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Written Question
Social Work: Training
Thursday 14th March 2024

Asked by: Steve McCabe (Labour - Birmingham, Selly Oak)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, with reference to page 18 of the Veterans’ Strategy Action Plan 2022-2024, CP 598, published in January 2022, when she plans to implement veteran-aware training for social work teams in every local authority in England.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

The Veterans’ Strategy Action Plan 2022-2024 included a commitment for the Office for Veterans' Affairs, the Department of Health and Social Care, and the Department for Levelling Up, Housing and Communities to explore options for the introduction of veteran-aware training for social work teams in every local authority in England. There are no immediate plans to implement this specific training.

Instead, the Principal Social Work Network for Adults across England meet on a regular basis to review all aspects of social work practice and training, underpinned by statutory and policy guidance, which includes the needs of the veteran community. This national network comprises of representatives from all settings including local authorities, National Health Service bodies, the voluntary sector, and Ministry of Defence organisations, and shares an undertaking to develop the competence of the workforce to meet the needs of all vulnerable groups, including veterans and their families and carers.

The Government has an ambition to make the United Kingdom the best place in the world to be a veteran by 2028. Veterans are entitled to the same social care and support as the civilian population in England.


Written Question
Mental Health Services: Veterans
Thursday 14th March 2024

Asked by: Steve McCabe (Labour - Birmingham, Selly Oak)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 28 February 2024 to Question 14455 on Mental Health Services: Veterans, if she will make an assessment of the potential merits of using social prescribing to support veterans with mild mental health conditions.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

NHS England commissions Op COURAGE, which provides a comprehensive mental health service for veterans. Since its inception in 2017, over 35,000 referrals have been made to Op COURAGE. NHS England does not hold data on the number of veterans who have accessed Op COURAGE services on more than one occasion, or the numbers of veterans with gambling additions that have used Op COURAGE.

NHS England has commissioned three pilot sites to explore and evaluate the merits of social prescribing in the Armed Forces Community. The outcome of the evaluation is planned for Autumn 2024, and the findings will inform a toolkit which can be used by other social prescribing teams.


Written Question
Mental Health Services: Veterans
Thursday 14th March 2024

Asked by: Steve McCabe (Labour - Birmingham, Selly Oak)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 22 February 2024 to Question 12907 on Mental Health Services: Veterans, if she will make an estimate of the number of veterans with gambling addictions that have used Op COURAGE since its inception.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

NHS England commissions Op COURAGE, which provides a comprehensive mental health service for veterans. Since its inception in 2017, over 35,000 referrals have been made to Op COURAGE. NHS England does not hold data on the number of veterans who have accessed Op COURAGE services on more than one occasion, or the numbers of veterans with gambling additions that have used Op COURAGE.

NHS England has commissioned three pilot sites to explore and evaluate the merits of social prescribing in the Armed Forces Community. The outcome of the evaluation is planned for Autumn 2024, and the findings will inform a toolkit which can be used by other social prescribing teams.


Written Question
Mental Health Services: Veterans
Thursday 14th March 2024

Asked by: Steve McCabe (Labour - Birmingham, Selly Oak)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 28 February 2024 to Question 14455 on Mental Health Services: Veterans, how many veterans were referred to Op COURAGE more than once since its inception.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

NHS England commissions Op COURAGE, which provides a comprehensive mental health service for veterans. Since its inception in 2017, over 35,000 referrals have been made to Op COURAGE. NHS England does not hold data on the number of veterans who have accessed Op COURAGE services on more than one occasion, or the numbers of veterans with gambling additions that have used Op COURAGE.

NHS England has commissioned three pilot sites to explore and evaluate the merits of social prescribing in the Armed Forces Community. The outcome of the evaluation is planned for Autumn 2024, and the findings will inform a toolkit which can be used by other social prescribing teams.


Written Question
Mental Health Services: Veterans
Wednesday 28th February 2024

Asked by: Steve McCabe (Labour - Birmingham, Selly Oak)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many veterans in the West Midlands accessed Op COURAGE in the last year.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

Since 2017, NHS England has expanded the services available to veterans with the introduction of the Transition, Intervention and Liaison Service (TILS) in 2017, followed by the Complex Treatment Service (CTS) in 2018 and the High Intensity Service (HIS) in 2020. The commissioning of each of these services led to the introduction of the overarching name Op COURAGE.

