Service Personnel and Veterans: Rehabilitation
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The Minister for Defence People, Veterans and Service Families (Dr Andrew Murrison)
I thank the hon. Member for Gower (Tonia Antoniazzi) for her contribution this evening. She has raised a number of issues. I think there is a great deal of common ground, and I salute her for all her efforts in promoting the welfare of the men and women of our armed forces, our veterans and, in particular, those who require the services of our rehabilitation services.
There is, of course, a raft of support available to our personnel, rightly, to veterans and to their families. In the short time that I have available to me, I will try to outline, in response to the hon. Lady’s comments, some of those as best I can.
Let me start by summarising our rehabilitation offer for serving personnel. Our aim here is to return our regulars and our reserves to active duty as soon as possible. To that end, the MOD’s Defence Medical Services, which I used to be a part of, provides a tiered service, extending from the more minor to the most severe injuries.
First, our primary care rehabilitation facilities offer physiotherapy and exercise rehabilitation—fairly straightforward things. Should additional clinical decision making and diagnostics be required, referral to one of the 13 regional rehabilitation units across the UK is possible. They offer rapid access to imaging services and residential rehabilitation for those with moderate musculoskeletal injuries. When it comes to complex musculoskeletal disorders, complex trauma and issues related to joint and soft tissue disease, patients are transferred to the Defence Medical Rehabilitation Centre in Stanford Hall—known to many hon. and right hon. Members as its previous incarnation, Headley Court in Surrey. DMRC also supports small groups of veterans who require prosthetics through its complex prosthetic assessment clinic.
Since May 2020, a total of 16 patients have attended this service and, since March 2022, eight veterans have undergone cutting-edge direct skeletal fixation surgery for prosthesis before receiving rehabilitation at DMRC. Notably, this clinic is a joint MOD and NHS England endeavour, highlighting how partnership is a key feature of our military healthcare landscape these days.
Another example of this partnership is our defence recovery capability. This MOD-led initiative is run in conjunction with Help for Heroes, the Royal British Legion and Erskine Homes. The care it provides is centred around an individual recovery plan, integrating all aspects of recovery, including medical care, welfare, housing, education, reskilling, work placements and employment issues.
Again, those with more serious conditions can access one of our specialist regional personnel recovery units, receiving one-to-one support from a personnel recovery officer. In our major garrisons, there are personnel recovery centres, such as the naval service recovery centre in Plymouth. I should be clear that these are not hospitals, rehabilitation or physiotherapy centres, but conducive military environments designed to speed up recovery. Indeed, they provide not just residential capacity, but specially designed courses and, in the case of the Battle Back Centre at Lilleshall, adaptive support and adventure training to rebuild confidence shattered by trauma, which touches on the hon. Lady’s oral question to me on 7 November.
Hon. Members will be aware that, unfortunately, the impact of covid-19 precipitated Help for Heroes’ withdrawal from the PRCs in Colchester, Catterick, Tidworth and the NSRC in Plymouth in 2021. However, I reassure colleagues that the MOD has since stepped in to take ownership of these recovery centres and will continue to operate alongside the Royal British Legion and Erskine Homes for the Battle Back Centre and Edinburgh PRC.
I briefly turn to the rehabilitation that we offer to veterans, which is the second part of the hon. Lady’s Adjournment debate today. As of 1 July 2022, some 3% of the UK regular trained armed forces were in recovery, while some 70% seen in recovery returned to duty. The medical care our people receive is world class but, inevitably, not all who receive support can return to work. Nevertheless, we retain a duty of care to all veterans who selflessly serve our nation. The offer begins with our career transition partnership, which plays a critical role in smoothing the transition from military to civilian life. The full core resettlement programme is available to all medically discharged service leavers regardless of service length and is accessible to personnel two years prior to and two years after discharge.
There is also a bespoke service, known as CTP Assist, for the most vulnerable leavers, which is tailored to the individual needs of the client. Hon. Members will be aware that, in the past, service veterans received variable levels of support due to a complex, overlapping patchwork of provision.
Tonia Antoniazzi
I appreciate the information the Minister is giving us. On the point about training, is the training subject to any kind of review or standards, such as Ofsted?
Dr Murrison
What we do in Defence is probably world-beating—I would like to think so—but Ofsted is involved in assessing training throughout Defence, including in phase 1 and phase 2 establishments. In general, Ofsted’s reviews have been pretty positive, and I am more than happy to share them with the hon. Lady if she would like me to.
I could not possibly conclude a debate such as this without mentioning Operation Courage. Launched in April 2019, the service helps veterans to recover from the hidden harms that conflict inflicts on mind and body. I know the hon. Lady is well aware of that.
Alongside Op Courage is our veteran trauma network, which offers veterans support for service-related physical healthcare problems. The network comprises 18 NHS veteran trauma centres and NHS specialist units, each with its own military and civilian expertise. I accept that that is not enough, and we are working on more to come, in particular a £5 million research fund. This area is a fruitful one for further research to improve the offer we are able to make to our servicepeople and veterans, and in particular to develop innovative surgical techniques, improve rehabilitation from blast injuries and adapt intervention technologies for mild traumatic brain injury, among other things.
I must briefly mention the creation of the National Rehabilitation Centre, which is very exciting. Working alongside the national health service, it will be a 70-bed specialist clinic unit bringing patient care, research, and training and education under one roof. I pay tribute to the former vice-chief of the defence staff, General Sir Tim Granville-Chapman, for his work in that area. I look forward to the NRC’s opening formally in 2024, but in the meantime there is much collaboration between the DMRC and the NRC.
On the point the hon. Member for Barnsley Central (Dan Jarvis) made about IPC4V, he seemed to suggest it was going to be closed down or downgraded, but I can assure him that is not the case. It was only launched in March 2019. He is right to mention Ben Parkinson as an exemplar, and I can reassure him about our commitment to it; we are even scoping extending the reach of the scheme, if that is of any help to him. I am more than happy to discuss the matter with him further.
Dan Jarvis
I am grateful to the Minister for the response he has just provided. I know he takes these matters very seriously. Does he recall seeing an important piece in The Sunday Times a couple of months ago, written by David Collins, which raised specific concerns about the support provided to the most seriously injured veterans? I wrote to his predecessor about it and would obviously be very happy to write to him about it too. I just ask him to look at the points flagged in that article and satisfy himself that the necessary provision is in place for people such as Ben Parkinson.
Dr Murrison
I do not recognise the piece of correspondence that the hon. Gentleman describes, but I will ask for it to be presented to me and I will certainly be more than happy to discuss it with him.
Finally, we will strive to make this place the best in the world to be a veteran while offering the gold standard in rehabilitation services for all those who serve. When the call came, they answered. In their hour of need we must do the same.
Question put and agreed to.