The Parliamentary Under-Secretary of State for Defence (Mr Andrew Robathan)
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.
Bob Stewart (Beckenham) (Con)
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.
Mr Robathan
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.
Mr Robathan
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.
Mr Kevan Jones (North Durham) (Lab)
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.
Mr Robathan
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.