Military Covenant

Lord Beamish Excerpts

Wednesday 21st November 2012 Commons Chamber

[Patrick Mercer]

I am grateful for that helpful intervention. My hon. Friend is absolutely right and he will probably face many cases in his constituency that are similar to those in Newark.

In another plug for the Newark Patriotic Fund—forgive me, Mr Speaker—one thing we find is that those who are without an arm or leg have probably come to terms with that. The groundswell of support and popularity—I do not quite use the word “glamour”, but I hope the House will understand what I mean—helps those individuals to come to terms with their situation. Those who are nursing, hiding or developing mental health problems find that much more difficult to talk about, but we find at our so-called drop-in centre that people are able and willing to talk in the company of other brave men and women who are empathetic and sympathetic.

[Mr Kevan Jones (North Durham) (Lab)]

rose—

[Patrick Mercer]

I give way with pleasure to the hon. Gentleman.

[Mr Jones]

I am listening carefully to the hon. Gentleman. I looked at this issue when I was the Minister responsible for veterans, and may I suggest that screening at the point that someone leaves the forces is not the answer? We must ensure that individuals are flagged up so that GPs know they are veterans—the Labour party made a commitment to that, although I am not sure whether the Government have followed it through—and improve their access to mental health services. A lot of the problems that the hon. Gentleman mentions do not present until many years later and would not be picked up. I would prefer the money to go to help people at a later, rather than earlier, stage.

[Patrick Mercer]

I am grateful for the hon. Gentleman’s intervention but I am obviously not making myself clear because that is exactly my point. There will be awful problems with this. It was difficult enough for us catch up six months later with one regular soldier who had been discharged, and ask him to re-enlist in the Territorial Army because he had disappeared into the system. I understand that this matter is not simple. Care must be provided in five, 10 or 15 years’ time and offered to everyone, as the hon. Gentleman said, not just to those who leave the forces having identified a problem.

[Mr Jones]

I agree with the hon. Gentleman. This could be quite easy but I was frustrated with GPs who wanted to charge for putting an indicator on the QOF—the quality and outcomes framework. That is where money should be spent so that if people present after they have left the armed services, GPs will at least know that they have served in the forces. I am not sure whether the Minister has made any progress on that, but it is an important point and would be a better way to spend money.

[Patrick Mercer]

Absolutely.

--- Later in debate ---

[Mr Elfyn Llwyd (Dwyfor Meirionnydd) (PC)]

I congratulate the right hon. Member for Lagan Valley (Mr Donaldson) and his right hon. and hon. Friends on bringing forward this very important debate. I am pleased that we have some time to debate this issue. It is also a great pleasure to follow the hon. Member for Newark (Patrick Mercer), who spoke with great authority from his experience of military life.

The failure to provide adequately for the needs of ex-service people stretches back well over a century, so I shall not make any political points today one way or the other. Kipling wrote of Tommy Atkins giving everything in service and returning to face virtually nothing in return. David Lloyd George, in a momentous speech at the beginning of the last century, poignantly referred to ex-service men returning from war as “broken men”—they mostly were men, then—and deserving of special treatment such as exemption from the payment of national insurance.

How much has changed in the intervening decades, and many conflicts later? The topic we are discussing today is the military covenant—the pledge to the armed forces that we will continue to look after the welfare of veterans after they leave the service. It is evident that the majority of armed forces personnel adjust to civilian life normally after discharge. Despite this, a significant and—alas—growing minority of veterans experience acute social rupture when discharged from active service, becoming homeless, cut off from mainstream welfare services and isolated. Unless they undertake further training or are fortunate enough to have completed relevant training prior to joining the forces, it can be very difficult for veterans to enter further education and/or employment.

If a veteran falls into a downward spiral, it is likely that he—and it is predominantly a male problem—will fall foul of the criminal justice system. Abuse of alcohol and drugs, and mental health problems, often act as catalysts. There is a lot of good work going on—it is not all downs—and next year, one of the main banks will announce a suite of financial services dedicated to ex-service people. I am pleased and proud that I have persuaded the bank to do that. It will be rolled out in Wales first and, if successful, then throughout the UK. One of the problems of people who have been in the forces for a long time is that they understandably get out of the normal money management routine that we all have to deal with every day.

I have campaigned for greater recognition of the welfare needs of veterans over the years and have raised the issue in the House and elsewhere since 2008. In 2010, I published a paper entitled “Support for Veterans”, which contained detailed recommendations for increasing the support available to veterans, in particular those who came into contact with the criminal justice system. I chair the veterans in the criminal justice system all-party group, held under the auspices of the Justice Unions Parliamentary Group. The group comprises parliamentarians and representatives from criminal justice trade unions and charities, including the National Association of Probation Officers, the Association of Chief Police Officers, the Prison Officers Association, the Royal British Legion, SSAFA Forces Help and others.

