Veteran Suicide

I beg to move,

That this House has considered veteran suicide.

It is a pleasure to serve under your chairmanship, Sir Henry.

“I love my family but hate my life. I need help. I’m scared now it hurts.” Those are the words sent in an email to the mental health services by David Jonathon Jukes, who served in Northern Ireland, Bosnia, Iraq twice, and Afghanistan. David Jukes was incredibly brave, as is his wife Jo, who has given me permission to share his heart-wrenching story. Despite what he did for his country, Dave was let down in his time of need. He was let down in 1997, when he was diagnosed with post-traumatic stress disorder but still deployed to a war zone. He was let down in 2012, when he returned from Afghanistan and was not properly diagnosed with a personality disorder. He was let down in 2018, when his priority need was not properly recorded and he was forced to wait weeks to see a doctor.

I am horrified to hear that David was deployed if he had been diagnosed with PTSD. I am really surprised that that happened; I would not have thought any commanding officer would have sanctioned that. If the hon. Gentleman says that happened, so it did, but they should not have allowed him to deploy, because someone with PTSD can be a really big problem for his friends who he has to protect, as they have to protect him.

I thank the hon. Gentleman for his intervention. I will carry on with my story, and explain a bit more about this personal case.

David was let down by the crisis team that turned him away because he was not in its records, and he was let down when a two-hour stand-off with eight police officers and two negotiators did not result in his sectioning for his own safety. He was let down by the home treatment team when it did not respond to 26 phone calls made by his loving wife, and refused to come out to support him. On 9 October 2018, David Jonathon Jukes, a veteran of five conflicts and a hero by anyone’s standards, took his own life. That truly harrowing tale is indicative of many other instances of veterans being passed around by Departments without any kind of tailored approach to their mental health services, and that is why we are here today.

There are about 5 million members of the armed forces community in the UK, and about 15,000 men and women leave service each year. It is important to stress that the majority of those individuals do not experience a decline in mental health upon their transition to civilian life, but we are here to talk about those who do. Last year, 58 veterans took their own life. That is a shocking statistic—but most important, a shocking loss of life.

I congratulate my hon. Friend on securing such an important debate. While the official figures state that there were 58 veteran suicides last year, numbers from the third sector and supportive organisations suggest that there were closer to 100, if not more. Is it not the case that one challenge with this issue is that we do not have the data we need to assess the scale of the problem?

My hon. Friend is absolutely right, and that is something I will be coming on to later. This issue transcends party politics, and for me, today’s debate is about cross-party co-operation.

I thank the hon. Gentleman for securing this important debate; we can see from the number of Members present how this topic touches people’s hearts. He has made the point about 58 veterans taking their own life. Does he agree that the mental health of our brave veterans should be a top priority for Government, and that the Ministry of Defence and the NHS need to work more closely together to ensure that veterans get all the support they need and to treat those who risk so much to protect us and our country?

I thank the hon. Lady for her intervention, and she is absolutely right. There is more that the NHS and charities across our country can do, and I will say more about that later on.

I look forward to hearing views from colleagues across the House and working with them to improve the care given to the brave men and women who, day in and day out, put on their uniforms to keep us safe. I welcome today’s announcement of a £700,000 investment in veteran mental health in my Portsmouth constituency, following a long-running campaign by the Portsmouth News and local campaigners—a really good example of partnership working making a difference. However, there is much more that we need to do. No other job exerts the same control over a person’s life; no other job asks them to go into the line of fire. Our approach to veterans’ care needs to reflect those facts.

This morning, I received a very heartfelt and upsetting email from two women married to two former British Army infantrymen. Both men have been admitted to psychiatric wards in the past six months; both have attempted suicide, or caused serious risk to their health. The women described the shortfall in health resources and the lack of specialist expertise in dealing with combat trauma as “catastrophic”, and they say they are fighting with all their might to keep their husbands alive and for the future happiness and life prospects of their families, especially their children. Does my hon. Friend agree that as well as supporting our brave veterans, we need to do everything we can to support their brave families?

I thank my hon. Friend for that intervention. He is absolutely right. We should not have to fight for people to get the support that they need; it is imperative that they are given that support in their hour of need.

We need an approach to veterans’ care that reflects a number of facts. Exceptional grassroots organisations such as Forgotten Veterans UK and All Call Signs—representatives of which are here in force—have said that we need tailored, bespoke mental health care that is in line with the experiences of brave men and women like Dave, who have put themselves in harm’s way for our benefit. That is mirrored by the advice given by organisations such as Combat Stress.