From 1 April 2023, a new integrated Op COURAGE service has been operational. This new service has brought together the previously three separate mental health services for veterans into a single service to make it easier for veterans to access the support they need when they need it.

Between January 2023 and December 2023, there were 6,524 referrals into Op COURAGE. In the same period, there were 568 referrals from general practices within a West Midlands integrated care board. It is possible that a veteran has had more than one referral into the service.

Veterans can also choose to use Talking Therapies and other mental health services commissioned by NHS England. Between January 2023 and December 2023, there were 20,485 veteran referrals into Talking Therapies services.

In 2021, the Government committed an additional £2.7 million to March 2025, to expand Op COURAGE following the United Kingdom’s withdrawal from Afghanistan.

In January 2024, NHS England launched a national campaign to raise awareness of Op COURAGE and encourage veterans struggling with their mental health to seek help from the service. The campaign will run until March 2024.

As well as the National Health Service-commissioned Op COURAGE service, the Government is providing an additional £10 million to support the Veterans’ Places, People and Pathways Programme to increase support to a significant community of vulnerable veterans throughout the UK and enable the programme to become self-sustaining.

The Principal Social Work Network for Adults across England meet on a regular basis to review all aspects of social work practice and training underpinned by statutory and policy guidance which includes the needs of the Veterans community.

NHS England is the commissioner of Op COURAGE and other mainstream mental health services. NHS England has engaged with international counterparts on best practice on tackling veterans’ mental health issues and will continue to collaborate in this way to ensure the services in England reflect best practice and evidence-based learnings in the commissioning of bespoke services for veterans.


Written Question
Mental Health Services: Veterans
Wednesday 28th February 2024

Asked by: Steve McCabe (Labour - Birmingham, Selly Oak)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 7 February 2024 to Question 11561 on Mental Health Services: Veterans, if she will take steps to collaborate with non-Five Eyes nations to identify additional best practices for providing mental health support to veterans.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

Since 2017, NHS England has expanded the services available to veterans with the introduction of the Transition, Intervention and Liaison Service (TILS) in 2017, followed by the Complex Treatment Service (CTS) in 2018 and the High Intensity Service (HIS) in 2020. The commissioning of each of these services led to the introduction of the overarching name Op COURAGE.

From 1 April 2023, a new integrated Op COURAGE service has been operational. This new service has brought together the previously three separate mental health services for veterans into a single service to make it easier for veterans to access the support they need when they need it.

Between January 2023 and December 2023, there were 6,524 referrals into Op COURAGE. In the same period, there were 568 referrals from general practices within a West Midlands integrated care board. It is possible that a veteran has had more than one referral into the service.

Veterans can also choose to use Talking Therapies and other mental health services commissioned by NHS England. Between January 2023 and December 2023, there were 20,485 veteran referrals into Talking Therapies services.

In 2021, the Government committed an additional £2.7 million to March 2025, to expand Op COURAGE following the United Kingdom’s withdrawal from Afghanistan.

In January 2024, NHS England launched a national campaign to raise awareness of Op COURAGE and encourage veterans struggling with their mental health to seek help from the service. The campaign will run until March 2024.

As well as the National Health Service-commissioned Op COURAGE service, the Government is providing an additional £10 million to support the Veterans’ Places, People and Pathways Programme to increase support to a significant community of vulnerable veterans throughout the UK and enable the programme to become self-sustaining.

The Principal Social Work Network for Adults across England meet on a regular basis to review all aspects of social work practice and training underpinned by statutory and policy guidance which includes the needs of the Veterans community.

NHS England is the commissioner of Op COURAGE and other mainstream mental health services. NHS England has engaged with international counterparts on best practice on tackling veterans’ mental health issues and will continue to collaborate in this way to ensure the services in England reflect best practice and evidence-based learnings in the commissioning of bespoke services for veterans.


