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Care for UK military veterans is 'flawed', medical experts say Care for UK military veterans is 'flawed', medical experts say
(about 1 hour later)
The government is failing to abide by its military covenant, medical experts who treat injured soldiers have said.The government is failing to abide by its military covenant, medical experts who treat injured soldiers have said.
Leading professors in psychology and orthopaedics say the healthcare system is not providing veterans with the service they have been promised.Leading professors in psychology and orthopaedics say the healthcare system is not providing veterans with the service they have been promised.
The Armed Forces Covenant, described as a duty of care to the armed forces, states veterans will be "sustained and rewarded" for the rest of their lives. The Armed Forces Covenant, described as a duty of care to the armed forces, states veterans should be "sustained and rewarded" .
A Ministry of Defence spokesman said it was "fully committed" to the covenant.A Ministry of Defence spokesman said it was "fully committed" to the covenant.
But Labour's shadow minister for veterans, Gemma Doyle, said the medical experts' comments were a "damning indictment", and proof the government had failed to meet its obligations.
Shot in the faceShot in the face
More than 200,000 men and women have been deployed to Iraq and Afghanistan since 2001.More than 200,000 men and women have been deployed to Iraq and Afghanistan since 2001.
The military covenant states that soldiers could be called upon to make the "ultimate sacrifice" but in return they and their families will be "sustained and rewarded by commensurate terms and conditions of service".The military covenant states that soldiers could be called upon to make the "ultimate sacrifice" but in return they and their families will be "sustained and rewarded by commensurate terms and conditions of service".
The moral obligation to treat veterans should not stop when service ends, the covenant states, saying veterans should receive priority healthcare from the NHS when they are being treated for a condition dating from their time in the armed forces.The moral obligation to treat veterans should not stop when service ends, the covenant states, saying veterans should receive priority healthcare from the NHS when they are being treated for a condition dating from their time in the armed forces.
Once a veteran leaves the forces, their healthcare is the responsibility of the NHS.Once a veteran leaves the forces, their healthcare is the responsibility of the NHS.
Simon Brown, a corporal in the Army for more than 10 years, was shot in the face by a sniper in 2006 and was medically discharged four years later.Simon Brown, a corporal in the Army for more than 10 years, was shot in the face by a sniper in 2006 and was medically discharged four years later.
"The bullet hit my left cheek between the eye and the nose and exited my right cheek between the nose and the ear," he said."The bullet hit my left cheek between the eye and the nose and exited my right cheek between the nose and the ear," he said.
"My cheek bones were obliterated, my jaw was broken in four places, I'd lost my left eye totally and there was very little hope of any sight returning to my right eye.""My cheek bones were obliterated, my jaw was broken in four places, I'd lost my left eye totally and there was very little hope of any sight returning to my right eye."
Almost a decade on, he says he has still not had all the surgery and treatment he requires and insists it is not the fault of staff, rather the system is flawed.Almost a decade on, he says he has still not had all the surgery and treatment he requires and insists it is not the fault of staff, rather the system is flawed.
'Good investment''Good investment'
"It has been long processes - there's been a lot of jumping through hoops you know. I actually had to see a committee to see whether or not I was entitled to free plastic surgery," he said."It has been long processes - there's been a lot of jumping through hoops you know. I actually had to see a committee to see whether or not I was entitled to free plastic surgery," he said.
If veterans got the treatment they are entitled to they could remain "productive members of society", he said.If veterans got the treatment they are entitled to they could remain "productive members of society", he said.
"I see it as it's actually a good investment to look after these people and give them the support and help they need.""I see it as it's actually a good investment to look after these people and give them the support and help they need."
The main principles of the military covenant were enshrined in law in the Armed Forces Act 2011.The main principles of the military covenant were enshrined in law in the Armed Forces Act 2011.
The government says the defence secretary must report annually on the progress made by ministers in honouring the covenant.The government says the defence secretary must report annually on the progress made by ministers in honouring the covenant.
However, Professor Neil Greenberg, from the Royal College of Psychiatrists, said ministers were failing to keep their promise.However, Professor Neil Greenberg, from the Royal College of Psychiatrists, said ministers were failing to keep their promise.
The 2010 government-commissioned report by Andrew Murrison - called 'Fighting Fit' - which looked into the care veterans received on the NHS made several recommendations, he said.The 2010 government-commissioned report by Andrew Murrison - called 'Fighting Fit' - which looked into the care veterans received on the NHS made several recommendations, he said.
Some were implemented - such as the setting up of the Veterans Information Service - but he argues the service is not what they said it would be.Some were implemented - such as the setting up of the Veterans Information Service - but he argues the service is not what they said it would be.
