(13 years, 7 months ago)
Commons ChamberAbsolutely right, and that is part and parcel of bringing people back into the civilian mainstream. There is no doubt that such training is useful, and we know that it often works.
Clause 2 provides a commitment for a report to be placed before Parliament each year, which will deal with health care, education and housing. That is a welcome step, because the regulation of those services is a prerequisite for improving them. Surely, however, we need to do better than that. The Bill specifies that the responsibility for laying the report should lie with the Secretary of State. I wish no offence to him, and I trust that he will take none if I say that he has many other responsibilities already bestowed on him, which mean that laying the report will not be his highest priority. However, I hope that I am wrong.
I believe, as I mentioned earlier, that we should consider appointing a Minister for veterans’ welfare with a cross-cutting responsibility, who could perhaps be situated in the Cabinet Office, because there are many facets to the problem. The report specified in clause 2 should go into far greater depth about how a background of military service might affect people in obtaining personal services. To education, housing and health care should be added welfare benefits, employment benefits and advice, reskilling, budgetary advice, debt management—SSAFA Forces Help and the Royal British Legion say that 60% of their cases concern debt management—alcohol and drug treatment and relationship skills. All personnel should have access to advice from voluntary organisations on all those issues, regardless of length of service, some months before leaving the forces. At present, when leaving the forces, the feeling among many veterans seems to be, “When you’re discharged, you’re on your own.” Regardless of whether that is the case, we need to intensify personnel’s awareness of the support that is available for those who need it. Back-up advice in person and by telephone should also be made available for the first six months following discharge.
I have briefly mentioned the prevalence of mental health problems among veterans. Due to time constraints, I cannot dedicate as much time to it as I should like. No compulsory mental health assessment is currently undergone before leaving the forces. I hope that that practice will soon change. There is a tremendous discrepancy between the way in which US and UK forces deal with the matter. Nobody can realistically plead for a veterans agency in the UK on the same scale as that in the States. The US has had to come to terms with the fall-out from the Vietnam war and other conflicts, and it set up such facilities in more benign financial times. However, when I took evidence with the Howard League in the US, senior veterans affairs Ministers told us that there was a presumption that 33% of returnees from conflict would suffer from either post-traumatic stress disorder or traumatic brain injury.
That figure is not accepted by anyone in the UK forces. The proportion is not even a tenth of that figure, according to the evidence that we have received from people in similar positions in the UK. There must be a problem somewhere because there is a huge discrepancy. Somebody said that PTSD could take up to 14 years to develop. Yes, it could: it could take 14 minutes or 14 years. We must tackle the problem, because we may be considering the tip of a painful iceberg, and the consequences could be long drawn out.
Experts therefore demand making psychological assessment mandatory for all those leaving the forces, alongside a more general resettlement assessment and advice scheme. I hope that, if I am appointed to serve on the Select Committee, I can advocate making available more tailored support to veterans in the criminal justice system. I am a firm believer in all being equal before the law, but veterans’ specific needs, and the way in which some initiatives might prevent reoffending in that community, must be recognised. Veterans’ support officers should be appointed in every prison and probation service to ensure the streamlining of those initiatives. That has already started to happen. Statutory funding should be allocated to them as well as to veterans’ support groups, which can provide unparalleled support in communities. Such groups normally have the benefit of comprising mainly veterans, who have an unmatched ability to relate to the experiences of other veterans.
I am fast running out of time, but it remains for me to say that we must wake up to the alarming way in which personnel come to rely on alcohol and sometimes other substances as a defence mechanism. Perhaps it is perfectly understandable, but the so-called self-medication route is a huge misnomer. I have evidence to show that, regrettably, at some stages of Army life, alcohol is treated as a catalyst for unwinding. I am sure that many hon. Members have heard about the decompression in Cyprus, which comprises a weekend or week of drunkenness and brawling. It can be no coincidence that so many veterans leave active service displaying a dependence on alcohol. I need hardly say how quickly such a dependence, if left untreated, can feed into other habits, violent behaviour and crime. Henceforth, therefore, counselling on substance abuse must play a vital part in decompression and reintroducing personnel to civvy street.
If we are to retain any hope of fewer veterans running into problems after leaving the forces, we must address some aspects of Army life, such as alcohol consumption as a means of coping with stress and adversity. Clauses 9 to 11 will intensify the regulation of personnel in that field and perhaps awaken them to the dangers of over-reliance on that drug. That is a welcome step in the right direction.
Does the hon. Gentleman agree that a common thread running through his speech is the problem of tracking and identifying veterans, whether by the police, the probation service or GPs? For example, many mental health issues arise because GPs do not necessarily know that someone is a veteran 10 years after that person has left the forces. [Interruption.] I am married to a GP, and I can assure the hon. Member for North Durham (Mr Jones) that the system might work at the top, but it does not by the time things get to the bottom. [Interruption.] The point that I intended to make before the sedentary interruptions from the Opposition Front Bench is that we in this place can help because there is a lot of support out there for veterans. How many hon. Members say to someone who is homeless or has other problems and comes to their surgery, “Are you a veteran? If so, I can direct you to more places”?
Such work is being done by, for example, Kent police, to which I referred earlier, and probation services here and there. Very good work is undertaken in some prisons. That work is done by people who have an interest in assisting veterans, and we need to roll out good practice throughout the UK.
It is wrong for anyone to hint that I am disparaging the services when I refer to alcohol or drugs. I am trying to consider matters realistically, not to insult members of the armed forces, for heaven’s sake.