Veterans (Mental Health)

Andrew Gwynne Excerpts

Wednesday 7th March 2012 Westminster Hall

[Andrew Gwynne (Denton and Reddish) (Lab)]

As always, it is a pleasure to see you in the Chair, Mr Dobbin. I congratulate the hon. Member for York Outer (Julian Sturdy) on securing this important and topical debate. We have heard the sad news today that six of our service personnel are missing and presumed dead in Afghanistan. It is a poignant reminder of the reality of serving in Her Majesty’s armed forces. Our thoughts and prayers are with the families at this time.

I note that we had a similar debate on this subject last year, proposed by my right hon. Friend the Member for Salford and Eccles (Hazel Blears). It explored many of the important issues surrounding the mental health of veterans. It is right that we should again take the opportunity to discuss the welfare of our serving personnel and veterans and the impact on their families. For veterans’ mental health, we need to look at the true picture of how people are affected after they have left service. Indeed, we should be paying as much attention to the issues that face service personnel and their families when they leave the armed service as when they are actually in service.

The UK’s armed services are among the best in the world, and we can rightly be proud of them. We owe them a great deal of gratitude for the work that they do in our name. The charity, Combat Stress, has shown that a significant minority of servicemen and women suffer from mental ill health as a result of their experiences. A study in May 2010 into personnel who had served in Iraq and Afghanistan showed a 4% prevalence of probable post-traumatic stress disorder. An estimated 180,000 troops have served in those two operations: if 4% develop PTSD, that equates to 7,200 more sufferers.

The study also highlighted a prevalence of 19.7% for common mental disorders, and 13% for alcohol misuse. We must look into ways in which we can deal with that and ensure that the right facilities and support are in place to diagnose and treat such conditions. Admittedly, improvements have been made in recent years. Mental health pilot schemes have improved support and treatment for personnel suffering from mental health problems.

In 2007, the Labour Government extended priority access to NHS services to all veterans whose medical conditions or injuries were suspected of being due to military service. Priority access had previously extended only to those claiming a war pension, and efforts were made to raise awareness of that. As has been mentioned in the debate, we now have the armed forces covenant enshrined in law, which I think all hon. Members welcome.

The interim report on the covenant summarises the Government’s approach, taking forward recommendations in the report by the hon. Member for South West Wiltshire (Dr Murrison), “Fighting Fit”, which I also welcome. I understand that the report’s recommendations were rolled out over the past year, many of which were introduced as pilot programmes to be reassessed after their initial trial periods. I would welcome an update from the Minister on the pilots and also an assurance that his Department has been promoting them among serving personnel and veterans’ communities.

Most Members will have met ex-service constituents who have been directly affected and heard about their experiences, some of which we have heard in the debate today. We should rightly recognise the important work done by organisations such as Combat Stress, which provides an invaluable service to veterans around the country. Its centres and outreach work allow veterans to get the help and support that they need in a specialised environment, along with other veterans who are going through similar experiences.

The Enemy Within campaign run by Combat Stress seeks to tackle the stigma that, unfortunately, as we have heard today, can be a barrier to people getting the support and help that they need. Currently, they have a caseload of more than 4,800 veterans, including 228 who have served in Afghanistan and 589 who served in Iraq. The majority are ex-Army: 83.5%. Their youngest veteran is just 20. The invaluable work of Combat Stress and other organisations, such as the Royal British Legion, is to be warmly welcomed, but the Government should also take on their fair share of the responsibility. It is important that we do not view the services offered by the voluntary and charitable sector as any sort of replacement. That work should complement, not replace, the services that the Government offer.

Indeed, as we already know, the charitable sector is facing an incredibly tough time at the moment. Even though organisations such as Combat Stress and the Royal British Legion have continued to have generous support from the public, we should not assume that those services will always exist and always have enough funding to run. The Government should decide which services they have a duty to provide and should fund them properly. The Government need not always be the vehicle to deliver those services, as we have heard, but they can fund experts such as Combat Stress and the Royal British Legion to do so on their behalf.

The Government should also consider how mental health services for veterans can be guaranteed, when their national health service reforms are creating so much uncertainty. I share the concerns of the hon. Member for Southport (John Pugh), although I am reassured by the Minister’s reply that a single commissioning body, the NHS Commissioning Board, will be responsible. I think that that is the right way forward.

Clearly, those in the armed forces are trained to do a tough job and rightly have to develop a tough mental attitude. This, of course, can mean that it can be harder for people coming out of the services to admit that they have a mental health problem, let alone talk about it. We should also take into account how long it can take people actually to get the support that they need. Combat Stress has suggested that the average length of time is 13 years. In some cases, it has taken veterans 40 years to seek out the help and support that they need. That is far too long, and we should do all that we can to shorten the time and to let people know that help is available for them now.

Combat Stress has also provided detailed evidence involving cases of individuals who have faced marriage break-up, unemployment, social isolation or substance abuse because they were unable to deal with their mental health problems. However, as with all mental health conditions, a great deal of stigma still surrounds it, which can make it much harder to talk about openly. Until we tackle that stigma, it will be difficult to make significant changes.

I appreciate that it is hard to establish the level of need without a tracking system. As we know, there is no record of how many veterans are being treated for mental health problems on the NHS. Clearly, if we cannot quantify the problem, it is difficult for the Government to quantify the true cost of treating mental illness among former members of the armed forces.

Nor should we overlook the impact of deployments on the mental health of our reservists, as has been mentioned. As we know, the Government’s Future Force 2020 plan showed that the role of reservists will increase significantly in the coming years, mirrored by reductions in the number of regular service personnel. It must make sense for the Government to ensure that support is in place for reservists prepared to take on those extra responsibilities.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

I commend my hon. Friend for his speech. Is there not a problem in the offing, given that the Army is being reduced to 82,000 soldiers and certain regiments are being disbanded? We need to know what the NHS Commissioning Board and the Department of Health are doing to aid those who will soon be former soldiers entering civilian life and to determine their mental health issues and what type of help the NHS can provide.

[Andrew Gwynne]

I absolutely agree that we must ensure that ex-service personnel are supported. I am sure that the Minister will respond to that in his closing remarks.

One recommendation in the report “Fighting Fit” stated that a veterans’ information service should be deployed 12 months after a person leaves the armed forces and that regulars and reservists should be followed up approximately 12 months after they leave. Will the Minister update us on how that is developing, and what plans the Government have for the future funding of the Combat Stress-led 24-hour support telephone line for veterans? Will the Department provide an evaluation of how the funding for “Fighting Fit” has been spent, what it has achieved and what will happen for future funding? What additional steps is the Department taking to raise public awareness of issues that relate to veterans’ mental health?

[Gemma Doyle (West Dunbartonshire) (Lab/Co-op)]

While my hon. Friend is on the subject of funding, is he, like me, keen to hear from the Minister whether he supports our call for a £1 million fund for research into legacy issues from Afghanistan and Iraq, with a focus on mental health? That could be paid for by a reduction in generals in the forces.

[Andrew Gwynne]

I am grateful to my hon. Friend. The Labour Front-Bench defence team has made that commitment, which is laudable. Redistributing part of the saving to serve veterans’ mental health shows that the issue is a priority for us.

This debate has provided us with the opportunity to explore the issue of our veterans’ mental health and welfare. I pay tribute to Combat Stress, the Royal British Legion and other groups that, along with many service organisations and charities, play an outstanding role in supporting the whole armed forces family, for which we should thank them. I congratulate the hon. Member for York Outer on securing the debate. We must ensure that our servicemen and women receive support after their tour of duty is finished. Surely, we as a nation owe them that.