L2 Strategic Context
Brian Tolbert, CDR, US Navy, MSC
SHAPE Joint Medical Division (JMED), Medical Intelligence
and CIMIC
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 Shape Structure Overview
 Shape Organization Structure
 JMED Structure
 JMED Organization
Significant Actions
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Design: Future NCS Overview
Allied
Command
Operations
(ACO)
Other
NATO
Entities
HQ NATO
(Brussels
ACT
(Norfolk(+))
C&I Agency
(Brussels
Colour Key
Joint
Air
Land
Maritime
SOF
Theatre/Op
NATO Force Structure
NSHQ
(Mons)
NAEW
AGS
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Releasable for EU, PfP
SFN
ASC
JEWCS
SHAPE Final Structure
34
69
1
1
ACCI
4/65
SPECIAL STAFF
SACEURREP INTAF
LEGAD PAO FINCON*
DSOO ODA PMO
MEDAD* STRATCOM
CSEL CIVAD*
28
3(25)
Civil Military
J3 Ops
24/7 60 Interaction SMEs
22
CJ2 Policy,
Sys & ISTAR
CJ2 XS
12
CJ2 GEO-METOC
15
J3
Manpower
SMEs
Crisis/Short
Term Plans
7
Log SMEs
1/2
15
BSG
KMB
155
J9
1/2
J5 1/2
Strategic 31
CIV MIL
Plans & Policy
8
Interaction
Support
To Ops 21
AC2 PM
CIMIC
8
- Full Time Presence
1/2
Resources1/3
Directorate
JCAM1/2
J1
1/2
Training &
Exercise
Strat Mngt &
Resource Plan
Personnel
Evaluation
& Lessons
Future Cap
Planning
HRDS
21
23
J4
8
8
9
- As Required
1/9
18
Movement &
Transport1
17
2(10)
1/2 Urgent Cap
Mngt 11
Log
14
Manpower
CFC
14
J7
Cyber 5
Awareness
178
Plans 1/3
Directorate
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Releasable for EU, PfP
14
Protocol
38
14
SPECIAL STAFF
INTAF LEGAD PAO DSOO
STRATCOM
Eng SMEs
118
Nuclear Ops
Director of
Management
1/6
4/30
Generation
Operations1/3
Directorate
1/2
COS
TOTAL 950
232
J2
SACEUR
Comprehensive Crisis Operations Management
Force 11
Center
Med SMEs
KDC
DIR
Integrated Air &
CCOMC1/6 Missile Def 4
CJ2 Ops
DSACEUR
214
214
JMED
JENG15
J6 SMEs
74
32
CIS & CD 0*
Directorate
Military 1/3
Partnerships
Directorate
(Bi-SC)
J6
1/2
CIS Ops &
Plans
22
Development &
Implementation
11
Coordination &
Integration
17
CIS Service
Management
29
1/61
J8
ICC
Cyber
Defense
15
*Twinned with Commander CIS Grp
ACO Reform - Medical
Current
Organization
Medical Posts in the
NATO Command Structure
Future
Organization
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Releasable for EU, PfP
5
ACO Medical PE
Current 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
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
OR 7 Andre BUGLA
Staff Assistant (Admin)
COL Dr.Lionel CLERC
WgCdr Damien VAN CARRAPIETT
CAPT(N) Mike HENDERSON
Cdr Brian TOLBERT
Medical Strategic Concepts
& Coordination/ Deputy
Medical Operations
Force Health Protection
Medical Intelligence & CIMIC
LTC Dr. E.J. SLOOTMAN
LTC Terje SVELLET
LTC Ladislav SLECHTA
Medical Plans and Policy
Medical Operations
Medical CBRN and Training
NATO UNCLASSIFIED
7
SHAPE JMed
Three functional areas, closely linked to OPS
Policy, Doctrine & Plans
COL Dr.Lionel CLERC
Medical Strategic Concepts
& coordination/ Deputy
Operations
Force Health Protection
& Training
WgCdr Damien VAN CARRAPIETT
CAPT(N) Mike HENDERSON
Medical Operations
Force Health Protection
Cdr Brian TOLBERT
LTC Dr. E.J. SLOOTMAN
LTC Terje SVELLET
Medical Plans and Policy
Medical Operations
Medical Intelligence & CIMIC
LTC Ladislav SLECHTA
Medical CBRN and Training
NATO UNCLASSIFIED
8
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
NATO UNCLASSIFIED
11
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
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