Lariam

Lord Lancaster of Kimbolton Excerpts

Thursday 27th October 2016 Westminster Hall

[The Parliamentary Under-Secretary of State for Defence (Mark Lancaster)]

It is a pleasure to serve under your chairmanship, Mr Rosindell.

We seem to have had something of a flurry of detailed questions towards the end of the debate, giving me little opportunity to address many of them in the nine minutes I have to respond to the debate. I will do my best, but at the start I simply commit to writing to any hon. Member whose question I do not manage to answer during that time.

Of course, I begin by taking this opportunity to thank the Defence Committee for its very thorough report on the use of mefloquine by service personnel, and I also thank the hon. Members who have spoken today, from the opening contribution by the hon. Member for Bridgend (Mrs Moon) onwards. I will address many of the points that were made as I go through, but on a specific point that she made, I absolutely regret the publication of the statistics on the day of the Committee hearing. However, she may not be aware that it is absolutely right that Ministers have no control over the collection or publication of statistics; it would be wrong if we did. So it was genuinely an unfortunate coincidence, and it would have been even worse if the statistics had been published the day afterwards.

I thank my hon. Friend the Member for Plymouth, Moor View (Johnny Mercer) for his passionate contribution, not least because every time he speaks in this House he seems to suggest that I should be promoted—so I thank him very much indeed. I also thank my hon. Friend the Member for Stafford (Jeremy Lefroy), who gave an incredibly incisive personal account; it really was very powerful. Of course, I also thank my right hon. Friend the Member for New Forest East (Dr Lewis), who asked a number of questions, which I will endeavour to answer during my response to the debate.

We had other good contributions from the hon. Members for Leeds North East (Fabian Hamilton), who has had to leave us, for Glasgow North (Patrick Grady), and for East Renfrewshire (Kirsten Oswald). I will endeavour to address all the points that they made in due course.

The Government have considered our conclusions carefully, and I will outline the positive steps that the Ministry of Defence is taking to address the Committee’s recommendations. Before I do so, I want to nail one issue that floated around towards the end of the debate—that Lariam is somehow the MOD’s drug of first choice, and that cost is a factor in its use. According to the “British National Formulary” of March 2015, Lariam, at £14.53 for an eight-week supply, is more expensive than Paludrine/Avloclor, less expensive than Malarone but more expensive than doxycycline. So cost is not a factor, and we would never prescribe on the basis of cost alone.

Equally, mefloquine currently constitutes only 1.2% of all the antimalarial tablets held by the MOD, and in terms of doses for a six-month deployment—of course, doses for different drugs are given at different rates—it accounts for just 14% of the stock. So 86% of our stock is not Lariam. That hardly represents a reliance on Lariam or evidence that it is being used as a drug of first choice.

[Mrs Moon]

I am delighted to hear about the low take-up of Lariam by the Ministry of Defence now. Does the Minister have the figures for what the take-up was in the past?

[Mark Lancaster]

Those figures give the current status, but I believe that the figures for the last eight years, which is as far as we go back, are similar. However, I am happy to write to the hon. Lady to give the exact figures. Of course, much of this debate is about how we move forward, as opposed to what we have done in the past, and I hope to demonstrate in my response over the next five and a half minutes that the steps we are taking are very positive.

It is important for me to state that we take the health and wellbeing of our personnel extremely seriously and acknowledge the duty of care to provide the best possible support to them. Malaria is a deadly disease, and we must protect our deployed personnel from it. The most effective way to do so is through the use of antimalarial drugs. However, as we have established, no antimalarial drug is 100% effective and risk-free. Indeed, all medications have the potential to cause side effects and adverse reactions in a small number of people. That is why the MOD needs to use a range of prevention drugs to protect our personnel and ensure that the treatment provided is the most effective for each individual. I should emphasise that despite tens of thousands of service personnel deploying to malaria-risk areas, no serviceman or woman has died from malaria resulting from an operational deployment since 1992, and cases of severe malaria are rare in the armed forces.

I turn to the two main recommendations of the Committee’s report. The first was that the MOD works with the Advisory Committee on Malaria Prevention to develop guidelines on mefloquine and other antimalarials, specifically regarding their use by military personnel. The MOD has always kept its malaria prevention policy under constant review, and I can confirm that a recently revised malaria prevention policy has been passed to the ACMP for its consideration.

The revised policy is based on three elements. In the first instance, at around the time when individuals complete initial training they will undergo a face-to-face consultation with a medical professional, to identify any adverse reactions to the five most commonly used antimalarial drugs. Secondly, after posting into a deployable role, armed forces personnel will undertake a generic face-to-face travel health risk assessment, again with a medical professional. Finally, once individuals are advised that they are likely to deploy, they will undertake a deployment-specific face-to-face travel health risk assessment.

The results of those assessments will be recorded in the patient’s electronic health record. Although the need for a risk assessment is not new—defence policy since 2004 has been clear on the requirement for such assessments—monitoring will now be better aided by an electronic records system. In answer to a question put by my right hon. Friend the Member for New Forest East, perhaps I can say that if the actions that he described need to be taken, in extremis, before an emergency deployment, they will be based on those three thorough, face-to-face, comprehensive interviews, as recorded in the electronic record.

On that point, I reiterate what I said when I gave evidence to the Committee. I recognise that anecdotal evidence submitted to the Committee suggests that, in a small number of cases, some people believe that their individual risk assessments did not take place in the past. I hope that the new system will prevent that situation from recurring. I encourage anyone who has concerns about the issue to come forward, in confidence, as there are established processes by which current and former members of the armed forces can be referred to medical staff to have such concerns investigated.

That leads me to the second main recommendation of the Committee’s report, namely that the MOD should establish a single point of contact for those who are worried about their experience of mefloquine. I am pleased to report that the mefloquine single point of contact has been set up and publicised widely through the chain of command, veterans’ organisations, military publications and GPs. As I sat here listening to the debate, I googled the advice about that single point of contact, and there it was on the gov.uk website. It was launched last month and is easily accessible. It is a confidential service for people to make contact by phone and email, and it is supported by other information on the Government website, as I have just said. Depending on their circumstances, individuals are directed to a range of information and services available to help them. That includes how service personnel and veterans can find out whether they have been prescribed mefloquine in the past. My right hon. Friend the Member for New Forest East has raised concerns about the quality of information being given on the helpline. I am more than happy to go and examine that, and I will write to the Committee with details as to exactly what advice is being given.

