Oral Answers to Questions

Debate between Andrew Murrison and Tonia Antoniazzi

Monday 19th February 2024 Commons Chamber

[Dr Murrison]

I am grateful for the hon. Gentleman’s remarks, but I do not recognise the situation that he describes. We take security extremely seriously and ensure that all personnel have security clearance appropriate to their job. Checks normally require at least three years’ UK residency, but Commonwealth candidates are permitted to accrue qualifying residency while serving, although they cannot take up roles and ranks that require higher levels of vetting. This policy has been in place for several years, and it has not changed.

[Tonia Antoniazzi (Gower) (Lab)]

Figures in The Times last month showed that the British Army will shrink to as small as 67,000 by 2026 due to the crisis in recruitment and retention. As threats to the UK increase, will the Minister finally commit to halting the cuts that he continues to make to the Army?

[Dr Murrison]

The Government are sticking to 73,000 regular and 30,000 reserved personnel, as I said earlier. Those figures are in “Future Soldier”, published in 2021, and they remain unchanged.

Afghanistan: Independent Inquiry

Debate between Andrew Murrison and Tonia Antoniazzi

Thursday 15th December 2022 Commons Chamber

[Dr Murrison]

I rise again with a sense of trepidation, Madam Deputy Speaker, acknowledging the hon. Gentleman’s service in Afghanistan. The point that he has made has been made before. I think it was made when we covered some of this ground back in July. He will know the way that this part of our armed forces operates and the difficulties and constraints under which they operate. We are going through this process now with a statutory inquiry. That is a big deal. I expect Lord Justice Haddon-Cave to go everywhere he needs to go to discover the truth and make public all of it—so far as he can within the constrictions of national security.

With all due respect, I do not agree with the hon. Gentleman on having a further mechanism of auditing the operations of parts of our armed forces. It is probably right that we assure ourselves that all parts of our armed forces operate within the rule of law and that their rules of engagement are legal. He will be aware of the extraordinary lengths that defence takes, particularly now and in recent years, to ensure that everything it does is lawful. Personally, I am comfortable with that; I am confident that we do that. Although I acknowledge the hon. Gentleman’s suggestion—we keep everything under consideration, and it will be interesting to see what Lord Justice Haddon-Cave comes up with—I am not minded, at this point in time, to accept it.

[Tonia Antoniazzi (Gower) (Lab)]

Similar allegations against Australian special forces were investigated fully by an independent judge-led inquiry, backed by welfare support for troops and their families, to get the truth. The Minister has spoken of legal and pastoral support, but can he explain whether the UK inquiry will provide similar or better welfare support, and can he give us those reassurances today?

[Dr Murrison]

I think I can. As I speak, we are contacting those who may be affected by today’s statement to give them details of the support that is available to them. Anybody who is asked to be a witness in this inquiry will be contacted by the Ministry of Defence to explain what is available. To be clear, people who are requested to appear before Lord Justice Haddon-Cave will be provided with the legal and pastoral support that they need to get them through this. It is appropriate to put it on record that this statement will cause a lot of dismay and anxiety among those individuals who have served this country with great distinction. We understand that and I give the hon. Lady a commitment that we will do all in our power to make sure that we stand with them and give them the support that is required.

Service Personnel and Veterans: Rehabilitation

Debate between Andrew Murrison and Tonia Antoniazzi

Tuesday 22nd November 2022 Commons Chamber

[The Minister for Defence People, Veterans and Service Families (Dr Andrew Murrison)]

I thank the hon. Member for Gower (Tonia Antoniazzi) for her contribution this evening. She has raised a number of issues. I think there is a great deal of common ground, and I salute her for all her efforts in promoting the welfare of the men and women of our armed forces, our veterans and, in particular, those who require the services of our rehabilitation services.

There is, of course, a raft of support available to our personnel, rightly, to veterans and to their families. In the short time that I have available to me, I will try to outline, in response to the hon. Lady’s comments, some of those as best I can.

Let me start by summarising our rehabilitation offer for serving personnel. Our aim here is to return our regulars and our reserves to active duty as soon as possible. To that end, the MOD’s Defence Medical Services, which I used to be a part of, provides a tiered service, extending from the more minor to the most severe injuries.

First, our primary care rehabilitation facilities offer physiotherapy and exercise rehabilitation—fairly straightforward things. Should additional clinical decision making and diagnostics be required, referral to one of the 13 regional rehabilitation units across the UK is possible. They offer rapid access to imaging services and residential rehabilitation for those with moderate musculoskeletal injuries. When it comes to complex musculoskeletal disorders, complex trauma and issues related to joint and soft tissue disease, patients are transferred to the Defence Medical Rehabilitation Centre in Stanford Hall—known to many hon. and right hon. Members as its previous incarnation, Headley Court in Surrey. DMRC also supports small groups of veterans who require prosthetics through its complex prosthetic assessment clinic.

Since May 2020, a total of 16 patients have attended this service and, since March 2022, eight veterans have undergone cutting-edge direct skeletal fixation surgery for prosthesis before receiving rehabilitation at DMRC. Notably, this clinic is a joint MOD and NHS England endeavour, highlighting how partnership is a key feature of our military healthcare landscape these days.

Another example of this partnership is our defence recovery capability. This MOD-led initiative is run in conjunction with Help for Heroes, the Royal British Legion and Erskine Homes. The care it provides is centred around an individual recovery plan, integrating all aspects of recovery, including medical care, welfare, housing, education, reskilling, work placements and employment issues.

