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Security policy reality in Europe has changed both fundamentally and permanently – and as a result also the spectrum of deployment forms and types of operations that need to be dealt with by the German Armed Forces and supported by our medical service. The European Union has recently responded to these changes with the „Permanent Structured Cooperation (PESCO)“ initiative, in which Germany is initially responsible for five projects as the lead nation. One of these projects is the „European Medical Command“. The aim here is also to intensify multinational cooperation between the medical services at the European level in the future.

As early as 2017, a joint declaration of intent was signed by the inspectors of eight European medical services to set up the Multinational Medical Coordination Centre as part of the Framework Nations Concept (FNC) initiative. The aim of the FNC initiative is to strengthen NATO‘s European pillar, for which the German medical service has assumed responsibility. Before this year comes to a close, the initial ability to coordinate the medical services involved will be achieved. This is to be commemorated in the middle of 2018 with a commissioning ceremony. There therefore exists an essential core competence for a future „European Medical Command“. The strengthened cooperation between NATO and the EU is now also being implemented at the medical service level in order to make efficient use of the existing resources and avoid any duplication. The medical service of the future must be capable of acting as an independent effector on the one hand – and therefore able to contribute towards a scenario of humanitarian aid or the fight against global epidemics, for example – but on the other hand must also be credibly capable of providing medical care in a scenario of national or alliance defence with larger bodies of deployed troops and a high level of dynamism. Dealing with the entire spectrum is the benchmark of the future and an enormous task for the armed forces who are optimised during the course of refocusing on national and alliance defence. However, the development of capabilities required for this can only take place in a synchronised manner with the other partners, which we support on the one hand – thereby enabling them to fulfil their mission – and on which we are dependent on the other hand in order to achieve our own goals.

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Only close national and international – and in particular European – coordination and a common approach will lead to the goal of: Helping the comrades who need us. Because we are, as the motto of our medical service states, „Committed to humanity!“

Dr. Michael Tempel Lieutenant General MC and Surgeon General of the Bundeswehr

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