Nuclear Test Veterans: Medical Records

Stella Creasy Excerpts

Tuesday 28th November 2023 Westminster Hall

[Stella Creasy (Walthamstow) (Lab/Co-op)]

It is a pleasure to serve under your chairmanship, Mr Vickers, and an honour to be part of such an important and powerful debate, standing with many colleagues from across the House who are concerned that they see an injustice. I join in the tributes to my hon. Friend the Member for Salford and Eccles (Rebecca Long Bailey), who has been a tremendous advocate for the nuclear test veterans—and persistent. I fear that often persistence is what is required in this place, no matter how strong and compelling the case being made. I pay tribute to the right hon. Member for South Holland and The Deepings (Sir John Hayes) for his support and work on this issue, too. He is right that this House is at its best when we join together.

The hon. Member for Strangford (Jim Shannon) suggested that “Call the Midwife” was the relevant cultural reference for the debate. I feel it is more of a horror story and a horror film, because when we actually listen to the stories of what happened to our constituents and what is happening to their families, it feels like something out of the Hollywood playbook. It simply feels like it could not be true, and yet we know it did happen. It happened to citizens of this country, and the effects are still being felt generations later.

I will share the experience of my former constituent Albert Swain, known as George, who is 91. He lived in Walthamstow on his return from the Pacific for almost 50 years. He has now left, but his daughter is still my constituent. In 1957, he was serving on the aircraft carrier HMS Warrior during Operation Grapple X. This was a test of the hydrogen bomb, which was more than 140 times more powerful than the atomic bomb dropped on Hiroshima. Albert worked in the galley, but during the test he was told to come up to the deck to witness the explosion—told to put himself in harm’s way. He was not given any special protective equipment, and despite turning his back on the explosion, he says that he still remembers seeing his bones through his flesh when the weapon was detonated. His colleagues on the ship said the same thing.

Since his involvement, he has now received his medal, and it is right that we thank these people for their service. But our debate today is about whether we have truly honoured them for the sacrifice they have made of their health, which is what we are now seeing. Albert’s family are concerned about the medical implications of that day for him. He has had skin cancer on his face, he has been blind in one eye for about five years, and he has always had anxiety—the psychological problems, the mental health issues that were mentioned earlier.

More worrying, Albert’s children have had medical issues that they are desperately concerned are related. One daughter had two miscarriages; another lost a baby two days postpartum. All his granddaughters have gynaecological problems of some sort, and one grandson has scoliosis. We know that exposure to ionising radiation can lead to heritable mutations, meaning that the family will never be sure, unless somebody investigates, whether what is happening to them is because of what happened to George.

Let us think for a moment of 40,000 families in this country thinking the same thing, and then ask ourselves whether what we are having to ask today is really enough. I know the Minister has heard the calls for the evidence from the blood and urine tests to be released. It says something about us, does it not, that we are now dealing with quite an elderly generation—as the right hon. Member for South Holland and The Deepings has said, some have now passed away—and yet, rather than tearing down the barriers of the challenges that they may face, these still exist.

Surely in this day and age, knowing what we know now about what has happened to these people, we should not be waiting for people to make requests for their own medical information. There should not be a question about whether data can be released, or a freedom of information request is sufficient; we should be humbled and horrified enough to get that information to them and proactively investigate the healthcare concerns that they and their families may have.

Surely the very least we can do is to recognise the problems that are happening—the stories being told across the country of the people affected by what happened to their grandparents, but who still today are struggling to get information. It is surely a mark of shame on us—I know the Minister will share their concern—that veterans are having to consider legal action to get their medical records, and the compensation and answers they deserve. The right hon. Member for South Holland and The Deepings is right: Governments of all colours have played their part in this tragedy. Surely now is the time to stand up and be what these people were—the best of our country, the best of our people—and do the best of service for them.

I hope the Minister will do more today than just ask whether the data is available, or even if people are making compensation requests. We have to offer those families the help and support they need if they are facing these experiences. We have to offer the proactive approach that I think everybody here agrees needs to happen. I know the Minister will want to do this, so my question to him is, what does he need from us to make that happen? He will have heard the stories. He will think of somebody like George standing on that deck on a bright day, seeing his bones through his skin, and not even realising that generations later it could affect his grandson in the way we fear it might have. He will want to do right by George, and all the others. What does the Minister need from us to make sure not just that those records are released and compensation is given, but that we have the inquiry we need to get to the bottom of what happened to those people, and determine what we can do to put it right?