"In my view the government needs to be a bit more honest about what it is delivering and just what it says it's delivering, because the two are definitely not the same," Professor Greenberg said."In my view the government needs to be a bit more honest about what it is delivering and just what it says it's delivering, because the two are definitely not the same," Professor Greenberg said.
'Should do better''Should do better'
Freedom of information figures show almost 13,000 service personnel have been medically discharged for musculoskeletal disorders since 2001 - those who have lost limbs or have problems with ligaments and joints - with many requiring constant care throughout their lives.Freedom of information figures show almost 13,000 service personnel have been medically discharged for musculoskeletal disorders since 2001 - those who have lost limbs or have problems with ligaments and joints - with many requiring constant care throughout their lives.
Professor Tim Briggs, a leading orthopaedic surgeon, recently wrote the Chavasse report which outlined the problems former personnel face on the NHS.Professor Tim Briggs, a leading orthopaedic surgeon, recently wrote the Chavasse report which outlined the problems former personnel face on the NHS.
Professor Briggs, who said he was "moved" by the sacrifice made by veterans who attended his clinics, said "we can do better and we should do better".Professor Briggs, who said he was "moved" by the sacrifice made by veterans who attended his clinics, said "we can do better and we should do better".
"They weren't aware of the Armed Forces Covenant and finding access to specialist care was sometimes proving difficult and as a result some veterans were falling through the net and we had to improve things.""They weren't aware of the Armed Forces Covenant and finding access to specialist care was sometimes proving difficult and as a result some veterans were falling through the net and we had to improve things."
The military charity Help For Heroes has estimated that 75,000 service personnel could suffer mentally and physically as a result of operations in Afghanistan.The military charity Help For Heroes has estimated that 75,000 service personnel could suffer mentally and physically as a result of operations in Afghanistan.
With some NHS staff unaware of the covenant - and veterans not always keen to tell their doctors about their past - the charity has said a government database would help to make sure they receive the care they are entitled to.With some NHS staff unaware of the covenant - and veterans not always keen to tell their doctors about their past - the charity has said a government database would help to make sure they receive the care they are entitled to.
Earlier this year, the Conservative MP James Arbothnot told the Defence Select Committee it he was disappointed the government kept detailed records of sheep and cows, but couldn't do the same for veterans. Earlier this year, the Conservative MP James Arbothnot told the Defence Select Committee he was disappointed the government kept detailed records of sheep and cows, but couldn't do the same for veterans.
Simon Brown believes government ministers need to do more to integrate the covenant into the NHS system. Labour MP Madeleine Moon, who also sits on the committee, said that the government had promised things but not followed through.
"I think the government do have that responsibility to make sure that that extra support that is from state is understood and accessible," he said. She said a renewed focus needed to be on "the long term", and making sure that veterans did not get "lost in the system".
"Veterans signed the oath of allegiance and they kept their side of the bargain. It's only fair that the other side of the bargain is kept too," he said.
'Proud and grateful''Proud and grateful'
Health minister Dan Poulter said the government had invested more than £22m in mental health and prosthetic services, "specifically for those most in need".Health minister Dan Poulter said the government had invested more than £22m in mental health and prosthetic services, "specifically for those most in need".
The investment included 10 regional veteran mental health teams and nine veteran-focused prosthetic centres providing support and care for ex-servicemen and women.The investment included 10 regional veteran mental health teams and nine veteran-focused prosthetic centres providing support and care for ex-servicemen and women.
An MoD spokesman said the government had "worked hard to ensure our serving personnel, veterans and families have the support they need and are treated with the dignity they deserve".An MoD spokesman said the government had "worked hard to ensure our serving personnel, veterans and families have the support they need and are treated with the dignity they deserve".
"That is why we enshrined the covenant in law in 2011. Since then all local councils have signed up to the Community Covenant, and more than 300 companies have signed up to the Corporate Covenant - including Tesco just this week."That is why we enshrined the covenant in law in 2011. Since then all local councils have signed up to the Community Covenant, and more than 300 companies have signed up to the Corporate Covenant - including Tesco just this week.
"We are very proud and grateful of the commitment that all those that have signed the Covenants have made and it demonstrates the immense amount of respect and gratitude there is for our armed forces," the spokesman added."We are very proud and grateful of the commitment that all those that have signed the Covenants have made and it demonstrates the immense amount of respect and gratitude there is for our armed forces," the spokesman added.
Are you affected by issues covered in this story? You can email haveyoursay@bbc.co.ukAre you affected by issues covered in this story? You can email haveyoursay@bbc.co.uk
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