Neil Westphalen

Articles by Neil Westphalen


Stuart Naval Warfare, Ships and Medicine 1603–1714

Introduction Previous articles in this series described the development of a cycle from prehistory to 1900, whereby increasing maritime trade necessitated larger and more efficient ships to transport merchandise and better weapons to defend or attack them, facilitating further trading opportunities.1,2,3,4,5,6,7 However, it was not until the 18th century that Western medicine had developed sufficiently… Read more »

By Neil Westphalen In   Issue Volume 33 Number 3 Doi No https://doi-ds.org/doilink/01.2025-98294116/Online First

Victorian Naval Warfare, Ships and Medicine 1815–1900

Introduction Previous articles described the development of a cycle from prehistory to the end of the Napoleonic wars, whereby increasing seaborne trade necessitated larger and more efficient ships. This led to more and better weapons to defend or attack them, thereby creating further trading opportunities.1,2,3,4,5,6,7  While the technical developments in ships, weapons and medicine often… Read more »

By Neil Westphalen In   Issue Volume 33 Number 2 Doi No https://doi-ds.org/doilink/12.2024-56454943/JMVH

Fundamental Inputs to (ADF Health) Capability: Overview

Introduction This paper—and the series to date and to follow—is based on conclusions reached in a previous series by the author regarding occupational and environmental medicine in the ADF.61,2,3,4,5,6,7,8,9,10,11 The previous series describes why high workplace illness and injury rates confirm the need to improve the management of hazards associated with ADF workplaces, with better… Read more »

By Neil Westphalen In   Issue Volume 33 Number 1 Doi No https://doi-ds.org/doilink/12.2024-23154948/JMVH

Georgian Naval Warfare, Ships and Medicine 1714–1815

Introduction Previous articles in this series describe the development of a cycle from prehistory to the end of the Elizabethan period, whereby increasing trade necessitated larger and more efficient ships to transport merchandise and better weapons to defend or attack them, thereby facilitating further trading opportunities. 1,2,3,4,5,6 However, it was not until the 18th century that… Read more »

By Neil Westphalen In   Issue Volume 32 Number 3 Doi No https://doi-ds.org/doilink/04.2024-22223977/JMVH

Fundamental Inputs to (ADF Health) Capability: Personnel

Introduction There has been a longstanding misperception within Defence, government and the general public that the ADF health services only need to provide treatment services. This notion fails to recognise the other two intrinsically linked ‘purposes’ (what would now be called ‘missions’) identified by Arthur Graham Butler in his seminal WWI medical history:1,2 enabling operational… Read more »

By Neil Westphalen In   Issue Volume 32 Number 2 Doi No https://doi-ds.org/doilink/12.2023-15427156/JMVH

JMVH Article: ‘John Keith Henderson: First Australian to Provide Dental Treatment to Troops on Active Service’

Dear Sir/Madam, The July 2022 JMVH article regarding John Keith Henderson, the first Australian to provide dental treatment to personnel on active service, is important because it expands on an otherwise rarely-examined component of Australia’s military medical history. While commending the author’s work to that end, the article requires further elaboration regarding the medical detachment… Read more »

By Neil Westphalen In   Issue Volume 32 Number 1 Doi No https://doi-ds.org/doilink/01.2024-24436156/JMVH Vol 32 No 1

Tudor Ships, Warfare and Medicine

Introduction Previous articles describe the development from prehistory to the end of the Viking period, of a cycle whereby increasing trade necessitated larger and more efficient ships to transport merchandise and better weapons to defend or attack, both of which facilitated more trading opportunities.1,2,3,4,5 However, it was not until the 18th century that Western medicine had… Read more »

By Neil Westphalen In   Issue Volume 31 Number 3 Doi No https://doi-ds.org/doilink/09.2023-47983213/JMVH Vol 31 No 3

A War of Nerves: Soldiers and Psychiatrists 1914-1994

BEN SHEPHARD WAS BORN IN 1948 and read History at Oxford University. He made numerous historical and scientific documentaries, including The World at War and The Nuclear Age, the former being particularly well-known on Australian TV in the 1970s. He writes for the Times Literary Supplement and was a contributor to 150 Years of British… Read more »

By Neil Westphalen In   Issue Volume 12 No. 3 Doi No https://doi-ds.org/doilink/03.2023-47357659/JMVH Vol 12 No 3

