFHQ Brunssum 10

ACC Ramstein 2 / 3 JFHQ Naples 10

LCC Heidelberg 1 / 2 AC Ramstein 3

MCC Northwood 2 / 2 LC Izmir 4

JFC Naples 5 / 6 MC Northwood 2

ACC Izmir 2 / 2

LCC Madrid 1 / 2

MCC Naples 1 / 1

JFC Lisbon 2 / 3

Total 32 / 37 Total ? / 38

NATO UNCLASSIFIED6

7

COL Dr.Lionel CLERC

Medical Strategic Concepts & Coordination/ Deputy

PE Posts: 9

OR 7 Andre BUGLAStaff Assistant (Admin)

CAPT(N) Mike HENDERSON

Force Health Protection

Brig-Gen. Dr. Frank SCHINDELHAUER

ACO Medical Advisor / ACOS Med

Assigned Staff: 9Military: 9Civilian: 0

SHAPE JMed

Cdr Brian TOLBERT

Medical Intelligence & CIMIC

LTC Ladislav SLECHTA

Medical CBRN and TrainingLTC Dr. E.J. SLOOTMAN

Medical Plans and Policy

LTC Terje SVELLET

Medical Operations

WgCdr Damien VAN CARRAPIETT

Medical Operations

NATO UNCLASSIFIED

Three functional areas, closely linked to OPS

8

SHAPE JMed

Policy, Doctrine & Plans Operations Force Health Protection& Training

COL Dr.Lionel CLERC

Medical Strategic Concepts & coordination/ Deputy

LTC Dr. E.J. SLOOTMANMedical Plans and Policy

WgCdr Damien VAN CARRAPIETT

Medical Operations

LTC Terje SVELLET

Medical Operations

CAPT(N) Mike HENDERSON

Force Health Protection

Cdr Brian TOLBERT

Medical Intelligence & CIMIC

LTC Ladislav SLECHTA

Medical CBRN and TrainingNATO UNCLASSIFIED

Current and Future Issues

NATO UNCLASSIFIED9

Operational Medical Support

KFOR NTR pending Gate 3

Withdrawal of USA & DEU assets at the end of Gate 2

OOS Medical challenges are significant

Medical Timelines

Lack of afloat surgical capability

Force Health Protection, endemic diseases in captured pirates

Current and Future Issues

NATO UNCLASSIFIED10

Operational Medical Support (2)

ISAF - Highest quality of health care in military medical history

LOO#1 - Redeployment Reduction of MTF and RW MEDEVAC Donation Policy incl common funded Role 3 MTF

LOO#2 - Training/Mentoring/Advise ANSF medical support i Expectation management Medical Education Standards of care MEDEVAC assets (Ground Vs Air) ANSF Medical Key Leader and Higher-Command development Medical Logistics

Current and Future Issues

NATO UNCLASSIFIED11

Policy & Doctrine- AJP-4.10 (incl Medical Timelines and afloat planning guidance)- JLSG Concept (AJP-4.6)- Medical Shortfalls :

Modular ApproachMultinational Medical SupportContracted Operational Medical Support- NDPP - MEDICS implementation

Force Health Protection / Training- CBRN Medical Countermeasures- Epidemiological Surveillance (near real time diseases surveillance)- Trauma Registry- Training of Medical Staff Officers

Coordination of the NATO medical community- ACO Medical Advisors group meeting- NATO Operations Medical Conference- NATO Medical Battle Rhythm- NATO Maritime and MEDNEP Conference

NATO UNCLASSIFIED Releasable to the INTERNET

Brian Tolbert, CDR, US Navy, MSC SHAPE Joint Medical Division (JMED), Medical Intelligence and CIMIC

+32 65 44 6870 Email: brian.tolbert@shape.nato.int

Questions…