Again, I encourage anyone who is concerned about their experience of mefloquine and who has not yet gone to the single point of contact, including those who believe that their risk assessment did not take place, to contact the single point of contact or speak to their GP.

In addition to those two main recommendations, the MOD will conduct a prospective audit of returning travellers, to assess the impact of the new policy. That will be for any antimalarial drug that has been taken. The MOD will also continue to undertake post-deployment surveys, to enhance its understanding of compliance with the revised policy.

The Government informed the Committee that the MOD would undertake further research into the impact of the adverse effects of antimalarial drugs on the performance of military personnel. A research proposal is currently being considered by the MOD’s research ethics committee. The research will be in the form of a retrospective survey of soldiers deployed on exercise in Kenya who have been prescribed one of three antimalarial drugs. A questionnaire will seek information about risk assessments, individuals’ compliance with prescriptions, the incidence and prevalence of side effects of the drugs, and the impact of those side effects on functional effectiveness.

If there are any other questions, I will endeavour to write to hon. Members about them.

Question put and agreed to.

Resolved,

That this House has considered the Fourth Report from the Defence Committee of Session 2015-16, An acceptable risk? The use of Lariam for military personnel, HC 567, and the Government response, HC 648.

Veterans Care Sector: Government Role

Lord Lancaster of Kimbolton Excerpts

Tuesday 25th October 2016 Commons Chamber

[The Parliamentary Under-Secretary of State for Defence (Mark Lancaster)]

I congratulate my hon. Friend the Member for Plymouth, Moor View (Johnny Mercer) on securing this debate. His sterling work and passion in ensuring that our veterans have the necessary support and welfare they deserve are highly commendable. As a veteran himself, he is well placed to speak in the House on their behalf. Since arriving in the Commons in 2015, he has made it his mission to campaign on this area. Although I cannot claim to be a veteran quite yet—I was described by a senior general at the Army Board last week as a “seasoned oak”, so clearly it cannot be long before I can—I do, through my rather more modest service, absolutely recognise the importance of this subject.

Equally, I am grateful to my hon. Friend for his concern about my ever-expanding portfolio, to which the reserves have been added. As a Royal Engineer, I have now been a serving member of the Army Reserve for some 28 years. I confess that I used to say that I looked far too young to have been one for so many years, but I fear that I nowadays do not look far too young. However, I do at least have some basic understanding of that brief, and I have not had to do too much background reading.

Comments have been made about the armed forces covenant—the recognition that the nation, as well as the Government, have a responsibility to ensure that our veterans suffer no disadvantage as a result of their service. There is an implication in those comments that the covenant has not been applied consistently across the United Kingdom. I have had such a concern for some time. That is why I commissioned the Forces in Mind Trust to do a review of the covenant across the United Kingdom earlier this year, and it has recently published a very extensive report that aims to share best practice.

I encourage colleagues in the House tonight to read that report and, crucially, pull out that best practice and encourage their own local authorities to follow it. There are some fantastic things happening across the UK. It will come as no surprise that the local authorities that seem to do things best are those with the greatest proportion of members of the armed forces. I take the opportunity of this debate to send the message: please spread that report far and wide, as it is the means by which we can begin to improve the level of understanding of the armed forces covenant.

The service charities have a crucial role to play. We have been supporting organisations such as Cobseo—the Confederation of Services Charities—which is an umbrella organisation for 250 charities, in its critical cluster work. I will talk about that in greater detail throughout the course of the debate.

My hon. Friend and I agree on many things, but I fear there is one on which we do not. I once again note his request for a separate Department for veterans. I can only repeat what I said in the debate in March this year, that on balance I do not believe that to be the best approach; if it meant I ended up in the Cabinet he might be able to persuade me to change my mind, but I fear it would not be me in the Cabinet. The needs of veterans straddle Whitehall boundaries and national borders because first and foremost our veterans are civilians. As I said previously, although we agree on the end, we do not necessarily agree on the means.

I fear a veterans Ministry would duplicate work that already exists through the Department of Health, the Department for Work and Pensions, the Department for Communities and Local Government and many organisations and Government agencies. I believe that the work of Defence Business Services Veterans UK provides a valuable service bringing together pensions, compensation and welfare support.

[Mr James Gray (North Wiltshire) (Con)]

My hon. Friend is making an important point about whether a Department for veterans’ affairs would be better for veterans or in fact worse. Does he agree that should there be such a Department that would demotivate some of the very good civil servants in the Department of Health, the Department for Work and Pensions and elsewhere who are currently thoroughly committed to the issue of veterans, as if there were to be a separate Department for veterans they might well say, “That is nothing to do with me—give that to them”?

[Mark Lancaster]

To a degree, this goes back to the principle of the armed forces covenant, which is really an agreement between the nation as a whole and our veterans. I would hate to think that we had moved to a position where we were in effect delegating this responsibility to a single Department and allowing others to feel that it somehow was not their responsibility to play a role in supporting our veterans.

The current system, whereby responsibility for veterans is cross-government, is positive. Yes, more should be done to ensure that all are playing their part, but on balance I agree with my hon. Friend that a dedicated veterans Department would be a retrograde step. We need not look too far, when looking at things across the Atlantic, to see some of the problems there. They are not simply financial; the very complex way in which care is given to veterans can be diluted. We also have the advantage of the national health service, which is a very comprehensive health service. That is a very good medium for supporting our veterans.

[Bob Stewart]

I am listening very carefully to the Minister. I also have great respect for the view of my hon. Friend the Member for Plymouth, Moor View (Johnny Mercer). I ask this question. You are the veterans Minister—

--- Later in debate ---

[Bob Stewart]

Forgive me—the Minister is the focus. I am getting seriously carried away—it is the fault of my hon. Friend the Member for Plymouth, Moor View. Thank you, Madam Deputy Speaker.

[Mark Lancaster]

I am certainly the only Minister with the word “veterans” in his title and I am certainly prepared to say that I take the lead on veterans matters. I would argue, however, that all Ministers in government should have our veterans on their mind and do what they can to support them. So, yes I am happy to take the lead, yes I am happy to have the title in my portfolio, and yes I am happy to try to ensure that all my ministerial colleagues also show the same interest. However, I would not want to be Minister with sole responsibility for veterans, for the reasons I gave when I answered my hon. Friend the Member for North Wiltshire (Mr Gray).

