challenges for the netherlands armed forces and the implications for military healthcare van der...
DESCRIPTION
TRANSCRIPT
29-10-2010
Netherlands Ministry of Defence
Office of the Surgeon General
BG Rob van der Meer
Surgeon General
Introduction in NLD Armed Forces & Military Healthcare
Key-note address for the 2010 Australian Military Medicine Association & Joint Health Command Symposium
Ministry of Defence2Introduction in NLD Mil. Healthcare 29-10-2010
Outline•Introduction NLD Armed Forces
•Introduction NLD Military Healthcare
•Personal experience as Commander NLD Forces Afghanistan no. 15
Ministry of Defence3Introduction in NLD Mil. Healthcare 29-10-2010
Introduction NLD Armed forces• Steering principles
– Division of policy, operational command and support
– Strengthening operational focus– Centralization of policy making› Prevention of overlapping processes› New policies have to be realistic and workable
• Challenges– New government – new major reductions– No ‘ice cube shaving’ as solution– Concentrating support services to shared services
Ministry of Defence4Introduction in NLD Mil. Healthcare 29-10-2010
CHOD General Peter van Uhm
Hig
hes
t m
ilita
ry a
dvi
sor
to M
inis
ter
Corp
ora
te p
lanner
(pla
ns
& r
eq.)
Corp
orate o
perato
r (executio
n)
Com
man
der (p
rovid
er)
Ministry of Defence5Introduction in NLD Mil. Healthcare 29-10-2010
Total strength NLD Armed Forces• Army: 2 x Mech Bde, 1 x Air Manoeuvre Bde• Air Force: 87 x F-16 (Fighting Falcon), 4 x C-130
(Hercules), 2x KDC-10, 2 x Dornier 228, 1 x DC-10, 1 x Gulfstream IV, 29 x AH 64 D (Apache), 21 Lynx*, 17 X Cougar MKII, 11 x CH 47 D (Chinook), 4 x Alouettte III, 3 x AB-412*, 500 hrs C-17 Globemaster III, 2 x Sqr PATRIOT
• Navy: 4x Air Defence and Command frigate, 2 x Multipurpose frigate, 2 x Landing Platform Dock, 2 x Supply Ship, 4 x Submarine, 4 x Oceangoing Patrol Vessel**, 1 x Joint Support Ship*** 10x Minehunter, 1 x Torpedo Support Ship, 2 x Hydrographic Survey Vessel, 5 x Diving Vessel, 2 x Marine Bn
• Military Police * to be replaced by 20 x NH-90** ready in 2010-2012*** ready in 2014
Ministry of Defence6Introduction in NLD Mil. Healthcare 29-10-2010
World Wide Contributions
TOTALTOTAL aprox 2200aprox 2200
IRAQIRAQNTMNTM--I I MIDDLEMIDDLE--EASTEAST
UNTSOUNTSOEUBAM RafahEUBAM RafahUNIFILUNIFILUSSC DaytonUSSC Dayton
AfghanistanAfghanistanISAF ISAF EUPOL EUPOL NTMNTM--AAEGF Mazar e SharifEGF Mazar e SharifD.R. OF CONGOD.R. OF CONGO
EUSEC EUSEC EUSEC FINEUSEC FINEUPOL EUPOL
BALKANS (EU & NATO)BALKANS (EU & NATO)EUFOREUFOR EUMMEUMMEUPMEUPMKFORKFORNHQNHQ
SUDANSUDANUNMIS UNMIS UNAMID?UNAMID?
BURUNDIBURUNDISSRSSRBINUBBINUB
Anti Piracy Ops SomaliaAnti Piracy Ops SomaliaOcean Shield / Atalanta Ocean Shield / Atalanta
Ministry of Defence7Introduction in NLD Mil. Healthcare 29-10-2010
The military healthcare supports the Netherlands Armed Forces with healthy soldiers ready for duty.
The military healthcare guards, promotes and reinforces the health state of soldiers and units.
The military healthcare is given in a continuum and in a coherence manner supporting soldiers to execute the
operational tasks without any restriction.
