Medical responses to current complex operations need to be individualised as each occurs in adifferent geopolitical setting. The nature of the medical challenges varies with the nature andintensity of the fighting, weapons used, and existing health infrastructure and transportationfacilities. 13 The use of contracted health support, as either a hybrid or sequential uniformed/contracted model of health care delivery, is an attractive option to extend Australia’s strategichealth care reach and to providing flexible, responsive and focused solutions to effects-basedoperations.Susan Neuhaus is Clinical Associate Professor at the University of Adelaide (Royal AdelaideHospital). She is a surgeon who has served in both the <strong>Australian</strong> Regular Army and the ArmyReserve as a medical officer. Her operational deployments include Cambodia, Bougainville andAfghanistan. She is a graduate of the <strong>Australian</strong> Command and Staff College (Reserve) and hasserved as Commanding Officer, 3rd Health Support Battalion. She was promoted to Colonel in2009 and is currently on the Inactive Reserve.Glenn Keys is CEO Aspen Medical. He is a graduate of the Royal Military College and Universityof New South Wales and has served in RAEME, primarily in support of Army Aviation. In 1993, heco-founded Aspen Medical, which is now one of the largest providers of contract support to theADF, as well as a provider of Indigenous health services, health care to the resource sector andsupport to a number of State and Territory health services. Aspen also operates in the MiddleEast, US and UK.24
NOTES1. Doug Brooks, ‘Role of private sector companies in providing protection and logistic support’,presentation to Afghanistan Reconstruction Summit, Istanbul, Turkey, 20-21 January <strong>2010</strong>.2. Future Land Warfare Branch, Adaptive Campaigning – The Land <strong>Force</strong> Response to ComplexWarfighting, Canberra: Department of <strong>Defence</strong>, 2006.3. S. Neuhaus, ‘Medical aspects of civil-military operations: the challenges of military health supportto civilian populations on operations’ in Christopher Ankersen (ed.), Civil Military Cooperation inPost-Conflict Operations, London: Routledge, 2008.4. As experienced by <strong>Australian</strong> medical augmentation teams between 2008 and <strong>2010</strong> in support ofthe NATO Role 2 (enhanced) capability in Afghanistan.5. F. Burkle, ‘Lessons learnt and future expectations of complex emergencies’, British Medical <strong>Journal</strong>,Issue 319, 1999, pp. 422-6.6. R. Korteweg and K. Mans, ‘The Strategic Contractor – Iraq: Blackwater andPrivate Military Companies’: see accessed 18 January <strong>2010</strong>.7. See also the ‘Montreaux Document’ on pertinent international legal obligations and good practicesfor states related to operations of private military and security companies during armed conflict:8. See Walter Pincus, ‘Army examines possibility of Private Medical Contractor’, Washington Post, 3September 2008, making reference to Joint Contracting Command-Iraq’s response to request forinformation on the subject of ‘Civilian Contractor Hospital Services throughout Iraq’: see accessed 24 <strong>Aug</strong>ust 2008.9. ‘Civil and Military Humanitarianism in Complex Political Emergencies: Desirability and Possibilitiesof Civil and Military Humanitarianism in Complex Political Emergencies’, March 2003: available at10. ICRC is International Committee of the Red Cross/Red Crescent; non-government organisations,such as Medicins Sans Frontieres, and inter-governmental organisations, such as the UN.11. Glenn Roberts, ‘Hospital Full-Strength’, Caboolture Shire Herald, 7 <strong>Aug</strong>ust 2007; see also CarolynMale, Member for Glasshouse, Queensland Parliament Hansard, 30 April 2008.12. Alan L. Gropman, ‘Privatised Operations’, National Defense, January 2008, p. 22.13. A.K. Lepaniemi, ‘Medical Challenges of Internal Conflict’, World <strong>Journal</strong> of Surgery, Vol. 22, 1998,pp.1197-201.25
- Page 3 and 4: Australian Defence ForceCONTENTSISS
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GUIDANCE FOR AUTHORSThe Australian