I recognise that the Ministry of Defence has a responsibility to ensure that the transition from service to civilian life is as smooth as possible, allowing service personnel process to draw upon the vast array of transferable skills they have obtained in service, but I am not for one second saying that there is not more that could and should be done. I believe firmly that effective transition to civilian life is a major factor in ensuring effective care. I must emphasise that most service leavers transition well to civilian life through our robust and effective resettlement system known as the career transition partnership, which in 2014-15 helped 85% of service leavers to find sustainable employment within six months.

Despite that, I recognise that there is a small percentage of service leavers who do not make a smooth transition. These are the people we must work hard to identify and support. This is also why I am keen to include a question on veterans in the national census. That will help us to identify the veteran community. I assure my hon. Friend the Member for Plymouth, Moor View that I will continue to pursue this energetically with the Office for National Statistics and the chief statistician.

[Mrs Anne-Marie Trevelyan (Berwick-upon-Tweed) (Con)]

On that note, will the Minister ensure that his Cabinet Office colleagues are fully briefed? At the end of the day, the ONS will not make the final decision—the Cabinet Office will determine that. It would be a vital marker for the future.

[Mark Lancaster]

We have a perfect example of why it is so important that the responsibility for veterans runs across the piece in government. As was so rightly pointed out, it is not in my power, as veterans Minister, to force the chief statistician to include this in his survey. If my hon. Friend is right, the Cabinet Office has the right to do that.

Transition is seen as a through-career management process. We are looking at different ways to ensure that from the point that people join the armed forces, they can see that they not only have the possibility of a fulfilling career but are aware that one day they will become a civilian and need to prepare for that. Career transition should start on day one of service and we must communicate this message on the very first day an individual joins. However, where there are veterans who have difficulties in transition, the Government, local authorities and the charitable sector must step in to ensure that they are afforded appropriate support. Alongside the Government, some 2,500 service charities also play a role. Cobseo, the Confederation of Service Charities, of which many charities are a member, has also created various cluster groups to discuss important issues, such as mental health and housing, where they encourage collective working and provide a forum to raise issues and ideas to implement solutions.

To reiterate some of the points made during the debate in March on the role of charities in the veterans care sector, we value our partnership with the charitable and community sectors. They provide and address wider welfare requirements, particularly for the more vulnerable individuals in the armed forces community. Only last week at the MOD, I chaired the ministerial service charities partnership board, a meeting attended by relevant Government officials and Cobseo charities such as SSAFA, Help for Heroes and the Royal British Legion. In recognition of some of the concerns my hon. Friend raises, I reset its role with a focus on co-operation and a strategic approach to discussions, where actions are taken on current and important issues arising in the veterans sector, with a view to ensuring that the MOD, charities and other Government Departments can be held to account. I believe that accountability is important. Frankly, as the Minister with responsibility for veterans, I walk a tightrope when it comes to dealing with charities. Ultimately, I have no power to direct a charity to do anything. Charities are not responsible to Government—they are responsible to their trustees—but I believe that the Government have a role in providing leadership to try to unite the various sectors in supporting veterans. This is a role that I try to fulfil.

On the point about Help for Heroes, it was a charity that started up in 2007. The armed forces had recently re-engaged in Afghanistan and stayed for a further seven years. The support, welfare and treatment initially provided by Help for Heroes bore fruit from the horrendous injuries that our brave service personnel suffered in that conflict. Throughout those seven years and beyond, along with improvements to equipment, we have made great strides in ensuring that the best medical support is available from the MOD, charities and the NHS. I would like to take the opportunity to pay tribute to both Bryn and Emma Parry, whom I have got to know very well over the last couple of years, and thank them for all their service in leadership of this charity. I wish them well for the future.

[Jim Shannon (Strangford) (DUP)]

I had a meeting with a Department for Environment, Food and Rural Affairs Minister, which is why I could not attend this Adjournment debate any sooner.

In Northern Ireland, about 100 veterans have tried to commit suicide over the last year and a half, mainly those who served in Afghanistan. Those veterans are not with any charity or regimental association—they are under the radar. What can be done to reach those people that nobody knows about, but who have been affected very greatly by what they saw during their service in Afghanistan?

[Mark Lancaster]

I intend to visit Northern Ireland shortly. For obvious reasons, I appreciate that there is a unique set of circumstances over there, and I am determined to do my bit to address them. Of course, communication is the key. I shall explain in a few moments how I believe we can help, but the key is making sure that support services are available and communicated. All too often, help is out there, but it is not clear how our veterans access it. I intend to say a few words about that if the hon. Gentleman will bear with me.

I informed the House earlier this year of a plan to improve the care received by the most seriously injured and highly dependent service personnel and veterans. Currently, this support is funded and delivered by a number of separate agencies, including the MOD, the NHS, local authorities and charitable organisations. As such, we have a pilot, which is ongoing, that sees care of this kind co-ordinated and delivered by a new integrated high-dependency care system—I think we need a better name. It produces a joined-up and improved system of care for the individual, reducing strain on local care commissioning groups. The early signs are that this is going well. I am happy, once it is established, to see how to extend it to a wider cohort of veterans.

[Michael Tomlinson]

On that very point, I invite the Minister to look at the Dorset model—I mentioned a few moments ago the work that Andy Gritt is doing in this area—to see whether it can feed into the model that the Minister has just mentioned.

[Mark Lancaster]

I would be delighted to look at that model and see whether we can learn any lessons from it.

The aim is that this system will provide confidence for a small number of individuals and their families that their clinical, health and social support needs will continue to be met when they leave the armed forces and for the rest of their lives.

On the point about a single point of contact for veterans, I have good news for my hon. Friend the Member for Plymouth, Moor View. The armed forces covenant fund has £10 million each year to support the covenant by funding projects that address specific priorities, one of those being the creation of a veterans gateway. The aim of this initiative is to provide a single point of contact via a fully transactional website and one telephone number, together providing an information clearing house that takes into account the needs of all veterans, wherever they may be located. An announcement will be made very shortly on the preferred bidder for this contract, with this facility being launched during 2017. Further to that, there is the armed forces covenant website itself, which both serving and former serving personnel may access.

