Armed Forces Bill (Second sitting) Debate
Full Debate: Read Full DebateMike Martin
Main Page: Mike Martin (Liberal Democrat - Tunbridge Wells)Department Debates - View all Mike Martin's debates with the Ministry of Defence
(1 day, 17 hours ago)
Public Bill Committees
Juliet Campbell (Broxtowe) (Lab)
It is a pleasure to serve under your chairship, Mr Efford. I rise to speak to new clause 6, which seeks to appoint a national veterans commissioner for England.
Although the hon. Member for South Northamptonshire has raised important issues about the needs of our veterans, it appears that the role of the national veterans commissioner for England would duplicate the role of the armed forces covenant. The covenant ensures that we acknowledge and understand that those who serve or have served in the armed forces, and their families, including the bereaved, should be treated with fairness and respect in the communities, the economy and the society that they serve with their lives. It fulfils that role, alongside Op Valour and the armed forces champions. The Government are also investing in improving awareness and understanding of the covenant across the armed forces and service providers. In combination, those things alleviate the need for a national veterans commissioner.
Mike Martin (Tunbridge Wells) (LD)
It is a pleasure, after lunch, to continue serving under your chairship, Mr Efford. [Laughter.] That was not meant to be funny, but I suppose the best way to be funny is to be unintentionally funny.
I rise to speak in support of new clause 2, which would legislate for the establishment of a veterans’ mental health oversight officer. I will come to some statistics later, but I think everyone in this room understands that veterans’ mental health is poor. That does not apply to all veterans, of course—many veterans, including the Minister and many Members in this room, take great agency from their service, so I do not wish to paint veterans as victims—but there are veterans who suffer with mental health challenges. Those challenges often start in service, whether they arise through the pressures of service, the vagaries of service life or the trauma experienced in combat.
Under the new clause, the veterans’ mental health oversight officer, who would be appointed by the Secretary of State, would essentially have a remit to oversee the care offered to veterans across the nation. It is doubly important that we seek, as we did this morning, not just to regularise and establish parity of care for veterans across the entire country, but to understand that people with mental health problems often find it hard to reach out. It is easier to forget people with mental health problems, which is why the establishment of the position is particularly important.
I will touch a little on my own experiences. I spent a couple of years in southern Afghanistan, including some periods in combat. I was lucky enough not to experience extreme trauma. Naturally, you do see some things in combat, but that was not my problem when I came back from Afghanistan. What I experienced was a deep sense of frustration and anger at what was effectively a failed mission. I know that some people in this room, including the Minister, served in Afghanistan. We were sent there to do the sharp end of Government policy. We do so willingly, of course—that is what we sign up for—but that policy was ill thought out and often put servicepeople in very difficult positions in which they had to make judgments in extremely grey areas. If the strategy had been slightly more clearly thought out, perhaps some of us who were there might not have experienced that moral injury.
Moral injury, which is actually a term that came out of the conflict in Afghanistan, happens where what you hear about the conflict is very different from what you experience on the ground, and the decisions that you have to make are very discordant. It is a bit separate from the “classic” trauma that we might understand as PTSD, but all these things come to the same. Personally, I wrote books, articles and pamphlets, which was my way of achieving catharsis and balance. I donated the proceeds of my first book to Combat Stress, a charity that supports the mental health of veterans and servicepeople.
I emphasise that many veterans, myself included, take great agency from their service and the qualities and skills that it taught them, but there is a significant minority of veterans who struggle with their mental health, and that journey starts when they are in service. Between 2019 and 2023, mental health diagnoses among active duty personnel increased by 40%. Anxiety and PTSD diagnoses doubled. Those are stark figures. In 2023, mental health disorders accounted for more days in hospital beds for service personnel than physical problems. There is a preponderance of mental health injuries over physical health injuries among our service personnel. Women under 30 in the military are more than twice as likely as civilians to report divorce. We can see the burden on our service personnel.
I am loath to interrupt the hon. Gentleman, because he is making an extremely powerful speech. I pay tribute to his service. When I was the Veterans Minister a decade ago, I looked at the issue. One thing that we looked at closely was the point that the hon. Gentleman is making, which is that some veterans leave in very good mental shape—they have an exit medical and they are fine—but a few years later there can be a trigger event, such as the sudden death of a parent, and suddenly all the suppressed anxieties and difficulties seen in combat can come out very quickly. That person can deteriorate extremely fast. Is the hon. Gentleman’s proposed appointment partly intended to address that problem?
Mike Martin
The shadow Minister is exactly right. We have used a few metaphors today, including that of mental health as a journey. Another metaphor is that mental health is a garden that has to be tended. Each of us has a responsibility to introspect and check in with ourselves to see how we are doing, but the garden also needs to be tended by gardeners. The oversight position in new clause 2 is the chief gardener, if you like.
We have all heard stories in our constituency casework about how mental health services are being pared to the bone. By offering reports to Parliament, the veterans’ mental health oversight officer would be able to illustrate some of the particular problems that veterans who suffer with mental health problems have. They would report to Parliament and illustrate the problems in a way that would enable Parliament to adequately oversee the issue and make sure that our veterans are cared for.
