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

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

3. 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

4. TOTAL 950 *Twinned with Commander CIS Grp SHAPE Final Structure69 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

5. 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

6. 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

7. 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

8. 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

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. +32 65 44 6870 Email: brian.tolbert@shape.nato.int
Questions…
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Brian Tolbert, CDR, US Navy, MSC SHAPE Joint Medical Division (JMED), Medical Intelligence and CIMIC
NATO UNCLASSIFIED Releasable to the INTERNET