Armed Forces Bill (Seventh sitting) Debate

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Department: Ministry of Defence
Mark Francois Portrait Mr Francois
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The Opposition have some sympathy with what the hon. Member for North Devon is trying to achieve. There has historically been something of a cliff face. The medical requirements of a person serving in the armed forces are primarily attended to by Defence Medical Services; when that person leaves the armed forces and becomes a veteran, they transfer to the national health service. It is probably fair to say that in some cases there is a hiatus in medical information and records when that transfer takes place, and I am sure that it would be possible to improve it. Some GP practices have veterans champions and some practices automatically ask someone who signs on with them, “Are you a veteran?” Unsurprisingly, those practices tend to be better at making sure that medical records are passed on.

The hon. Member raised the specific case of the medical records of nuclear test veterans. I am not impugning the Minister, but I think the Ministry of Defence could try harder to ensure that those specific records are made more freely available.

On the more general point, we could do better at the transfer of records, particularly for those people who have suffered episodes of mental ill health, which are perhaps not immediately obvious. The vast majority of armed forces personnel leave military service in good shape, both physically and mentally, but I know from experience that for some veterans—the Minister has taken a real interest in this—there is, perhaps some years after they have left, what the professionals call a “trigger event”. Perhaps their father is diagnosed with a terminal illness with very few weeks to live and is then gone. That can suddenly bring out in the veteran all sorts of issues, perhaps relating to their service and operations. In those circumstances, unfortunately, people can spiral down very quickly; they might have trouble with their relationships, lose their job or become reliant on drink or drugs. In the worst cases, they might lose their home and end up in a dingy one-bedroom flat in the rough end of town—and in the worst of all cases, sometimes, they even take their own lives.

This is not in any way a partisan point. Governments of all colours have tried to work on the problem, as have charities such as Help for Heroes, the Royal British Legion and Veterans Aid—I think of everything that Hugh Milroy has done in this space—but we could do more. Being able to pass across medical records in a timely and accurate way when people leave would help in those circumstances, even though sometimes problems lie hidden, for want of a better phrase, and come out only some years later. For those reasons, I have a lot of sympathy with what the hon. Member for North Devon proposes.

Jayne Kirkham Portrait Jayne Kirkham (Truro and Falmouth) (Lab/Co-op)
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I wonder whether the Minister will confirm that veterans will have access to their medical records, whether within the month or not. As he knows, we have had some issues getting hold of the medical records of veterans who developed cancer after service with certain helicopters. It has proved very hard to get hold of those records. Will the Minister confirm that veterans will always have access to their medical records?

Mark Francois Portrait Mr Francois
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As that was technically an intervention, I will have the first crack at it, but I am sure the Minister heard what the hon. Lady said. I see what she is trying to do here. Within the NHS there is the mantra “no decision about me without me”. If an NHS patient requests their medical records, they are meant to get them in a timely manner. We could all name constituency examples where that has not necessarily always been the case. Nevertheless, that is the principle, and it seems to me that it should apply equally to people who have served in the armed forces, who should suffer no disadvantage by virtue of their service, under the armed forces covenant. I am certainly sympathetic to what the hon. Lady said, and I am sure the Minister will be, too.

--- Later in debate ---
Mark Francois Portrait Mr Francois
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I have been here too long to argue with the Chair, but I am doing so, Mr Efford, because the new clause is about retention. My question is: why are more people joining the Navy and the Air Force than are leaving, and why are more people leaving the Army than joining? I believe that the troubles Bill is the fundamental difference.

Jayne Kirkham Portrait Jayne Kirkham
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The Liberal Democrats’ new clause 5 would merely commission an independent review, not prosecute it. It does seem that we are getting out of scope.

None Portrait The Chair
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Order. Let us be clear that it is for me to decide whether we are out of scope, not for Committee members.