Veterans and Service Personnel

Tom Tugendhat Excerpts

Tuesday 8th November 2016 Commons Chamber

[Jim Shannon]

I thank the hon. and gallant Gentleman for his intervention, and I wholeheartedly agree with him. I greatly respect the Minister and look forward to his response, but there is an anomaly here: there are those who are under the radar and slipping by. Whether it is because the regimental associations are not aware of them, or because those with the responsibility are not there, they are being forgotten about. We need to address the underbelly of those who are missed by the charities and others.

The MOD has responded, but has it responded hard enough? I say, with the utmost respect for the Minister, that I do not believe that it has done so fully. The hon. and gallant Member for Beckenham has perhaps highlighted that point in his intervention, as I have. It is my duty in the House to say that with all sincerity.

After bringing up this issue in my role on the Defence Select Committee—some Committee members are in the Chamber—it was determined that a sub-committee would be set up to collect evidence on the mental health of our troops. The Committee members have kindly asked me to chair that sub-committee, which will take place in April 2017.

What are we looking for in Northern Ireland? We are looking for a rehabilitation centre. I have sought a meeting with the Under-Secretary of State for Northern Ireland, the hon. Member for Keighley (Kris Hopkins), who is a former soldier. He has agreed to meet us and representatives of Beyond the Battlefield in Newtownards to discuss these matters. We need to ensure better co-ordination between the Ministry of Defence and the health service, so that they work better and closer together. If they are to work in tandem, it has to be a family—a marriage—with two organisations working hand in hand to ensure that we look after all those people. We need to make sure, too, that the counsellors and those who work in the health service have an understanding of what it is like to have severe trauma, so that they are able to give them the advice they need.

When these people present themselves at the NHS, we need to remember that they have often been through the utmost, most severe and horrible trauma. They sometimes find themselves facing someone at the other end of the desk who will say, “Well, what’s wrong with you?” There has to be training so that people understand how these traumas work and what post-traumatic stress disorder means.

[Tom Tugendhat (Tonbridge and Malling) (Con)]

The hon. Gentleman is speaking very persuasively, as he always does, about this matter. Does he agree that there is a role for charities to support the NHS and that Combat Stress in particular offers an extremely impressive level of care that we cannot expect the NHS to match, because of the specialism required to deal with military personnel suffering from mental health issues?

[Jim Shannon]

The hon. Gentleman hits the nail on the head. That is the sort of co-ordination that we need to have with the MOD, the NHS, charities and so forth. If we can all work together better, we can achieve a whole lot more and collectively address those issues.

I had the chance to meet some of these servicemen. At the age I am, when I see a young man who has served in uniform, I can sometimes remember him being born. That is a fact of life. I am thinking of one man who came back from Afghanistan with serious head injuries. He was one of those people from Northern Ireland who had suffered greatly. I shall not mention his name—it would not be fair to do so—but his marriage is over and he is only just about holding on to a job. He is severely ill. Anyone who met him would know right away that there was something wrong with him—he just gives the appearance of someone who is not well.

I am conscious of where we are. The facts are stark and heart-breaking. One of our servicemen or women commits suicide almost every two weeks, and nearly 400 members of our troops killed themselves between 1995 and 2014. Those most likely to take their lives are male single soldiers aged 20 to 24, who comprise a quarter of deaths. Almost half hanged themselves, while 21% died of gunshot or explosive injuries. Others killed themselves by poisoning, suffocation, throwing themselves off buildings or from stabbing and cutting. In 2012, it emerged that the number of British soldiers and veterans committing suicide had outstripped the number that had died fighting in battle. What awful statistics they are to have to report in this House. That year, 21 soldiers killed themselves and 29 veterans committed suicide. That compared with 44 troops who died in Afghanistan, 40 of them in action. Today, veterans of Afghanistan, Iraq and the Falklands or even further back have their memories and their nightmares to deal with every day.

In the past 12 months, more than 100 British Gulf war heroes have asked for help from the charity Combat Stress, which the hon. Member for Tonbridge and Malling (Tom Tugendhat) referred to in his intervention. Some 25 years after the end of the conflict, they are still fighting the wars. In a further possible indication that the true scale of the mental trauma caused by Afghanistan and Iraq is only starting to emerge, the number of claims rose by 35% in the last year, from 429 to 580.

The armed forces covenant is one that we are most concerned about. In responding to me in Parliament yesterday, the Under-Secretary of State for Defence, the hon. Member for Milton Keynes North (Mark Lancaster) said that the armed forces covenant in Northern Ireland has achieved some 93% of its commitment. Let me say this gently to the Minister—we have a role to play in Northern Ireland, and I want to be quite clear about that. The 93% figure means a shortfall of 7%, and we need to address that 7% shortfall. It was 93% in the last Session of Parliament, so we have not advanced at all. More effort is needed.

We know how important it is for soldiers to obtain suitable housing when they leave the Army. That can happen through the selection scheme and the points system, both here on the mainland and in Northern Ireland, which is good news, but we need to do more.

