(13 years, 11 months ago)
Commons ChamberThank you, Madam Deputy Speaker, for offering me the opportunity to debate a matter that I know will be of particular concern not only to Members of the House, but to the entire country.
The ceremonies of Remembrance Sunday are fresh in our minds. I know that most hon. Members in the Chamber this afternoon will have had the honour of recently laying a wreath in their own constituencies—in my case, under the auspices of our amazing branch of the Royal British Legion in Corby and east Northamptonshire. It is perhaps appropriate that time has been made to debate how our country treats its veterans, and whether we have the prospect of a better model in front of us, in this month of November. It is my contention that the UK needs a fully fledged veterans administration.
A great opportunity lies before the Government, and I am full of hope because both in the manner of their conception, and the way they have governed since, the coalition Government have eschewed the piecemeal. Things are not being done by halves. They are a Government of big ideas, sweeping reforms and profound change. From the universal credit to free schools, from the spending review to the alternative vote referendum, the Government, like the infant Hercules strangling the serpents, have not failed to grasp nettles and do things differently, even in their earliest days.
Our veterans need things to be done differently. I am sure that all Members support the amazing work of the Royal British Legion, Help for Heroes, whose wrist band I am wearing today, ABF The Soldiers’ Charity and the plethora of other worthy military charities operating in our country. However, as my hon. and gallant Friend the Minister will be aware, there is a great feeling out there among the public that it is shameful that our veterans rely so greatly on voluntary bodies and charitable giving.
As a candidate, I was heartened to see my party campaign on restoring the military covenant, and now, as a coalition Back-Bench Member, I welcome all the various steps the Government have taken for our troops—for example, the doubling of the operational allowance and the military covenant being sealed in statute. My right hon. Friend the Prime Minister, as almost one of his first acts in office, announced a welcome review by my hon. and gallant Friend the Member for South West Wiltshire (Dr Murrison) into mental health care for veterans. Meanwhile, the Secretary of State for Education has announced that the pupil premium will apply to the children of military families, and to great acclaim has recently announced a troops to teachers programme, bringing ex-servicemen’s expertise and valour into the classroom, so that they can benefit the nation’s children.
All of that, taken as a package, is extremely heartening. However, I urge the Minister to consider whether the Government’s efforts on behalf of troops and veterans do not point the way to a more comprehensive and unitary approach and a single co-ordinating veterans administration taking care of everything, rather than to the provision of piecemeal help from individual Departments.
I shall return to the theme that I took up in my maiden speech, because the matter is so important to me. The UK is the only country in the English-speaking world not to have a veterans administration, veterans department or something similar, and that is a rebuke to this House. New Zealand has Veterans’ Affairs New Zealand, with its own dedicated Minister; Australia and Canada both have Departments of Veterans’ Affairs; and of course the United States has the gold standard in the Veterans’ Administration.
In an article written for the website Conservative Home about his review of mental health care on behalf of the Government, my hon. and gallant Friend the Member for South West Wiltshire said:
“Throughout my review I have been struck by the almost grudging beneficence of past British governments towards uniformed men and women in stark contrast with that of other nations, particularly our Anglophone partners. I doubt our warriors will ever enjoy the hero worship that Uncle Sam lavishes on America’s finest”.
But why should that be? Since they are every bit as heroic—many of us would say more so—why should they not enjoy it? I urge the Government to go further than their already welcome efforts have. It is not simply a matter of cost. It is true that the budget for the US Veterans’ Administration is a monstrous $87 billion—and because a good politician is a pragmatic politician, I am not asking the Government to go in that direction—but the budget for the Canadian Department of Veterans’ Affairs is only 3.4 billion Canadian dollars. In this country, however, what is first required is not excessive extra cost, but merely co-ordination. The original United States Veterans’ Administration was founded in 1930 with a mission to
“consolidate and co-ordinate Government activities affecting war veterans”.
And we need nothing more in this country.
Today, we have the Service Personnel and Veterans Agency, but I regret to say that it is nothing like enough. The SPVA was created in 2007. In its own words, there are
“many organisations…from Government and the voluntary sector”
that provide help to veterans. Describing that scattergun approach, the SPVA says:
“This can at times be confusing for those seeking help as they are unsure about which organisations provide what services.”
