Armed Forces Bill

Debate between Baroness Finlay of Llandaff and Lord Burnett

Tuesday 6th September 2011 Grand Committee

[Baroness Finlay of Llandaff]

My Lords, I wish briefly to add a comment to Amendment 11, which is in the names of my noble friends Lord Kakkar and Lord Patel. We have a changing system of healthcare delivery for those coming back from active service, with an increasing number now being looked after in primary care and in hospitals nearer their own homes wherever those are. It is important that we monitor the quality of care. In meeting service personnel who have been severely injured, I have been struck that one of the problems that they are now hitting relates to limb fitting and rehabilitation services that go along with that. That is from the perspective of the recipients, and maybe we need to think of more cost-effective ways of meeting the very specific needs of those who have become multiple amputees through an incident on the battlefield, for example.

There is another aspect to this, however. If we do not collate this information we will not get the information on the best way to deal with the trauma when it occurs in the battlefield. The way that trauma is inflicted on our troops is changing very rapidly as enemies use different methods and different types of improvised devices to cause injury. The speed of response of our services and medical services at the front line, and indeed the other members of the forces who are with them at the time, makes the difference between survival and death.

Survival figures from battlefield trauma are a credit to those medical services. They are astounding and I have had the privilege of having discussions with some of the medics who have been in the front line doing the trauma. They also need the information, however, in the longer term of whatever they do out in the field. There are very clear clinical indications for the management of trauma on the battlefield, wherever it happens, to make sure we save more lives and that we maximise the chance of recovery. All those lessons spill over into civilian life as well, where there are multiple accidents, explosions and other forms of trauma. The way that our ordinary civilian paramedical services deal with trauma is often based on lessons learned in the battlefield.

I commend Amendment 11, which might seem as if it sits a little outside the others in this group but actually will have some very important long-term implications. It is an opportunity lost if we do not collect the data.

[Lord Burnett]

My Lords, I hope the Committee will forgive me for arriving late for the sitting this afternoon and I apologise for that. I will say a few words on Amendment 2 and then a few words on Amendment 9. I agree with my noble friend Lord Freeman when he says that the thrust of Amendment 2 tends to derogate from ministerial responsibility. It is also bureaucratic and likely to be expensive. It is after all the privilege and honour we have in this House and in the other place that we continually monitor these matters.

Amendment 9 is in the name of my noble friend Lord Lee and others. As I said on Second Reading, I hope the Government will think hard about this amendment or something in similar terms. It is the duty of the Secretary of State to liaise with these departments of state and these other Secretaries of State. The comments of these Secretaries of State should be confirmed and validated by written assertions in the terms outlined in Amendment 9 and I hope that great consideration will be given to those matters.