Armed Forces Covenant: Northern Ireland — House of Commons, 2018-03-07
Topic: Health
Jeffrey Mark Donaldson (Democratic Unionist Party, Right): I thank the hon. Lady for that comment. It is my experience in this House—this is my 21st year as a Member of Parliament—that, across the House of Commons, I find nothing but respect for our armed forces, especially those who have served in Northern Ireland. When I have attended events here in Parliament where we have remembered that sacrifice, I have always been struck by the depth of the gratitude felt by right hon. and hon. Members for that service, notwithstanding the disappointment that the hon. Lady feels at the attendance today, although that is not untypical for debates here of any kind. I do not honestly believe that it reflects any disrespect on the part of this House for the men and women who serve and have served in our armed forces A recent report published by the World Health Organisation on post-traumatic stress disorder found that Northern Ireland has a higher incidence of PTSD and trauma-related illnesses than other conflict-related country in the world. That includes places such as Lebanon and Israel. Remarkably, the study found that nearly 40% of people in Northern Ireland had been involved in some kind of conflict-related traumatic incident. The survey estimated that violence had been a distinct cause of mental health problems for about 18,000 people in Northern Ireland Against that backdrop, the health and social care system in Northern Ireland has sought to provide support and treatment service to people with mental health problems, and especially ones linked to trauma, but I have to say that it is struggling to cope with the pressures. As Ministers will know, it is often the case for service personnel that PTSD does not really make an impact for several years or more after the original incident. We are therefore seeing a pattern in Northern Ireland now of those who served in our armed forces developing mental health problems in later life, as well as physical injury-related medical problems, and that is putting real pressure on local health services. We feel that that needs to be more closely addressed Of course, that is not unique to the armed forces—the civilian population in Northern Ireland suffered dreadfully, and there is ample evidence of a high incidence of post-conflict trauma among the civilian population—but it highlights why the armed forces covenant is very important in Northern Ireland. It is perhaps more important in Northern Ireland than in some other parts of the United Kingdom, because it is essential that the men and women who have served our nation get the support that they require. I am concerned, as a Member of Parliament, that I am dealing on a regular basis with veterans of Operation Banner who find themselves in trouble with the law because they have developed post-traumatic mental health problems and sadly get caught up in behavioural difficulties that perhaps are not entirely of their making but often result in them falling foul of the law. That is an increasing phenomenon, yet our mental health services do not appear to be adequately resourced to cope with it We feel that there is a need to do something. I know that my colleagues in the Northern Ireland Assembly have been pressing for a specialist and properly resourced unit to address some of the issues linked to mental health and what we call the troubles in Northern Ireland. Those who serve in the armed forces in particular need that support, and they are not getting the level of support that they require, so that is an important element of the armed forces covenant The current arrangements in Northern Ireland tend to vary from those in other parts of the United Kingdom, partly due to the constraints of our peculiar form of devolved government in Northern Ireland. The point is this: until just over a year ago, we had a power-sharing Executive in Northern Ireland comprising two main parties, one being the Democratic Unionist party and the other being Sinn Féin, and frankly, Sinn Féin has a difficulty when it comes to the armed forces covenant. It has declined to recognise the covenant and the idea that it has a responsibility for implementing the covenant, and its Ministers in charge of Departments have at times resisted efforts on our part to see the very modest objectives of the covenant implemented in Northern Ireland I remind the House that the core principle of the covenant is to ensure that those who have served in our armed forces are not disadvantaged by virtue of that service when it comes to the provision of healthcare, housing, education and so on. It is not that they are given special treatment or that they are advantaged over the rest of society, but that they are not disadvantaged. Yet the attitude of Sinn Féin to our armed forces means that, frankly, they are being disadvantaged in Northern Ireland. They are not getting the support that they deserve and require when it comes to healthcare treatment I have recently dealt with cases in my own constituency of those who have served in the armed forces, but who are languishing on waiting lists—ever increasing waiting lists, sadly, in Northern Ireland—and cannot get access to treatment. When they seek to get treatment that could be available to them in other parts of the United Kingdom, they are told, "We will not fund your travel, and we will not fund your accommodation to have this treatment in Birmingham or Manchester". They would be entitled to receive such treatment if they lived in, for example, the constituency of my colleague the hon. Member for St Helens North (Conor McGinn). We believe that this issue needs to be addressed.