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, if she will make an assessment of the potential merits of introducing a health card for veterans.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The Government has not made any assessment of the adequacy of existing rehabilitative care for injured veterans. The National Rehabilitation Centre is part of the Government’s New Hospital Programme, and construction started 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 is a bespoke physical health and wellbeing service, commissioned by NHS England, which supports individuals who have served in, or are leaving, the British Armed Forces, and have physical health injuries and related medical problems attributed to their time in the Armed Forces.
NHS England continually works with its commissioned providers to improve the quality of data relating to the veterans that are being cared for by those services. No assessment has been made on the potential merits of the use of artificial intelligence (AI) to improve the quantity and quality of data on veterans with mental health conditions, but we remain open to using AI to improve the quality of data where it is appropriate to do so.
Veterans are able to access all National Health Service mainstream health services, in addition to the bespoke NHS commissioned services. Access to mainstream health services is based on clinical need. The Veterans’ ID Card can assist where access to NHS services requires confirmation of military service, for example Op COURAGE and Op RESTORE.
The Armed Forces Act 2021 introduced a legal requirement for integrated care boards to give due regard to the Armed Forces Community when commissioning healthcare services. The 2024/25 general practice (GP) contract will introduce a requirement that GPs must have due regard for the requirements, needs, and circumstances of Armed Forces Veterans when offering services and making onward referrals. Integrated care boards are encouraged to work with health providers in their area, including GP surgeries, to ensure patient needs are met.
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, if she will take steps to help increase collaboration between (a) GP surgeries and (b) Integrated Care Boards when treating veterans with physical and mental conditions.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The Government has not made any assessment of the adequacy of existing rehabilitative care for injured veterans. The National Rehabilitation Centre is part of the Government’s New Hospital Programme, and construction started 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 is a bespoke physical health and wellbeing service, commissioned by NHS England, which supports individuals who have served in, or are leaving, the British Armed Forces, and have physical health injuries and related medical problems attributed to their time in the Armed Forces.
NHS England continually works with its commissioned providers to improve the quality of data relating to the veterans that are being cared for by those services. No assessment has been made on the potential merits of the use of artificial intelligence (AI) to improve the quantity and quality of data on veterans with mental health conditions, but we remain open to using AI to improve the quality of data where it is appropriate to do so.
Veterans are able to access all National Health Service mainstream health services, in addition to the bespoke NHS commissioned services. Access to mainstream health services is based on clinical need. The Veterans’ ID Card can assist where access to NHS services requires confirmation of military service, for example Op COURAGE and Op RESTORE.
The Armed Forces Act 2021 introduced a legal requirement for integrated care boards to give due regard to the Armed Forces Community when commissioning healthcare services. The 2024/25 general practice (GP) contract will introduce a requirement that GPs must have due regard for the requirements, needs, and circumstances of Armed Forces Veterans when offering services and making onward referrals. Integrated care boards are encouraged to work with health providers in their area, including GP surgeries, to ensure patient needs are met.
Asked by: Lord Browne of Belmont (Democratic Unionist Party - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what initiatives are currently in place to ensure that military veterans receive timely access to (1) physical rehabilitation services, and (2) mental health services, specifically those suffering from post-traumatic stress disorder.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
Op RESTORE is a bespoke physical health and wellbeing service, commissioned by NHS England, which supports individuals who have served in, or are leaving, the British Armed Forces and have physical health injuries and related medical problems attributed to their time in the armed forces.
NHS England also commissioned Op COURAGE, which is the comprehensive veterans’ mental health and wellbeing service. Access to Op COURAGE is via referral or by direct contact from veterans. A campaign to raise awareness of Op COURAGE launched on 9 January 2024.
In addition, The National Rehabilitation Centre (NRC), which is part of the Government’s New Hospital Programme, is a new 70-bed facility which will benefit all patients, including veterans. Construction started in 2023.
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.
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.
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.
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.
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 rehabilitative care for injured veterans.
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.
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, whether her Department (a) has taken and (b) plans to take steps to learn from international best practice on the provision of rehabilitative care for injured veterans.
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.
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 15 March 2024 to Question 17714 on Health Services: Veterans, how many veterans used Op Restore services in 2022 and 2023.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
Data on Op COURAGE is collated by the integrated care board where a patient is registered. Between 2017 and December 2023, there have been 22,371 referrals to Op COURAGE for veterans who are registered with a general practice, located in areas with military presence. In 2022 and 2023, there were 581 referrals for Op RESTORE. 78 of these were from the Midlands region. Data was collated at a regional level only, and is not available for West Midlands.