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

NATO UNCLASSIFIED Releasable to the INTERNET Shape Structure Overview Shape Organization Structure JMED Structure JMED Organization Significant Actions Click to add notes NATO UNCLASSIFIED Releasable to the INTERNET

Design: Future NCS Overview SHAPE (Mons) (950) ACCI NATO CIS (Mons(+)) Group (1300) (Brunssum) Joint HQ Allied (850) Command HQ (Izmir) (350) Land (Ramstein) (500) Air (Uedem) (185) CAOC (Torrejon) (Poggio Renatico) (280) DACC (Northwood) Maritime (300) (Naples) Allied Command Operations (ACO) HQ NATO (Brussels Other NATO Entities ACT (Norfolk(+)) C&I Agency (Brussels Joint Air Land Maritime Theatre/Op Colour Key SOF V teto strukture je to samozrejme shifting responsibilities. Componenty byly dany na uroven JFC a SHAPE bude hrat roli nejen strategickeho velitelstvi ale diky zmene struktury take muze primo ovlivnovat operaci. Takze tu jsou takove dve urovne. Str-Oper a Oper-Taktik. Schopnost ridit operaci ze SHAPE je dana prvkem CCOMC. Coz je dalsi slide. NSHQ (Mons) NATO Force Structure NAEW AGS SFN ASC JEWCS NATO UNCLASSIFIED Releasable for EU, PfP

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

ACO Reform - Medical Medical Posts in the NATO Command Structure Current Organization Medical Posts in the NATO Command Structure Future Organization Neni co dodat, posileni role JFC, struktura vice pro operaci v novem prostredi – comprehensive approach Sladeni poctu a funkcionalit mezi JFC a se SHAPE NATO UNCLASSIFIED Releasable for EU, PfP 5

ACO Medical PE Current NCS Future NCS ACO Mons 9 / 9 9 JFC Brunssum 7 / 7 JFHQ Brunssum 10 ACC Ramstein 2 / 3 JFHQ Naples LCC Heidelberg 1 / 2 AC Ramstein 3 MCC Northwood 2 / 2 LC Izmir 4 JFC Naples 5 / 6 MC Northwood 2 ACC Izmir LCC Madrid MCC Naples 1 / 1 JFC Lisbon Total 32 / 37 ? / 38 6 NATO UNCLASSIFIED

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

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

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

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

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

+32 65 44 6870 Email: brian.tolbert@shape.nato.int Questions… Click to add notes 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