Mental health trusts in England could be failing in their duty to fast track injured service personnel, research undertaken by Devon councillor Alan Connett reveals.
Results of Freedom of Information Act requests to NHS mental health trusts in England show the majority were not aware of Government instructions issued last year which would help speed treatment for service personnel.
Many trusts confirmed they do not even record if patients are serving or former armed forces staff, raising the question of how the Government itself can be certain the NHS is meeting the requirement laid on it by Ministers.
NHS chief executive David Nicholson wrote to all NHS trusts on 12 December last year to tell them about the new priority for veterans, which came into effect on 01 January this year.
And yet in the Freedom of Information Act responses to Cllr Connett, only a small handful of mental health trusts made any reference to the new guidance. Most confirmed they would not give any priority to treating service personnel or veterans.
Cllr Connett explained: My brother fought in the Falklands and earlier this year we talked about his experiences and the legacy, 25 years on, it had left for many of the service personnel who had also fought in that campaign. My brother’s view was that treatment of post traumatic stress for military personnel needed to be improved and that the mental health needs of service personnel are overlooked.”
In a little announced change to the NHS rules, trust chief executives were told to make sure all staff are aware that priority must be given to service veterans where their condition is, in the opinion of their GP or specialist, a result of their military service.
Patients will not be routinely asked if they have served in the armed forces, and it is up to each individual to declare their service history and to say if they believe their injury results from their military service.
The NHS guidance adds “…where secondary care clinicians agree that the veteran’s condition is likely to be service related, they have been asked to prioritise veterans over other patients with the same level of clinical need. Veterans will not be given priority over other patients with more urgent clinical needs…”
Cllr Connett added:” As we approach our annual day of Remembrance, we reflect on those who have paid the ultimate price for their country. However, many who have fought in previous wars, conflicts and campaigns continue to bear the wounds, both physical and mental, of their service.
“I am sure everyone welcomes the Government telling the NHS to give appropriate priority to service personnel from January this year but the sad fact remains that the NHS is not able to say if anyone is being helped by the guidance.
“Indeed, from my research, very few mental health trusts in England make any special provision for treating post traumatic stress in service veterans and don’t even have a special budget for the work. It is simply lumped into one big pot for general mental health services.”
Footnote: Cllr Connett emailed the 74 NHS mental health trusts or Primary Care Trusts with responsibility for mental health, with a set of 11 questions in June this year. Responses were received from 48.
Ten confirmed they received specific funding for Post Traumatic Stress Disorder treatment. None were able to confirm if any patients now receiving treatment for Post Traumatic Stress are currently serving in the armed forces.
Of interest in the south west is Cornwall Partnership NHS Trust which reported that in May this year it began, through a Service Level Agreement with the Ministry of Defence, a 2-year Pilot Mental Health Assessment Service for Veterans. The Ministry of Defence is providing £35,000 for Year 1 and the same amount for Year 2.