Faces of Battle: A Health Perspective

Two RECENT AUSTRALIAN BOOKS offer insights into the past, present and future nature of the human element in war. It is suggested that both books are highly relevant to ADF health staff, particularly with respect to understanding their role in providing health services in such circumstances. THE HUMAN FACE OF WARFARE Following national service in… Read more »

By Neil Westphalen In   Issue Volume 13 No. 1 Doi No https://doi-ds.org/doilink/03.2023-56638625/JMVH Vol 13 No 1

Going Round The Buoy: The Defence Health Services And The Australian Policy Cycle

INTRODUCTION The Australian Policy Handbook, by Peter Bridgman and Glyn Davis, was “designed for those who become embroiled in the sometimes turbulent world of public policy…”.1 Given the substantial changes to the Australian Defence Force’s (ADF’s) health services in recent years, it seems worthwhile comparing the Australian Policy Cycle, as described by Bridgman and Davis,… Read more »

By Neil Westphalen In   Issue Volume 12 No. 1 Doi No https://doi-ds.org/doilink/03.2023-85386175/JMVH Vol 12 No 1

Tudor Naval Medicine 1485 – 1603: Part Two

INTRODUCTION THIS IS THE SECOND OF A TWO-PART ARTICLE on English naval medicine during the Tudor period. Both parts follow a previous article on medieval naval medicine, with the same aim of making comparisons with contemporary ADF practice in order to identify common issues.’ Like the previous article, they are based on information from the… Read more »

By Neil Westphalen In   Issue Volume 12 No. 1 Doi No https://doi-ds.org/doilink/03.2023-15711798/JMVH Vol 12 No 1

Tudor Naval Medicine 1485 – 1603: Part One

Introduction THIS IS THE FIRST OF A TWO-PART ARTICLE on English naval medicine during the Tudor period, from the end of the Wars of the Roses in 1485 until the death of Elizabeth I in 1603. Both parts follow an article on medieval naval medicine and have the same aim of making comparisons with contemporary… Read more »

By Neil Westphalen In   Issue Volume 11 No. 2 Doi No https://doi-ds.org/doilink/03.2023-41531846/JMVH Vol 11 No 2

Medieval Naval Medicine 1200-1500

Introductory Note on Sources In the absence of access to original material (not to mention a lack of knowledge of Latin and Middle English), this article is based on information from the first volume (of four) of a history of British naval medicine, written by Dr John Joyce Keevil MD, BCh, MRCS, LRCP, DTM&H.1 Born… Read more »

By Neil Westphalen In   Issue Volume 10 No. 3 Doi No https://doi-ds.org/doilink/03.2023-54854937/JMVH Vol 10 No 3

‘Military Health Support’ in the Australian Defence Force

Introduction This article follows previous papers by the author, regarding occupational and environmental medicine in the ADF.1,2,3,4,5,6,7,8,9,10 These papers, as well as a 2019 Productivity Commission inquiry,11 indicate that high workplace illness and injury rates confirm the need to improve the management of hazards associated with ADF workplaces, with better emphasis on prevention. To this… Read more »

By Neil Westphalen In   Issue Volume 29 No. 4 Doi No https://doi-ds.org/doilink/12.2021-86577343/JMVH Vol 29 No 4

Humanitarian Aid/Disaster Relief (HA/DR) in the Australian Defence Force: Health aspects

N Westphalen Introduction This article follows previous papers by the author, regarding occupational and environmental medicine in the ADF.1,2,3,4,5,6,7,8,9 These papers, as well as a recent Productivity Commission inquiry,10 describe why high workplace illness and injury rates confirm the need to improve the management of hazards associated with ADF workplaces, with better emphasis on prevention. To this… Read more »

By Neil Westphalen In   Issue Volume 29 No. 3 Doi No https://doi-ds.org/doilink/09.2021-54555229/JMVH Vol 29 No 3

Military Medicine Capabilities in the Australian Defence Force

Commander N Westphalen Introduction This article is the latest of a series regarding the role of occupational and environmental medicine in the Australian Defence Force (ADF).1,2,3,4,5,6,7 These articles, as well as a recent Productivity Commission inquiry,8 indicate that high workplace illness and injury rates confirm the need to improve the management of hazards associated with… Read more »

