Veterans’ Mental Health — House of Commons, 2020-03-12
Topic: Defense
John Luther Mercer (Conservative, Centre-right): It is with deep regret that I can confirm that an incident occurred at Camp Taji in Iraq last night in which a service person from the Royal Army Medical Corps has died. The service person’s family have been informed, and requested a period of privacy before further details are released. It is a timely reminder of the ongoing and extraordinary commitment of the men and women of our armed forces. It was a cowardly and retrograde attack, and there will be no hiding place as we hunt down those responsible and bring them to justice. The thoughts and sympathies of the Prime Minister, the Government and the whole House are with the family and friends of the service person at this sad time Mr Speaker, following an internal review commissioned by my right hon. Friend the Secretary of State for Defence, I wish to make a statement about serving and former members of the armed forces ending their own lives. Speaking publicly about suicide requires a balance between risking similar episodes and ensuring that I follow through on the Prime Minister’s intent to ensure that every serving or former member of the armed forces knows exactly where to turn in times of acute need. I am very aware of how it feels to be a member of a service family, particularly a spouse or relative of someone who feels that they have nowhere to turn or that Ministers are indifferent to the situation. It is this that has led me to make this statement to the House Suicide is almost never due to a single factor, and some reasons are impossible to identify. However, the facts on suicide in the armed forces remain broadly consistent. Current data shows that someone is significantly less likely to take their own life if they are in the armed forces—the rate is around eight in 100,000, compared with around 17 in 100,000 in the equivalent male population in the United Kingdom—but we are not complacent, and I accept that Governments have not acted fast enough to update our data and understanding of military suicide I am aware that we are currently experiencing a higher incidence of suicide in a cohort who served at a specific time in Afghanistan. Some people want to make suicide about numbers, but suicide is not a number. One is too many, and in my view any suicide is an individual tragedy—yes, for that person and of course for their family, but also for the military as an institution. I must, however, challenge a false narrative that veteran suicide is an epidemic, or that professional clinical services are not there. They are there. Such comments risk harming others by wrongly fuelling a perception that help is not there when it is. I therefore wish to outline to the House what I am doing about it I am committed to providing better support for individuals in mental distress, and to learning why suicide happens and what more can be done to stop an individual reaching the decision to end their life. I meet with families, widows and experts to understand when, or if, we could or should have intervened in those crucial weeks and months before an individual took their own life—even if sometimes the answer is tragically nothing. Alongside that work, we are aiming to reduce suicide risk through tackling stigma, through education, and by providing access to mental and physical health support. Armed forces personnel now undergo "through life" psychological resilience training, enabling them to recognise and manage mental ill health in themselves and their colleagues. This actively encourages help-seeking at an early stage Data is key to understanding what more needs to happen. The Ministry of Defence tracks all suicides for serving personnel and annually publishes data on coroner-confirmed suicides. It tells us that we are seeing more deaths in recent years, but the number is still well below that observed in the 1990s. Unlike in the 1990s, this is not predominantly an untrained young Army male issue, but predominantly a male issue, and in older age groups, which reflects the trends in wider UK society A 2018 review saw the implementation of new suicide prevention measures across defence, and a defence suicide registry will capture information related to in-service suicide across the services The Office for Veterans’ Affairs is funding the next stage of a long-term study of nearly 30,000 veterans who deployed to Iraq and Afghanistan. Started in 2003 and led by the world’s leading experts at King’s College, this provides data that ensures better Government policy decisions about veterans. The Ministry of Defence and the Department of Health and Social Care together will fund Manchester University to examine, over the past five years, the 12 months leading up to veterans’ taking their own lives A new veteran mortality study will show the incidence of suicide, alongside other causes of death, among veterans who served since 2001. I am expanding this study so that it provides, for the first time, a near real-time surveillance capability, ensuring that we can respond quickly to any new cluster of events. The first report will be published later this year More importantly, a shift is under way in the provision of veterans’ mental health support—help is out there. For many years, I and others have called for this nation to realise her responsibilities towards those who have served. That strategic change is happening It is the NHS in England and the devolved Administrations who deliver veterans’ healthcare. Over the years, our service charities have shouldered much of this, underpinned by the generosity of the public. This is changing and I commend the NHS on its efforts to provide services, including those bespoke for veterans, some of which the NHS commissions the charity sector to provide. It has transformed its provision for the armed forces. A clear clinical pathway exists for veterans’ mental health services in England, with the transition, intervention and liaison service, and the complex treatment service. I have worked recently with the NHS and ministerial colleagues to accelerate the introduction of a new high-intensity service for those in most acute need, following the challenges faced by Combat Stress These services mean that the state is now leading the way in supporting our veterans, though a range of partnerships, including with the third sector and others. The help is there, and we all need to be better at encouraging our family, friends and colleagues to seek it. Veterans will have experiences, training, friendships, highs and lows like no other profession. Some may feel far from those times, challenged by the reality of resuming civilian life after intensive and unique experiences. I am ensuring that the help is there to make that transition successfully I care and this Government care, with record investment reinforced by yesterday’s Budget’s additional funding for veterans’ mental health. A strategic shift is taking place, from reliance on the third sector to the state finally realising her responsibilities, ensuring that this country is the best place to be a veteran and everyone knows where to get help. This Prime Minister will accept nothing less. Having shared those battlefields with you, I have staked my professional reputation on it. But it requires everyone to play a role—to speak out, to reach out, to look after yourselves and each other. And never, ever give up. I commend this statement to the House.