I regret that that quotation is verbatim. The SPVA website, Veterans-UK, is supposedly the first portal through which our veterans are meant to access its services. It is an embarrassment, Madam Deputy Speaker. Is that really the best that we can do for our veterans, our serving troops and their dependants? If, as a soldier, you want to go online and find out why you are not entitled to priority in local housing—unless you are Welsh—this website is for you; and should you wish to be directed to a number of charities, which may or may not be able to help, this is for you. Anyone wishing to look up the Government’s apparent “review of veterans policy”, which the site is linked to, will be directed to the Minster for Veterans—no, not my hon. and gallant Friend on the Front Bench this afternoon, but a smiling photograph of my colleague on the Select Committee on Culture, Media and Sport, the hon. Member for West Bromwich East (Mr Watson), who has not been the Minister for more than four years. That is the level of service that this country currently offers.
Written answers to questions from Members from all parties, in all parts of the House, including the hon. Member for Dwyfor Meirionnydd (Mr Llwyd), who had such a long-standing interest in veterans’ affairs, have revealed, for example, a lack of data kept on the number of ex-servicemen in prison. Another answer showed that no estimate of the cost of family breakdown arising from veterans’ mental health problems has been made. Far too many written answers from the Ministry of Defence concentrate on charities. The world is starting to notice. Sergeant Neil Duffy recently returned his medals to the Prime Minister in a protest over benefits cuts that had left him suicidal. That was apparently down to a Department for Work and Pensions error, but a co-ordinating veterans administration would have avoided any confusion between military benefits and civilian entitlements.
On 4 November, The Economist ran an article condemning our country’s veterans provision, writing that
“a lavish American-style GI Bill of Rights is unlikely”—
and nor, I should emphasise, am I asking for one this afternoon—and quoting the director general of the British Legion as saying that he plans for
“a bow-wave of demand for our welfare support”.
The Economist, I hope like the House, concludes that, in honouring our war dead, we
“ought perhaps to think also of a future that, for some servicemen, is likely to be bleak”
There are many things that a veterans agency could do that would cost the Government absolutely nothing at all. Had I won the ballot on private Members’ Bills, I would have introduced a Bill making it illegal to discriminate against a member of Her Majesty’s forces on the grounds that he or she is wearing the Queen’s uniform. I would like to see a drive, led by the Government, on cultural change, perhaps through education programmes in schools and public information programmes, to develop practices such as those that I witnessed when living in the United States with my ex-husband for several years, where military personnel are regularly thanked for their service. When I have taken the opportunity, as a Member of this House, to thank troops whom I have come across for their service, I am often told that nobody has ever thanked them before. Surely that is a crying shame.
I hope that my hon. Friend the Member for South West Wiltshire will, in the end, be surprised, because our troops deserve all the honour—all the hero-worship—that the Americans render to theirs. I hope that the Minister this afternoon will consider creating a fully fledged, co-ordinating veterans administration or department, bringing the UK into line with the rest of the English-speaking world. He is not only a Minister, but a distinguished former soldier. May I therefore take this opportunity to thank my hon. and gallant Friend for his service, and to commend this project to him, as the final seal on restoring the military covenant, to which my right hon. Friends the Prime Minister and the Secretary of State are so committed?
May I begin by thanking you for allowing me to speak in this Adjournment debate about veterans, Madam Deputy Speaker, and congratulating my hon. Friend the Member for Corby (Ms Bagshawe) on securing it in the first place? Needless to say, representing Plymouth, Sutton and Devonport, I am delighted to have this opportunity to talk on behalf of one of the finest strategic naval bases—indeed, one of the finest naval bases as a whole—and one of the most historic naval ports and cities that our country has.
There are two things that I would like to speak about in the next few moments. I will try to ensure that I do not take up too much time, but, first, if my hon. Friend the Minister and the Ministry of Defence are going to make a decision about the location of the national veterans weekend in 2012, I would like to ensure that Plymouth is up there in their considerations, as it most certainly should be. There is a genuine feeling that Plymouth was rather let down under the previous Administration and that Chatham pipped it at the post, but Plymouth has a good story to tell. Indeed, it is interesting to note that as we debate an incredibly important issue for my constituency, and for other Army, naval and Royal Marine bases, no members of the Labour party are here to participate.
Order. I should point out to the hon. Gentleman that this is an Adjournment debate that was secured by the hon. Member for Corby (Ms Bagshawe). She has given him permission to participate, but normally the convention is that only she speaks.
