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Written Question
Mental Health Services: Veterans
Monday 25th March 2024

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 bespoke wellbeing support is provided by the NHS to veterans who are full-time carers.

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 additions 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.


Written Question
Mental Health Services: Veterans
Monday 25th March 2024

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 with OCD have used Op COURAGE since its inception.

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 additions 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.


Written Question
Health Services: Veterans
Monday 25th March 2024

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 in the West Midlands 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.


Written Question
Health Services: Veterans
Monday 25th March 2024

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.


Written Question
Mental Health Services: Veterans
Monday 25th March 2024

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 garrison towns have used Op Courage since its inception.

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.


Written Question
Mental Health Services: Veterans
Thursday 21st March 2024

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 effectiveness of the Op Courage awareness campaign since its launch on 9 January 2024.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

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, which runs until the end of March 2024, features veterans who have used Op COURAGE and includes a toolkit and a film featuring high-profile veteran JJ Chalmers. Phase two of the campaign activity includes increased social media, broadcasts, and regional press, particularly within areas of higher veteran populations.

The Government has not made any assessment of the effectiveness of the awareness campaign as Op COURAGE providers have shared anecdotal feedback that there has been a rise in referrals since the launch of this campaign.


Written Question
Mental Health Services: Veterans
Thursday 21st March 2024

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 steps she has taken to promote Op Courage to veterans.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

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, which runs until the end of March 2024, features veterans who have used Op COURAGE and includes a toolkit and a film featuring high-profile veteran JJ Chalmers. Phase two of the campaign activity includes increased social media, broadcasts, and regional press, particularly within areas of higher veteran populations.

The Government has not made any assessment of the effectiveness of the awareness campaign as Op COURAGE providers have shared anecdotal feedback that there has been a rise in referrals since the launch of this campaign.


Written Question
Armed Forces: Training
Thursday 21st March 2024

Asked by: Earl of Effingham (Conservative - Excepted Hereditary)

Question to the Ministry of Defence:

To ask His Majesty's Government, in the light of reports that homelessness among military veterans in England increased by 14 per cent in the past 12 months, what steps they plan to take to ensure that ongoing regular training on the benefits of financial, dietary and physical education are provided to members of the armed forces throughout their careers rather than only as they leave the armed forces.

Answered by Earl of Minto - Minister of State (Ministry of Defence)

The Ministry of Defence is committed to the health and wellbeing of our Armed Forces. The Defence People Health and Wellbeing Strategy 2022-27 promotes the importance of health and wellbeing across Defence, adopting a holistic approach to mental health, physical health, and social health. It directs a coordinated approach to promote, prevent, detect and treat poor health and wellbeing early to enable optimal recovery. It ensures that all our people will be in a state of positive physical, mental and social health and wellbeing throughout their career.

The Ministry of Defence is also working to raise financial awareness among Service personnel; all three Services provide links on their welfare sites to several financial advisory sites including the Money and Pension Service (https://maps.org.uk/en#) and Joining Forces Credit Union (JFCU) (https://www.joiningforcescu.co.uk/). Service personnel are provided with online and face to face briefings from the JFCU which aim to assist them, their partners, families, and dependants, to be better equipped to manage their money and financial affairs. Officers can also signpost their personnel to the JFCU which supplies bespoke products to move Service personnel away from Payday Loan Companies. JFCU also attend events on military bases and provide general financial advice to both existing personnel and new recruits.

Regarding advice on nutrition, the Defence Nutrition Advisory Service (DNAS) provides evidence-based nutrition education and training through career, starting in Initial Military Training. The DNAS also provides over a hundred evidence-based factsheets and briefs within the themed areas of: Public Health Nutrition, Sports and Exercise Nutrition Military Nutrition, Clinical Nutrition and Nutrition for Health Professionals.


Written Question
Alcoholism and Drugs: Veterans
Friday 15th March 2024

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 21 February 2024 to Question 12906 on Alcoholism and Drugs: Veterans, whether her Department has made an assessment of the adequacy of rehabilitative care for injured 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.


Written Question
Mental Illness: Veterans
Friday 15th March 2024

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 using AI to improve the (a) quantity and (b) quality of data on veterans with mental health 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.