When our campaign began, very few were raising the issue, but I am glad to see that it has now become a core manifesto commitment for every party. The Armed Forces Act 2006 also enshrined the principles of the covenant in law. Much work has been done—and that is to the Government’s credit—but much remains to be done, and I await the annual report in the coming weeks.

As a matter of urgency, a thorough audit should be completed of the number of ex-service personnel who are in our prison system.

[Mr Kevan Jones]

We did one.

[Mr Llwyd]

I am not going to get involved in arguments about figures with the hon. Gentleman. We have tried that before—I do not accept his figures and he does not accept mine. NAPO and various other organisations do accept my figures.

[Mr Jones]

The right hon. Gentleman is like a broken record. As Minister, I got all the data for all three services, in some cases going back to 1968. The Howard League report accepted those figures. I am sorry that they do not match up with some of the figures that he and others want to keep perpetuating, but I do not know what else I could have done to get those figures or what the Minister could do now.

[Mr Llwyd]

I was an adviser to the Howard League report. The hon. Gentleman’s scoping exercise did not include women, reservists—

[Mr Kevan Jones]

That is not true.

[Mr Llwyd]

Well, that is what the then Minister told the Howard League. It did not include reservists, those under 21 or those who had served in Northern Ireland—that is what the Minister at the time told the inquiry. [Interruption.] That is the evidence that we were given and some of the conclusions we reached.

[Mr Jones]

Is the right hon. Gentleman really suggesting that to get the 25% figure that he often quotes—

[Mr Llwyd]

No, I never quoted that.

[Mr Jones]

Well, I think some of the right hon. Gentleman’s colleagues have. The figure was about 3% or 4% of the prison population. Is he seriously suggesting that he could make another 23% by adding reservists to it?

[Mr Llwyd]

I have never said it is 25%: 10% is the highest figure that I have ever canvassed, so I am not getting involved in a sterile figures argument. There are other issues to discuss.

As a matter of urgency, we need to have another look at those who are involved in the system. I became involved in this issue when I was working in courts in north Wales and Cheshire. I noticed that an increasing number of those appearing for very serious offences professed to come from a military background. Thus, I tabled some questions. At the time, in 2008, no information was held centrally. The shadow Minister says that a scoping exercise was thereafter undertaken—fine, I accept that.

[Mr Jones]

It was not a scoping exercise.

[Mr Llwyd]

Well, an exercise to determine the figures was then entered into by the Government. I accept that. Whatever the figure is, it is quite substantial—that must be common ground.

I honestly and sincerely believe that more resources should be put into helping veterans with mental health problems. Many people who have served leave the forces without any trauma whatever. However, at present, as I understand it, veterans do not undergo a compulsory mental health assessment prior to leaving the armed forces, except for the more obvious cases that demand it. Because of that, it is difficult to calculate the prevalence of mental health issues most commonly associated with veterans, among them post-traumatic stress disorder. PTSD is a convenient umbrella term, but it is just one complaint. The difficulty with it is that it can become evident within a couple of week or after 12 years.

[Mr Jones]

If the right hon. Gentleman wants to get the figures, he should read Simon Wessely’s very good study, going back to the first Gulf war and before. It provides the figures for PTSD, which are between 3% and 4%. It is a very good study that is internationally recognised as a groundbreaking work.

[Mr Llwyd]

That may or may not be the case, but in the United States, for example, the authorities talk about 35%. There is a substantial problem and I hope that we are able to look not just at PTSD—that is just one thing—but traumatic brain injury and other conditions. We have yet to see the scale of the fall-out from the first and second Iraq wars and from Afghanistan. However, I think there is a tendency to focus on PTSD. There are literally dozens of other mental health conditions that can affect personnel, including traumatic brain injury and anxiety-related problems, such as obsessive compulsive disorder and depression. The idiosyncratic needs of the veteran community must be taken into account when providing funding for research and treatment.

A paper recently produced by Dr Ian Palmer of the Medical Assessment Programme of King’s College London reported that, based on the findings of a clinic-based study on a self-selecting group of 150 veterans, veterans involved with the NHS mental health service tended to be middle aged, ex-army and male. That demographic picture reinforces the view that mental health problems can take years to develop—from the time of discharge to up to 12 years later.

