Armed Forces Bill

Debate between Lord Patel and Lord Judd

Tuesday 6th September 2011 Grand Committee

[Lord Patel]

My Lords, I have my name down to support Amendment 11 in the name of the noble Lord, Lord Kakkar. The comments that the noble Lord, Lord Davies of Stamford, made about the amendment in no way diminish the important point that it tries to make. It is about collecting information relating to healthcare needs “affecting service people”—that is specified by the amendment, and includes families—

“including issues related to access to healthcare”.

There was a clear deficit in access to healthcare by service personnel and their families.

In my time, I have had the privilege to serve on the peer review board, ably and effectively chaired by the noble Baroness, Lady Dean, and as a member of the Armed Forces equality and diversity advisory group, and I have come across many service personnel and their families. Being the only doctor on the board it was inevitable that they spoke to me about health issues. There was a clear deficit in access to healthcare by service personnel and their families, and in the kind of care offered to those who suffered injuries and whose surgical repair required long-term care, particularly physiotherapy, to make them fit again. That was absent. To have a covenant that requires the authorities to produce a report that tracks the healthcare needs of service personnel and their families is extremely important. We need a commitment to look after them as they move about. Their usual comments were that they had to join the end of the queue again on the waiting list as they moved from one place to another. The amendment makes a commitment to collect that information. Although the amendment refers to “research” it is not research in the true sense, but collecting information. I do not believe that the amendment would add an extra burden in any way.

[Lord Judd]

My Lords, I hope that the Minister will take seriously the arguments that have been put forward this afternoon. With the tremendous demands that we make on our armed services and the way in which they discharge their responsibilities, our responsibility is redoubled to make absolutely certain that whatever the good intention of the new legislation—the proposals are impressive in many respects—it is not allowed to become a formality in which the real application of its spirit becomes minimalist rather than maximised. We need to be clear that effective muscle is in place.

It is a long time since I had the privilege of being a Minister at the Ministry of Defence. In those days we had Ministers responsible for the services and I had responsibility for the Navy. I can remember clearly that issues were raised about the welfare of personnel in the Navy even back then in the early 1970s. The Seebohm report was produced by the distinguished man of that name, who wanted to put in place effective arrangements to ensure that there was proper provision for the welfare of naval personnel. In those days it was regarded as a very hostile concept. There was a lot of defensive reaction within the service for which I was responsible because it was felt that it was undermining the responsibility of leadership in the services. There were well informed and courageous officers at that time who were saying quite the reverse and that the responsibility of leadership is to make sure that things happen and are well done. If we know that we do not have professional insights or experience that is relevant to proper provision, we have a responsibility as leaders to ensure that it is available. The report prevailed.

I make that point because it seems that our attitude has come on by leaps and bounds, and I can do nothing but welcome how those with a great deal of highly relevant and recent senior service experience are seeing all this as part of discharging our responsibilities to the personnel who serve us so well.