Thank you for reminding me of that, Madam Deputy Speaker.
The second issue that I should like to raise is the whole business of combat stress and the mental health issues that go with it. I have been hearing some sad and depressing stories about how it can take 14 years for some veterans to come forward with combat stress. I have also heard stories of serving personnel who experience very big problems in their homes, because they have been overcome by their mental health issues. Unless we take action on that, we will face a whole series of related issues, including more drug and alcohol abuse, homelessness and all those other mental health issues.
I am delighted that my hon. Friend the Member for South West Wiltshire (Dr Murrison) has produced his report, which I understand has gone to the Prime Minister and which, according to the Secretary of State, will be fully implemented. That is very good news. The report makes the point that we should incorporate a
“structured mental health systems enquiry into existing medical examinations performed”
while servicemen and women are still serving, which is very important indeed. The report talks about uplifting
“the number of mental health professionals conducting veterans outreach work from Mental Health Trusts in partnership with a leading mental health charity,”
which is absolutely vital. The report refers to:
“A Veterans Information Service…to be deployed 12 months after a person leaves the Armed Forces,”
which is vital, as is the
“Trial of an online early intervention service for serving personnel and veterans.”
All that is absolutely vital, because if we do not do something about these issues, we will see more people admitted to our mental health units, increasing numbers of people going to prison—and mental health issues in prison are a very big worry indeed—and an enormous amount more homelessness on our streets.
When I was first selected to be the candidate in Plymouth, Sutton and Devonport, I was struck by the story of a man whom I met at Bretonside bus station who was living on the streets. He told me about how his relationship had broken down once he had left his regiment in the Army—the whole thing had gone very wrong for him—described the problems that he then encountered and explained how difficult he was finding it to get back into work. The whole issue of combat stress is vital, but caring for our veterans after they have served so gallantly on behalf of our country is vital too.
Combat Stress, the well-regarded national charity, told me earlier today that it has seen a vast increase in the number of people suffering from mental health issues since the wars in Iraq and Afghanistan, so the more help we can give our veterans and the better we can take care of them, the better. That is what we should be about.
Let me start, as is traditional, by congratulating my hon. Friend the Member for Corby (Ms Bagshawe) on securing this debate to discuss the important topic of how we look after former members of our armed forces. I am glad to hear that I, too, am expected to grasp nettles like the infant Hercules; I am not sure whether there is a mixed metaphor somewhere in there, but there probably is, although that is my fault, because I am not such an illustrious author. By the way, I am not a very distinguished soldier either—although it was very sweet of my hon. Friend to say that I was. Never mind, I take all flattery when it is given.
I am delighted to see my hon. Friend the Member for Plymouth, Sutton and Devonport (Oliver Colvile) here today, and I have heard his submission for Armed Forces day 2012. I am sure that he will make it again, but I will note it and take it into account when decisions are made.
I confess that I was rather sorry to hear that the title of the debate had changed from “Care for UK Ex-Servicemen” to “UK Veterans Administration”. Although I am officially the Minister for veterans, I cannot help feeling that many of those who have served are more comfortable with a term that highlights exactly what they have done—that they have served their country in a way that is unique. My only qualification would be to add that today more and more ex-servicewomen swell the ranks.
My hon. Friend the Member for Corby raised several important points, and I shall respond at length on one or two. I do not want to take up too much time, and I may not have all the information to hand, but we will enter into correspondence about the issues. I do not agree with everything she said, as I shall explain, but what has come across clearly is that she and I, as well as my hon. Friend the Member for Plymouth, Sutton and Devonport, share two fundamental principles. The first is that the nation and the Government have a moral obligation to care for those who have made a commitment by joining the armed forces, and taking on the duties and sometimes the sacrifices that service requires. I will return to the question of the armed forces covenant later.
The second principle is that when we provide support, we must place the ex-serviceman or woman at the heart of what we do. Organisations and structures are only the means to an end, and what matters is how we can best help each individual, such as the person whom my hon. Friend the Member for Plymouth, Sutton and Devonport met in a bus shelter.
