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Lord Bishop of St Albans
Main Page: Lord Bishop of St Albans (Bishops - Bishops)Department Debates - View all Lord Bishop of St Albans's debates with the Ministry of Defence
(3 years, 2 months ago)
Lords ChamberMy Lords, I too want to pay tribute to our Armed Forces. In repaying their service, it is right, as the Armed Forces covenant states, that
“those who have served in the past, and their families, should face no disadvantage compared to other citizens”.
I welcome the provisions in the Bill enabling greater legal enforcement of the covenant in achieving this parity.
At the same time, however, the Government must pay attention to the unique working environment of military service and the accompanying higher risk prevalence of a variety of health-related issues that occur both during active service and when readjusting to civilian life. Numerous studies over the years have identified a higher prevalence of alcohol misuse in military service personnel compared with the general population. The Ministry of Defence explicitly recognised this reality back in 2016 when it introduced the AUDIT-C questionnaire for alcohol screening during routine dental inspections by defence primary health care dentists.
Despite this positive public health approach in the past, last year I asked the MoD about the success of its existing programmes in the military to stem gambling-related harm. I was surprised by the response that it had seen no evidence that service personnel were more prone to problem gambling than any other group. I am tempted to say that it cannot have looked very hard. There is a raft of studies from the United States of America analysing the gambling habits of both serving personnel and veterans. Those studies have found far higher rates of pathological gambling and lifetime gambling disorder in both those serving and in veterans, and in both genders. Based on this evidence, the United States of America introduced screening for gambling in Section 733 of the 2019 National Defense Authorization Act.
Of course, the conditions that give rise to problem gambling and the nature of the addiction itself may differ between the UK and the USA, but that alone does not mean that the possibility of higher than average levels of gambling disorder in the military can be dismissed. One of the few UK studies of problem gambling, from 2018, using data from the 2007 Adult Psychiatric Morbidity Survey, recorded UK veterans as being eight times more likely to be problem gamblers than the general population—a trend that broadly mirrors those found in the United States of America.
Currently, little research has been done on the gambling habits of serving UK personnel but, since similar trends in UK veterans and their American counterparts have been found, there is good reason to believe that the gambling habits of American service personnel broadly correlate to those in the UK. In fact, the UK has had a much more relaxed attitude to regulating online gambling. If ever research were undertaken into the gambling habits of UK service personnel, it is likely that it would reveal levels of gambling disorder that exceed those in the USA military. I believe that screening for gambling disorder is as important as screening for alcohol misuse. Both are destructive; both ruin lives.
It is part of our care for those who go into these dangerous situations and are put under huge psychological pressure that we screen them and make sure they have proper support. For this reason, I am minded to table amendments to the Bill in Committee including provisions that mirror those the USA already uses when screening for various disorders in the military, including gambling disorders.
On a final note, I simply want to add my support to the Government in not forgetting those who served their country and have long since passed, and I welcome the extension of posthumous pardons for now abolished service offences.
Lord Bishop of St Albans
Main Page: Lord Bishop of St Albans (Bishops - Bishops)Department Debates - View all Lord Bishop of St Albans's debates with the Ministry of Defence
(3 years ago)
Grand CommitteeMy Lords, I have added my name to Amendment 48. As we heard from the noble Lord, Lord Dannatt, it aims to improve mental health services and to provide additional support for serving personnel, particularly those affected by the United Kingdom’s withdrawal and the Taliban takeover in Afghanistan this year. I also support the other two amendments in this group, Amendments 60 and 66A.
At Second Reading I highlighted Operation Courage, a partnership between the NHS and Combat Stress and other mental health charities, whether Armed Forces-specific charities or local or specific mental health charities. In principle, Op Courage is a really good example of how mental health services for current serving personnel or veterans should be able to provide a strong, signposted short cut to mental health services when and where they are needed.
Combat Stress reports that during August it saw a doubling of calls to its 24/7 helpline. This was on top of already struggling to afford to offer its specialist treatment to around 1,600 veterans with complex mental health needs annually. It estimates that there are at least double that number out there who Combat Stress cannot afford to support.
As a charity, Combat Stress is currently 75% dependent on voluntary donations and the generosity of the public. I think we all know that donations to charities have significantly reduced during the pandemic. I have no doubt that with extra resources it and the other specialist mental health charities can deliver the services needed, because they understand the specific pressures facing serving personnel and the traumas that too many have to learn to live with, both during and after their terms of service.
