Conference Q&A: Day 2 Session 3 Health & Wellbeing

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    Our speakers were not able to answer all the questions put to them during the conference due to time constraints, so they have given us their answers in writing. We will add extra responses to questions through time.

    Is there an identifiable process/pathway that is followed for service leavers who need complex healthcare/rehab at point of transition, to support needs out of MOD? Handover procedure….

    Andy Bacon and Ian Caws: Responsibility for transition of service leavers with complex needs lies with MoD (Defence Transition Service). Further information is available at:
    There is an integrated personalised commissioning pathway manged by Veterans UK and agreed with NHS (in England). Veterans Trauma network can also become involved where necessary/appropriate and required.

    Do you think the new defence review report of large cuts to personnel will have any impact on NHS services and what plans are being looked at to support this potential looming increase accessing services due to unexpected discharges?

    Andy Bacon: MoD (CDP) to answer but public statements suggest natural wastage so no significant rise in discharges expected.

    Can I ask where the data came from for veteran suicide?

    Andy Bacon: Data shared with Contact Group from COBSEO. Defence Statistics may be able to say more about data origin.

    What evaluation measures are in place with regard to the elements of Op COURAGE?

    Andy Bacon: Clinical registry will be gathering data systematically wef 1 Apr 2021. Expect to be able to review access times, volumes and outcomes.

    Early intervention is known as a critical element to improve success outcomes in any intervention especially transition. What if any strategies are currently in place to encourage both service personnel and wider families to firstly recognise and then to access the need for early support especially when up against a culture of strong resilience necessary for AF living and therefore often a limited need for seeking help until civilian life throws up curve balls?

    Andy Bacon: Wider marketing of the statutory and voluntary sector offers available (via the Veteran’s Gateway?) may help. Also spouses/partners and families can be good advocates for help seeking. KCL and other studies show a variety reasons for delayed help seeking.

    Ian Caws: One of the MOD’s principal contributions to the delivery of the Government’s ‘Strategy for our Veterans’ is the introduction of a ‘holistic’ approach to transition (JSP 100 – Defence Holistic Transition Policy) available here:

    It might be worth emphasising that Op Courage does not exist in Scotland – there has been some confusion here about that. The new NHS(S) Scottish Veterans Care Network is developing a MH Plan which should cover most if not all of the Courage outcomes.

    Andy Bacon: We have been at pains to do so (England is in our job title)! However not everyone is alert to the differences between England and UK, or that the health systems are different in the administrations. Equivalent services are available in Wales and planned for Scotland this autumn. Northern Ireland (due to their unique circumstances) have slightly different plans.

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