By Neil Westphalen In   Issue Volume 28 No. 2 Doi No https://doi-ds.org/doilink/05.2021-74164139/JMVH Vol 28 No 2

Warfare, Ships and Medicine in Ancient Egypt and Greece

Introduction A previous article described the prehistoric origins of weapons, ships and medicine. Although hominids began using weapons for hunting animals up to five million years ago, the earliest archaeological evidence of their use by Homo sapiens for warlike purposes (as opposed to other forms of interpersonal violence) is only dated to c11,000 BCE. This… Read more »

By Neil Westphalen In   Issue Volume 28 No. 2 Doi No https://doi-ds.org/doilink/05.2021-37169358/JMVH Vol 28 No 2

A History of Australian Navy Health Officer Uniforms and Ranks (Part Two)

Purpose More than a century after its establishment, many Royal Australian Navy (RAN) uniforms and ranks still reflect those used by the British Royal Navy (RN). Previous articles have described the history of Navy sailor uniforms or ‘rigs’ since 1509,1 the development of male and female health sailor uniforms since 1879,2 and the evolution of… Read more »

By Neil Westphalen In   Issue Volume 27 No. 3 Doi No https://doi-ds.org/doilink/05.2021-37795961/JMVH Vol 27 No 3

Compensation in the Australian Defence Force

Neil Westphalen Introduction This article follows previous papers by the author, regarding occupational and environmental medicine in the Australian Defence Force (ADF).1 They assert that high rates of workplace illness and injury indicate the need to improve the management of hazards associated with ADF workplaces, with better emphasis on prevention. They also advocated that the… Read more »

By Neil Westphalen In   Issue Volume 27 No. 1 Doi No https://doi-ds.org/doilink/05.2021-62117523/JMVH Vol 27 No 1

Medical CBRN Defence in the Australian Defence Force

Major David J Heslop, Commander Neil Westphalen Introduction This article focuses on a specialist area of military medicine, following a series of recently published papers regarding occupational and environmental medicine in the ADF.1 They assert that high rates of preventable workplace illness and injury indicate the need to improve the management of occupational and environmental… Read more »

By Neil Westphalen In   Issue Volume 27 No. 1 Doi No https://doi-ds.org/doilink/05.2021-66238891/JMVH Vol 27 No 1

A History of Australian Navy Health Sailor Uniforms and Ranks (Part 1)

Commander Neil Westphalen, Royal Australian Navy Reserve Purpose Mariners have been identifiable by their clothing for centuries. This reflects their ongoing need for attire that allows free movement for negotiating ladders, doorways and hatches, and performing physically demanding tasks such as hauling lines on cluttered decks and moving heavy weights. In the past, their garments… Read more »

By N. Westphalen and Neil Westphalen In   Issue Volume 26 No. 2 Doi No https://doi-ds.org/doilink/05.2021-22312883/JMVH Vol 26 No 2

Letter to the Editor – Westphalen

07 March 2015 Dear Editor, The article by Kristina Griffin regarding the evolution and role changes of Australian military medics1 requires some amplification and clarification regarding its scope and conclusions: The content and referencing of the article is clearly limited to those ADF medics who provide health support for operations It is respectfully suggested that… Read more »

By Neil Westphalen In   Issue Volume 23 No. 2

Defence Medical Officer Attitude Survey: The Medical Employment Classification Review (MECR) system

Introduction The key functions of military health services[1] include assessing military suitability for military service.  This information is used by personnel managers, commanders and supervisors to minimise the impact of: medical condition(s) of members which affect  their ability to undertake normal workplace duties, and the opposite, , i.e. normal workplace duties affecting  their medical condition(s)…. Read more »

By Neil Westphalen In   Issue Volume 21 No. 3 Doi No https://doi-ds.org/doilink/11.2021-55173477/JMVH Vol 21 No 3

The Canberra Class Landing Helicopter Docks (LHDs): A New Maritime Role 2 Enhanced (MR2E) Capability for the ADF

The Canberra class Landing Helicopter Dock (LHD) ships will replace the LPAs Manoora and Kanimbla, and the LSH Tobruk.  Planning for these new ships began in 2000, based on Australia’s experience with INTERFET in East Timor.  In 2004, invitations for tender were sought from a French company offering the Mistral class ships, and the Spanish… Read more »

