Military Helicopters: Blood Cancers

Debate between Al Carns and Tanmanjeet Singh Dhesi

Tuesday 8th July 2025 Westminster Hall

[Al Carns]

Unfortunately, we do not have a timescale at the moment. The scale of the task is hard to define. In terms of where the records sit, no one keeps records on veterans when they leave, apart from the NHS. Those records are held in different buckets all over the UK. It is going to take some time to pull that together and analyse it, and to work out whether there are pockets of very rare cancers from one part of defence, another part of defence or from other industries. Unfortunately, we just do not know. I will endeavour to get back to my hon. Friend once the scale of the task, which is gigantic, is conceptualised into time.

I come back to some points raised by my hon. Friend the Member for Truro and Falmouth. On spreading awareness of a potential link, we work really hard to ensure that all service personnel have access to national cancer screening programmes. The MOD regularly runs health education campaigns—I hope that answers her earlier question—that encourage participation in national cancer screening programmes and raise awareness about cancers. Any veteran listening to this debate who has a cancer or a suspicion of cancer should please ensure they get it checked out and get the details recorded medically so that, if there may be a claim of any shape or form, that can be processed and they have the evidence, and it can get dealt with in the fastest and most efficient manner.

Educating GPs in places where there are clusters of personnel and veterans also goes back to data. There are clusters of veterans everywhere, ranging from 1,000 to 17,000, to 33,000 in Portsmouth. I will refrain from speaking about healthcare professionals any broader than the MOD in this forum, but I expect every defence medical service doctor to work in accordance with best practice, particularly National Institute for Health and Care Excellence guidelines, to identify individuals with symptoms that could be caused by cancer and to arrange the appropriate speedy follow-up for a specialist referral.

As well as signposting for veterans, a screening scheme for blood cancers could be set up for those who may be at most risk; that point was mentioned earlier. The current medical advice from IMEG is clear, but I am mindful that there is also no UK screening programme for multiple myeloma or other rare cancers. I have read some of the medical advice, and it looks like some of those screening processes can cause a percentage of harm—I will need to look at that in a bit more detail. Any harm from screening must be outweighed by the benefits of screening. I go back to causation, and a focus on getting data on who needs to be screened and who does not. This is a deeply complex problem. I am not trying to confuse or confuddle the debate. We need to get to the bottom of this, but we need to do it the right way, and in the speediest, most efficient way.

The real-life replication of testing conditions was also mentioned. I want to reassure hon. Members that the testing we do on aircraft mirrors real life. In some cases, it is on the sampling equipment that is carried on the person, on the air crew and indeed the ground crew as well, because not just the pilots are involved, but the broader group. On whether they should still be advised to take sufficient precautions, I should say that I have spent a large proportion of my career in helicopters and stood in the exhaust fumes, which often used to heat us up in cold environments, which I would not recommend. I can attest to the quality and professionalism of the air crew. Indeed, the air crew as a whole are absolutely prepared with both PPE and understanding.

[Mr Dhesi]

I thank the Minister for his clarification about the testing of helicopters currently in service. But could he clarify something? Are there any provisions to conduct tests or derive data on previous models and those not in service?

[Al Carns]

I thank my hon. Friend for the question. Several studies were conducted on the Sea King. In 2010 a study was conducted during operational flying in Afghanistan—I was out there at the same time and probably on them every now and again. It found notable levels of exposure to carbon monoxide and nitrogen monoxide. However, all exposures were below levels considered to be harmful to health.

In 2013, there was a study on search and rescue Sea Kings that found exhaust gases were below levels considered harmful to health. A 2014 study measured exposure to elements of carbon. That was found to be well below the German exposure standard; unfortunately, no UK standard existed at the time. The highest exposure was found to be at least less than a third of the concentration at which, based on the scientific knowledge, long-term repeated exposure could potentially cause ill health.

On the private companies and countries that still use these aircraft, the previous testing of the Sea King helicopters, which I just mentioned, did not have conclusive evidence that air crew were exposed to substances above UK-wide international limits—those German studies. Third party operators and countries may operate the aircraft differently and for different purposes, but I agree with my hon. Friend the Member for Truro and Falmouth that they should ensure that they appropriately manage potential risks. I think we can help with that.

Although views differ, some of the evidence is over a long period of time. The subject group is huge, but it could be quite concentrated in some areas. I accept that we differ on some of the points today. I think we are united in our commitment to the health and safety of our armed forces and the protection of our people, our territories, our values, and indeed our interests, both at home and overseas. It is the most fundamental duty of defence. But that duty is only as strong as the people who uphold it. Our armed forces are not just a source of national pride; they are the lifeblood of our security, admired across the globe for their expertise, professionalism and unwavering commitment. Together we will ensure that the Ministry of Defence remains steadfast in its commitment to the health and safety of its people. Their safety is non-negotiable. Their wellbeing is not optional. It is an obligation.

I want to be clear that we are conducting testing now. We have looked at the reviews of previous testing, and there are options for understanding the broader cancer demographic among our veterans population. I have taken that on after the discussions with my hon. Friend the Member for Truro and Falmouth. We will do everything in our power to ensure that everyone who wears the uniform of this country is protected, respected and supported, because they deserve nothing less.

Question put and agreed to.