Written Question
Social Services: Veterans
Wednesday 28th February 2024

Asked by: Steve McCabe (Labour - Birmingham, Selly Oak)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 5 February 2024 to Question 11562 on Social Services: Veterans, if she will take steps to introduce veteran-aware training for social care teams in local authorities.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

Since 2017, NHS England has expanded the services available to veterans with the introduction of the Transition, Intervention and Liaison Service (TILS) in 2017, followed by the Complex Treatment Service (CTS) in 2018 and the High Intensity Service (HIS) in 2020. The commissioning of each of these services led to the introduction of the overarching name Op COURAGE.

From 1 April 2023, a new integrated Op COURAGE service has been operational. This new service has brought together the previously three separate mental health services for veterans into a single service to make it easier for veterans to access the support they need when they need it.

Between January 2023 and December 2023, there were 6,524 referrals into Op COURAGE. In the same period, there were 568 referrals from general practices within a West Midlands integrated care board. It is possible that a veteran has had more than one referral into the service.

Veterans can also choose to use Talking Therapies and other mental health services commissioned by NHS England. Between January 2023 and December 2023, there were 20,485 veteran referrals into Talking Therapies services.

In 2021, the Government committed an additional £2.7 million to March 2025, to expand Op COURAGE following the United Kingdom’s withdrawal from Afghanistan.

In January 2024, NHS England launched a national campaign to raise awareness of Op COURAGE and encourage veterans struggling with their mental health to seek help from the service. The campaign will run until March 2024.

As well as the National Health Service-commissioned Op COURAGE service, the Government is providing an additional £10 million to support the Veterans’ Places, People and Pathways Programme to increase support to a significant community of vulnerable veterans throughout the UK and enable the programme to become self-sustaining.

The Principal Social Work Network for Adults across England meet on a regular basis to review all aspects of social work practice and training underpinned by statutory and policy guidance which includes the needs of the Veterans community.

NHS England is the commissioner of Op COURAGE and other mainstream mental health services. NHS England has engaged with international counterparts on best practice on tackling veterans’ mental health issues and will continue to collaborate in this way to ensure the services in England reflect best practice and evidence-based learnings in the commissioning of bespoke services for veterans.


Written Question
Mental Health Services: Veterans
Wednesday 28th February 2024

Asked by: Steve McCabe (Labour - Birmingham, Selly Oak)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what progress she has made on increasing the accessibility of Op COURAGE for veterans since its inception.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

Since 2017, NHS England has expanded the services available to veterans with the introduction of the Transition, Intervention and Liaison Service (TILS) in 2017, followed by the Complex Treatment Service (CTS) in 2018 and the High Intensity Service (HIS) in 2020. The commissioning of each of these services led to the introduction of the overarching name Op COURAGE.

From 1 April 2023, a new integrated Op COURAGE service has been operational. This new service has brought together the previously three separate mental health services for veterans into a single service to make it easier for veterans to access the support they need when they need it.

Between January 2023 and December 2023, there were 6,524 referrals into Op COURAGE. In the same period, there were 568 referrals from general practices within a West Midlands integrated care board. It is possible that a veteran has had more than one referral into the service.

Veterans can also choose to use Talking Therapies and other mental health services commissioned by NHS England. Between January 2023 and December 2023, there were 20,485 veteran referrals into Talking Therapies services.

In 2021, the Government committed an additional £2.7 million to March 2025, to expand Op COURAGE following the United Kingdom’s withdrawal from Afghanistan.

In January 2024, NHS England launched a national campaign to raise awareness of Op COURAGE and encourage veterans struggling with their mental health to seek help from the service. The campaign will run until March 2024.

As well as the National Health Service-commissioned Op COURAGE service, the Government is providing an additional £10 million to support the Veterans’ Places, People and Pathways Programme to increase support to a significant community of vulnerable veterans throughout the UK and enable the programme to become self-sustaining.

The Principal Social Work Network for Adults across England meet on a regular basis to review all aspects of social work practice and training underpinned by statutory and policy guidance which includes the needs of the Veterans community.