Healthcare is also important, particularly care for those with mental health issues. Has there ever been such a strong effort in this regard? Northern Ireland contains the largest number of veterans suffering from mental ill health. Is that due to the 30-year conflict that we experienced? It probably is, partly, but it is also due to the constant stress experienced by those who serve in uniform. Thank the Lord that, in partnership with the Government, we have moved to a better place, which, although not ideal, has enabled the democratic process to secure the delivery of peace, and funds on the back of that. Perhaps the Minister will say something about LIBOR funding for mental health services. A fair amount of money has been set aside, but I should like to see a wee bit more of it coming to Northern Ireland, so that we have a chance to play a greater part.

The Government, and the Ministry of Defence in particular, are doing many good things, including the armed forces compensation scheme and the armed forces pension scheme. Support can be drawn from the Government and go directly to the people who need it. The Northern Ireland regional disablement service specialises in the rehabilitation of patients, including veterans, who have experienced the amputation of a limb or limbs. We must ensure that we address issues relating to both mental and physical health. I thank the Government for what they have done, but I think that the regional disablement service could do more to address the issues affecting those who have fought in both Afghanistan and Iraq, including amputees and people with brain injuries.

Money has been set aside in Northern Ireland and, I believe, on the UK mainland to upgrade memorials throughout the land. That is a good thing, because it means that many people will be able to attend services at 11 am this Sunday with memorials that are clean and have been upgraded. The War Graves Commission does fantastic work in my constituency, involving both the forgotten graves of those who gave their lives in the first world war and whose families have passed on, and those who lie in far-off lands and whose families cannot visit their graves. We should never forget the families. We have been referring directly to the soldiers, but we should also remember the mums and dads, the wives and husbands, and the children.

There are indications that the true scale of the mental trauma caused by Afghanistan and Iraq is larger than we think. Where do we go from here? We must ensure that help is not simply out there if people search for it, but is there before they ask. We must ensure that every veteran has a place to go where they are able to talk—or not; whichever it is that they need. They may want to chat, or they may not. Sometimes they will just need someone to be close to them.

I have been a major supporter of the Beyond the Battlefield project in Newtownards, as well as other charities such as SSAFA and Help for Heroes. Our commitment should not end when the plane comes in and brings our men safely home; our commitment to our troops must equal their commitment to us. It must be more than a vision statement; it must be a reality. The new generation of veterans are no less deserving than others of complete support and help. When we say that we will remember them, that must be a promise and not simply a phrase.

--- Later in debate ---

[Brendan O'Hara (Argyll and Bute) (SNP)]

I begin by congratulating the hon. Member for Cardiff South and Penarth (Stephen Doughty) on securing this important debate. It is notable that, although it has been sparsely attended, we have had contributions from every part of the United Kingdom. The hon. Member for Torbay (Kevin Foster) spoke for England; the hon. Member for Strangford (Jim Shannon) spoke for Northern Ireland; the hon. Member for Cardiff South and Penarth spoke for Wales; and my hon. Friend the Member for Stirling (Steven Paterson) spoke on behalf of Scotland. I have deliberately not mentioned the hon. Member for Berwick-upon-Tweed (Mrs Trevelyan) because frankly we have still not accepted that we have lost you for good.

As we have heard so many times this afternoon, our veterans are an asset to our society and they deserve our sincerest thanks, our fullest support and our deepest respect. With Remembrance Sunday fast approaching, it is right to take this opportunity to consider today’s veterans and serving personnel as well as to remember those who have gone before them. It is right that today veterans are so highly regarded by their fellow citizens and that Governments of all the nations of the United Kingdom continually seek to improve the care on offer to those who have served their country and those who have suffered terribly as a consequence.

It is also right that we work tirelessly to ensure that our veterans are cared for properly, but let us be honest: we still have a long way to go before we get it absolutely right for those who have served in our armed forces. The hon. Member for Berwick-upon-Tweed made an important point about the funding of veterans care. I am reminded of the slogan “Justice before Charity”, which was coined at the end of the first world war by the National Federation of Discharged and Demobilised Sailors and Soldiers. The federation, which was among the founders of the Royal British Legion, was a veterans campaign group which even founded a short-lived political party, the Silver Badge party, named after the small silver lapel pin that was given to each of those who served in the great war and on which were engraved the words “For Services Rendered”.

The Silver Badge party, under the banner “Every man once before any man twice”, fielded candidates in the 1918 general election on a platform of representing the political interests of former service personnel. Although it is no longer a campaigning political party, what it stood for—“Every man once before any man twice” and particularly “Justice before Charity”—remains just as true and as relevant to the debate today about our veterans as it was 100 years ago.

As I said previously, although we have come a long way, we are not there yet and I hope that the sometimes complex needs of those who have served are never seen as a burden on our resources, but rather viewed as a responsibility that we willingly accept in return for the sacrifice that they have made. We must never relegate that responsibility for veterans care entirely to the charitable sector, which, although it raises hundreds of millions of pounds and does wonderful work, cannot become the primary source of assistance.

