Mr James Gray (North Wiltshire) (Conservative): The right hon. Lady is talking a great deal of sense. Allied to the question of stigma is people’s failure to recognise symptoms in themselves. People often suffer some of these things many years after the incident that caused them. Does she agree that another role the NHS could usefully play would be to advertise some of the symptoms and causes of these unfortunate mental disorders so that people actually recognise what is happening to them?

Hazel Blears (Salford and Eccles) (Labour): The hon. Gentleman makes an extremely good and practical point.

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James Gray MP There is a particular problem regarding the Territorial Army and reservists in general. Whereas a regimental family closes around someone among the regulars who is bereaved or has mental problems, and regulars tend to live in the same place as where they are serving, reservists often come from right across the land, and there is a much less strong regimental hierarchy to look after them. Reservists need particular help from the Ministry of Defence.

Oliver Colvile (Plymouth, Sutton and Devonport) (Conservative): I was just about to make that point. Those people work and live in isolation. The problems that they have with decompression are enormous. When they come back, they do not necessarily have the same amount of time as regulars do to unwind and be debriefed. We need to look at that issue. When I was talking to a senior Royal Marine the other day, he said that it would be helpful if the decompression time for reservists could be longer. I urge the Minister to consider that.

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James Gray MP What the hon. Gentleman is saying with great passion brings to mind an episode yesterday. My hon. Friend the Member for Beckenham (Bob Stewart) was entertaining on the Terrace of the House of Commons one of the widows from the outrage of Ballykelly all those years ago, when 20-odd souls were killed in a pub. My hon. Friend was reminiscing about how he cradled his lance corporal in his arms. His lance corporal had lost all four limbs before he died. What sort of effect does that have, not on my hon. Friend—I am glad to say—who is remarkably well-balanced, but on any less well-balanced soldier? What possible effect will that have on the rest of their lives?

Ian Paisley (North Antrim) (DUP): The hon. Member makes a very important point. I also had a constituent who visited me about this problem.

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Stephen Gilbert (St Austell and Newquay) (LibDem): When I talk to organisations such as Centrepoint or St Mungo’s, it is absolutely clear that there is a particular problem with people who leave our armed forces and who are unable to adapt to civilian life and stabilise their housing needs. The hon. Lady makes a point that I hope the Minister will find time to address when he winds up the debate.

James Gray MP I just wanted to intervene on that particular point, before the hon. Gentleman moves on. It is often anecdotally said that there are more people living on the streets who are from a service background than there are civilians and it is also anecdotally reported that there is a higher proportion of people in prison from the armed forces than there should be. However, I suspect that there has not been a proper statistical analysis of either of those issues and perhaps one of the things that the Government could usefully do is to come up with some hard facts to establish whether or not the anecdotal reports about those issues are actually correct.

Stephen Gilbert: My hon. Friend steals one of the key points that I was going to ask the Minister to respond to, but hopefully the fact that we are both making the same point will be better than just one of us making it and so I am very grateful to my hon. Friend for that intervention.

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James Gray MP I did not intend to speak, and I see the little time available to us, so if I may I will hold the House for just a few minutes before the shadow Minister does her bit and the Minister, from whom I very much look forward to hearing, speaks.

First, I pay a warm tribute to everyone who has spoken so far in the debate, in particular to the right hon. Member for Salford and Eccles (Hazel Blears). She and I might not agree on many subjects, but on this one I think we are entirely ad idem. Everything she said was absolutely right. This issue is terribly important and she has raised it in a timely way. I also pay particular tribute to my next-door neighbour, in constituency terms, my hon. Friend the Member for South West Wiltshire (Dr Murrison), whose seminal work on this subject fulfilled a coalition agreement commitment to do something about the mental health conditions of the armed services. His report was extremely good, and it has given the Government a series of pointers as to what they can now do about this terrible problem.

I think that we are unanimous about the fact that there is this problem. I was struck by a conversation I had yesterday with my hon. Friend the Member for Beckenham (Bob Stewart), who sends his apologies for not being here. He was having a drink on the terrace with a young lady who was the widow of one of his soldiers. He recounted how when he was digging into the pub in Ballykelly, she insisted on calling him "sir" throughout the time she was struggling to escape from the mud and dirt, and how he said, "You don't need to call me 'sir' under these conditions. Your husband is dead beside you; we can forget the 'sir'." What kind of effect can that kind of episode, in which someone cradles a dying soldier who has lost all four limbs, have on those who are left behind? My hon. Friend is one of the most well-balanced individuals I know, and I am not for a second suggesting that he has any such problems, but how many people will have had similar experiences in Afghanistan and Iraq, and how many soldiers who have had such an experience know what effect it will have on them in later life?