--- Later in debate ---

[Dr Murrison]

I am relying on the evidence that was published last year—the study of 114,000-plus veterans who have been followed up over 65 years. I cannot account for the remarks of the President of the United States. What I can do is rely rigorously on the scientific peer-reviewed evidence. Today we have heard a number of harrowing accounts from constituents, and I have my own, but at the end of the day the hon. Lady will appreciate that policy has to be based on a rigorous examination of the evidence. I believe that is what has been done in this country and, I suspect, by predecessor Governments of all political persuasions. That is the only basis on which we can proceed. May I tell the hon. Lady, who spoke powerfully, that we need to be careful about unduly alarming people who have served the country in the way we have been describing. That is not in any way to say that their concerns should be downplayed or, indeed, that we should not be transparent in the evidence we produce. I will come on to cover some of that.

I have to say that the narrative that someone is hiding files, presumably under consecutive Governments, is curious. To answer the hon. Member for Salford and Eccles, I am not aware that medical records or test results have been withheld for national security reasons. I have asked again, and it has been confirmed, that the Atomic Weapons Establishment does not hold medical records for any former service personnel. It does, however, hold historical technical and scientific documentation about the UK’s nuclear testing programme in its archives. This was published as recently as September through a freedom of information request, as has been mentioned in today’s debate.

In response to the request for any documents containing the words “blood” or “urine”, the AWE returned a report containing the subject headings of 150 items. Those were reviewed and it was found that three particular documents referencing blood and urine tests were of interest. One referred to an anonymous blood test, another contained four anonymous urine tests and the last identified one individual’s blood tests. Following a request, that information was provided to the individual’s next of kin. I have looked at the subject headings and asked officials to look again at the 150 files with a view to placing those not already available to the public in the public domain. I have also asked to see them myself.

I hope that helps the hon. Member for Plymouth, Sutton and Devonport. I share the House’s desire to make transparent that which can be made transparent. I hope this will put the matter beyond any possible doubt. To answer the hon. Member for Strangford directly, recently my right hon. Friend the Minister for Veterans’ Affairs said categorically:

“There is no cover up”.—[Official Report, 21 November 2023; Vol. 741, c. 220.]

Indeed, I cannot see why there would be.

No personal health records are withheld from living veterans. Any medical records taken either before, during or after participation in the UK nuclear weapon tests that are held in the individual military medical records in the Government archives can be accessed on request by submitting a data subject access request. I must say, however, that any records that were made would be up to 71 years old. They would be paper, poorer-quality and perishable—not at all the auditable, searchable medical and technical records that we are used to today. Absent or incomplete records should not be taken as evidence of some sort of conspiracy.

We know that when a group of nuclear test veterans initiated a claim against the then Government in the early 2000s, the then Government denied that exposure took place and said that there were no health consequences as a result of being present at nuclear test sites. I cannot answer for the then Government but evidence since strongly supports the claim that there have been no health consequences.

[Stella Creasy]

I thank the Minister for drawing our attention to the Brunel study. Having read it, he will understand that an element of that report says there is concern about the DNA building block SBS16 and that there was a mutation, particularly in nuclear veteran families. I appreciate that the bulk of the report said that there was no evidence of a substantial difference in genetic material between the test and control groups, but there is evidence that there is something. It also highlighted a disproportionate number of birth defects in the families of nuclear test veterans which could not be explained by genetic testing.

That rather suggests that before we completely close the door to the idea that there has been a health impact, as the Minister perhaps suggests we should, we might need to explore those angles. After all, the researchers themselves said that they cannot rule out with any confidence that that is a random variation.

[Dr Murrison]

It is difficult to prove a negative, but the overall conclusions of the researchers from Brunel University are clear. In the interests of transparency, it is worth pointing out that it was a fairly small study and also the first part of a series of reports that we anticipate from Brunel University. We will have to see what transpires, but the headline response published in July last year should be reassuring for those who believe that their exposure between 1952 and 1967 caused generational problems to their families.

I turn to the subject of compensation raised today, albeit fairly briefly. With respect to that matter, the Department published its policy on ionising radiation back in 2017. The statement was validated by the independent medical expert group, which provides evidence-based medical and scientific advice to the Ministry of Defence, ensuring that our decisions reflect both contemporary medical understanding on causation and the progress of disorders. In its sixth report, published in September 2022, IMEG again reviewed the evidence, including the findings of the fourth report of the longitudinal study. It concluded that no changes to the Department’s policy statement were required on the basis of the evidence available. 

However, nuclear test veterans who believe that they have suffered ill health due to service still have the right to apply for no-fault compensation under the war pensions scheme, which applies to anyone who served before 6 April 2005. War pensions are payable in respect of illness or injury as a result of military service, with a benefit of reasonable doubt always given to the claimant. Decisions are medically certified and take account of available service and medical evidence, and they also carry full rights of appeal to an independent tribunal. Additionally, there is a range of supplementary pensions and allowances payable, including for dependants. Each case will be considered on its own merits.

Some specific concerns were raised about the handling of individual medical data. I can confirm that there is a formal complaints procedure under the Data Protection Act 2018. On requests made for medical data under the freedom of information legislation by relatives of deceased veterans, I hope hon. Members will appreciate that I am unable to comment due to ongoing legislation.