Mission Military Healthcare
There is no actual division between ‘regular’ and operational tasks
Ministry of Defence8Introduction in NLD Mil. Healthcare 29-10-2010
Position of Military Healthcare
MOD
Ministry of Defence9Introduction in NLD Mil. Healthcare 29-10-2010
Overview medical structures Foundation Operational
Air Force and Navy almost fully integrated homeland and operational medical personnel and units
Army large dedicated operational medical capacity
Joint medical service homeland capacity (HCAG) in support of Operational Commands with focus on operational healthcare
ROLE 1:Army, Navy, Air Force
ROLE 2:Army: LM&E Navy: LM & Afloatsupported by HCAG
ROLE 3:Army, supported by HCAG
Aeromedical Evacuation: Air Force: Fwd, Tact & Strat, if necessary supported by HCAG
Ministry of Defence10Introduction in NLD Mil. Healthcare 29-10-2010
Healthcare Agency GroupCommander
HCAG
Central Military Hospital
Military Rehabilitation
Centre
Joint Institute for Military
Medical Education
Military Medical
Logistics Centre
Chief of Staff Staff
Military Blood Bank
Special Medical
Assessments Organization
Defence Occupational
Healthand Safety Services
Military Mental Health
Care Unit
Defence and Partnership HospitalsInstitute
Military HealthCare
Expertise Coordination
Centre
Joint since 02-09-1996
Ministry of Defence11Introduction in NLD Mil. Healthcare 29-10-2010
Future vision on military health careNew government – new ‘White Paper’ for Defence with major reductions & major reductions for civilian healthcare
Reason to change for military healthcare:•Use the time of major changes!• Improving operational toolbox: lighter and more flexible • Improving individual medical qualities & trauma capabilities• New health demands• External developments
Ministry of Defence12Introduction in NLD Mil. Healthcare 29-10-2010
Tentative developments health services• Centralizing role 1 & health centres
•Connection role 1 units with operational commands stay in place
•Regionalising health centre's •Increasing organisational flexibility
• Role 2/3 joint• Centralizing dentist organization• New numbers operational assets• Sourcing is opportunity, broadening
of civil alliances• Joint HR-policy medical jobs,
personnel and education
Ministry of Defence13Introduction in NLD Mil. Healthcare 29-10-2010
Personal experience as Commander NLD Forces Afghanistan (COM NLD FOR AFG) no. 15
• Tasks CMDR NLD FOR AFG– Eyes & ears of the CHOD– RCH – Red Card Holder– VIP-visits– Other tasks by CHOD and
Dir OPS– Dutch Senior in Mission Area
Ministry of Defence14Introduction in NLD Mil. Healthcare 29-10-2010
Position of CMDR NLD FOR AFG• No command authority• No operational interference• Information backdraw• Active networking
NLD legislation• ‘Warningshots’• Partnering• Person-protection / body-guard• Combatbadge
Ministry of Defence15Introduction in NLD Mil. Healthcare 29-10-2010
Military healthcare• By order CHOD• National healthcare system in place• NTM-A• Visits to several facilities• Visit to PRT Herat
Ministry of Defence16Introduction in NLD Mil. Healthcare 29-10-2010
Ministry of Defence17Introduction in NLD Mil. Healthcare 29-10-2010
Ministry of Defence18Introduction in NLD Mil. Healthcare 29-10-2010
Ministry of Defence19Introduction in NLD Mil. Healthcare 29-10-2010
Ministry of Defence20Introduction in NLD Mil. Healthcare 29-10-2010
Ministry of Defence21Introduction in NLD Mil. Healthcare 29-10-2010
Ministry of Defence22Introduction in NLD Mil. Healthcare 29-10-2010
Ministry of Defence23Introduction in NLD Mil. Healthcare 29-10-2010
Ministry of Defence24Introduction in NLD Mil. Healthcare 29-10-2010
Ministry of Defence25Introduction in NLD Mil. Healthcare 29-10-2010
Ministry of Defence26Introduction in NLD Mil. Healthcare 29-10-2010
Ministry of Defence27Introduction in NLD Mil. Healthcare 29-10-2010
CONCLUSION
This presentation presented a introductory overview of the Netherlands military (healthcare) system on capabilities and providing health care to the soldier. Also a personal experience about Afghanistan