COT Armed Forces & Veterans 17 th June 2011 Rob Moorhead

1. Military Health & Veterans COT Armed Forces & Veterans 17th June 2011 Rob Moorhead Implementation Advisor - Military Health & Veterans Department of Health

2. MoD / UK DH Partnership Model MoD / UK DH Partnership Board Partnership Board: cross government & administrations Working Groups – People & Services (incl. DAs) Joint Executive team NHS Armed Forces Network (England & DAs) DH England Strategic Partners Programme (3rd Sector) Regional Armed Forces Forums (England & DAs) Joint Executive People Working Group Services Working Group NHS Armed Forces Network Regional Military Commands Regional Forums

3. Statutory Initiatives • Health & Social Care Bill 2011: • Includes duty of the NHS Commissioning Board to commission services on behalf of the Armed Forces (currently a PCT duty) • NHS Mental Health Strategy 2011 • Includes specific provision for veterans • NHS Operating Framework 2011/11 • Reiterates Government military health priorities • Armed Forces Covenant … • Armed Forces Act 2011: • Annual duty to report to progress against the Military Covenant to Parliament including Health – principles enshrined in law …

4. Key Principles The Armed Forces Covenant preserves and extends the key principles of the Service Personnel Command Paper: • No disadvantage in the provision and continuity of public services • Minimise the social and economic impact of military life • Positive measures to enable equality of outcome • Special treatment for the injured & bereaved as a proper return for sacrifice

5. Enshrining the Covenant in Law?

6. Health Priority Areas Key priorities for the NHS in England: • Veterans’ mental health • Transition of service leavers to health & social care (joint responsibility with MoD) • Veterans’ prosthetic provision currently under review (report expected end June 2011) • Connectivity including transfer of records and exchange of information • Support to NHS Reservists

7. Transition to NHS CareThe Cliff-Edge Concern Level of Care Discharge In - Service Post - Service

8. The Armed Forces Covenant Veterans Health Transition to NHS Care • MOD Team complete CHC Checklist • MOD Case Coordinator contacts Regional Strategic Health Authority (SHA) • SHA identifies relevant Primary Care Trust (PCT) and introduces PCT coordinator to the MOD Case Coordinator. • SHA refer to PCT for co-ordinator to be appointed for the seriously injured / ill. • A Joint Care Plan drawn together by Defence Medical Services and NHS providers together with the 3rd Sector, Veterans Welfare Services and Local Authorities as appropriate to the case.

9. The Army Recovery Capability Personnel Recovery Branch (Jun 10) Personnel Recovery Centres including Battle Back Challenge Centre (now – Apr 12) Edinburgh Catterick Colchester Tidworth / Bulford Personnel Recovery Units (Apr-Jun 10) London Germany 10 x Regional Brigades

10. The Armed Forces CovenantVeterans Health Veterans Prosthetic Services – Murrison Review • The review will gather evidence on the current and future needs of veterans for prosthetics services, and on the provision and cost of services. • It will also look at: • the future funding of high specification, evidence-based prosthetics services within the NHS and the possible contribution of personal health budgets and the inclusion of these in continuing healthcare arrangement • how regional variations in service can be minimised; • how the transition from the armed forces’ prosthetics care to the NHS can be improved; and • the role of service charities in helping to meet the realistic needs of individuals over and above that which the NHS can provide.

11. The Armed Forces CovenantVeterans Health Mental Health Services for Families and Veterans • Establish the Combat Stress 24hr mental health helpline for veterans and families – live from 28 Feb 2011 • Trial of the Big White Wall online early intervention service for serving personnel, veterans and families (including bereavement advice) – www.bigwhitewall.com • NHS Veterans Mental Health Capability: An uplift in the number of mental health professionals conducting veterans outreach work in partnership with leading mental health charities. • A Veterans Information Service (VIS) to be deployed 12 months after a person leaves the Armed Forces

12. Working with Key Delivery Partners and many others….

13. NHS Action Plan for 2011 • Sustain working with key partners • Armed Forces Networks - SHA Transition Plan / Assurance / Performance Mgt Processes • Strategic Partners - ensure relationships and partnerships with key third sector partners are maintained and strengthened • Transition to NHS Care • Support AF Commanders when approached regarding complex cases • Facilitate onward referral & care of less serious cases • Veterans Prosthetic Services • Implementation of Murrison review of Prosthetics provision from June 11 • Veterans’ Mental Health • Commission & manage development of VMH services • Contribute to BWW, VIS and third sector service integration

14. Key Messages • There is an NHS Armed Forces Lead and a NHS Armed Forces Network forum in each region (including Devolved Administrations). If you have a healthcare issue, please raise it. • During 2011 the NHS Veterans Mental Health Capability, working with Combat Stress, will be implemented. We will be seeking to actively work with you on a case basis. • The impact of the Military Covenant announcement will be understood over the coming weeks. • Thank you!

15. Further information: Contacts DH Military Health Programme:doh.armedforcesnetworks@nhs.net The Team Dave Rutter Caroline Pease Rob Moorhead