Veterans Strategy Debate

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Department: Ministry of Defence
Thursday 15th November 2018

(5 years, 5 months ago)

Commons Chamber
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Chris Bryant Portrait Chris Bryant (Rhondda) (Lab)
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The Minister is raising a very important issue, but I think that it has sometimes led us astray in our diagnosis. A lot of work done recently suggests that people who have been diagnosed as suffering from post-traumatic stress disorder have actually suffered a blow to the head. We would do far better to treat them for that and to provide neuro- rehabilitation than to treat them for post-traumatic stress disorder. Does the Minister recognise that?

Tobias Ellwood Portrait Mr Ellwood
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I do recognise that. If I may, I will come on to that. I am simply making the point that this was the first time there was a recognition of shell shock—post-traumatic stress disorder. These were names that did not really apply then. There was not a full understanding of what was going on with our troops, but there was a recognition by the nation that we had to look after our returning troops in one form or another. There was a duty of care, which is what we are focusing on today.

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Tobias Ellwood Portrait Mr Ellwood
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My hon. Friend is right. It should be the mindset, the modus operandi, of any local authority. It should be very clear who the armed forces champion is—it should be on the local authority website so that people know who to go to.

Many types of support are available for veterans. A veteran may be in a very dark place when they seek support, and the last thing we need is a confusing picture as to where that support can be found. Charities have been mentioned, as have local authorities and national government. Each plays a role, and we have established the veterans gateway to provide a single portal where any individual can make a phone call or go online to seek the necessary help to guide them to where they need to go.

Again, this is in its infancy. We have 400 service-facing charities, not all of which are signed up to the gateway. We want them all to sign up. The big ones have signed up, but they are also running their own call centres. Either way, we need this to work. We need this to be the vehicle, the single portal, for any veteran who requires help. When I refer to help, it is not necessarily physical support—it might be help in looking for more employment or in setting up their own initiative—but this is where they need to go.

Chris Bryant Portrait Chris Bryant
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rose

Tobias Ellwood Portrait Mr Ellwood
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The hon. Gentleman is poised.

Chris Bryant Portrait Chris Bryant
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I wasn’t, actually, but the Minister has enticed me. I agree with everything he has said, and my local council is determined to do everything it can, because we send a lot of young men and women from the Rhondda into the armed forces. However, I just wonder whether there is something the Government need to do as a prior step, which is to check for brain injury the moment somebody joins up. There is strong evidence now to suggest that kids from poorer backgrounds are four times more likely to have a significant brain injury either in their teenage years or before the age of five. Once they have had one brain injury, they will have another. If we could screen everybody coming into the armed forces, we might be able to provide a better standard of living.

Tobias Ellwood Portrait Mr Ellwood
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The hon. Gentleman makes a serious point. First, let me say that screening does take place; medicals are done to make sure that people are fit for service. He touches on a science that is still evolving, and which I have only just started to learn about. Someone who is subject to a blast injury might stand up and walk away from it, but be unaware that their DNA has been shunted in some way that could have long-term impacts. We are still coming to terms with recognising that, and we need to advance our understanding of it. The Royal Foundation, which is supported by Prince Harry and Prince William, is providing funding for us to look into this and get a better understanding of what is happening. That goes along with our studies with the Forces in Mind Trust. The hon. Gentleman is absolutely right to highlight something that understanding brain injuries is pivotal, particularly if they happen prior to someone’s signing up or on the battlefield.