Leo Docherty MP wrote to all MPs and Peers on 24 September, setting out the support available for service personnel and veterans, their families and the bereaved, should they need it. It was a helpful and informative letter, but it did not refer to when the further £2.7 million will be made available for Op Courage. Does the Minister have that detail available? Is it for spending in a particular period, or does it extend over more than one financial year?
The letter from Leo Docherty did not mention one welcome intervention in recent years: the training of mental health first-aiders in our Armed Forces. The mental health first-aid charity MHFA England says:
“In 2015/16, 3.2% of UK armed forces personnel were assessed with a mental health disorder—over 6,000 people. Many more go undiagnosed and untreated.”
When I have talked to service personnel who have become mental health first-aiders since their return from deployment in Afghanistan, I have heard of how the training that they received enabled them to recognise the warning signs this summer in those they currently serve with, as well as past comrades. One soldier told me that, in August, the community of personnel was able to come together on social media to support and encourage those reliving tough memories or, worse, flare-ups of PTSD. Because of their mental health first-aid training, they were able to help these colleagues to access phone lines—for example, to Combat Stress and other organisations.
How many Armed Forces mental health first-aiders are now in place? Will the extra funding announced in September include training for more mental health first-aiders in the future? Also, can the Minister explain how Op Smart, which was designed to develop mental resilience across personnel in the Armed Forces, sits with Op Courage? Op Smart is much to be welcomed, and is critical to personnel becoming not just self-aware but aware when colleagues may be facing problems. How is Op Smart, and specifically the mental health first-aider programme, funded? The last part of Amendment 48 talks about collecting data. It would be very beneficial to see data on all these issues, including, as the noble Lord, Lord Dannatt, said, on suicide. Can we find such data now? If not, will it be collected and, as the amendment says, included in the annual covenant report?
I return to the extra £2.7 million of funding. Many current and former service personnel who served in Afghanistan and elsewhere, and are currently reliving their traumas, need to access NHS mental health services, including crisis care, right now. Unsurprisingly, these services are facing extraordinary pressure already. The NHS Providers activity trackers show that, for October 2021, referrals remain 10% higher than pre-pandemic levels, with many people having to wait significantly longer than the 18-week target time for their first contact.
In July, NHS England proposed setting new mental health access service standards, working in conjunction with Mind, the mental health charity, and Rethink Mental Illness. The new urgent care proposals would mean that community mental health crisis teams could reach patients within 24 hours of referral. The other key target for mental health liaison teams linked with A&E departments would also be rolled out across the rest of England. Detail on the actual level of funding to deliver this new target is still awaited. For this Bill, I am particularly interested in how all this will fit in with Op Courage. Perhaps the Minister can help me; if she does not have that information at her fingertips, could she write to me afterwards?
This amendment seeks urgent, extra, specific support for Op Courage—and, I hope, for Op Smart too—to ensure that all those people who are serving, or have served, their country do not fall through the net when they need mental health services.
My Lords, I declare my interest as a vice-chair of Peers for Gambling Reform. I rise to speak to Amendment 60 in my name. I tabled it because I am concerned that the Ministry of Defence is not taking gambling-related harm in the military community sufficiently seriously. On two occasions in response to my concerns in this area, the Ministry of Defence has stated that it has seen no evidence, or does not hold information, suggesting that serving personnel are more prone to problem gambling than any other group in society.
At the same time, it was disappointing to hear that evidence from the United States that suggested that serving personnel were more prone to problem gambling did not constitute an evidence base for the UK Armed Forces. This leaves us with a clear impasse, where the Government refuse to accept research from abroad but, at the same time, do not commit to researching whether there is a problem.
Lord Bishop of St Albans
Main Page: Lord Bishop of St Albans (Bishops - Bishops)Department Debates - View all Lord Bishop of St Albans's debates with the Ministry of Defence
(3 years ago)
Grand CommitteeMy Lords, I rise to speak in support of Amendment 61 in the name of the noble Baroness, Lady Massey of Darwen, to which I have added my name. I have done so because of my concerns about the well-being of young people and because I am not convinced that there are sufficient benefits in allowing the enlistment of young people of 16 or 17 rather than 18. Evidence and personal experience tell me that there is not.