By Neil Westphalen In   Issue Volume 20 No. 2 Doi No https://doi-ds.org/doilink/11.2021-58817936/JMVH Vol 20 No 2

The Loss of HMAS Sydney II: Medical Aspects

Abstract On 19 November 1941, HMAS Sydney was 100nm off Shark Bay, on her way back to Fremantle after escorting the troopship Zealandia to Sunda Strait, between Java and Sumatra. At 1600 she encountered the German auxiliary cruiser Kormoran.  The ensuring battle began at 1730 and ended at 1825.  Sydney was last seen on fire… Read more »

By Neil Westphalen In   Issue Volume 19 No. 3 Doi No https://doi-ds.org/doilink/11.2021-89213844/JMVH Vol 19 No 3

Rear Admiral Graeme Shirtley RFD RANR

Rear Admiral Graeme Shirtley RFD RANR MB BS (NSW), DDR (Syd), FRANZCR Surgeon General Australian Defence Force 09 May 2005 – 03 July 2008. Patron of the Australian Military Medicine Association 09 May 2005 – 31 December 2008 RANR Graeme Shirtley served as the Surgeon General Australian Defence Force (SGADF) for just over three years. During… Read more »

By Russell Schedlich and Neil Westphalen In   Issue Volume 17 No. 3 Doi No https://doi-ds.org/doilink/11.2021-86887759/JMVH Vol 17 No 3

Bruce James Cheffins, Surgeon Lieutenant RAN 1965-1971

Dr Bruce James Cheffins died at the Fremantle Hospital on 14 March 2008, as the result of a vehicle accident.   He left behind his wife Andrae, sons Peter and Richard, daughters Bridget and Susie, and four grandchildren.   His RAN service was noteworthy for his compassion and leadership aboard HMAS Perth (DDG 38, Captain P.H. Doyle… Read more »

By Neil Westphalen In   Issue Volume 17 No. 1 Doi No https://doi-ds.org/doilink/11.2021-44155312/JMVH Vol 17 No 1

Letters to Editor

Dear Sir, I refer to the recent JMVH article1 regarding the 2004 Stevens Review2 with respect to command of the ADF’s health services. Military health care is similar to civilian occupational health practice in that it involves three stakeholders: the clientele, their employer (ie commanders), and health service providers.To remain relevant military health organisations must… Read more »

By Neil Westphalen In   Issue Volume 16 No. 4

Commanding Officer Health Satisfaction Survey – finding out what is working and what needs doing better

Introduction The opportunity to gain feedback from customers is an important facet of improving the delivery of health services. In the Defence Health Service this is primarily achieved through Customer Satisfaction Surveys per Health Directive 920. However this is focused on patients and misses the other customer base: the Commanding Officer (CO). This shortfall was… Read more »

By David Parry and Neil Westphalen In   Issue Volume 16 No. 3 Doi No https://doi-ds.org/doilink/11.2021-34916335/JMVH Vol 16 No 3

Surgeon Rear Admiral Lionel Lockwood (1902-1987)

Lionel Lockwood was born in Natimuk, near Horsham in Victoria, on 13 January 1902. He was the eldest of four siblings and son of Alfred Wright Lockwood (1867-1956), journalist and proprietor of the West Wimmera Mail newspaper, and Alice Ellen, nee Francis.  Lionel Lockwood was born in Natimuk, near Horsham in Victoria, on 13 January… Read more »

By Neil Westphalen In   Issue Volume 16 No. 1 Doi No https://doi-ds.org/doilink/11.2021-36116867/JMVH Vol 16 No 1

Workplace Assesment 2005-1 – Shell Ondina® Oil 15 RAN School of Ship Safety and Survivability – West (SSSS-W). HMAS Stirling

Introduction The School of Ship Safety and Survivability – West (SSSS-W) at HMAS STIRLING is one of three Royal Australian Navy facilities responsible for shipboard damage control training. For many years these facilities used diesel fuel for realistic firefighting training, however concerns regarding environmental issues, and trainee and instructor exposure to diesel smoke, resulted a change to LPG… Read more »

By Neil Westphalen In   Issue Volume 15 No. 3 Doi No https://doi-ds.org/doilink/11.2021-21842711/JMVH Vol 15 No 3