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

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  • 1. 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
  • 2. Ministry of Defence2 Introduction 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
  • 3. Ministry of Defence3 Introduction 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
  • 4. Ministry of Defence4 Introduction in NLD Mil. Healthcare 29-10-2010 CHOD General Peter van Uhm HighestmilitaryadvisortoMinister Corporateplanner(plans&req.) Corporateoperator(execution) Commander(provider)
  • 5. Ministry of Defence5 Introduction 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
  • 6. Ministry of Defence6 Introduction in NLD Mil. Healthcare 29-10-2010 World Wide Contributions TOTALTOTAL aprox 2200aprox 2200 IRAQIRAQ NTMNTM--II MIDDLEMIDDLE--EASTEAST UNTSOUNTSO EUBAM RafahEUBAM Rafah UNIFILUNIFIL USSC DaytonUSSC Dayton AfghanistanAfghanistan ISAFISAF EUPOLEUPOL NTMNTM--AA EGF Mazar e SharifEGF Mazar e SharifD.R. OF CONGOD.R. OF CONGO EUSECEUSEC EUSEC FINEUSEC FIN EUPOLEUPOL BALKANS (EU & NATO)BALKANS (EU & NATO) EUFOREUFOR EUMMEUMM EUPMEUPM KFORKFOR NHQNHQ SUDANSUDAN UNMISUNMIS UNAMID?UNAMID? BURUNDIBURUNDI SSRSSR BINUBBINUB Anti Piracy Ops SomaliaAnti Piracy Ops Somalia Ocean Shield / AtalantaOcean Shield / Atalanta
  • 7. Ministry of Defence7 Introduction 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
  • 8. Ministry of Defence8 Introduction in NLD Mil. Healthcare 29-10-2010 Position of Military Healthcare MOD
  • 9. Ministry of Defence9 Introduction 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 & Afloat supported by HCAG ROLE 3:Army, supported by HCAG Aeromedical Evacuation: Air Force: Fwd, Tact & Strat, if necessary supported by HCAG
  • 10. Ministry of Defence10 Introduction in NLD Mil. Healthcare 29-10-2010 Healthcare Agency Group Commander 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 Health and Safety Services Military Mental Health Care Unit Defence and Partnership Hospitals Institute Military Health Care Expertise Coordination Centre Joint since 02-09-1996
  • 11. Ministry of Defence11 Introduction in NLD Mil. Healthcare 29-10-2010 Future vision on military health care New 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
  • 12. Ministry of Defence12 Introduction 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
  • 13. Ministry of Defence13 Introduction 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
  • 14. Ministry of Defence14 Introduction 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
  • 15. Ministry of Defence15 Introduction 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
  • 16. Ministry of Defence16 Introduction in NLD Mil. Healthcare 29-10-2010
  • 17. Ministry of Defence17 Introduction in NLD Mil. Healthcare 29-10-2010
  • 18. Ministry of Defence18 Introduction in NLD Mil. Healthcare 29-10-2010
  • 19. Ministry of Defence19 Introduction in NLD Mil. Healthcare 29-10-2010
  • 20. Ministry of Defence20 Introduction in NLD Mil. Healthcare 29-10-2010
  • 21. Ministry of Defence21 Introduction in NLD Mil. Healthcare 29-10-2010
  • 22. Ministry of Defence22 Introduction in NLD Mil. Healthcare 29-10-2010
  • 23. Ministry of Defence23 Introduction in NLD Mil. Healthcare 29-10-2010
  • 24. Ministry of Defence24 Introduction in NLD Mil. Healthcare 29-10-2010
  • 25. Ministry of Defence25 Introduction in NLD Mil. Healthcare 29-10-2010
  • 26. Ministry of Defence26 Introduction in NLD Mil. Healthcare 29-10-2010
  • 27. Ministry of Defence27 Introduction 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

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