I speak because of the experience of a member of my own family, so I know a story inside out, but I have also spoken to a number of parents whose children were recruited under the age of 18—and I have heard some very similar stories those described by the noble Baroness, Lady Massey, in her speech. I have no doubt that, for some early leavers recruited below the age of 18, the mental damage can take years to recover from. These recruits have the legal status as children and are entitled in law under safeguarding legislation to be protected from harm as far as possible.
There are a number of other reasons why I question this policy. Younger recruits suffer from very high drop-out rates. Official statistics show that, once enlisted, 30% of the Army’s under-18 recruits leave or are dismissed before they finish their training. They can find themselves out of work and education within months of joining, and these discharged recruits are not tracked, so we cannot speculate on how they fare after they leave the military. That being said, it would not be unreasonable to say that, had the option of joining up not been available, they would have stayed in full-time education, taken an apprenticeship or worked part time while undertaking a qualification. We are talking about not some small, troubled minority who failed to adapt adequately to military service, but nearly a third of all junior recruits. That is affecting some 700 young people a year, according to the Child Rights International Network.
According to data from 2011 to 2014, of those junior recruits who stay on to complete their training and enlist fully, an additional 10% drop out at the age of 22, the minimum length of service. This gives a total retention percentage beyond the age of 22 of around 63% for all those who enlisted below the age of 18. Furthermore, data from 2017 to 2019 shows that only one in five recruits enlisted under the age of 18 are still in the Army 10 years later, compared with one in four adult recruits.
Surely this makes little sense for the Army, which allocates huge amounts of time and resources to recruit so many under-18s only for such a large proportion to either leave prematurely or complete just the minimum required service. The Ministry of Defence’s own data shows that adult recruits aged 18 or above are more likely to finish their training. Hence, it makes economic sense apart from anything else for the Army to focus its efforts on older recruits, especially given that the MoD admits that adult recruits cost half as much to train.
As I have mentioned, there are also concerns surrounding the long-term mental health outcomes of those who join up early. A recent study led by Glasgow University comparing the long-term outcomes of junior entrants with civilians of the same age and background found that junior entrants since 1995 were between two and three times more likely to develop long-term PTSD. This is significant because PTSD has been found, in a range of studies, to co-occur with depression and addictive behaviours, including substance and alcohol misuse and gambling disorders. This point is reinforced further by a study led by King’s College London, which reviewed the mental health of veterans who had originally enlisted as junior entrants. Since 2003, junior entrants were twice as likely to develop alcohol misuse and twice as likely to report episodes of lifetime self-harm compared with veterans who had enlisted at older ages.
Even if these are afflictions that affect junior recruits in adulthood, any reasonable duty of care must consider the long-term consequences of a particular policy. Since around the turn of the millennium, the youngest recruits to the Armed Forces have been substantially more likely than older recruits, and more likely than civilians of the same age and social background, to develop mental health problems in the longer term.
I am sure that some might prefer to focus on the fact that this problem has emerged since the late 1990s. The slur “snowflake” has been used to tar a generation some believe are overly sensitive and unable to overcome adversity. But the reality surely is that, regardless of our approach to young people, the problems young recruits face are real and have serious long-term impacts. In an age of heightened awareness about mental health, old mantras such as “toughen up” fail to alleviate the damaging consequences of junior enlistment.
The evidence I have been trying to outline in favour of these amendments points to a real problem with the policy of recruiting at such a young age. Seeing as most other countries can manage by recruiting adults, surely the UK should have no problem either. For those 16 or 17 year-olds who would have eagerly joined the military, if they are still passionate about doing so at 18, the option is still available to them. They will be entering with greater life experience and a greater chance of success both in the military and in their subsequent civilian life.
My Lords, the last time I spoke on this issue was in support of my late noble friend Lord Judd, who, as my noble friend Lady Massey said, was much admired and loved—and, I would add, is much missed. He brought to issues such as this his passion for social justice, which was unrivalled in your Lordships’ House. That said, my noble friend has made a powerful case today in introducing these amendments. Like her, I come to the issue from a children’s rights perspective and am grateful for the briefing from the Child Rights International Network.
I apologise that I could not attend the Second Reading debate but, reading it, it seemed that the Minister was rather flippant in her response to the noble Baroness, Lady Bennett of Manor Castle, when she raised this issue. The Minister dismissed the term she used, “child soldiers”, as
“a term that few of us in this Chamber recognise”.—[Official Report, 7/9/21; col. 775.]
