RAF Northolt: Commercial Flights

Lord Glenarthur Excerpts

Tuesday 26th April 2011 Lords Chamber

[Lord Astor of Hever]

My Lords, I pay tribute to the noble Lord as a very distinguished president of BALPA. Heathrow currently operates at around 99 per cent capacity, and we cannot let it grow out of control, but the Government are committed to developing a new policy framework for the whole of UK aviation which supports economic growth and addresses aviation’s environmental impact. We want to see a successful and competitive aviation industry that supports economic growth and addresses the environmental impacts. Aviation should be able to grow, but to do so it must play its part in delivering our environmental goals and protecting the quality of life of local communities.

[Lord Glenarthur]

My Lords, what is the total number of military and civilian air traffic movements at Northolt in any one year, and are there any air traffic control constraints due to the closeness of Heathrow and the overall impact of its terminal marshalling area—TMA?

Armed Forces: Post-service Welfare

Lord Glenarthur Excerpts

Thursday 27th January 2011 Lords Chamber

[Lord Glenarthur]

My Lords, I, too, am most grateful to my noble friend Lord King for raising this important issue. I certainly join with all those who pay tribute not only to the fortitude of those who are so grievously injured on operations but to their families, friends and the professionals who have the difficult task of supporting them on their return. I have various interests to declare. I was a member of the National Employer Advisory Board for the reserves of Britain’s Armed Forces for 14 years, for seven of which I was its chairman. I have been honorary colonel of a Territorial Army hospital support medical regiment for 10 years and for six years, concurrently, I have been honorary air commodore of a Royal Auxiliary Air Force medical unit. These specialist medical units regularly provide individuals—or even many individuals—to reinforce, and to provide specialists for, both regular and reserve medical units that are deployed.

As I have had substantial contact with many doctors, nurses and others, such as from the professions allied to medicine, who have the initial and subsequent care of servicemen with profound physical and mental trauma as a result of operations, I should like to concentrate my remarks on the reserves, particularly the medical reserves. From what I know, it is clear that many people deployed on operations in the medical field are seeing the most dreadful trauma that only a couple of years ago would not have been survivable. They often witness what was described to me yesterday as the “ultimate” in terms of trauma that they will ever see. They see perhaps the most awful experiences of their professional lives. The degree of preparation that the United Kingdom armed services gives all those who are due to deploy might be a major factor in helping the rate of post-traumatic stress disorder remain at a low level. However, we cannot afford to be complacent and we cannot be sure when repeated deployments will begin to take their toll and very real long-term issues of mental illness, requiring long-term rehabilitation, will become evident.

So far as the Defence Medical Services are concerned, a large number of their strength is made up of reservists. Some of these reservists, largely from the TA, deploy as formed units—perhaps as a field hospital taking over the manning and the operation of the medical facilities at Kandahar, Camp Bastion or in forward locations. These medical staff are almost the only formed reserve units to be deployed nowadays on operations. However, they also rely heavily on the additional expertise of specialists from national units, such as my own represents.

Many of these staff, with wide experience in the NHS and the private health sector, are used to dealing with fairly horrific scenes—whether in an A&E department of a hospital or in the subsequent treatment of the sort of trauma that I described earlier—but, however professional or inured to witnessing the most distressing scenes these people are, there must be a real risk that the effect on the individual clinician might become cumulative. These clinicians are supremely professional, but they are human beings who are prone to the same emotions as any of us. One has to wonder whether there will come a time when continued regular exposure to the extreme horrors of war could lead to a substantial cumulative effect on the individuals, with worrying consequences for the future. Even the most experienced, hardened doctors who have been deployed many times often say that it takes a good three months to recover and to come to terms with what they have seen, and it takes much longer for those who are not so experienced. Can my noble friend say what steps are being taken within the MoD to be alert to this possibility? What steps might be taken to deal with that outcome should it occur?

The trauma facilities in Camp Bastion are absolutely first class—I saw them two years ago and I should like to see them again—and they have probably improved hugely since I last saw them. As the noble Lord, Lord Kakkar, said, what is being achieved there in terms of the ability to treat trauma is quite astounding and, indeed, humbling. However, one cannot ignore the fact that, although the need to preserve life is a pre-eminent role of clinicians, there are huge, complex ethical issues involved, which can take their toll on even the most stoical and professional of clinicians. While our doctors and nurses are treating our own injured servicemen whom they know will have the very best clinical attention on their repatriation to the United Kingdom, they are also treating very seriously injured Afghan civilians and Afghan servicemen. In treating those people and saving their lives—however horrific their injuries and however limited might be their subsequent quality of life—one can all too readily understand that the clinicians face awful ethical and moral dilemma, because those people will not go back to the same sort of facilities that we have.

The British serviceman—man or woman—is an extraordinarily resilient being. One hears amazing stories of their sense of humour, their determination to overcome quite shocking injuries and their success in doing so. For those who can remain within the services while fulfilling other tasks, all is made easier by the sense of camaraderie that always prevails within the unit. I hope that the Government will accept that those who treat our servicemen may at some point also need special care and attention because of the effect of what they have had to deal with.

As my noble friend Lord King clearly stated, for reserve medical staff returning to their civilian places of work, however supportive and understanding senior management may be of their experience on operational tours, that is not always the case with junior civilian colleagues. The latter may not easily have the same depth of understanding of what clinicians have gone through and have witnessed in the theatre of war. Those clinicians, however robust and resilient, can talk among themselves as a sort of safety valve when they are with their military unit colleagues. I urge my noble friend the Minister to impress upon his Ministry of Defence colleagues that they should be alert to the possibility of traumatic reaction requiring a degree of mental rehabilitation over time for these individuals in the future.