I am the first to recognise that the support of our veterans and the services that are provided for their welfare are not perfect. Nothing is, but I, like my hon. Friend, and indeed all hon. Members here tonight—it is a very good showing for an end-of-day Adjournment debate—am determined to do more. For example, the Department for Communities and Local Government is doing important work on supported housing, ensuring that local authorities have afforded priority where it is due. The DCLG has also introduced various measures to improve access to social housing for members of the service community, including veterans. That includes changing the law to ensure that local authorities always give seriously injured service personnel and veterans with urgent housing needs high priority in the provision of social housing. As for health, NHS England is introducing new initiatives in mental health services for veterans, the details of which contain expert input from MOD officials. Those are just a few examples of the collaborative work that we are undertaking throughout the Government.

[Maria Caulfield (Lewes) (Con)]

May I make a plea on behalf of NHS workers? Veterans care is a very specialised area, and doctors, nurses and other staff need training and support if they are to care for veterans adequately. We have a great deal to learn from veterans. For example, the McIndoe Centre in East Grinstead was established because of the need to look after veterans who were returning from warfare, and that has benefited the country as a whole.

[Mark Lancaster]

I entirely agree with my hon. Friend. The issue of veterans healthcare is crucial, and I have been looking into the issue of veterans mental health care in particular. I am delighted to see that my hon. Friend the Member for South West Wiltshire (Dr Murrison) has just entered the Chamber. His report “Fighting Fit” involved a great deal of work, and I am pleased to say that we have implemented nearly all his recommendations. Vital work is now being done to enable the medical records of service personnel to be transferred to the civilian national health service so that we can effectively track our veterans.

We must ensure, from the day people join the services until the day they leave, that they are ready for the transition to the civilian world, and collaboration and co-operation are key elements of that. We must continue to work with other Departments, with local authorities and with the charitable sector to build on what we have achieved thus far.

Once again, I thank my hon. Friend the Member for Plymouth, Moor View for raising this important issue.

[Johnny Mercer]

I sense that my hon. Friend is beginning to wind up his speech. Before he does so, let me thank him for his response, and also point out that it is imperative, as far as Conservative Members are concerned, that we do everything on the basis of the evidence that is presented to us. We can talk persistently about the fact that the armed forces covenant is working or about veterans care, but it is clear from the strength of the attendance in the Chamber this evening and from the stories that emerge each week that the current system is not working as well as it should.

I understand why my hon. Friend dismissed my proposal for a Department for Veterans Affairs, but such Departments work elsewhere. My proposal is not based on the United States model; it is completely different. I ask him not to close his mind to the concept, because I think that until we do something like that and fundamentally change the present position, we will not stop the haemorrhage of bad veterans care in this country.

[Mark Lancaster]

Let me say two things to my hon. Friend. First, I do not think that it is just Conservatives who care passionately about this issue; I am confident that Members on both sides of the House care passionately about it, and I have been greatly encouraged by the positive co-operation and constructive support for progress that I have observed on the part of Her Majesty’s loyal Opposition. I hope that that continues, and I am sure that it will. Secondly, I do not have a closed mind about anything. I would like to think that during my tenure as veterans Minister to date—given that I have just praised Her Majesty’s loyal Opposition, it may well come to an end quite shortly—I have demonstrably tried to take a fresh approach to a number of issues, including mesothelioma. I have looked at issues again, and I am currently looking at a couple of issues that are in my inbox.

I do not have a closed mind. All I am saying is that at the moment, on balance, I do not believe that my hon. Friend’s suggestion constitutes the right approach. We have heard this evening about how other areas of government can contribute effectively to the care of our veterans. I also feel—this point was made by my hon. Friend the Member for North Wiltshire—that we should not allow the other areas of government, and society, to feel that responsibility for our veterans has somehow been delegated to a small part of government. I believe—at the moment, on balance—that that would be a mistake.

Question put and agreed to.

Ministry of Defence Future Accommodation Model

Lord Lancaster of Kimbolton Excerpts

Wednesday 19th October 2016 Westminster Hall

[The Parliamentary Under-Secretary of State for Defence (Mark Lancaster)]

It is a pleasure to serve under your chairmanship, Mrs Moon.

I congratulate my hon. Friend the Member for Berwick-upon-Tweed (Mrs Trevelyan) on securing this debate. I know that she, like me, cares deeply about the wellbeing of our personnel. Her constructive contribution to the Public Accounts Committee report will help significantly to improve service accommodation. She asked an awful lot of very detailed questions. I can assure her that I will not be able to cover them all in the 12 and a half minutes remaining. I shall therefore start, if I may, with an apology, and an assurance that for any detailed questions I cannot cover—there will be many—I will write to her. I appeal to my hon. Friends present that, if they can limit their interventions, I may be able to attempt to respond to the debate.

I am not going to pretend that the Government record on accommodation has been an unqualified success in recent years. It has not. Issues with CarillionAmey have been well documented, not least by the PAC. Things are improving, but there remains much to do. Like my hon. Friend, I am absolutely determined to see this through and to ensure that improvements to our service family accommodation are carried through.

Nevertheless, the focus of the debate is not on the past but on the future. As our troops return from Germany and we look to rationalise our estate, we have realised that there is an unprecedented opportunity to do more for our people—an opportunity to give them greater stability, so that they do not feel they are being asked to up sticks at a moment’s notice.

--- Later in debate ---

On resuming—

[Mark Lancaster]

Our future accommodation model is part of the mechanism for achieving this goal of greater stability. Its benefits are not well understood, so I would like to use today’s debate to explain why I believe it will be a vast improvement on what has gone before.

First, it will be fairer. As the Public Accounts Committee acknowledged, the current model has failed to move with the times. Let me give just one example. A married senior officer will be assigned a four-bedroom home even if they have no children or other dependents, and will usually pay just £350 to £450 a month for it. By contrast, an unmarried member of the junior ranks, with a partner of 10 years and two children, is entitled to nothing more than a single bedroom in a block. If they move out to the private sector to live with their family, it could cost them well over £1,000 a month. I am determined to make the model based on need, not rank, and I am determined that it should reflect modern society.

Secondly, the model will be more flexible. Times have changed. The sort of arrangements people were happy with when I joined the Army in 1988 are no longer applicable today. Some want to live closer to their spouse’s workplace. Some want to live among the civilian community. Some want to own their own home. Some, who are single, want to share with a friend or get on the housing ladder. Currently, however, our personnel have to like it or lump it. If they choose to go it alone, we cut the purse strings and they get nothing—they get no assistance, whether financial or otherwise, from the MOD. That simply is not fair and does not make business sense to a Department looking to release parts of its estate and expand in other areas. Why spend on new accommodation if it is not even wanted in some parts?

