Contribution
My Lords, I declare my interest as a serving officer in the Army Reserve. In moving Amendment 6, I shall also speak to Amendment 7, which stands in my name in the same group. Before I focus on the amendments in detail, I would like to briefly preface the intent behind all the amendments to the Bill in my name. The Government Whips can rest assured that I am not about to launch into a Second Reading speech—but, as Max Hastings wrote in the Times this week:
“When the Cold War ended in 1990 the TA still mustered a strength of almost 73,000”.
We can all agree that we are a long way from that now. All my amendments are with the aim of improving the lived experience of reservists in order to strengthen recruiting and retention and therefore the operational effectiveness of the Armed Forces.
The two amendments in this group have a single purpose between them. Clause 2 puts the covenant properly into law, and I welcome it, but a duty of due regard is only as good as the ability of the body under it to see the people it is supposed to be regarding; Amendment 6 makes them visible, and Amendment 7 gives the duty a specific task. Amendment 6 would require bodies subject to the Clause 2 duty to ask, and to record, whether an individual belongs to the Armed Forces community and, in particular, to distinguish current reserve service from veteran status. I anticipate that the Minister will tell me this already happens. The registration form for a general practice does carry a question about Armed Forces service, but the question is optional, is framed in the past tense—about having served—and is asked once at the point of registration. Consider what that means for a reservist. Reserve service is a status acquired in mid-life. I registered with my general practitioner long before I attested, and nobody has asked me since. The whole design is veteran-shaped, and serving reservists fall through it.
Although a clinical code for Armed Forces reservists already exists within the National Health Service, it remains entirely underutilised. The framework is in place, yet throughout my years in the reserves I have never been queried about my military status when scheduling a medical or dental appointment—an experience that I am confident is widely shared. The consequence is that the entire burden of the covenant falls on the individual to self-advocate. They must explain what the covenant is to a receptionist who has potentially never heard of it in order to claim something to which they cannot prove they are entitled. Most people do not bother, and I do not blame them.
I will address the inevitable criticism head-on. Proposed new subsection 4 would ensure that the decision to respond remains entirely voluntary, stipulating that declining would not prejudice an individual’s access to or quality of care. While the serviceperson retains their autonomy, the provider is stripped of the plea of ignorance.
If we lack this data, the ministry remains unable to evaluate the covenant’s impact and this House is denied the means of oversight. We would in effect be creating a statutory obligation while simultaneously refusing to provide the tools necessary for its fulfilment.
Amendment 7 turns to what the duty should deliver. It would require health bodies to have due regard to a reservist’s need
“to attain and maintain the standards of medical and dental fitness required”
for call-out and recall.
The Bill expands the liability to serve, extends recall to the age of 65 and introduces a lower threshold for mobilisation and an opt-out model. Every one of these provisions assumes that the individual is medically and dentally fit to deploy. Applying recall powers to people who cannot pass a medical grading is simply relabelling, not enhanced capability.
Dental fitness is the sharpest illustration of this. A reservist who cannot obtain a dental appointment fails dental fitness standards and becomes non-deployable. That is not a health inconvenience; it is a capability loss that the state has created by asking the serviceperson to be ready in the first place.
Reservists routinely pay privately to stay deployable. That is a hidden tax on service. Proposed new subsection 3 would provide that nothing in the clause
“requires a health body to provide any assessment … or treatment otherwise than in accordance with clinical need”.
The amendment bites only between patients of equivalent clinical priority. It is a tie-break, not a preference, and it cannot displace a single patient with a greater clinical need. It is the same bounded logic as the existing veterans priority, which survives precisely because it is bounded. Proposed new subsection 4 would require the Defence Council to publish those standards, because nobody can have due regard to a standard they cannot see.
I have two questions for the Minister. What is the department’s assessment of the proportion of trained reservists who are currently medically or dentally non-deployable? Will the Government publish those standards, irrespective of what happens to this amendment? Neither of these amendments costs any money. Together, they are the difference between a covenant that is declared and a covenant that is delivered. I beg to move.