Perhaps so but it acts as a reminder that we are talking about children, as defined by the UN Convention on the Rights of the Child, as has already been emphasised. The Minister may wish to point out that the convention does not prohibit enlistment of children under the age of 18. But the body which monitors compliance with the convention, the UN Committee on the Rights of the Child, has repeatedly called on the UK to raise the minimum age of recruitment to 18. The Joint Committee on Human Rights has in the past, including when I was a member, also questioned government policy on this matter from a human rights perspective.
The UN committee will be reviewing the UK’s progress on children’s rights again next year and has already flagged up Armed Forces recruitment in the list of issues that the review will examine. It has asked the Government to explain what steps they have taken to raise the enlistment age since the last review in 2016. The committee has also asked whether the minimum period of service for recruits aged under 18 is still longer than for adult recruits—a discrimination that Amendment 62 seeks to end. Surely we wish to be able to point to progress in this area since the last review.
As my noble friend underlined, it is important to remember the international context. She pointed to a clear positive trend: half a century ago, it was normal for state armed forces to recruit children; in most parts of the world, including Europe, it is now abnormal. This is a seismic shift at a global level that has already safeguarded countless adolescent children from the harm associated with joining the armed forces too early. Increasingly, the global consensus that children should be safeguarded from military work is denying political cover to less scrupulous countries than our own and armed groups which otherwise have no qualms about sending child soldiers into combat.
We have an opportunity here. A global ban on the use of children for military purposes used to be a pipe dream. Now, it is at least imaginable. At the moment, the UK follows the lowest legally permissible standard in the world by allowing enlistment from age 16, lagging behind others when we could be helping to lead the way—and it can be done. Noble Lords here will know much more about this than I do but, in contrast to the Army, the RAF and Navy do not recruit many under-18s. Historically, the Army has said that it needs younger recruits just to fill the ranks and when the issue was last debated, the then Minister—the noble Earl, Lord Howe—explained that the under-18s represented 15% of the Army’s inflow, which I found rather shocking. Given that the Army has downsized and, as I understand it, is continuing to do so, surely it does not need underage recruits any more. Can the Minister give us some up-to-date information on the trends in recruitment of those under 18, including what proportion of inflow they represent now?
It would seem that the transition to an all-adult Army could now be within easy reach. For the protection of children’s rights, here in the UK and globally, it is a step we should take.
My Lords, I oppose Amendment 61, which would effectively prohibit the enlistment of persons under the age of 18. I, for one, certainly am not ashamed that we give young people these life opportunities. I say to the noble Lords who have proposed this amendment that many of what they seem to have taken as facts I simply do not recognise: presumably they have been published by organisations opposed to this. I am happy to give way to be corrected, but the one cohort they do not seem to have engaged with is the young people themselves at the Army Foundation College. Has anybody been to the Army Foundation College? No, no one has. That is a disappointment. Perhaps I could ask noble Lords to at least consider going to visit the college.
Slightly tongue in cheek, I say to the right reverend Prelate, on his concerns about what is an appropriate age to recruit young people into an organisation, that I think I was 14 years old when I was recruited into the Church of England, effectively, through confirmation. I have no idea what is now the minimum age to be confirmed in the Church of England, but I am happy to give way for him to tell me.
I would say that we are not asking our confirmation candidates to enter into armed conflict. It is a very different thing when we talk about membership of clubs, the Church or whatever. We have laid out our concerns about this very strange period when young people are growing up because, right across Europe and most of the world, we are absolutely clear that these are children who we are asking to undertake an adult task. That is the concern I bring—but I am happy to have further conversations.
That is a reasonable point, but none the less, the Church of England is actively targeting young people of a certain age to be recruited into an organisation. Okay, I say that slightly tongue in cheek, but there could be a discussion of what age is appropriate for young people to make an informed decision.
I begin by reminding your Lordships that there is no compulsory recruitment into the Armed Forces. All those under the age of 18 are volunteers, and we should take pride in the fact that our Armed Forces provide challenging and constructive education, training and employment opportunities for young people while in service, as well as after they leave.
The Armed Forces remain the UK’s largest apprenticeship provider, equipping young people with valuable and transferable skills for life. I declare an interest, because I applied to join the Army before the age of 18. I went through a regular commissions board and made an informed choice to join the Army when I was still a minor. Although I did not attend Sandhurst until shortly after my 18th birthday—a short course for the type of commission I was undertaking—I recall my time in the regular Army when I was a teenager with great pride and a sense of satisfaction. That may well be in part due to my posting to Hong Kong, where I received both a formal military education and a rather less formal liberal education in life—but that is another matter.