In future, we are going to give service personnel the choice of who they live with, where they live and what sort of home they live in. No longer will it be a one-size-fits-all model. We will now support servicemen and women who want to live in the private sector by subsidising rent, taking account of the geographic differences in rent when they are required to move. Alternatively, we will help them to buy a home. We have already made a start on that through our forces Help to Buy scheme, which the Government have extended to 2018.

My last point is that our future model will be affordable. I do not mean that it is an exercise in indiscriminate cost cutting, but the current regime is characterised by chronic wastefulness. To answer the question of my hon. Friend the Member for Berwick-upon-Tweed directly, we spend about £1 billion on our accommodation and get about £200 million back in charges.

One in five service homes is empty at any one time to ensure, as I have described, that the right home is always available to the right rank. We spend £2 for every £1 of subsidy our personnel receive. We spend about £1 billion in total on accommodation, but nearly a quarter of personnel do not benefit from that. With the majority of our accommodation already owned by third parties and the cost to the MOD linked to market rents, costs are set to rise, but we can do better, not least because the money can be recycled back into the defence budget.

On the subject of affordability and efficiency, some are concerned that any savings we make could be undermined by a lower rate of retention—my hon. Friend made that point—and by dissatisfied personnel choosing to leave the armed forces earlier. In response to that, I would say that this programme is about finding the best way to make things better for our men and women. It is not about weighing up any savings we might make in accommodation against the cost to retention. We hope that our changes would diminish that risk, rather than exacerbate it. We are planning to begin piloting the future accommodation model towards the end of 2018.

Let me make three things clear. First, we are not getting rid of all service family accommodation. We know that there are benefits to the existing system—not least the sense of community it generates. In some areas, the absence of a significant rental market would make the system’s removal unworkable. In other areas I have visited, such as Ludgershall on Salisbury plain, we will be building new service family accommodation due to an increased demand as a result of the Army coming back from Germany. If we plan to scrap all service family accommodation, why are we building new service family accommodation? These are the sorts of myths that we have to try to tackle. I recognise that part of the problem has been the communication piece, and I hope that this debate will begin to address that.

What is clear is that the solution needs to be tailored to each location. What might work in London will not work in Benbecula. The amount of service family accommodation retained will differ from location to location, based on demand, operational constraints and achieving the best value for money, but reducing service family accommodation will give us more flexibility and allow us to support more personnel to live how they want to live. We are looking at options that would not guarantee service family accommodation for everyone who wants it, but that is exactly the case today. I cannot guarantee service family accommodation for everyone who wants it, which is why we have other ways of providing accommodation. I can guarantee that we would support those personnel to find and live in a home.

Secondly, we cannot take these decisions without listening to what our people want. That is why we have been consulting extensively with service personnel, taking on board the findings of the Public Accounts Committee report and the Families Federation accommodation surveys, which also include our own survey. My hon. Friend mentioned that, and I will come back to her in detail on some of the questions she asked about the survey. Personally, I do not think that 28,000 responses is a particularly poor response rate. If Members spoke to Ipsos MORI, it would say that the surveys are based on the percentage of people who reply. The statistical analysis can then be used to form the opinion, in the same way that we have opinion polls for general elections, although they were not particularly successful.

To expand on the subject of our survey, some people have suggested that it was written in a leading way, to draw people down a specific path. I would like to put that notion to rest by saying that that was unequivocally not the case. It was in fact written in consultation with Ipsos MORI and Defence Statistics with the aim of producing an unbiased set of questions, as all surveys worth the paper they are written on should be. Clearly my hon. Friend does not think the survey was unbiased, and I take that on board, but that was definitely the objective. The survey’s purpose was to understand people’s choices when presented with future accommodation model options. It also included a question asking whether respondents would prefer to remain in service family accommodation, but the programme is not about the future accommodation model versus service family accommodation; it is about coming up with a more flexible model that suits the varied needs of all.

Thirdly, at this point I should be clear that no final decisions have been made. Nothing is set in stone. The whole purpose of the consultation at this point is to offer a series of options, to listen to our service personnel and to try to find a model that suits them. It is all about putting our people first.

We have had a well-informed and valuable debate today. We all share the same fundamental desire to ensure that those who serve us are well provided for. The views of my hon. Friends—several have contributed—and those of our constituents will continue to shape our plans, but I have no doubt that the future accommodation model will provide our people with greater choice and greater stability. The old system is outdated. We are updating it so that it is fit to meet the needs and expectations of modern families in the 21st century. I am absolutely determined to deliver a system of accommodation for our service personnel that is fit for the 21st century and, crucially, for them.

Question put and agreed to.

Resolved,

That this House has considered the Ministry of Defence’s future accommodation model.

Veterans Advisory and Pensions Committees: Triennial Review

Lord Lancaster of Kimbolton Excerpts

Monday 10th October 2016 Written Statements

[The Parliamentary Under-Secretary of State for Defence (Mark Lancaster)]

The Ministry of Defence is required to review their non-departmental public bodies at least once every three years to ensure that they have regular independent challenge.

I am today announcing the outcome of the Triennial review of the Veterans Advisory and Pensions Committees (VAPCs). The review examined whether there is a continuing need for the function provided by the VAPCs and concluded in two stages. The first stage examined the key functions of the VAPCs and the second stage ensured that the body is operating in line with the recognised principles of good corporate governance.

The review concluded that the VAPCs continue to provide valuable impartial advice to both myself and Veterans UK, part of Defence Business Services. In addition, the VAPCs continue to play an important role in furthering the interests and needs of veterans, not least of which is the result of the establishment of forums under the armed forces and community covenants, which continue to generate significant contribution from the public sector, local authorities and military units. Thus the VAPCs are able to sustain clear and relevant value for a range of stakeholders.

[HCWS172]

HMIC Report: Royal Navy Police

Lord Lancaster of Kimbolton Excerpts

Tuesday 13th September 2016 Written Statements

[The Parliamentary Under-Secretary of State for Defence (Mark Lancaster)]

I wish to inform the House that the first report from Her Majesty’s Inspectorate of Constabulary (HMIC) inspection of the Royal Navy Police (RNP) has been laid before the House today.