I gave evidence to the Welsh Affairs Committee, and, as I understand it, so did the Minister. The impression was given that the problem of alcohol misuse was being addressed, and that it was less of a problem than it had been. According to the report, however, 80% of those in this group had misused alcohol, and one quarter had encountered problems with the law. The barriers to seeking help included pride, guilt, shame and remembrance of lost colleagues. Obsessive compulsive symptoms were prevalent among many of those who reported problems readjusting to civilian life, while those not in a stable relationship were less likely to seek help, reinforcing the view that support from loved ones is vital for returning veterans.

Further research would have to be done, but the results are telling. Most crucially, it is clear that psychological assessments should be made mandatory for all those leaving the forces. The shadow Minister and the Minister talked about GPs flagging up patients who have done military service, but I understand that there might be a problem with data protection. I do not know whether that is right, but it needs to be cleared up. The flagging up is perfectly acceptable and a very good idea, but we need to address the data protection issue, so that we can provide a seamless service.

--- Later in debate ---

[Mr Llwyd]

I agree entirely, but there has been a problem historically. For example, I remember that there was a designated centre in north Wales dealing with PTSD that was run by a very experienced clinician called Dr Dafydd Alun Jones. I went to see the then Labour Minister at the MOD and asked whether he could put in a good word to secure funding for people to be treated there. He gave me a wry smile and said, “I sympathise with you, but unfortunately it’s a matter for the Health Department.” Some months later the Minister was transferred, as Secretary of State, to the Department of Health, so I went to see him. I got the same wry smile and words of sympathy: “It’s not my problem, guv. Have a word with either the DWP or the Ministry of Defence.” What that implies to me is that until very recently this matter was never taken as seriously as it warrants.

[Mr Kevan Jones]

indicated dissent.

[Mr Llwyd]

The hon. Gentleman shakes his head. That may be his view, but I am pleased that this matter is now being taken seriously. The Select Committee on Welsh Affairs is now looking at it and the Welsh Government are doing good work, as are our colleagues and friends in Scotland—for example, in Edinburgh there is a one-stop shop, which again could be a model for all countries in the UK—so at long last stuff is happening.

I want to end on what might be a discordant note, by quoting from a letter I received a couple of weeks ago. It is from a gentleman who served in the armed forces who lives in Barry, in the Vale of Glamorgan, and he says:

“I spent much of my working life as a member of the RAF as an aircraft engineer, completing over twenty years service. During Operation Desert Storm in 1991, I suffered a spinal injury that eventually led to the RAF and I going our separate ways after a medical discharge. Some months later the spinal damage worsened and led to my being hospitalised for an emergency operation to remove a damaged disc. However, due to a delay, much of my nervous system was wrecked, although I did manage to gain some mobility…The upshot of all the foregoing trauma was that my mobility was curtailed due to nervous damage and continuous pain. Over the past 17 years my condition has worsened due to age, however I can just cope—or I could until recently, when I received a letter from the DWP which informed me that I had to go and play performing monkeys for ATOS.

The question is: ‘What the hell happened to the much trumpeted Covenant between the Armed Forces and the Government?’ And no it cannot just apply to the Army. From personal experience, those on the other side give no heed to the colour of the uniform worn—they will try to kill you anyway. As I understand it the Covenant promises to take care of those injured in the service of this country. Seems from my point of view to be failing big time—not a good thing for those lads and lasses putting their lives on the line in Afghanistan. Has the MoD told them this fact yet?

So what does the future hold for me and mine? Playing performing monkeys for ATOS, whose operatives are, as I understand it, under orders to fail 90% of all those seen. So given that I have a 90% chance of failure, this will mean that I will lose the use of the Motability vehicle that is my only mode of transport, however, now being housebound, I’ll probably not have a house to live in, as the loss of income will put our mortgage in jeopardy. Even so, I would launch an appeal against the ruling which, if the various stories I have heard are true, I will probably win. This has its draw backs as those that have won their hearings are then dragged back by ATOS to undergo the whole process again…as many as four times. Isn’t this illegal under the Disability and Equality Act?”

That confirms what the hon. Member for Salisbury (John Glen) was saying about the DWP, and about the need for extra care when dealing with ex-service personnel. The letter supports what has already been said.

We spend many months training these young men and women to the highest level to prepare them for active duty. Once deployed, they will often witness the kind of horrors that few of us, myself included, could ever comprehend. The least we can do for them is to spend a similar period decompressing them as they approach their discharge, and to ensure that no veteran is left to fend for himself or herself. As the Ministers know, there is a time-honoured maxim in the armed forces: “Leave no man behind.” Unless and until we can make the military covenant fully and positively deliver the necessary services, however, that is precisely what the Government will be doing.