The minimum age for entry into the UK Armed Forces reflects the normal school leaving age of 16, but recognises, through the training offered, that participation in education or structured training remains mandatory until 18. In the services, all recruits who enlist as minors and do not hold full level 3 qualifications are enrolled on an apprenticeship scheme, unless their trade training attracts higher-level qualifications. All undertake structured professional education as part of their initial military training, and therefore automatically fulfil their duty to participate under the various education Acts. Many individuals who join under the age of 18 are not academic high achievers, although some are, and the duty of care and training that the Armed Forces provide enhance their self-esteem and prospects for the whole of their working life, within or without the services.
Let me be clear: our military is full of service men and women who freely admit that, had it not been for the structure, education and discipline that service life offered them as 16 year-olds, it is highly likely that their lives would have led them down an entirely different and less positive path. Joining the military at 18 would have simply been too late for them to make that positive change of direction in their lives.
In my experience, the military fully recognises the special duty of care that it owes to under-18s, and commanding officers continue to have that made clear to them. The recruiting policy is absolutely clear. No one under the age of 18 can join the Armed Forces without formal parental consent, which is checked twice during the application process. In addition, parents and guardians are positively encouraged to engage with recruiting staff during the process. Once accepted into service, under-18s have the right to automatic discharge at any time until their 18th birthday. All new recruits who are under the age of 18 and have completed 28 days’ service have a right of discharge within their first three to six months of service if they decide that a career in the Armed Forces is not for them. It is simply not in the interest of either the individual or the service to force them to stay where they are not happy to be.
MoD policy is not to deploy personnel under the age of 18 on operations. Service personnel under the age of 18 are not deployed on any operation outside the UK, except where the operation does not involve them becoming engaged in or exposed to hostilities. There is evidence to suggest that those joining at a younger age remain in service for longer and that under-18s in the Army achieve higher performance based on their earlier promotion. Evidence clearly shows that junior entrants are likely to serve longer and to achieve higher rank than some senior entrants, so the additional costs incurred in their training that noble Lords have mentioned reap considerable benefits for the service, the individual and society as a whole.
The services are among the largest training providers in the UK, with excellent completion and achievement rates. Armed Forces personnel are offered genuine progression routes which allow them to develop, gain qualifications and play a fuller part in society—whether in the Armed Forces or the civilian world. In the naval service and the Royal Air Force, initial military training is conducted on single-service sites and, because of the smaller scale, no distinction needs to be made in the training provided to those under 18. In the Army, phase 1 training for under-18s, the basic military training course, is completed at the Army Foundation College, where the facilities have been specifically designed for this age group. The training courses last either 23 or 49 weeks, both of which are longer than the basic over-18 course and dependent on the length of the subsequent specialist training.
The MoD’s duty of care policy for under-18 entrants is laid down in a defence instruction and covers the duty of care obligations of commanding officers. This is constantly updated, and I am the first to admit that I am probably now out of date, since I have left being a Minister for two years, but I am sure that my noble friend in her response will update the Committee on some of its current components to offer some reassurance as to how the military deals with that duty of care.
Equally, as I have mentioned, all recruits enlisted as minors who do not hold full level 3 qualifications are enrolled on an apprenticeship scheme, unless their trade training attracts higher-level qualifications. For example, as a Royal Engineer I trained to be a bricklayer and an electrician. The time taken to complete their apprenticeship varies according to the programme being followed, but completion rates are high. Additionally, while in service all Armed Forces personnel—subject to meeting certain qualification criteria—can claim financial support for education under the standard learning credit scheme and enhanced learning credit scheme.
To conclude, I believe that under-18s who chose to join the Armed Forces are an important and valuable cohort among those starting their military career. The MoD invests strongly in them and they repay that investment with longer service and higher achievement. The duty of care for that cohort is paramount and establishments are regularly inspected by Ofsted and achieve consistently good or outstanding gradings. The training and education are clearly first class and MoD policies on under-18s in service are robust and comply with national and international law.
Crucially to me—and I have seen this time and time again—joining the Armed Forces provides prestigious and respected career opportunities for young men and women who may not have achieved the same in civilian life. But there is no need to take my word for it. I would encourage any noble Lord seeking to support this amendment to visit the Army Foundation College in Harrogate and speak to the young service men and women themselves—because it is, after all, their future we are debating.