(6 years ago)
Commons ChamberThe hon. Gentleman is absolutely right. I do not know where we draw a line on those reforms, but he is absolutely right that the introduction of the reserves as such, and of a standing Army, was something Haldane was very important in doing, and we are ever grateful to him for that.
To go back to what happened in the aftermath of world war one, it was the warriors returning from the continent who exposed the shortfall in support for our veterans. That shortfall in support prompted the creation of many of the charities we recognise today, such as Combat Stress and Blesma, as well as the Royal British Legion, which led to the poppy appeal that does so much to support our veterans.
The Minister mentions the poppy in passing, but does he share my distaste about some of the remarks made in the far-left media during the Remembrance period? Such people of course have the right not to wear the poppy and even to object to it, but I rather thought that speaking out so negatively about the work of the Royal British Legion was beyond the pale. I hope the Minister agrees.
I think my hon. Friend speaks for the whole House in supporting the poppy and the work of the campaign, which is absolutely terrific in providing support for our veterans. I would hate to see anybody choose to make political gain out of the poppy. It is important to reflect on what the campaign has achieved, and I hope that that will continue.
The nation owes a debt of gratitude to service personnel and their families for what they do for this country, and that is what the covenant is all about. It is about how we apply that in practical terms. Today, under section 2 of the Armed Forces Act 2011, we publish our seventh armed forces covenant annual report. In simple terms, the covenant is about the contract that we must have with those who serve and those who have served. In setting the scene for the debate, I will, if I may, read out its opening lines:
“The first duty of Government is the defence of the realm. Our Armed Forces fulfil that responsibility on behalf of the Government, sacrificing some civilian freedoms, facing danger and, sometimes, suffering serious injury or death as a result of their duty. Families also play a vital role in supporting the operational effectiveness of our Armed Forces. In return, the whole nation has a moral obligation to the members of the Naval Service, the Army and the Royal Air Force, together with their families.
They deserve our respect and support, and fair treatment.
Those who serve in the Armed Forces, whether Regular or Reserve, those who have served in the past, and their families, should face no disadvantage compared to other citizens in the provision of public and commercial services. Special consideration is appropriate in some cases, especially for those who have given most such as the injured and the bereaved.
This obligation involves the whole of society: it includes voluntary and charitable bodies, private organisations, and the actions of individuals in supporting the Armed Forces. Recognising those who have performed military duty unites the country and demonstrates the value of their contribution. This has no greater expression than in upholding this Covenant.”
This is what the covenant is about: it is our duty to those who serve and have served.
I am pleased to say that all local authorities are signed up, but signing up to something is not the same as implementing it. That is where we need to improve what we do by holding those local authorities to account. As I look around the Chamber, I see Members representing different parts of Britain. Some of our constituencies have an historical connection with the armed forces, and those local authorities tend to be far better at implementing the practical application of the covenant than those with less of a connection. That is what we need to change, and where the covenant must come in with a bit more venom and a bit more severity if we are to hold such local authorities to account.
Almost all public bodies—all local authorities and many clinical commissioning groups and schools—are signed up, but does my right hon. Friend agree with me that an area that causes the families of serving military personnel great frustration is when utility companies are difficult about allowing them to break contracts midway through because they have a change of posting or their circumstances change as a consequence of their duty? Does he agree that there is actually a great deal of work to be done among those in the private sector to persuade them to recognise the challenges of military life and to adapt their terms of service to accommodate such personnel?
My hon. Friend mentions two issues, on which I share his concern. On clinical commissioning groups, I am aware that, when service personnel are transferred from one locality to another, they do not necessarily gain the same access to medication for their children, which they need. It is very serious if children move to a new location and cannot get their medication and that must change—we must address that issue. He also mentioned businesses. The big and small businesses with which we are working and which have signed up to the covenant are providing flexibility on contracts. For example, those who are mobilised to go to Afghanistan are allowed to cancel their mobile phone contract without fear of penalty because those companies have signed up to the covenant. Those are practical examples of how businesses can provide support and not penalise people because of their service.