The Armed Forces Act 2011 places a duty on HMIC to inspect and report to the Ministry of Defence on the independence and effectiveness of investigations carried out by each service police force, and this is HMIC’s first statutory inspection report on the RNP.

I consider this report to be a positive endorsement of the RNP providing assurance from an independent civilian authority that the RNP is well led overall. Six recommendations have been made and one area for improvement has been identified. The Royal Navy accepts the report’s findings and work is already under way to address the recommendations and the area for improvement.

Copies of the report will be available in the Journal Office and Printed Paper Office.

[HCWS147]

Oral Answers to Questions

Lord Lancaster of Kimbolton Excerpts

Monday 12th September 2016 Commons Chamber

[Kevin Foster (Torbay) (Con)]

3. What discussions have taken place with the French Government on awarding the Légion d’Honneur to British Normandy veterans.

[The Parliamentary Under-Secretary of State for Defence (Mark Lancaster)]

Since the extremely generous offer by President Hollande to confer the Légion d’Honneur on surviving veterans of the campaigns to liberate France in 1944, we have had a number of discussions with representatives of the French Government about the criteria and process for making the award. As a result, the French Government have presented more than 3,500 medals to British veterans. Officials in London and Paris remain proactively engaged to make the process as smooth as possible.

[Kevin Foster]

Three 94-year-old south Devon Normandy veterans—Ferneley Nankivell, Alan Carncross and Robert Barbour DFC—are still waiting for the award of their Légion d’Honneur, and other veterans have passed away during the past year without receiving it. Will the Minister join me in calling on the French authorities to resolve this issue as a matter of urgency, and to look at whether the honour can still be awarded to those who have passed away since July 2014?

[Mark Lancaster]

The Légion D’Honneur is established by law in France, with set requirements for scrutiny and approval. Within those limits, the French authorities have done their utmost to expedite the issue of the awards. As in the UK, such honours and awards are generally not made posthumously. I can confirm that the cases of Mr Barbour and Mr Nankivell have been submitted to the French authorities. Unfortunately, there is no record of an application for Mr Carncross, but if one is submitted, I will ensure that it is expedited.

[Mr David Hanson (Delyn) (Lab)]

I do appreciate the efforts of the Minister and the Department to ensure that individuals get their Légion d’Honneur medals, but like the hon. Member for Torbay (Kevin Foster), I still know of a large number of people who are qualified for the medal and have applied for it but have not received it. Is it possible for the Minister to carry out an audit of how many applications are outstanding in the United Kingdom, so that he can chase them up?

[Mark Lancaster]

The French have awarded approximately 3,500 medals, and we have sent the French about 4,300 applications. At the moment, the process is taking between six and eight weeks. I appreciate that that is still a significant period given the age of the cohort in question, but I can assure the right hon. Gentleman, who has pursued the issue persistently over the past year, that we have done everything we can to make the process as quick as possible given the circumstances and the age of the veterans involved.

[Sir Edward Leigh (Gainsborough) (Con)]

Through you, Mr Speaker, may I say as chair of the all-party France group that the French embassy is doing its best in difficult circumstances, and that if anybody has a constituent who has a problem, they should write to me and we will get the Légion d’Honneur to them straight away? These people deserve better, and we will do our best for them.

[Mr Speaker]

Of course, the hon. Gentleman is too modest to reveal to the House that although he is not himself a Normandy veteran, as is demonstrably apparent, he does hold the honour.

[Mark Lancaster]

I am grateful to my hon. Friend for the support that he offers. I can only repeat that we are keen to get applications expedited as quickly as possible. Although all of the cohort are of a certain age, if any hon. Member has a constituent about whom they are particularly concerned, I ask them to contact us and we will endeavour to get the Légion d’Honneur to them as quickly as possible.

[Victoria Prentis (Banbury) (Con)]

4. What steps he is taking to increase the level of defence spending with small firms.

--- Later in debate ---

[Bridget Phillipson (Houghton and Sunderland South) (Lab)]

14. What steps he is taking to ensure support for quality apprenticeships and training programmes through current and future defence procurement.

[The Parliamentary Under-Secretary of State for Defence (Mark Lancaster)]

The MOD is proud to be one of the largest providers of quality apprenticeships in the UK, and indeed the largest in Government, having delivered over 150,000 apprenticeships. We work closely across both Government and industry to develop apprenticeship standards, helping to build and maintain key defence skills across the country.

[Bridget Phillipson]

With major defence and infrastructure projects on the horizon, now is the wrong time for the Government to be cutting funding for apprenticeships. What guarantees can the Minister give that quality apprenticeships will be protected by his Department going forward?

[Mark Lancaster]

We stand by our record. We have delivered over 150,000 apprenticeships. Any new recruit joining the armed forces is enrolled on an apprenticeship scheme, and that will continue.

[Dr Tania Mathias (Twickenham) (Con)]

The Minister knows that logistics is an incredibly important area for the military and armed forces. It is also vital for other parts of the economy, and essential in refugee work. Will the Minister increase apprenticeships in logistics and ensure their quality?

[Mark Lancaster]

The MOD offers a number of logistics apprenticeships including driving goods vehicles, roadside assistance and recovery, and international trade and logistics. However, I recognise the importance of logistics to the armed forces and efforts to address skills shortages in this area need to be balanced with other areas, but I will certainly look at what my hon. Friend says.

[Chris Bryant (Rhondda) (Lab)]

23. I am sure the Minister would agree that participation in one of our cadet forces is one of the best apprenticeships available through the MOD. We have a wonderful sea cadets group in the Rhondda. Now that the MOD is vacating Pentre barracks in the Rhondda, why on earth is it putting it up for auction on the open market rather than simply giving it to the sea cadets?

[Mark Lancaster]

I am sure the hon. Gentleman will support this Government’s programme to extend cadet forces to 500 by 2020. Equally, he will appreciate that we have very strict rules when it comes to the disposal of defence property, but I am happy to look into what he says.

--- Later in debate ---

[Alec Shelbrooke (Elmet and Rothwell) (Con)]

T3. What steps is my hon. Friend taking to assist current and former personnel who are concerned about the health effects of being prescribed Lariam anti-malarials when deployed overseas?