NHS England is the commissioner of Op COURAGE and other mainstream mental health services. NHS England has engaged with international counterparts on best practice on tackling veterans’ mental health issues and will continue to collaborate in this way to ensure the services in England reflect best practice and evidence-based learnings in the commissioning of bespoke services for veterans.


Written Question
Mental Health Services: Veterans
Wednesday 28th February 2024

Asked by: Steve McCabe (Labour - Birmingham, Selly Oak)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many veterans received mental health support last year.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

Since 2017, NHS England has expanded the services available to veterans with the introduction of the Transition, Intervention and Liaison Service (TILS) in 2017, followed by the Complex Treatment Service (CTS) in 2018 and the High Intensity Service (HIS) in 2020. The commissioning of each of these services led to the introduction of the overarching name Op COURAGE.

From 1 April 2023, a new integrated Op COURAGE service has been operational. This new service has brought together the previously three separate mental health services for veterans into a single service to make it easier for veterans to access the support they need when they need it.

Between January 2023 and December 2023, there were 6,524 referrals into Op COURAGE. In the same period, there were 568 referrals from general practices within a West Midlands integrated care board. It is possible that a veteran has had more than one referral into the service.

Veterans can also choose to use Talking Therapies and other mental health services commissioned by NHS England. Between January 2023 and December 2023, there were 20,485 veteran referrals into Talking Therapies services.

In 2021, the Government committed an additional £2.7 million to March 2025, to expand Op COURAGE following the United Kingdom’s withdrawal from Afghanistan.

In January 2024, NHS England launched a national campaign to raise awareness of Op COURAGE and encourage veterans struggling with their mental health to seek help from the service. The campaign will run until March 2024.

As well as the National Health Service-commissioned Op COURAGE service, the Government is providing an additional £10 million to support the Veterans’ Places, People and Pathways Programme to increase support to a significant community of vulnerable veterans throughout the UK and enable the programme to become self-sustaining.

The Principal Social Work Network for Adults across England meet on a regular basis to review all aspects of social work practice and training underpinned by statutory and policy guidance which includes the needs of the Veterans community.

NHS England is the commissioner of Op COURAGE and other mainstream mental health services. NHS England has engaged with international counterparts on best practice on tackling veterans’ mental health issues and will continue to collaborate in this way to ensure the services in England reflect best practice and evidence-based learnings in the commissioning of bespoke services for veterans.


Written Question
Alcoholism and Drugs: Veterans
Wednesday 21st February 2024

Asked by: Steve McCabe (Labour - Birmingham, Selly Oak)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment she has made of the adequacy of existing treatment services for veterans with alcohol and drug dependency.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

The National Rehabilitation Centre (NRC) is part of the Government’s New Hospital Programme, with construction starting in 2023. This new 70-bed facility will benefit all patients including veterans by bringing together patient care, research, innovation, and training and education under one roof.

In addition, Op RESTORE has been commissioned by NHS England to act as a comprehensive veterans’ mental and physical health and wellbeing service. It supports individuals who have served in, or are leaving, the British Armed Forces and who have physical health injuries and related medical problems attributed to their time in the Armed Forces. Additionally, in April 2023, a new integrated Op COURAGE service launched which includes access to dedicated support for those presenting with substance misuse and other addictions such as gambling. Access to Op COURAGE is via referral or by direct contact from veterans, with a campaign to raise awareness of Op COURAGE having been launched on 9 January 2024.

The Government is providing an additional £10 million to support the Veterans’ Places, People and Pathways Programme to increase support to a significant community of vulnerable veterans throughout the United Kingdom, and to enable it to become self-sustaining.

The Government has not made any assessment of the adequacy of existing rehabilitative care for injured veterans, existing treatment services for veterans with alcohol and drug dependency or existing mental health support for veterans who are suffering from post-traumatic stress disorder.

The Minister for Veterans' Affairs and Office for Veterans' Affairs engage with Five Eyes international partners to share best practice on research and policy delivery. This engagement covers a wide range of issues relating to veterans including physical health. My Rt hon. Friend, the Secretary of State for Health and Social Care, has not had additional engagement with international partners on rehabilitative care for veterans.