I touched on some of the changes that have been introduced in the past few years of which we can be proud. First, part of the support provided for charities is the introduction of the gateway—the single portal that allows any veteran, and their families, to identify where support might be found in myriad areas, be that housing, homelessness, writing a CV or employment. The veterans’ gateway provides a single access locality so that myriad charities that can help can be identified in a much simpler way than in the past, when perhaps it was a bit confusing to know which way to turn.
The second change—this is very much thanks to the Defence Secretary—is the launch of the 24/7 helpline for serving personnel and veterans. It is critical that people know where they can turn to for help, no matter what time it is, day or night, and no matter the situation.
The hon. Gentleman raises an important issue. I was in Northern Ireland for Remembrance Sunday and it was a pleasure to be back. He knows that I served there a number of years ago, and it was a pleasure to see how far advanced the whole of Northern Ireland is in embracing the ability publicly to thank the armed forces. I was in Coleraine for Armed Forces Day, but at the time that I served we would never have seen our armed forces marching down the streets with people thanking them for their service. There are, however, some particular challenges in Northern Ireland, of which the hon. Gentleman is more aware than me. He is also aware of the situation with the Northern Ireland Assembly and the development of the new districts that are coming in. It is a bottom-up approach. We are trying to make this work. There is the veterans’ support office, which he is familiar with. I have met people from that office, too. Anyone who feels that they are not receiving support needs to get directly in touch with that office because that is the avenue through which to find help. Help is there, but as with many situations, this is about knowing where to go when such help is required.
The other major change is the mental health strategy, and the significance of that issue has already been touched on a number of times. This is about what we put our brave personnel through, and whether there is a requirement for them to have additional support in that area. In my time—I am looking around the Chamber and there are many old warriors here—
Well let’s go out and do a basic fitness test and see how we get on. My point is that, in our time, would we have been willing to put our hand up and say that we had an issue with our mind? If we had a physical injury, absolutely, we would have stepped forward—we would not have had a problem with that—but there was perhaps a stigma associated with being honest about any mental troubles we might have had. That was the entirely wrong approach, because those issues can then incubate and become worse, and then someone ends up departing the very thing they love because they find it difficult to cope. That has a knock-on impact because, when somebody loses confidence in themselves, that affects their career possibilities, they may depart the armed forces and it may affect their relationships and lead to family break-up or unemployment, which could spiral into a very dark chapter.
Let us go back to the beginning. If someone is able and encouraged, and does not feel that it will threaten their ambitions in the armed forces, they should be able to put their hand up and say “Actually, I have a bit of an issue. Can someone help to sort it out?” Someone might say to them, “Why don’t you go and see the doctor and get yourself checked out? It’s okay”. That is the place we are now going towards. Every ship’s captain, platoon commander, squadron leader and person now has a responsibility—a duty—to look after one another and ensure that if there is an issue we talk about it straightaway. It is okay for someone to say that they are not okay.
The hon. Gentleman is right, and I will come on to the details of mental health and wellbeing, and say what more we are doing. More funds have come through from the recent Budget, but we need to ensure that treatment is available and that veterans know where to find it.
My right hon. Friend is right. Over the three tours that I did, in 2005, 2007 and 2009, the difference in attitude to mental health, and the reactions within theatre to things that were happening, grew exponentially. The key is to ensure that the lessons learned when mental health was a necessity in combat become business as usual for regiments, ships and squadrons going forward. I hope that since I left the military in 2012 that has become the norm, and that it is business as usual for mental health always to be a topic of conversation, rather than just in connection with operations.
My hon. Friend is absolutely right. The whole aspect of decompression is new, too. When our armed forces come back from a combat arena, they are moved into a different environment before they see their family. They are checked and discussions are had to check their temperament. We now get back in touch 12 months after any person has departed the armed forces to see if they are still okay and how they are getting on. These are all new changes that were certainly not in place when I served and I do not think they were in place when my hon. Friend was serving either.
I want to touch on the transition service before I turn in more detail to mental health. We need to get to a place where people, when they put their hands up to say they are departing the armed forces, are retrained so they can move back into society without a problem. Again, when I served, this was not on anybody’s mind. As soon as we put our hands up to say we were departing, we were normally given rear echelon jobs and told to just get on with it.