[The Parliamentary Under-Secretary of State for Defence (Mark Lancaster)]

The Ministry of Defence takes the health and wellbeing of its personnel seriously and acknowledges its duty of care to provide the best possible support to them. I am delighted to be able to confirm today that, as part of that care, we have introduced a single point of contact providing information on mefloquine and signposting a range of services to help those who have concerns having taken Lariam. Further details are available on the gov.uk website.

[Clive Lewis (Norwich South) (Lab)]

I am sure that Ministers are fast learners and will get to know my name soon enough. Last week the MOD was accused of a terrifying error after accidentally publishing the details of 20,000 people online. Following a number of recent high-profile security breaches including the attempted abduction of an RAF airman based at Marham, many service members will understandably be concerned about their personal safety. What reassurances can the Secretary of State provide to those men and women in regard to the security, particularly online, of any personal information about them?

--- Later in debate ---

[Robert Jenrick (Newark) (Con)]

T8. Will the Minister support the recent application by the Magnus Church of England Academy for a new cadet force? Does he agree that schools such as that academy, situated within a deprived area and with a persistent problem of white working-class boys, are exactly where new cadet units will make a difference?

[Mark Lancaster]

The Government have committed £50 million of LIBOR funding to increase the number of cadet units in schools to 500 by 2020. That manifesto commitment will establish some 150 new units in state schools across the UK and we have made it a priority to focus on cities and areas of high deprivation. I welcome my hon. Friend’s championing of the cause. Any school that wants to open a cadet unit through the cadet expansion programme should submit an expression of interest through the gov.uk website.

[Drew Hendry (Inverness, Nairn, Badenoch and Strathspey) (SNP)]

T4. People in my constituency are worried about the UK Government’s plans for the army base at historic Fort George, which supports around 750 local jobs. Unhelpful comments from the Secretary of State for Scotland this weekend about the base’s condition have not helped that speculation. Will Ministers do the right thing, back Fort George and end the unhelpful speculation now?

[Mark Lancaster]

The MOD continues to review its estate to ensure that it is smaller and more sustainable, allowing us to focus on delivering future defence capability and enabling considerable investment in sites such as Lossiemouth and Faslane. While no decision has been made on Fort George’s future, Scotland will continue to be a vital home for our armed forces. However, Scotland, like the rest of the UK, must expect some sites to close and some investment in other locations.

[Owen Thompson (Midlothian) (SNP)]

T5. Research from the Fraser of Allander Institute found that the number of defence jobs in Scotland is plummeting despite promises to the contrary in 2014. There are almost 3,000 fewer MOD employees and the number in military roles has gone down. In 2008, there were 23% more jobs in uniformed and MOD civilian roles. Can the Secretary of State tell us how Scotland is better off in the union given that reality?

--- Later in debate ---

[Danny Kinahan (South Antrim) (UUP)]

T9. Our military charities do phenomenal good in Northern Ireland, and one, Combat Stress, has just received £400,000 to help it carry out its vital work. However, its plan to move to using triage nurses to handle calls, rather than the admin staff experienced in handling mental health cases, is what really worries me—those callers need sensitive handling. Will the Minister meet representatives to discuss how we can do that better in future?

[Mark Lancaster]

I am grateful to the hon. Gentleman for highlighting the success of recent LIBOR funding bids from Northern Ireland. The issue he raises is of course important and I would be delighted to meet to discuss it.

[Byron Davies (Gower) (Con)]

The Royal Air Force has a long and illustrious history in Wales and the connection has been fostered and maintained by volunteer gliding schools. The MOD’s decision to denude Wales of such schools and make air cadets travel many hours to England has had nothing less than a devastating effect on young people and adult volunteers. What steps are being taken to return such schools to Wales?

[Mark Lancaster]

I commend my hon. Friend’s tenacity in pursuing this issue. He knows that significant challenges surround the viability of aerodromes and former aerodromes in south Wales for future cadet gliding, but following his persistence and that of the hon. Member for Bridgend (Mrs Moon) I am looking to see whether other sites are financially viable. I hope to be able to update them shortly.

[Christian Matheson (City of Chester) (Lab)]

Does the Minister welcome the establishment of veterans’ breakfast clubs up and down the country as a way of providing support from veterans to veterans? Will the Minister ask his officials why these clubs have been denied the right to use the veterans’ logo on their official literature, as the only person who ever turns up to the Chester veterans’ breakfast club who is not a veteran is me?

[Mark Lancaster]

I am a great fan of veterans’ clubs and I have visited several. They are a fantastic thing, which I am keen to encourage, and I am happy to look into the matter the hon. Gentleman raises.

[Oliver Colvile (Plymouth, Sutton and Devonport) (Con)]

As my hon. Friend knows, last week it was announced that the MOD was going to dispose of Stonehouse barracks in my constituency. Can he clarify the criteria to keep 3 Commando Brigade and the Royal Marines in my constituency?

[Mark Lancaster]

The decision to close up to 30% of the defence estate is based on military capability; it very much is a military decision, but I am happy to meet my hon. Friend to discuss it, if he would like to do so.

[Diana Johnson (Kingston upon Hull North) (Lab)]

May I thank the veterans Minister for meeting Hull resident Dereck Johnson, who set up the Hull veterans’ breakfast club, and may I ask what progress has been made in rolling out these breakfast clubs across the country, as they meet such a real need in that community?

[Mark Lancaster]

I thoroughly enjoyed meeting the hon. Lady’s constituent and I thought it was an excellent breakfast club. I have also met the national chairman and we are in discussions about how the Department can support this excellent initiative.

[Several hon. Members rose—]

--- Later in debate ---

[Martin Docherty-Hughes (West Dunbartonshire) (SNP)]

A serious issue for recruitment policy is service family accommodation, and I am sure the Secretary of State and the Department agree with the recommendations of the Public Accounts Committee report on service family accommodation. Will he update the House on how they are dealing with CarillionAmey and its dubious failings for service personnel, and on how we make sure that this does not happen again?

[Mark Lancaster]

I am delighted to say that as a result of the recent “get well” plan, CarillionAmey is now meeting all but two of its key performance indicators. However, let me assure the House that I do not take this recent improvement for granted. I am utterly determined that the poor standard that our service personnel received in recent years will not be repeated.