Pam Cox (Colchester) (Lab)
I completely agree with everything the hon. Member says about the need for robust mental and physical health support for veterans, and I bow to his personal experience on the matter. Does he agree that, through Operation Courage, we are providing specialist NHS-based mental health support to veterans, and, through Operation Restore, we are providing additional physical health support? It is my understanding that, to date, up to 36,000 veterans have been supported by those two initiatives.
Mike Martin
I agree with the hon. Lady. In the spirit of cross-party working, I say that we all support our veterans, and I think that the strides that the Government have made are fantastic. The previous Government had a Minister who was passionate about this issue, and he also made strides in this area. We are all trying to move in the same direction; it is not either/or. We have used the phrase “postcode lottery”. We all accept that veterans or people with mental health injuries do not reach out—often people who are depressed or anxious retreat inside themselves—so it is a good thing to have somebody who is able to survey veterans, understand their concerns and see how well linked they are to the fantastic mental health services that are being rolled out by the Government.
Let me highlight a couple of statistics about veterans. Suicide rates are four times higher for veterans under the age of 25 than for the same group in the civilian population, and 52% of veterans have had a mental health problem compared with 45% in the general population. On the point about belonging that I mentioned, a third of veterans reported feeling loneliness compared with just 7% of the civilian population. Veterans experience PTSD at twice the rate of the civilian population. We do not have any figures for the moral injury concept that I spoke about because it is hard to define and band.
The particular case of veterans and mental health is a well-recognised problem—we do not need to over-make the case; we understand it. Veterans often do not reach out when they have mental health issues, so there is a case for a sort-of chief gardener to help us make sure that we all tend the garden of our mental health.
Al Carns
I thank hon. Members for their contributions on clause 2 and the new clauses. They are based on the right intent, and Members are trying to do the best by our serving and ex-serving population.
I will leave the script and step back to look at where we have come on this journey. Under the previous Government, the Office for Veterans’ Affairs sat outside the Ministry of Defence. I sort of understand why that happened in some cases. I analysed this to and fro for a long time before making the decision to bring it back in. With hindsight, after a year and a half, the ability to amalgamate all the different parts of the veterans portfolio, including pensions, injury claims, records and the resource that Defence brings, has brought us far further forward. Would that have happened if the OVA had not been outside in the first place? I cannot comment, but its position in Defence, where it is safeguarded as an organisation, means that it harnesses all the bureaucratic power that Defence can bring to move stuff forward.
I will come in a second to the issues of veterans’ mental health and having a veterans commissioner. But if we step back and look at Afghanistan—where some Committee members here served; I did five tours there—there was a palpable feel among the population that the Government were not doing enough, or that the system was not flat and fast enough to deal with the scale of the problem that Afghanistan was kicking out on rotations. We therefore saw an explosion in the number of veterans charities, and the reality is that we now have more than 1,000 veterans charities in the UK. That number is growing every day. Some are the best, most well-meaning people, doing an amazing job and dealing flat and fast with veterans in our communities at the grassroots level. They do an outstanding job, and we have to harness the best charities. Some big charities, too, do a fantastic job of analysing data and providing the Government with clear advice on how to support veterans. There is also everything in between. I will be clear: there are the most amazing charities, very good charities, average charities and a very small minority that do not deliver as efficiently as perhaps they should.
In the veterans portfolio, how do we help the charities cohere their capacity, the £1 billion market that is the veterans charity sector, to deliver it more effectively? And how do we do that in conjunction with local government, while understanding the good, the bad and the other group that sits to the right of that mark? That will stem from Valour. It has taken small steps, but it is moving forward relatively quickly. The first one was about the establishment of an OC—officer commanding—Valour, the head of Valour. Who will run this programme, which is not just about England, but about England, Scotland, Wales and Northern Ireland?
The reason why we need one central point of contact is that we have devolved Administrations that do things differently. We have a plethora of datasets that sit within big charitable organisations, sometimes feeding the output of the charities and at other times providing us with good, balanced analysis. The trouble is that we do not have a collective dataset to give us a clear understanding of the various issues across our veterans space. In fact, the RBL did a fantastic study on perception versus reality, on the statistics and the view of the population versus the actual realities for veterans at the grassroots level. It pointed to one thing: with so many charities needing to generate and raise funds, in some cases they had to champion the requirement for money to go to the most needy or individuals in most need of support.
When we look at the realities, most veterans leave the military and do not have an issue. A proportion have medium-level needs, and a proportion have some really acute needs. The reality and the perception, however, are different. Some of that is skewed, because we have created a charitable sector network that must generate an income from championing or sometimes pushing the most injured and the individuals who need the most support to the very front of the limelight. That creates a national narrative that turns veterans into victims, and I tell the Committee now that it is 110% not the case. Some individuals need lots of support, some need some support and other people go on to contribute to society with no impact whatever.