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L2 Strategic Context

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  1. L2 Strategic Context Brian Tolbert, CDR, US Navy, MSC SHAPE Joint Medical Division (JMED), Medical Intelligence and CIMIC NATO UNCLASSIFIED Releasable to the INTERNET

  2. Shape Structure Overview • Shape Organization Structure • JMED Structure • JMED Organization • Significant Actions NATO UNCLASSIFIED Releasable to the INTERNET

  3. SHAPE (950) (Mons) Colour Key Joint Air Land Maritime ACCI NATO CIS Group (1300) (Mons(+)) SOF Theatre/Op Allied Joint HQ (850) (Brunssum) Land Command HQ (350) (Izmir) Air Command HQ (500) (Ramstein) Maritime Command HQ (300) (Northwood) Allied Joint HQ (850) (Naples) CAOC (185) (Uedem) CAOC (185) (Torrejon) DACC (280) (Poggio Renatico) Design: Future NCS Overview Allied Command Operations (ACO) HQ NATO (Brussels Other NATO Entities ACT (Norfolk(+)) C&I Agency (Brussels NATO Force Structure NSHQ (Mons) NAEW AGS SFN ASC JEWCS NATO UNCLASSIFIED Releasable for EU, PfP

  4. DSACEUR 1/3 1/3 0* Plans Directorate Resources Directorate CIS & CD Directorate 1/2 1/2 1/2 J1 J5 J4 JCAM 1/2 J7 1/9 JMED 1/61 JENG J8 Strat Mngt & Resource Plan 15 8 Urgent Cap Mngt Future Cap Planning 11 9 SHAPE Final Structure 34 69 214 214 4/65 SPECIAL STAFF SACEURREP INTAF LEGAD PAO FINCON* DSOO ODA PMO MEDAD* STRATCOM CSEL CIVAD* Director of Management SACEUR COS 4/30 1/6 1 TOTAL 950 1 ACCI BSG KMB Protocol 155 38 14 Comprehensive Crisis Operations Management Center SPECIAL STAFF INTAF LEGAD PAO DSOO STRATCOM 11 Force Generation Med SMEs DIR CCOMC Integrated Air & Missile Def KDC 4 1/6 3(25) 5 Civil Military Interaction SMEs Manpower SMEs Log SMEs Eng SMEs Cyber Awareness J6 SMEs CJ2 Ops J3 Ops 24/7 Crisis/Short Term Plans ICC 28 60 7 232 118 178 74 32 1/3 1/3 Military Partnerships Directorate (Bi-SC) Operations Directorate 1/2 1/2 1/2 1/2 1/2 J2 J3 J9 J6 Development & Implementation 11 22 31 Personnel Log Training & Exercise CJ2 Policy, Sys & ISTAR Nuclear Ops Strategic Plans & Policy CIS Ops & Plans Coordination & Integration CIV MIL Interaction 8 14 15 18 21 22 17 HRDS Movement & Transport1 Evaluation & Lessons Support To Ops CIMIC CJ2 XS CIS Service Management 21 8 12 8 23 14 29 Manpower CJ2 GEO-METOC AC2 PM CFC Cyber Defense 17 2(10) 15 14 15 *Twinned with Commander CIS Grp NATO UNCLASSIFIED Releasable for EU, PfP - Full Time Presence - As Required

  5. ACO Reform - Medical Current Organization Medical Posts in the NATO Command Structure Future Organization NATO UNCLASSIFIED Releasable for EU, PfP 5

  6. ACO Medical PE 6 NATO UNCLASSIFIED

  7. OR 7 Andre BUGLA Staff Assistant (Admin) WgCdr Damien VAN CARRAPIETT CAPT(N) Mike HENDERSON Brig-Gen. Dr. Frank SCHINDELHAUER LTC Terje SVELLET Cdr Brian TOLBERT LTC Ladislav SLECHTA LTC Dr. E.J. SLOOTMAN Medical CBRN and Training Medical Intelligence & CIMIC Medical Operations Medical Plans and Policy Force Health Protection Medical Operations ACO Medical Advisor / ACOS Med SHAPE JMed PE Posts: 9 Assigned Staff: 9Military: 9Civilian: 0 COL Dr.Lionel CLERC Medical Strategic Concepts & Coordination/ Deputy NATO UNCLASSIFIED

  8. WgCdr Damien VAN CARRAPIETT Cdr Brian TOLBERT CAPT(N) Mike HENDERSON LTC Terje SVELLET LTC Dr. E.J. SLOOTMAN LTC Ladislav SLECHTA Medical Plans and Policy Force Health Protection Medical Operations Medical CBRN and Training Medical Intelligence & CIMIC Medical Operations SHAPE JMed Policy, Doctrine & Plans Operations Force Health Protection & Training COL Dr.Lionel CLERC Medical Strategic Concepts & coordination/ Deputy Three functional areas, closely linked to OPS NATO UNCLASSIFIED

  9. Current and Future Issues • 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 9 NATO UNCLASSIFIED

  10. Current and Future Issues • 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 10 NATO UNCLASSIFIED

  11. Current and Future Issues • Policy & Doctrine • - AJP-4.10 (incl Medical Timelines and afloat planning guidance) • - JLSG Concept (AJP-4.6) • - Medical Shortfalls : • Modular Approach • Multinational Medical Support • Contracted 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 11 NATO UNCLASSIFIED

  12. Questions… 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 NATO UNCLASSIFIED Releasable to the INTERNET