Armed Forces Bill — House of Lords, 2021-09-07
Topic: Health
Alan Smith (Bishops, Unknown): My Lords, I too want to pay tribute to our Armed Forces. In repaying their service, it is right, as the Armed Forces covenant states, that "those who have served in the past, and their families, should face no disadvantage compared to other citizens" I welcome the provisions in the Bill enabling greater legal enforcement of the covenant in achieving this parity At the same time, however, the Government must pay attention to the unique working environment of military service and the accompanying higher risk prevalence of a variety of health-related issues that occur both during active service and when readjusting to civilian life. Numerous studies over the years have identified a higher prevalence of alcohol misuse in military service personnel compared with the general population. The Ministry of Defence explicitly recognised this reality back in 2016 when it introduced the AUDIT-C questionnaire for alcohol screening during routine dental inspections by defence primary health care dentists Despite this positive public health approach in the past, last year I asked the MoD about the success of its existing programmes in the military to stem gambling-related harm. I was surprised by the response that it had seen no evidence that service personnel were more prone to problem gambling than any other group. I am tempted to say that it cannot have looked very hard. There is a raft of studies from the United States of America analysing the gambling habits of both serving personnel and veterans. Those studies have found far higher rates of pathological gambling and lifetime gambling disorder in both those serving and in veterans, and in both genders. Based on this evidence, the United States of America introduced screening for gambling in Section 733 of the 2019 National Defense Authorization Act Of course, the conditions that give rise to problem gambling and the nature of the addiction itself may differ between the UK and the USA, but that alone does not mean that the possibility of higher than average levels of gambling disorder in the military can be dismissed. One of the few UK studies of problem gambling, from 2018, using data from the 2007 Adult Psychiatric Morbidity Survey, recorded UK veterans as being eight times more likely to be problem gamblers than the general population—a trend that broadly mirrors those found in the United States of America Currently, little research has been done on the gambling habits of serving UK personnel but, since similar trends in UK veterans and their American counterparts have been found, there is good reason to believe that the gambling habits of American service personnel broadly correlate to those in the UK. In fact, the UK has had a much more relaxed attitude to regulating online gambling. If ever research were undertaken into the gambling habits of UK service personnel, it is likely that it would reveal levels of gambling disorder that exceed those in the USA military. I believe that screening for gambling disorder is as important as screening for alcohol misuse. Both are destructive; both ruin lives It is part of our care for those who go into these dangerous situations and are put under huge psychological pressure that we screen them and make sure they have proper support. For this reason, I am minded to table amendments to the Bill in Committee including provisions that mirror those the USA already uses when screening for various disorders in the military, including gambling disorders On a final note, I simply want to add my support to the Government in not forgetting those who served their country and have long since passed, and I welcome the extension of posthumous pardons for now abolished service offences.