Mental Health (Veterans)

Oliver Colvile Excerpts

Tuesday 6th December 2011 Westminster Hall

[Oliver Colvile (Plymouth, Sutton and Devonport) (Con)]

I congratulate the right hon. Member for Salford and Eccles (Hazel Blears) on securing the debate. It is on an issue that I have spoken about on one or two occasions. I am delighted to say that in my maiden speech I gave warning and notice to my right hon. Friend the Minister that I was likely to carry on banging on about it. I am therefore grateful to have the opportunity to do so. A big problem with such debates is that the issues are covered by not only the Ministry of Defence but the Department of Health, and it would be helpful if we could, at some stage, get a Minister to come to talk about the health implications of what we want.

The right hon. Lady has given a very good briefing on Combat Stress, and I, like her, have been to talk to that organisation. It has been incredibly good at ensuring that I am kept informed and have an understanding of exactly where the problems are. Of course, we have heard a lot about the concentration and focus on veterans who have come out of Iraq or Afghanistan, but we must remember that people who were involved in conflicts in Northern Ireland will also need help. They also make up a significant number of the casualties who were created from that long and bloody conflict.

We talked at some length about how there will be an increasing number of people dealing with combat stress over the years. The Government have announced that we will withdraw from the Afghanistan conflict by 2014, but activities will continue there. During a trip that I made to Afghanistan a couple of weeks ago, I was told that although the troops will not go out on patrol, we will almost certainly need to support and help those in the Afghan army and police, who will need guidance. I am in no doubt at all that elements in the Afghan resistance will seek to ensure that our troops are subject to many attacks.

I grew up with these issues. My father went into the Royal Navy at 14, and was awarded the distinguished service cross for his activities in Narvik. He told me, when I was a child and a teenager, of how it was that he had been responsible for trying to take the head of one of the people he had served in a cabin with to throw it over the side when it was blown off in action. Fortunately, that did not have an impact on us as children. He was a very normal man and lived a full and active life until he was 89, but there was a real chance that such activity could have had a significant impact, not only on my mother, who, I have to say, had the most wonderful sense of humour, but on us, as children. We have all come out, I hope, reasonably sane and balanced.

The other day, I visited the Royal Marines in Exeter. One person told me a sad story of how when he had served abroad in action, he came back and wanted to talk to his wife about what he had faced. He wife looked at him and said, “Don’t start talking to me about any of that. I’ve had a damn awful day as well. I’ve had to deal with 300 e-mails, so that’s my priority”, so he did not talk to her about it. He tried to talk to his mates, who were not involved in the armed services, but they found it very difficult to understand, so he had to find his fellow servicemen—Royal Marine friends—who lived in Aylesbury, where he came from, and talk to them. It was only by having that opportunity to share his experiences that he saw what was going on.

I represent Plymouth, Sutton and Devonport, and it is a great pleasure to do so. We have just, literally, had 3 Commando Brigade come back from Afghanistan, and I think it also has some of the scars that come with that.

I am delighted that we have accepted the military covenant into law. I hope that the Secretary of State’s regular reports on that issue will be informed, and that we will be able to talk about mental health. I congratulate my hon. Friend the Member for South West Wiltshire (Dr Murrison) on writing the paper called, “Fighting Fit”. I think that that was the benchmark for ensuring that we were able to produce a strategy, and we are taking the issue more seriously.

I am also concerned about the reservists. We are enormously good at talking about regular service personnel, but we do not talk too much about reservists, although I know that my hon. Friend the Member for Canterbury (Mr Brazier) has been doing an extraordinarily large amount of work on this. I was talking to the British Legion the other day, and it told me how it did not seem possible to share information on reservists with charities that are delivering support and help. Could we look at that? Can we make sure that the information is much more readily available, so that people such as Combat Stress and the British Legion are aware of exactly where the issue is going to?

[Mr Gray]

There is a particular problem regarding the Territorial Army and reservists in general. Whereas a regimental family closes around someone among the regulars who is bereaved or has mental problems, and regulars tend to live in the same place as where they are serving, reservists often come from right across the land, and there is a much less strong regimental hierarchy to look after them. Reservists need particular help from the Ministry of Defence.

[Oliver Colvile]

I was just about to make that point. Those people work and live in isolation. The problems that they have with decompression are enormous. When they come back, they do not necessarily have the same amount of time as regulars do to unwind and be debriefed. We need to look at that issue. When I was talking to a senior Royal Marine the other day, he said that it would be helpful if the decompression time for reservists could be longer. I urge the Minister to consider that.

Another issue that we need to look at is how the national health service is dealing with the matter. As I said, the question is not just about how the MOD deals with the issue, although the Minister has been doing excellent work on veterans. I support the way in which we will change the structures of the NHS. I voted for the legislation, and I think it is the right way of going about it, but will our general practitioners and commissioning boards be able to manage the matter? If GPs commission such services, how far up the agenda is the mental health issue going to be? How will policies be implemented? Will we have lead GPs taking an interest? I will most certainly be asking my GP commissioning board down in Plymouth how it is proposing to manage the issue. We must think the matter through. We in this place can pass legislation easily, but we must ensure that it is implemented and that we monitor the results.

[Sir Paul Beresford]

That issue was raised with the previous Government. Some time between then and now, national commissioning of Combat Stress long courses was introduced. My hon. Friend is absolutely right about the recommendations of potential patients and about the other niche groups and niche courses. The Department of Health will need to look at the issue.

[Oliver Colvile]

I think that that is right. Local authorities also have to be involved. They will now take increasing responsibility for the matter. I was talking to the leader of my council last week, and she explained that until recently, the primary care trust had not been that interested in engaging on some of those big issues. I will be interested to know how that will happen. The whole story of mental health, as the right hon. Member for Salford and Eccles said, is an important issue.

We closely support our armed forces and veterans. Some of us—I happen to agree—are not convinced that we have handled the politics of what is going on in Afghanistan particularly brilliantly. However, if we are going to support our armed services, we must ensure that we look after them properly and that they come out with good results. How we deal with the issue of mental health will be paramount. As others have said, there are issues regarding licensing. In Plymouth, we have significantly more licensed premises than in Liverpool. That is a big issue. When people get depressed, they end up turning to alcohol and other substances. We must ensure that there is a joined-up and co-ordinated approach.

If we do not deal with the issue, we will have problems with our infrastructure, not only of the health service but of education. I heard a story that it is not mainly what comes out in the health stories but what happens in the home that is absolutely, utterly and desperately important. That is where all the problems kick off, and they do not become apparent until significantly later.

Mr Dobbin, thank you for allowing me to talk about the matter. I feel absolutely serious about the issue. It has been a great pleasure and honour to follow the right hon. Member for Salford and Eccles.