Oral Answers to Questions

Debate between Tobias Ellwood and Chris Bryant

Monday 8th July 2019 Commons Chamber

[Mr Ellwood]

My hon. Friend raises two issues. I join him in paying tribute to Care after Combat; what it does to provide support for those who find themselves imprisoned or on the wrong side of the law is absolutely brilliant, and we should all tip our hats to that. However, we must also recognise that the defence budget is under strain. It was affected by the spending review and austerity measures. In 2011 and 2016, we were obliged to find £5 billion-worth of efficiencies, which we did. We have subsequently been asked to find another £7 billion-worth of efficiencies. There is only so long that we can do this before it starts having an impact, and that is why it is important that we argue now, with the next spending review coming up, that we need more money for defence.

[Chris Bryant (Rhondda) (Lab)]

If we are to get this resettlement programme right for all our veterans, do we not need to make sure that we have properly assessed the medical injuries that they sustained during their period of service? In that light, is it not a shame that while the United States of America makes sure that every single person in the perimeter of a bomb blast is assessed for brain injury, we are not yet able to do that? We may still be misdiagnosing people who are suffering from PTSD when they have actually had a brain injury.

[Mr Ellwood]

I know that the hon. Gentleman knows a lot about this issue. He is absolutely right to say that the advancement in the science now reflects the fact that even if someone can walk away from a blast, they can be affected long term by what has happened, and we are learning from the Americans on that. We have our transition programme, which can last up to two years to make sure that we manage the transition from the world of the armed forces to civilian life, but I absolutely agree with him that more can be done in this area.

Oral Answers to Questions

Debate between Tobias Ellwood and Chris Bryant

Monday 25th March 2019 Commons Chamber

[Mr Ellwood]

I understand that this issue dates back to a former armed forces Minister’s time many years ago. When we were back in office a couple of decades ago, we discussed it ourselves. I will certainly look into it, but I encourage all those organisations—despite their issues with meat—to sign the armed forces covenant and support our brave veterans and armed forces personnel.

[Chris Bryant (Rhondda) (Lab)]

The acute care for armed forces personnel who have had acquired brain injuries in the course of their duties is second to none—no one would doubt that—but the anxiety is that when they leave the forces, or sometimes even before they enter the forces, an acquired brain injury will go unnoticed and therefore untreated and uncared for, which is why so many veterans end up homeless and living on the street. What are we going to do about that?

[Mr Ellwood]

I pay tribute to the hon. Gentleman for the personal interest that he takes in this issue. He is absolutely right: people need signposts so that they know where to go. We are working far more closely with NHS England and the devolved Administrations to understand where the complex treatment services are, and to ensure that when people make the transition, they are handed across to the civilian agency that will look after them.

Veterans Strategy

Debate between Tobias Ellwood and Chris Bryant

Thursday 15th November 2018 Commons Chamber

[Chris Bryant (Rhondda) (Lab)]

The Minister is raising a very important issue, but I think that it has sometimes led us astray in our diagnosis. A lot of work done recently suggests that people who have been diagnosed as suffering from post-traumatic stress disorder have actually suffered a blow to the head. We would do far better to treat them for that and to provide neuro- rehabilitation than to treat them for post-traumatic stress disorder. Does the Minister recognise that?

[Mr Ellwood]

I do recognise that. If I may, I will come on to that. I am simply making the point that this was the first time there was a recognition of shell shock—post-traumatic stress disorder. These were names that did not really apply then. There was not a full understanding of what was going on with our troops, but there was a recognition by the nation that we had to look after our returning troops in one form or another. There was a duty of care, which is what we are focusing on today.

--- Later in debate ---

[Mr Ellwood]

My hon. Friend is right. It should be the mindset, the modus operandi, of any local authority. It should be very clear who the armed forces champion is—it should be on the local authority website so that people know who to go to.

Many types of support are available for veterans. A veteran may be in a very dark place when they seek support, and the last thing we need is a confusing picture as to where that support can be found. Charities have been mentioned, as have local authorities and national government. Each plays a role, and we have established the veterans gateway to provide a single portal where any individual can make a phone call or go online to seek the necessary help to guide them to where they need to go.

