Question to the Ministry of Defence:

To ask the Secretary of State for Defence, whether the Department has assessed the potential impact of the medical discharge process on Armed Forces recruitment and retention.

Medical discharge process policy is delegated to the three Services to afford each of them the necessary flexibility to respond effectively to the unique and varying environments in which their people serve. However, Defence’s Tri-Service policy for medical discharge boards aligns the Services in terms of procedure and consistency of process. The board can recommend a medical category that may lead to a Service Person’s discharge from the Armed Forces.

Defence recognises the need to develop a Tri-Service Occupational Health Service to simplify policy and process, improve patient experience and support the retention of Armed Forces personnel. Work is underway to review timelines for referral to medical boards to ensure consistency across the single Services.

Our comprehensive policies and procedures facilitate a smooth discharge process, providing a timeline of actions to be taken from nine months before leaving. These actions include arranging a final medical and dental examination, meeting with a resettlement officer, submitting pension forms, and ensuring personal records are accurate. The process also includes returning Service property and identifications, taking terminal leave, and receiving a Service leavers' pack. Support is also offered through the Career Transition Partnership and Defence Transition Services (DTS), which provide help with employment, housing, health, and other aspects of transitioning to civilian life.

Defence also has a comprehensive policy in place for managing personnel who are wounded, injured, or sick, which includes coordinated support for those medically discharged. Medical discharges follow a specific process involving a medical board review, and personnel may be eligible for compensation. Before personnel leave, they are provided with a final case conference to ensure their issues are resolved or a plan is in place to manage them.

Whilst Defence has not assessed the proportion of medically discharged personnel who report feeling unprepared for civilian life, all are automatically referred to DTS or the Veterans Welfare Service (VWS). Service leavers, veterans, and their families can access support, help and information with issues that may endure beyond discharge irrespective of their reason for discharge. Healthcare support is tailored to their needs and preferences, ranging from simple transitional needs to enduring support for more complex challenges.