[Toby Perkins (Chesterfield) (Lab)]

rose—

Defence Estate Rationalisation

Lord Lancaster of Kimbolton Excerpts

Tuesday 6th September 2016 Written Statements

[The Parliamentary Under-Secretary of State for Defence (Mark Lancaster)]

The Ministry of Defence (MOD) is nearing the completion of an ambitious estate optimisation strategy programme which will provide a plan for a smaller, but significantly better defence estate to meet the needs of the armed forces. The MOD expects to announce the finalised estate optimisation strategy later this year and can today confirm the expected release of 13 sites, shown below. These will contribute some £225 million toward the MOD’s £1 billion target for land release sales as set out in spending review 2015.

These sites also contribute to the Government commitment to provide land for 160,000 homes in this Parliament. The intent to dispose of these 13 sites will provide land for up to 17,017 homes (of which some 12,565 are expected to materialise in this Parliament). In addition to the sites announced in January and March of this year, this represents the expected provision of land for up to 14,700 homes this Parliament against the MOD target of 55,000. The remainder of the target will be met through other rationalisation activity including the reserves estate, the training estate and MOD accommodation.

The estate optimisation strategy aims to better support military capability and force generation; allow the formation of clusters of sites which facilitate the collocation of similar functions and thereby reduce running costs through shared resources; as well as dispose of under-utilised sites for which there is no longer a long-term defence requirement.

Over the coming weeks further work carried out in consultation with all stakeholders including the trade unions will determine the future reprovision of each site. The release of land by the MOD has the potential to provide land for new homes and we will continue to engage with impacted local authorities to determine how the Department’s assessment of housing unit allocation against each site may be considered as part of the authority’s local plan. I acknowledge that these moves will have an impact upon civilian and military staff; the Department is making arrangements to provide for units and functions based at sites which will not have a future defence requirement. I will make a further announcement setting out the estate optimisation strategy with details on the sequencing and timing of these moves later this year.

RAF Henlow (Bedfordshire)

Middlewick Ranges (Essex)

Amport House (Andover)

Land at Harley Hill (Catterick)

Chalgrove Airfield-(Oxford) Transferred to the Homes and Communities Agency

Colerne Airfield (Chippenham)

Azimghur Barracks (Chippenham)

Prince William of Gloucester Barracks (Grantham)

Old Dalby (Melton Mowbray)

Venning Barracks (Telford)

Parsons Barracks (Donnington)

Southwick Park (Fareham)

Royal Marines Stonehouse (Plymouth)

[HCWS133]

Armed Forces' Pay Review Body

Lord Lancaster of Kimbolton Excerpts

Thursday 21st July 2016 Written Statements

[The Parliamentary Under-Secretary of State for Defence (Mark Lancaster)]

I am pleased to announce that I have invited Tim Flesher CB and Vilma Patterson MBE to continue to serve as members of the Armed Forces’ Pay Review Body, for a further three-year term of office commencing on 1 March 2017. This appointment has been conducted in accordance with the guidance of the Office of the Commissioner for Public Appointments.

[HCWS109]

Veterans' Healthcare

Lord Lancaster of Kimbolton Excerpts

Wednesday 13th July 2016 Written Statements

[The Parliamentary Under-Secretary of State for Defence (Mark Lancaster)]

The Armed Forces Covenant is the Government’s commitment to service personnel, their families and veterans who have made enormous sacrifices on recent operations and to ensuring that those seriously injured receive the care and support they deserve. I would like to update the House on some of the steps we have taken to enhance this provision.

The Defence Medical Rehabilitation Centre (DMRC) at Headley Court has long provided world-class rehabilitation and prosthetic support to our serving personnel. I am pleased to tell the House that a number of veterans with amputation-related complications can now also receive prosthetic support at Headley Court, through the recent establishment of a veterans’ Complex Prosthetic Assessment Clinic (CPAC) at the DMRC. Access to the CPAC is being offered to veterans with the most complex needs on a case by case basis, after referral by and with the support of their NHS specialist. Early feedback has been good and the Government are working closely with BLESMA, the limbless charity, and other service charities to ensure veterans and NHS clinicians are aware of this initiative and its benefits.

A small number of those referred to the CPAC might also meet the clinical criteria for the direct skeletal fixation (DSF) pilot, for which the Government announced £2 million of LIBOR funding in November 2015. The DSF pilot, which is due to run for another two years, has already enabled some service personnel and veterans to have potentially life-changing surgery in this country at public expense.

I can also announce a plan to improve the care received by the most seriously injured service personnel and veterans. Currently such support is funded and delivered by a number of separate agencies, including the NHS, Ministry of Defence, local authorities and charitable organisations. A pilot, commencing in September will see care of this kind co-ordinated and delivered by a new Integrated High Dependency Care System (IHDCS), producing a joined-up and improved system of care for the individual. This will provide confidence for this small number of individuals, and their families, that their clinical, health and social support needs will continue to be met when they leave the armed forces and for the rest of their lives.

The Government and the nation will never forget the hard work, great bravery and sacrifice of all current and former service personnel and I will ensure the House is kept informed of this continuing and vital work.

[HCWS86]

United States Visiting Forces: Contingent Liability

Lord Lancaster of Kimbolton Excerpts

Thursday 7th July 2016 Written Statements

[The Parliamentary Under-Secretary of State for Defence (Mark Lancaster)]

I have today laid before Parliament a departmental minute to advise that the Ministry of Defence has received approval from Her Majesty’s Treasury to recognise a new contingent liability associated with potential redundancy payments to civil servants currently located at RAF Mildenhall, RAF Alconbury and RAF Molesworth, which are scheduled for closure under the United States Visiting Forces European Infrastructure Consolidation review.

In January 2015 the United States Department of Defence communicated their decision to withdraw from RAF Molesworth and RAF Alconbury with the activities undertaken there being consolidated at RAF Croughton. Additionally, they also announced their withdrawal from RAF Mildenhall. Currently, US plans are not yet sufficiently mature to say definitively when these stations will close.

There are approximately 470 MOD civil servants employed at these three stations. While staff will be supported in seeking to secure alternative employment in the Civil Service it is likely that some civil servants will be made redundant. The responsibility for the provision of redundancy payments is split between the UK and the US. I can advise you that Her Majesty’s Treasury have agreed a contingent liability of up to £6 million.

I can assure you that all MOD civil servants who are affected by these base closures will be managed in accordance with the MOD Civil Service terms and conditions and will be provided with advice and support to make decisions about their future.

[HCWS72]