The reserves of all three services make up a crucial element of the deployable Defence Medical Services. I would go so far as to say that operational deployment of any sort would be impossible without them. We must be alert to the risks of continued deployment which these very well meaning and extraordinarily professional clinicians face.

Defence: Military Covenant

Lord Glenarthur Excerpts

Thursday 27th January 2011 Lords Chamber

[Lord Glenarthur]

My Lords, the right reverend Prelate the Bishop of Wakefield has done us all a service both by initiating this short debate and in his thoughtful and interesting speech. He has done so close on the heels of the debate earlier today held by my noble friend Lord King. I will again concentrate my remarks on the reserves of all three military services, to which the right reverend Prelate referred, and the relevance of the military covenant to them.

I have read the Report of the Task Force on the Military Covenant—the Strachan report—which was published in September. On page 19, paragraph 2.5 addresses the issues of reservists. I very much endorse what it says about the lack of on-base support, which is mostly available to regular service families. In particular, there are practical difficulties for reservists who return rapidly from deployments to their civilian occupations, far removed from military units. I dwelt on this in my noble friend’s debate this morning. My interest in this lies, as my noble friend on the Front Bench knows, in my long-serving capacity as honorary colonel and honorary air commodore to medical reserve units.

I will highlight three of the report’s policy options in relation to reservists. First, on recognised identity cards for reservists, I was astonished to discover from the report that not all reservists are regularly issued with identity cards. As the rubric at the bottom of the page says, some get them but some do not. Even I get one, much to my astonishment, as the honorary air commodore of a Royal Auxiliary Air Force squadron. What is being done to address this issue, which would perhaps allow such benefits as the practical opportunity to access the joint personnel administration system remotely? What can be done to help those who do not work with the reserves all the time but spend some of their time in civilian employment?

Secondly, there is the question of providing information to reservists’ general practitioners. It seems bizarre that, evidently, there is currently no system to transfer an individual’s Defence Medical Services records back to his or her GP after deployment. Having spent many years in health administration, I would say that this is extraordinarily poor clinical governance, which should be put right at once. There should also be help for GPs in making available help for reservists. My noble friend on the Front Bench made some encouraging remarks about this earlier. In the days of digital data transmission, I simply cannot believe that it is too complex an issue to administer. I would be very grateful if the Minister could write to me about it in greater detail.

Thirdly, support from employers is part of a theme that I and my colleagues on the National Employer Advisory Board addressed over many years. There should certainly be support from employers but there should also certainly be support for employers, so that they can more readily understand the nature of military service of any kind, but particularly reserve service. We used to have a scheme known as Employers Abroad, which the Americans and Australians call Boss Lift. It allowed employers to visit reservists on exercises and operations so that they experienced some of the activities, witnessed the camaraderie and sense of purpose that existed among their employees’ service units and developed a sense of what these individuals do and how that can be brought back and made use of in the civilian workplace. I have taken part in several of these.

However, I understand that the Employers Abroad scheme was stopped, or at least put on hold, some six months ago, following a Cabinet Office directive to do with a freeze on marketing. Frankly, sometimes I despair. My colleagues and I have spent 10 years or more, during deployment on two huge operations, at the highest levels of the MoD, explaining the need to win and maintain the support of reservists’ employers at a time when some 10 per cent—more than the 20,000 referred to by the right reverend Prelate—of reservists had been deployed. I hope that my noble friend will accept that it is wholly counterproductive in the longer term to diminish that effort and put at risk all the relationships that have been worked on so hard, particularly by SaBRE—Supporting Britain’s Reservists and Employers—which has worked at the coal face on this with civilian communities up and down the country. As page 5 of the report on the military covenant says:

“Many people in Britain have little or no contact with the Armed Forces and have little understanding of military life. There is a need to build on public support to create a greater and more enduring understanding”.

The right reverend Prelate referred in his comments—perhaps elliptically, although I know that he meant to refer to it—to something called defence career partnering, which is another issue that I was deeply involved with as chairman of the National Employer Advisory Board. It stemmed from a wish to see much more flexibility in the careers of individuals, whether regulars or reservists. However, as we have heard, it has recently developed legs, so to speak, and has produced innovative concepts, some of which are very relevant indeed to the military covenant. They could be helpful across a broad range of circumstances.

It was not always easy to advance the concept of defence career partnering. I spent two years or so as co-chairman of the MoD steering group on the subject. There were those who readily grasped the possibility of positive outcomes for the benefit of defence and industry, but some were not so easily convinced. What surprised me, however, was that there was a very real enthusiasm on the part of industry in many forms to find partnering opportunities, not just in terms of careers but in a much wider sense, so I am encouraged to begin to believe—perhaps my noble friend will confirm whether I am right—that, whereas defence career partnering is not a whole answer to many issues, it is at least part of the answer. The fact that it is owned now by the MoD, not by a single service, is of huge benefit. In some elements of it, I can well understand the complexities in terms of career planning, such as sorting out terms and conditions of service. Some of the issues are closely related to what the right reverend Prelate said about returning servicemen and so on.

We are talking about mutual benefit. If we are fully to grasp the notion of the big society, so strongly advocated by my right honourable friend the Prime Minister, does my noble friend not agree that we have to be rather more broad-minded in what can be achieved through flexible and willing partnering relationships? Will he perhaps take the time to review the progress to date, in particular the very genuine offer of support from industry and others, and does he not agree that such an initiative could do much to enhance the value of the military covenant?