Military Covenant

Debate between Mark Francois and Elfyn Llwyd

Wednesday 21st November 2012 Commons Chamber

[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.

[Mr Francois]

There is a problem with data protection and patient consent, but we believe it can be overcome, and work on that is taking place.

I should declare an interest: King’s College London, to which hon. Members have referred several times, was my alma mater. I did my MA in law studies there. It is widely acknowledged that it has great expertise in the field of service mental health, and if it gives the right hon. Gentleman even slight reassurance, let me say that I am going there next week to meet Professor Simon Wessely and others to learn as much about this as I can.

[Mr Llwyd]

I am extremely grateful to the Minister for that intervention, and I am pleased with his comments. I know that a lot of work is being done, but I also know that a lot of work needs to be done, and I accept and appreciate his remarks in the tone they were given.

We need to address the huge dependency on alcohol and other substances that many armed forces personnel develop. Alcohol is frequently treated as a catalyst to unwinding by those on leave, and it can be no coincidence that many veterans leave active service displaying an overdependence on alcohol. Who am I to talk about that? I have never seen the hell they have been through, and one can understand why it occurs. Nevertheless, counselling on substance misuse must be a vital part of decompression.

During passage of the Armed Forces Act 2011, I tabled amendments based on the recommendations of a parliamentary group on veterans in the criminal justice system, as well as those made in the paper published in 2010. I was unfortunately prevented from sitting on the Bill Committee—the only time I have been unsuccessful in applying for a Bill Committee position in my 20 years in Parliament. I am not sure what happened. I was able to make a contribution on Second Reading and Report, however, and progress has now been made. As I stated, the principles of the military covenant are now enshrined in law, which is important, but we need to go further and ensure not only that we talk about the covenant but that it is a means of delivery for those who need these vital services.

I am pleased to have taken a brief part in this debate. There is good will among Members of all parties in the House to increase awareness of the problems faced by veterans, and the issue has now become popular with the media. We know, for example, that there are thousands of veterans charities doing fantastic work, but perhaps more could be done to link some of them together, to provide specialist services in some corners and add to the Government services being provided.