Today, we have to recognise several things. The skill sets one learns in the armed forces are formidable: the leadership, teamwork, grit, tenacity, determination and the willingness to work beyond five o’clock are all skill sets that anybody in civilian life might want to pick up. As I have said, the cohort of people with direct understanding of what the armed forces are like is very different today from 20, 50 or 100 years ago. As such, an employer or HR director may not be aware of what it is like to be in the armed forces. They may have the wrong impression and they may believe the myths we touched on earlier.
It is therefore absolutely critical that we are able to work with businesses through our Defence Relationship Management and Career Transition Partnership teams. They go out to businesses to explain what skill sets are available and how they might be useful to workforces, and most importantly to train, to educate and to ensure that those who have put their hand up to say, for whatever reason, “I’ve decided to leave the armed forces” have the qualifications during what can be up to two years of transition. I am very proud of the direction of travel on that.
Those who serve in our armed forces actually serve our country twice. They not only do so in uniform with pride, doing something exceptional and unique that very few other people do—putting themselves in harm’s way to defend our country—they also serve a second time by serving the nation and society in other jobs by taking those skill sets across. We need to make sure that transition is as simple and as easy as possible. That is exactly what our Career Transition Partnership intends to achieve.
The issue of mental health has been raised a number of times by hon. Members. They are absolutely right that we need to get this right. I talked about the new strategy, our comprehensive overhaul of how we treat and look at mental health. It has four themes. The first is to promote a better attitude to remove the stigma of mental health. The second is prevention, making people aware of what to anticipate, so that they are appreciative of environments where they may be affected by mental health issues. The third is detection, understanding and finding out what is going on, through discussions and better checks of what individuals are going through. Fourthly, if you can detect it, you can treat it early and get those people back into the frontline, where they want to be, as quickly as possible. We do not want to wait. We do not want any individuals to allow these issues to incubate or for them to live in denial of a problem.
There is one spectrum of veterans about whom I am particularly concerned. We are seeing the benefits of the processes we put in place following the lessons we learned from Afghanistan and Iraq. The groupings who are more vulnerable, because the stigma was so prevalent, are those who served at the time of the Falklands. They are now in their 40s, 50s, 60s and 70s. They saw and experienced things that perhaps they still do not want to talk about. They were not educated during their time about where help could be found. It is those people whom we have a duty to reach out to and find through means other than our connections to the armed forces.
Our new approach begins at the start of any individual’s career, through promoting positive mental health and wellbeing, preventing and detecting the onset of mental illness at the earliest possibility, and treating such illnesses when they are diagnosed. I touched on the additional funds that are coming from the Budget. An extra £2 million a year is being brought in to improve mental health services for our armed forces, on top of the £20 million already committed.
As hon. Members will be aware, this is another great example of where responsibility lies not just with the Ministry of Defence. We are often compared with the United States, which has a completely different approach to this, but we have the NHS, which is the best in the world. It would not make sense to replicate that with another health service simply for our armed forces. We need to tap into and take advantage of the NHS skill sets. If people go to the NHS and it denies them support, the machine is not working and we need to ensure that that changes. It is therefore important that the MOD has a close relationship with NHS England and indeed the devolved Administrations to make sure it works right across the country and meets the healthcare needs of the armed forces community.
Healthcare in England is devolved to local clinical commissioning groups. I have touched on the issues that we have with different standards and approaches; that needs to be reconciled. Most services for all demographics, however, are commissioned and provided locally. Healthcare for devolved Administrations is devolved to those Administrations for more regional and local determination of services and is consistent with national approaches to healthcare. In England, local CCGs, working with local authorities, have the legal responsibility for planning and commissioning, and for providing appropriate health and social care for the population where they live. Those requirements and needs are measured through the respective local authority-chaired health and wellbeing boards and underpinned by the latest data on where the armed forces communities live. That is absolutely critical because, if they move from one locality to another, they do not want to be waiting for their records to catch up with them to gain the necessary treatment they deserve.