Again, this is in its infancy. We have 400 service-facing charities, not all of which are signed up to the gateway. We want them all to sign up. The big ones have signed up, but they are also running their own call centres. Either way, we need this to work. We need this to be the vehicle, the single portal, for any veteran who requires help. When I refer to help, it is not necessarily physical support—it might be help in looking for more employment or in setting up their own initiative—but this is where they need to go.

[Chris Bryant]

rose—

[Mr Ellwood]

The hon. Gentleman is poised.

[Chris Bryant]

I wasn’t, actually, but the Minister has enticed me. I agree with everything he has said, and my local council is determined to do everything it can, because we send a lot of young men and women from the Rhondda into the armed forces. However, I just wonder whether there is something the Government need to do as a prior step, which is to check for brain injury the moment somebody joins up. There is strong evidence now to suggest that kids from poorer backgrounds are four times more likely to have a significant brain injury either in their teenage years or before the age of five. Once they have had one brain injury, they will have another. If we could screen everybody coming into the armed forces, we might be able to provide a better standard of living.

[Mr Ellwood]

The hon. Gentleman makes a serious point. First, let me say that screening does take place; medicals are done to make sure that people are fit for service. He touches on a science that is still evolving, and which I have only just started to learn about. Someone who is subject to a blast injury might stand up and walk away from it, but be unaware that their DNA has been shunted in some way that could have long-term impacts. We are still coming to terms with recognising that, and we need to advance our understanding of it. The Royal Foundation, which is supported by Prince Harry and Prince William, is providing funding for us to look into this and get a better understanding of what is happening. That goes along with our studies with the Forces in Mind Trust. The hon. Gentleman is absolutely right to highlight something that understanding brain injuries is pivotal, particularly if they happen prior to someone’s signing up or on the battlefield.

Oral Answers to Questions

Debate between Tobias Ellwood and Chris Bryant

Monday 5th March 2018 Commons Chamber

[Chris Bryant (Rhondda) (Lab)]

The incidence of traumatic brain injury among the armed forces is much higher than it is even in the general population. How will we make sure that every single member of the armed forces who has such an injury gets the full rehabilitation they require?

[Mr Ellwood]

The hon. Gentleman is absolutely right. We want to make sure we provide the necessary support to all those affected, although I would question whether the incidence is higher than among the general population. The new process we are putting forward, including the helpline launched last week by the Defence Secretary, will make sure that we can meet our covenant promise.

Oral Answers to Questions

Debate between Tobias Ellwood and Chris Bryant

Monday 27th November 2017 Commons Chamber

[Mr Ellwood]

I also pay tribute to my right hon. Friend’s work on understanding the challenges we face with recruitment and retention. My hon. Friend is absolutely right to say that, as a starting point, the cadet programme is important to encourage and open up opportunities in the armed forces. Some 20% of those who sign up for the cadets go on to become members of our armed forces, and the other 80% have an affinity and an understanding for them, and a desire to support them, which is also welcome.[Official Report, 5 December 2017, Vol. 632, c. 6MC.]

[Chris Bryant (Rhondda) (Lab)]

The combined cadet force at Treorchy Comprehensive has been going for 10 years now, and it has done a brilliant job. Lots of young people have been given skills and opportunities they would never otherwise have had, and the same goes for the sea cadets in Llwynypia. However, one of the daftest things the MOD did last year was to sell the Pentre barracks for a paltry sum. We now really need a venue for the sea cadets and the combined cadet force to be able to work together. Would the Minister like to visit the Rhondda very soon—he may have some spare time in the near future—to look at the combined cadet force and the sea cadets?

[Mr Ellwood]

I am not sure how useful I would be if I did have spare time in the future. There is an armed forces rationalisation programme of real estate in the UK. Some 2% of the land is owned by the Ministry of Defence and we are going through a process to rationalise that. That may include some locations that the hon. Gentleman mentions, but because of the contribution the cadets make to wider society and the armed forces, we absolutely need to work with local authorities and Members of Parliament to make sure cadets have a place to go.