I remember speaking to a 19-year-old sniper when I was visiting Afghanistan last year. I asked him, "How many confirmed kills have you got as a sniper?" and he replied, "I've got 34 confirmed, and a further 26 probables," so something like 50 or 60. I asked, "Doesn't that worry you?" and he said, "No, sir, it's no trouble at all. It's a blur at the end of the sight, and I pull the trigger and do my job and that's that. It has absolutely no effect whatsoever." Who are we to say whether when that young lad is 50 or 60 he will have some form of effect from that experience? It is therefore incredibly important that we address this grave issue. I pay tribute to Help for Heroes and to my constituents in Wootton Bassett and across the area, who have done great stuff with bereaved families and soldiers coming back from theatre of war with injuries, but this is a much more invisible problem. We should be just as aware of it, even though the average time before a patient realises his problem is 14 years after the incident, and it may well be 20 or 30 years. It is important that as a society we do something about the problem.

Having agreed that—I am sure that everyone here today will strongly be in agreement—it is much more difficult to say precisely what to do. It is very easy to say, "Isn't this an awful problem? Mustn't we do something about it?" Well, yes, but what do we actually do? Two or three interesting proposals have come up in the debate. The first, and as I come from the Territorial Army myself I think this is very important, is that we should ask the reserve forces carefully to consider precisely what they can do. Very often, TA people coming back from theatre of war leave the reserve forces within a year or two. They do not particularly want to carry on much beyond that, and they then disappear into civilian life and are gone for ever. We do not know where they are or who they are, and they may well be suffering from these same problems. We must find a way of pinning down where our reserve forces go when they retire, and do something about it.

The second problem that people talked about very convincingly earlier was that of stigma and of people feeling that they do not want to come forward, and I think that that particularly applies to the testosterone-filled young men we send off to war—and women to a degree, but not the testosterone. They come back and do not want to say, "I'm a bit daft. I've gone a bit loopy. There's something wrong with me." The ethos is not to say that, and we have to find a way of encouraging them to believe that it is a normal thing to do, that they can perfectly sensibly bring themselves forward and say, "I've got a problem here, and I need some help."

One thing we might want to think about doing is this. Some 10 or 15 years ago, our servicemen coming back injured from theatre of war felt very uncomfortable being in civilian wards in Birmingham. No one is saying that they were not well looked after, but only a year or two after the conflicts began the previous Government introduced military-style care in Birmingham. Armed servicemen feel at home and relaxed in such an arena, and I think that something similar has to apply to mental health. Too many civilian mental health workers do not understand the problems, which may well present many years after the incidents that cause them. Particularly in areas such as mine and that of my hon. Friend the Member for Plymouth, Sutton and Devonport (Oliver Colvile), where there are very large numbers of armed servicemen, we have to find a way of saying to our primary care trusts, "This sort of problem is coming your way over the years. You have to find a quasi-military way of dealing with it. You have to realise that military life is different from civilian life and that these are different problems from civilian mental health problems, so let's find a specifically military way of dealing with them. Let's keep in touch with the armed services and find out precisely what they know about post-traumatic stress disorder and the rest of it, and let's find a military solution to what is a military problem, albeit within a civilian environment."

This has been a useful debate. We have raised the issue very satisfactorily and the armed services, which are aware of the problems, will, I think, be grateful to us for having done so. But it is very easy to do two things. First, it is easy to exaggerate the problem, and it would be useful if the Minister could initiate a statistical analysis of how many people it affects in a real sense. Earlier, we discussed prisons, alcohol and homelessness. How much of that is caused specifically by combat, and how much is in the normal run of human beings? There are 200,000 people in the armed services. A number of them will be drunken or homeless. That is the nature of the beast. How much of that is caused by military service, and how much is incidental to it?

So first, we must not exaggerate the issue. Secondly, we must not just take political capital from expressing our sympathy and concern; in debates such as this, we must make specific proposals about what we can actually do to lessen this problem in our society. I look forward to hearing from the shadow Minister and, perhaps more importantly, from the Minister, on what we can do about this dreadful problem.

Source: http://www.publications.parliament.uk/pa/cm201011/cmhansrd/cm111206/halltext/111206h0001.htm#11120636000242