I congratulate my hon. Friend on securing this important debate on veteran suicide. In the past decade, the number of new referrals to Combat Stress, the excellent organisation that he mentioned, has doubled; its helpline received more than 12,000 calls just last year. As my hon. Friend will be more than aware, it is estimated that one ex-serviceperson commits suicide every seven days. Does he agree that it is ridiculous that the Government currently refuse to collect any data on this widespread problem, so we cannot identify its full scale?

I thank my hon. Friend for his intervention. He is absolutely right: we need that data so that we can understand the extent of the issue, and then do something about it.

I have recently been approached by two veterans who live fairly close to the barracks in my constituency, and who are very concerned about this issue. Dr Walter Busuttil, who is the consultant psychiatrist and medical director at the charity Combat Stress, has said:

“In the UK, coroners are reluctant to call something a suicide unless it is obvious. They will often go with a narrative verdict…Other countries record more accurate suicide studies.”

Is it not a fact that many suicides in the Army and in other forces are not recorded because of narrative verdicts?

I thank my hon. Friend for that intervention. He is absolutely right. There is a stigma around this issue, and it is crucial that we learn from our allies; we can learn a lot from them.

The need for tailored care is exemplified by a survey commissioned by Help for Heroes, which found that nearly 30% of veterans are put off from visiting mental health services on the grounds that they believe civilian services will not understand their needs. Serious funding issues are also hindering the provision of care to veterans: only 0.07% of the £150 billion NHS budget is allocated to veteran-specific funding.

I am delighted that my hon. Friend is so articulately putting forward the findings of the Defence Committee’s report on mental health services and the needs we have. I am interested in the fact that only £10 million of the NHS budget was spent on these issues last year. One of the biggest challenges that Help for Heroes has identified is that the Ministry of Defence has a responsibility to look after veterans for only 12 months after they have left the service, but some veterans are only coming forward with these challenges five years later. Does my hon. Friend agree that the MOD’s responsibility for veterans’ care should continue for five years after they have left the service?

My hon. Friend is absolutely right, and I thank her for her valuable contributions to the Defence Committee, which has raised a number of the issues. That figure that I mentioned is less than it costs to buy two Challenger tanks. That is what we are dealing with today. How can we expect to provide care for veterans like Dave when such an insultingly small amount of money is on the table? It is not just funding that is damaging development in this area; we are lagging behind in so many other ways.

Will the hon. Gentleman give way?

I am going to carry on. Canada, New Zealand and America are our allies and have similarly structured militaries and political systems. One thing we do not share with them is that their coroners record veterans’ suicides. How can we begin to address the problem if we do not know its true scale? Currently only one out of 98 coroners across England and Wales records the detail that the deceased in a suicide case is a veteran. That means the scale of the problem is unknown. Since my election, I have been working with experts in the field, such as All Call Signs and Combat Stress, which have been calling for the recording of veterans’ suicides. I hosted a summit on the matter in my constituency late last year.

Despite the cries from those who know best, the Government have repeatedly refused the requests, whose importance cannot be overstated. Current estimates project that the true figure could be as high as one ex-serviceperson killing themselves every seven days, but the problem is likely to be far worse, given that we do not have detailed recording. General Sir David Richards, former head of the armed forces, and Colonel Richard Kemp, former commander in Afghanistan, have called for coroners to start logging veterans’ suicides. That is absolutely right. As the Under-Secretary of State for Health and Social Care, the hon. Member for Thurrock (Jackie Doyle-Price), has said that

“the Government could do better on tracking suicide rates among veterans”.

Grassroots expert organisations have been highlighting the importance of tracking those rates since their inception. As we heard earlier, the Defence Committee made it one of their key recommendations. When will the Government listen to the voices of those who know best and when will the Minister ensure that coroners begin to record the data? The disorganised, disjointed and disorderly approach to determining who is responsible for treating veterans, highlighted by Dave’s case, is an extension of the Government’s own ambiguity and confusion. When I tabled this Westminster Hall debate, that was exposed. Within 24 hours, two Departments had called me to express why they would be answering my questions, followed by an email stating:

Before I call the next speaker, I note that we have nine applications to speak. I urge Members to keep their speeches as short as possible—perhaps three minutes to start with.