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, if she will make an assessment of the potential merits of increasing the level of mental health support provided to veterans who have addictions.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
Since 2015, the Better Care Fund has been crucial in supporting people of all walks of life to live healthy, independent, and dignified lives, through joining up health, social care, and housing services seamlessly around the person. There is no data available on how much of that funding may have been used for veterans. However, since August 2021, there have been four social prescribing pilots in the areas of Cornwall, Durham, Dorset, and Kensington and Chelsea. Between July 2023 and March 2024, the projects supported a total of 226 veterans.
In addition to the social prescribing pilots, NHS England has been operating seven Op COMMUNITY pilot sites which provide support to the wider Armed Forces Community, including veterans. These sites are in the integrated care board areas of Humber and North Yorkshire, Hertfordshire and West Essex, Leicester, Leicestershire and Rutland, North Central London, Devon, Kent and Medway with Sussex, Bath, North-East Somerset, Swindon and Wiltshire. Across the seven sites, they have supported 319 referrals relating to veterans.
No formal single assessment has been made to the potential merits of increasing mental health support to veterans with addictions. It is recognised that some individuals would benefit from mental health support, which is why NHS England commissioned Op COURAGE. This is a bespoke mental health pathway that provides support to veterans with mental health issues and addiction issues. The Op COURAGE service is in addition to the support that is available to veterans from locally commissioned addiction and mental health services.
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 physically injured veterans are on a waiting list for rehabilitative care.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The information requested is not held centrally by NHS England. Veterans are not systematically identified in National Health Service systems, and therefore it is not possible to confirm how many veterans are on waiting lists for NHS services.
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 14 March 2024 to Question 17496 on Mental Health Services: Veterans, for what reason NHS England does not hold data on the number of veterans who have used Op Courage services more than once.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
Prior to April 2023, Op COURAGE was formed from the three separate services of the Transition, Intervention and Liaison service, the Complex Treatment Service, and the High Intensity Service. Performance data for these services did not collect uniquely identifiable information on individual veterans, so it would not be possible to identify instances where a veteran had attended Op COURAGE for more than one course of treatment.
No data is held on the numbers of veterans with gambling addictions that have used Op COURAGE. Data analysed includes the primary mental health reason for referral to Op COURAGE. From April 2023, there have been no referrals to Op COURAGE with a primary mental health reason of gambling addiction. Since April 2023, less than 1.5% of referrals to Op COURAGE have been with a primary mental health reason of either obsessive-compulsive disorder or drug or alcohol difficulties.
Between August 2021 and September 2024, £339,000 has been allocated across the three social prescribing pilot projects which are in Cornwall, Durham, and Dorset. The National Health Service provides wellbeing support to all full-time carers. Veterans who identify as a carer are offered a Carer’s Assessment, which is undertaken by local authorities. The outcome of the Carer’s Assessment will inform a care and support plan, which is bespoke to the needs of the carer.
The Better Care Fund in 2023/24 includes £327 million for carers support, including short breaks and respite services for carers. It also funds advice and support to carers and a small number of additional local authority duties. There is no data on how much of that funding may have been used 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 14 March 2024 to Question 17496 on Mental Health Services: Veterans, for what reason NHS England does not hold data on the number of veterans with gambling addictions who have used Op Courage services.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
Prior to April 2023, Op COURAGE was formed from the three separate services of the Transition, Intervention and Liaison service, the Complex Treatment Service, and the High Intensity Service. Performance data for these services did not collect uniquely identifiable information on individual veterans, so it would not be possible to identify instances where a veteran had attended Op COURAGE for more than one course of treatment.
No data is held on the numbers of veterans with gambling addictions that have used Op COURAGE. Data analysed includes the primary mental health reason for referral to Op COURAGE. From April 2023, there have been no referrals to Op COURAGE with a primary mental health reason of gambling addiction. Since April 2023, less than 1.5% of referrals to Op COURAGE have been with a primary mental health reason of either obsessive-compulsive disorder or drug or alcohol difficulties.
Between August 2021 and September 2024, £339,000 has been allocated across the three social prescribing pilot projects which are in Cornwall, Durham, and Dorset. The National Health Service provides wellbeing support to all full-time carers. Veterans who identify as a carer are offered a Carer’s Assessment, which is undertaken by local authorities. The outcome of the Carer’s Assessment will inform a care and support plan, which is bespoke to the needs of the carer.
The Better Care Fund in 2023/24 includes £327 million for carers support, including short breaks and respite services for carers. It also funds advice and support to carers and a small number of additional local authority duties. There is no data on how much of that funding may have been used 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.