Challenges for the netherlands armed forces and the implications for military healthcare Van der...

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


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


CHOD General Peter van Uhm

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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


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


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


Position of Military Healthcare

MOD


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


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


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


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


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


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


Military healthcare• By order CHOD• National healthcare system in place• NTM-A• Visits to several facilities• Visit to PRT Herat


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

Challenges for the netherlands armed forces and the implications for military healthcare Van der...

Education

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