Oral Answers to Questions

Debate between Jamie Stone and Johnny Mercer

Monday 1st February 2021 Commons Chamber

[Johnny Mercer]

There are a number of measures related to service justice in the Armed Forces Bill, which was introduced last Monday. Those measures are particularly focused on improving the experience of those who use the system and make service complaints, making that system more transparent, with more integrity and more resilience to challenge. My hon. Friend will be delighted to hear that the Bill will have its Second Reading next Monday. There is some really good stuff in there; I urge her to have a look at it, and I am more than happy to engage with her further on the issues.

[Jamie Stone (Caithness, Sutherland and Easter Ross) (LD) [V]]

One of the big stories in today’s newspapers is the fact that Scotland is lagging badly behind when it comes to the roll-out of the vaccine. Clearly, all of us want to get people vaccinated as quickly as possible. What can our excellent armed forces do to sort out this very worrying situation in Scotland?

Mental Health of Veterans

Debate between Jamie Stone and Johnny Mercer

Wednesday 11th March 2020 Westminster Hall

[Johnny Mercer]

My right hon. Friend is absolutely right to point out that it is no good sitting down with the widow of somebody who has taken their own life, or with their family, and saying, “Actually, statistically, we are in a pretty good place in this country when it comes to suicide.” The reality when it comes to figures and so on is that we are—the rate of suicide in the service community is eight in 100,000; in the civilian equivalent cohort it is 32 in 100,000. People who have served in the military are less likely to take their own life. However, he is absolutely right that each one of these suicides is a tragedy not only for the individual and their family, but for us as an institution, because we owe this unique debt of gratitude towards those who serve.[Official Report, 16 March 2020, Vol. 673, c. 6MC.]

We are beginning to really shift the debate. We have invested a lot of early money in data. We started from a very low point when it came to veterans’ data and data on suicide. We have put money into a cohort study, looking at 16,000 people from the beginning of the Iraq process through to where they are now. Clearly, most of them are civilians, but we are watching what happens in their lives, the cause of death if they die and so on. We are marrying that with an exercise in the MOD, going over the records of every individual who served who has died since 1991—almost three quarters of a million people —to have a look at the cause of death and the incidence rates. We have just signed the contract to give some money to the University of Manchester to look at cases in which veterans take their lives, to undertake a comprehensive study of the events in their life in the 12 months leading up to that, to answer the question whether we could or should have done anything more to intervene. I totally accept that the Government have not started from a strong start point when it comes to data around suicide and what we have done on it, but I want to make clear this morning that that is changing.

When it comes to this strategic shift in healthcare provision for our service people, I start by paying tribute to the service charities. They have done an amazing job—there are no two ways about that. When Combat Stress started, and throughout the period where mental health really was a Cinderella service—we talk now about winning that battle on the stigma of mental health, but 30 years ago that was not the case—Combat Stress held a candle for this stuff and was the only port in a storm. It has done an incredible job over the years.

However, for a long time Combat Stress and others have talked about the increasing presentation and understanding of mental health versus a decline in giving from the public. That has presented a unique challenge about what we do now. I am very clear, as is the Prime Minister, that that basic underlying mental health provision is owed to those people by this country and the NHS must step forward to provide that. With the problems with Combat Stress that have come to light recently, which everybody knows about, I have brought forward a third service to try to fill the mental health provision gap for our veterans. We have the complex treatment service, which was introduced last year and has been very successful, and we have the TIL—transition, intervention and liaison—service to speed up access to talking therapies and so on, but there is a requirement for a high-intensity service to look after some of our most poorly people on the NHS. I have brought that commissioning forward. The bidding process is going through now and in April I will be launching that. We will have those three services—CTS, the high-intensity service and TILS. That will be the framework through which this Government will see through their commitment to veterans on mental health.

The NHS requires people to deliver those services, and that is where the charities are absolutely critical. They have bid into the services and they are indeed running CTS and TILS in other parts of the country. We have had a lot of bids for high-intensity service. Those charities are going to go through a change as they fit in around this framework and leadership, which they have asked us for for a long time. The challenge then is to make sure that every single veteran and every service member in this country when they leave service knows about the programme of mental health care, so that they cannot honestly look me in the eye and say to me, “I did not know where to turn.” That is the challenge I am absolutely determined to meet. I will come on to talk about funding for that at the moment.

[Jamie Stone]

I accept the generous intent of the Minister’s remarks, and I thank him for that. It is worth making the point in passing that, if we could get this right and if the general public could see us getting it right, that in turn would surely help recruitment to our armed forces—something that is a real problem for all three services.

[Johnny Mercer]

The hon. Gentleman makes a good point. I come back to the point I made earlier: when this goes wrong, when we do not get this right, it is not only a tragedy for the individual and their families, but a tragedy for us as an institution if people come and give the best years of their lives, and we do not then have the follow-on care and so on that so many of them need.

I am confident that when we launch this service in April, it will provide the framework and the leadership that will bring in all the charities and all the brilliant little groups such as PTSD Resolution and others. They will fit in around this framework and deliver parts of the course. That is critical for the charities, because they will be able to focus on some things and not on others, but cognisant of the fact that that need is being met. There will be more long-term sustainability and contracts that they can enter into with the NHS that will give them financial stability. I am confident in 12 or 18 months’ time we will have a world-class offering for mental health for our veterans in this country.

When it comes to money, the Prime Minister is absolutely clear that we will provide the resources required to meet the demand. This healthcare model is the future of veterans’ care in this country. As he came into office, we saw a fundamental shift—this from someone who has irritated colleagues in this place over many years on this subject—towards this nation, particularly this place, being the ultimate guarantor of services for those who have served. It is not always the deliverer, but it is the guarantor.

Finally, we are going to get there with the programme. I am speaking at King’s College about it tomorrow and the formal launch is in April. I have a huge job of work to do to ensure that everybody in this country understands what it is, and I look forward to that challenge, but it is a team effort. This is not my mental healthcare plan. There are people who have done some amazing stuff in this field. All I am doing is bringing it together and providing that leadership, because that good stuff is there already. I genuinely think we are going to see a fundamental change in the next 12 to 18 months.