(13 years, 1 month ago)
Commons ChamberIt is the job of the Queen to make decisions on who gets such honours.
In the few minutes available to me, I want to concentrate on the mental health of those members of the armed forces who serve to defend our country. Other hon. Members have spoken with some knowledge of that, especially my hon. Friend the Member for South West Wiltshire (Dr Murrison), whose paper on mental health and combat stress, “Fighting Fit”, has made such a significant contribution in helping us to determine our armed forces covenant and the Armed Forces Act 2011.
There is a great deal of difference, however, between passing legislation and ensuring that recommendations are put into action. For many, serving in the armed services will be one of several careers that they will have. It is important that they do not find themselves handicapped from having other careers and doing other jobs. Some might go into teaching and others might go into security or whatever, but it is important that we ensure they can go into other jobs.
A great deal of publicity was given to the fact that a significant minority of servicemen and women suffer from mental ill health as a result of their experiences. It is important that we ensure they are capable of going into other jobs, but according to research by the excellent Combat Stress, which, as my right hon. Friend the Minister knows, was set up in 1919 and which currently helps 4,600 veterans, suggests that of the 191,000 personnel who served in Iraq and Afghanistan, about 4.6%—about 7,600 people—could develop post-traumatic stress disorder, and that another 37,600 people, or 19.7%, could be battling other debilitating mental health problems, such as depression, mood disorders and anxieties. It can take up to 13 years for mental illness to become apparent. We must not waste any time in finding a solution and putting a strategy in place. I welcome the Government’s changes to the delivery of our health services, but I am keen that there be a strategy to ensure that our general practitioners and other health professionals think through how to handle those mental health issues, especially in a garrison town such as Plymouth.
I agree with everything the hon. Gentleman has said about the incidence of mental ill health and the need for the health service and other bodies to cope with the mental health needs of those in the armed forces. Does he agree, though, that younger people in the armed services suffer more from mental health problems as a result of their involvement in combat after the age of 18? Given that the United Kingdom is the only country in Europe that still recruits soldiers from the age of 16—last year, 17.4% of new recruits were aged 16 and 29.8% were under 18—is it not time to review the age from which we recruit? Should we not recruit over-18s only?
If I may say so, that is a non sequitur. A range of people, from across the board, regularly come into my office suffering from a mental health issue, and it is important that we look after all of them, not just a small number.
In preparing for this debate, I spoke with representatives of Combat Stress, who told me of their concern about the lack of detail in the Government’s approach, and asked for assurances that either health care or other policy areas would cover the mental health of armed forces personnel and veterans. It noted that the stigma surrounding people with mental health conditions, such as post-traumatic stress disorder, was still preventing veterans from seeking help.
Last month, I attended, in the Speaker’s apartments, the launch of Combat Stress’s anti-stigma campaign, which aims to highlight the plight of veterans suffering from mental illnesses owing to the scars of war. I was told that 81% of veterans felt ashamed or embarrassed about their mental ill health, and that their fear of stigma and discrimination meant that more than one in three did not feel able to tell their families or friends about their problems. The other day in Lympstone, I met a Royal Marine who told me of his experience. He went home and told his wife about his problems, but she said, “Don’t talk to me about that. I had to deal with 200 e-mails today. I have a lot on.” He went off to find his mates, but that was not good enough either, so ultimately he had to find his fellow Royal Marines. We need to ensure much better connectivity for those people.
Finally, I am concerned about how the reservists are taken care of. We have in place a very good system under which regular armed services personnel can get a lot of help, but I am told that there are problems for reservists leaving theatre and re-entering their community, and that we do not necessarily do as good a job looking after them. I urge my right hon. Friend to do something about that. Reservists take time off from their normal jobs, and their employers expect them to go straight back again, which they will almost certainly do. However, can we do something about that? If we do not sort this out, we risk creating a ticking time bomb that will need much more resources and attention further down the line.