My hon. Friend the Member for Corby highlighted the range of services that former service personnel may need to call on during their lives, and the variety of agencies that provide them. She argues that it would be more cost-effective to provide those services if they were brought together in a single administration. I do not agree, because when a service is already provided by one Department for the majority of the population, there needs to be a very strong case to set up a separate organisation to do the same thing for the remainder. Ex-service personnel live among us; they are not separate from the community that they have worked to protect. There are three ex-regular army officers in the Chamber and one former Territorial officer. We are here; we are not separate from the rest.
For the most part, veterans’ needs are the same as those of their fellow citizens, whether they involve health care, housing or benefits. Most of our ex-service personnel do not want that period in their lives, which may be quite brief, to be the dominant factor in deciding how they access services for the rest of their lives. A great friend of mine, General Sir Robert Fry, recently said that some of the reaction to the armed forces at the moment is somewhat mawkish, and that is true up to a point. I do not mean that the armed forces, the House or I myself do not relish the fact that people are now giving due respect where it is deserved—but we must be careful that we do not adopt a mawkish attitude to people who are just getting on with their lives in the service of this country.
Some people might not consider that to be mawkish. From my time in Northern Ireland, I know some soldiers who would benefit greatly from better veterans’ services. Our problem with mental casualties will increase hugely. On average, one person is killed for eight wounded, but in the Minister’s and my time that was one to three. The problem will get worse, and we must ensure that our services for those veterans are as good as possible.
My hon. and gallant Friend not only spent a longer time in the armed forces than the rest of us in the Chamber today, but came away much more covered in glory and honour than anyone else. I assure him that I and the Government appreciate, as did the previous Administration, the long-term problems that may arise from many of the casualties in Afghanistan. I will return to mental health shortly, because I want to raise several issues.
The US model is often held up for comparison, but the great difference between ourselves and our American friends is, of course, that in this country we have a national health service within a welfare state. It has the vocation to provide the very best care for everyone. Since 1948 the NHS has given excellent service day in, day out to millions of ex-servicemen and women and their families.
Ex-service personnel are entitled to priority in NHS treatment for conditions resulting from service. The main problem has been lack of awareness of that entitlement among ex-servicemen and women, and especially among practitioners, which is why we have supported recent steps to publicise it more effectively. At the new Queen Elizabeth hospital in Birmingham, we see evidence every day of the superb level of care that the NHS provides to our people who are injured in Afghanistan. They are still serving, of course, but that shows the first-class co-operation that can and does exist between different parts of Government. We must ensure that that is everyone's experience.
We must also recognise that part of the support for ex-service personnel comes not from the Government but from the voluntary and community sector; my hon. Friend the Member for Corby mentioned that. Sometimes the service charities are described as substituting for what the Government should be doing. I believe that that does them a great disservice. I say philosophically that Government bureaucracy is not necessarily the best way to deliver some of the extra services and care that service charities deliver. The help that charitable and voluntary organisations and—dare I say it?—the big society have given to people returning from warfare goes back a long way. It is not for the state to do everything, and the state is not necessarily best placed to do that. We all have social responsibilities, and service charities are an excellent example of the big society in action. I pay tribute to their vital and irreplaceable role in our national life.
This week—it seems to have been quite a long week—I had an opportunity to visit the Royal British Legion on the south bank, and Combat Stress, two organisations that work as active and independent charities, but collaborate closely with the Government in the interests of ex-servicemen. Several formulae have been suggested over the years to strengthen the focus on ex-service issues in the UK. They range from the full-blown US-style Veterans Administration to more modest changes to Government machinery. Some give a greater role to the Ministry of Defence; others look to central Government to take on the responsibility. The creation of a Minister for veterans can be seen against that background, but my role, quite properly, has its limits. I can act as an advocate or as an interlocutor for ex-service personnel, but I do not want to tell the Department of Health and its devolved equivalents how best to deliver health care. Rather, I want to see ex-servicemen and women treated correctly across government, and not pigeonholed.
If we are to rely on our current range of providers to support former members of the armed forces, that will impose two requirements on us. The first is that the services that the nation provides should be attuned to the particular needs of veterans, where that is appropriate. Mental health has been mentioned, and it is an excellent example. It is generally acknowledged that ex-service personnel who are suffering problems as a direct result of their service—for example, those with post traumatic stress disorder— might respond better to an environment in which their particular experience is recognised and understood. I have heard this referred to as “cultural sensitivity”. Hence the importance of the six mental health pilots, designed to trial best practice in this area, which are going on now.