Again, those with more serious conditions can access one of our specialist regional personnel recovery units, receiving one-to-one support from a personnel recovery officer. In our major garrisons, there are personnel recovery centres, such as the naval service recovery centre in Plymouth. I should be clear that these are not hospitals, rehabilitation or physiotherapy centres, but conducive military environments designed to speed up recovery. Indeed, they provide not just residential capacity, but specially designed courses and, in the case of the Battle Back Centre at Lilleshall, adaptive support and adventure training to rebuild confidence shattered by trauma, which touches on the hon. Lady’s oral question to me on 7 November.

Hon. Members will be aware that, unfortunately, the impact of covid-19 precipitated Help for Heroes’ withdrawal from the PRCs in Colchester, Catterick, Tidworth and the NSRC in Plymouth in 2021. However, I reassure colleagues that the MOD has since stepped in to take ownership of these recovery centres and will continue to operate alongside the Royal British Legion and Erskine Homes for the Battle Back Centre and Edinburgh PRC.

I briefly turn to the rehabilitation that we offer to veterans, which is the second part of the hon. Lady’s Adjournment debate today. As of 1 July 2022, some 3% of the UK regular trained armed forces were in recovery, while some 70% seen in recovery returned to duty. The medical care our people receive is world class but, inevitably, not all who receive support can return to work. Nevertheless, we retain a duty of care to all veterans who selflessly serve our nation. The offer begins with our career transition partnership, which plays a critical role in smoothing the transition from military to civilian life. The full core resettlement programme is available to all medically discharged service leavers regardless of service length and is accessible to personnel two years prior to and two years after discharge.

There is also a bespoke service, known as CTP Assist, for the most vulnerable leavers, which is tailored to the individual needs of the client. Hon. Members will be aware that, in the past, service veterans received variable levels of support due to a complex, overlapping patchwork of provision.

[Tonia Antoniazzi]

I appreciate the information the Minister is giving us. On the point about training, is the training subject to any kind of review or standards, such as Ofsted?

[Dr Murrison]

What we do in Defence is probably world-beating—I would like to think so—but Ofsted is involved in assessing training throughout Defence, including in phase 1 and phase 2 establishments. In general, Ofsted’s reviews have been pretty positive, and I am more than happy to share them with the hon. Lady if she would like me to.

I could not possibly conclude a debate such as this without mentioning Operation Courage. Launched in April 2019, the service helps veterans to recover from the hidden harms that conflict inflicts on mind and body. I know the hon. Lady is well aware of that.

Alongside Op Courage is our veteran trauma network, which offers veterans support for service-related physical healthcare problems. The network comprises 18 NHS veteran trauma centres and NHS specialist units, each with its own military and civilian expertise. I accept that that is not enough, and we are working on more to come, in particular a £5 million research fund. This area is a fruitful one for further research to improve the offer we are able to make to our servicepeople and veterans, and in particular to develop innovative surgical techniques, improve rehabilitation from blast injuries and adapt intervention technologies for mild traumatic brain injury, among other things.

I must briefly mention the creation of the National Rehabilitation Centre, which is very exciting. Working alongside the national health service, it will be a 70-bed specialist clinic unit bringing patient care, research, and training and education under one roof. I pay tribute to the former vice-chief of the defence staff, General Sir Tim Granville-Chapman, for his work in that area. I look forward to the NRC’s opening formally in 2024, but in the meantime there is much collaboration between the DMRC and the NRC.

On the point the hon. Member for Barnsley Central (Dan Jarvis) made about IPC4V, he seemed to suggest it was going to be closed down or downgraded, but I can assure him that is not the case. It was only launched in March 2019. He is right to mention Ben Parkinson as an exemplar, and I can reassure him about our commitment to it; we are even scoping extending the reach of the scheme, if that is of any help to him. I am more than happy to discuss the matter with him further.

Oral Answers to Questions

Debate between Andrew Murrison and Tonia Antoniazzi

Monday 7th November 2022 Commons Chamber

[Tonia Antoniazzi (Gower) (Lab)]

Recently I met Richard Morgan from 65 Degrees North, a charity that seeks to help in the rehabilitation of wounded, injured and sick service personnel and veterans by giving them the opportunity to participate in challenging adventure. Do Ministers agree that there is a need to change the perception of physical and mental disabilities through this spirt of adventure, and will they congratulate the charity on the work it does?

[Dr Murrison]

I most certainly do congratulate it on the work it does. I am very positive about disability in the armed forces. I point the hon. Lady to the diversity and inclusion strategy, which sets out the blueprint for how we can do much better. I would be more than happy to meet the charity that she has cited, and I congratulate it on the work it does.

Royal Navy: Conduct towards Women

Debate between Andrew Murrison and Tonia Antoniazzi

Monday 31st October 2022 Commons Chamber

[Dr Murrison]

I think I touched on that subject when I referred to the Select Committee’s report and the positive comments it made about the experience of most women in our armed forces. We must not put people off joining our armed forces unduly, but equally we must take these allegations very seriously.

[Tonia Antoniazzi (Gower) (Lab)]

I pay tribute to the hon. Member for Wrexham (Sarah Atherton) for her report; when I was on the armed forces parliamentary scheme last year, many in senior positions referred to that report, and it should not be cast aside. We in the Labour party have long argued that the more serious cases, including sexual assault and rape, should be tried in civilian courts rather than through the military justice services. I was also on the Bill Committee for the Armed Forces Bill, so I ask the Minister to explain why the Government continue to resist that move? Sexual assault cases need to be in civilian courts.

[Dr Murrison]

Henriques dealt with the three most serious offences, although he could have chosen other offences as well. The judgment has been made that the status quo is probably appropriate, but with the design of a joint protocol between civilian and service to ensure that practice is the same. I hope the hon. Lady will accept that.