We are all too well aware of the statistics and we have heard many of them this afternoon—40% of veterans report having health or welfare issues, with a growing emphasis on the need for long-term care. According to research by King’s College London, an estimated 60,000 of our veterans who served between 1991 and 2014 will need support for mental health issues. Although mental health and other health issues are critical, the range of concerns facing our veterans extends to financial, employment, social and housing issues, and the need for relationship support. Worryingly, the research showed that a number of our veterans, when interviewed, called into question the commitment of the armed forces to supporting their transition and that of their families back to civilian life.

It is fitting that on this occasion, when we pause to commemorate service personnel, particularly those who have fallen in the past 100 years, we commit ourselves to honouring them by looking after today’s service men and women in the manner that they deserve. I have no doubt that every Member across this House wishes to provide the very best care for our veterans and their families, and I am sure we would be willing to learn from the example of others. Without going into too much detail, I point to the Danish model of veteran care, which provides continuous and comprehensive support for veterans and their families. That support is viewed as the responsibility not just of one Department, but of all Departments, and its success is examined and is evaluated every two years.

When creating the document “Our Commitments” in 2012, the Scottish Government looked to the Danish model and the comprehensive strategy that supports service personnel during and after their service. That document sets out the Scottish Government’s approach to our armed forces. Much of what it contained is already enshrined in the armed forces covenant.

Scotland has a large and vibrant armed forces community, encompassing both regular and reserve personnel and their families. In 2014, Poppy Scotland estimated the size of the community to be 530,000—in excess of half a million—including dependants. That is almost 10% of the Scottish population. Many were born in Scotland and, having enjoyed a fulfilling military career, have returned home, but more and more people who grew up elsewhere are choosing to make Scotland their home in retirement. I am delighted that many decide to settle in my constituency of Argyll and Bute, where they are very welcome indeed.

Approximately 1,800 men and women end their service career each year in Scotland. Most find the transition to civilian life straightforward and take it in their stride, but some find it a far greater challenge. To ease that transition, in 2014 Scotland’s First Minister—my right hon. Friend the Member for Gordon (Alex Salmond)—appointed Mr Eric Fraser to serve as the first Scottish Veterans Commissioner. In establishing that unique role, Scotland has blazed a trail for the rest of the UK to follow. The commissioner, who is a Royal Navy veteran with 37 years’ experience, has operational independence, dedicated funding and a wide remit to improve outcomes for veterans. He has published a strategy and a work plan and already submitted two detailed reports, on transition arrangements and housing. He has extensive and regular engagement with the Scottish Government.

The Scottish Government have also introduced an armed forces advocate and created a comprehensive network of armed forces and veterans champions who are represented in the Scottish Government, local authorities, NHS boards and Police Scotland, among many other bodies, thereby embedding support for the armed forces community throughout the whole Scottish public sector.

The vast majority of people leaving the services settle into civilian life in Scotland with little effort. However, a small number experience difficulty accessing services and therefore require additional support tailored to their specific needs. The overriding principle of the Scottish Government’s approach to caring for our veterans is that no one should suffer any disadvantage as a result of military service.

[Tom Tugendhat]

The hon. Gentleman is making a powerful speech, and I very much welcome the Scottish Government’s efforts on behalf of veterans, many of whom are English, Welsh and Irish, and many of whom retire to his constituency, as he has said. Does he not recognise, however, that this is not just a Government role; many charities and individuals have a role to play? For example, Mrs Pam Bates and Mr Carl Lewis in my constituency do an awful lot for local veterans in Kent. That individual effort is just as important as the Government effort of which he speaks.

[Brendan O'Hara]

I thank the hon. Gentleman for that intervention. Indeed, I have met one of his constituents—one of Britain’s finest—who is doing fabulous work. I commend the work that those people do. The point I was making is that the state must not abdicate its responsibility. I fully support the wonderful work that charities do, but we have to recognise that the care of our veterans is first and foremost the responsibility of the state.

The Scottish Government have fully embraced the responsibility to assist serving and former personnel and their families, both in the Scottish national health service, where a financial commitment has been made, and in housing, education and employment needs. We recognise that military service fosters leadership, organisational skills, resilience and specialist skills such as medical training and technical expertise. Veterans and their families are a great asset for the private sector, and a growing number of employers are actively targeting veterans and their families to fill the skills gap.

Earlier this year, the Scottish Government published an updated version of the document called “Renewing Our Commitments” in which they reaffirmed what they had said in 2012: making good jobs, affordable homes and excellent public services a priority for our veteran community. As my hon. Friend the Member for Stirling said, Scotland’s ambition is to be the destination of choice for those leaving military employment and seeking a fulfilling life, while wanting to make an important contribution to society. Scotland values our armed forces community as a true asset, and we renew our commitment to support them and pledge to make our country the most attractive destination for those leaving the armed forces.

As we approach Remembrance Day, it is absolutely right that we stop and pay tribute to those who have served and remember those who have fallen. But let us also look to the future. In doing so, let us be guided by the words of 100 years ago from the National Federation of Discharged and Demobilised Sailors and Soldiers, whose demand of politicians back then would be echoed by veterans today: it wanted justice before charity. As a nation, we have a responsibility to do everything we can to support veterans and their families. Yes, charity has an important role to play, but the primary responsibility for caring for our veterans must lie with the state—and we should never forget it.