Getting our mental health services right, and tailoring them to the needs of the ex-service personnel who need them, is a matter that my hon. Friend the Member for South West Wiltshire (Dr Murrison) has considered fully in his recent report. We are now taking forward his recommendations. To illustrate the priority that we attach to this, when I visited Combat Stress headquarters earlier in the week and had a chance to learn more about its activities, I was joined not only by my hon. Friend the Member for South West Wiltshire but by the Minister of State, Department of Health, my hon. Friend the Member for Chelmsford (Mr Burns). I hope that represents a true example of joined-up government. I heard exactly what my hon. Friend the Member for Plymouth, Sutton and Devonport said on these matters, but rather than going into them in great depth now, I want to discuss one or two of the issues with him later. Perhaps he could buy me a cup of tea.
Ah, good. [Interruption.] He is quite well off, I think.
That joint approach brings me to the second requirement, which is co-ordination between providers. I think that the hon. Member for North Durham (Mr Jones), who used to do my job, will agree that the co-ordination between providers has not always been good. Ex-service personnel want services that meet their needs efficiently and effectively. They do not want to be shunted about, or to fall down the cracks. That has happened in the past, and it is still happening.
My hon. Friend the Member for Corby has referred to the efforts that the Service Personnel and Veterans Agency makes to co-ordinate the different services that ex-service personnel can call upon. Its helplines are very successful, for example, handling 150,000 to 200,000 calls each year. When I visited Norcross earlier this year, I listened to some of those calls, and heard good practical advice being given in a clear and sensitive way. I would like to put on record today my appreciation for what the SPVA staff do to assist ex-servicemen and women. Whether it involves managing pensions and compensation, staffing the helplines, delivering the veterans welfare service or issuing veterans badges—which are very popular—they make a real difference.
We must ensure that Government Departments work together as a matter of course. They need to take into account the needs and concerns of former service personnel at all stages of their work, from developing policy to delivering services on the ground.
I completely concur with the hon. Gentleman’s point about co-ordination at local level. We piloted the welfare pathway—I understand that he does not like that name—and I wonder whether he is going to roll it out further. It was all about getting people at local level talking to each other.
The hon. Gentleman knows that I recognise and pay tribute to the work that the last Administration did. If we look back 10 years, or even five, the situation was not what it is now—let us not blame whoever was in government 10 years ago—and I pay tribute to what they did. Now, the situation is very different from what it was even three years ago. He is quite right to say that I do not like the term “pathway”; it sounds a bit like new Labour-speak to me. However, in answer to his question, we are making no commitments at the moment, but we are certainly looking towards this way, because if it works, it will be the best way forward.
As I was saying, Government Departments need to work together as a matter of course, and to take into account the needs and concerns of veterans at all stages of their work, from developing policy to delivering services on the ground. I have even put into my speech here that I believe that the previous Government were right to emphasise that principle, when they published the command paper “The Nation’s Commitment: Cross-Government Support to our Armed Forces, their Families and Veterans”. To ensure that that happens, the Cabinet Office chairs a Committee at senior level to bring Departments together.
What we have been discussing is at the heart of the military covenant. Our own commitment to rebuilding the covenant featured prominently in the coalition programme for government. That programme includes a range of proposals to benefit ex-service personnel, from mental health to troops to teachers, which was mentioned only yesterday and, I noticed, was the subject of a headline in the Evening Standard. I am not sure that I quite understood the newspaper’s interpretation of the proposal, but there we go. On Troops for Teachers, I was delighted to hear my right hon. Friend the Secretary of State for Education yesterday confirming our commitment to a scheme that will help both ex-service personnel and our schools.
I suggest to the House that the key to making things work better for ex-service personnel is that kind of holistic, co-ordinated approach, working together to a common end, rather than an organisational upheaval. Our intention is that the new tri-service armed forces covenant will set the tone of what we do across Government.
I am grateful to my hon. Friend the Member for Corby for giving us the opportunity to discuss these issues today. I will take up many of the points that she has raised and discuss them with her further. Her interventions remind us that one of the yardsticks by which a Government are judged is how well they treat their ex-servicemen and women. We are determined to treat them with dignity and respect and to reflect the huge debt, which my hon. Friend spoke about, that we all owe to all of them. It is our moral duty to do so.
Question put and agreed to.