Lord Coaker (Lab)

My assumption would be that it includes all NHS services. The serious point that I am making is that page 2, on the extension to the national bodies and covering matters, starts to try to deal with some of the various points that the noble Lord has quite rightly made, and I thank the noble Lord, Lord Harlech, for his views. Amendment 6 would require bodies subject to the covenant duty to ask and record whether an individual belongs to an Armed Forces community. I recognise the intent behind the amendment and that the recording of someone’s Armed Forces status does not always happen as it could or should. We are continuing to encourage improvements in that area, because it is important that we do that as far as possible. We do not believe, however, that it is appropriate to place statutory requirements on these bodies to ask them to record an individual’s Armed Forces status. It may not always be necessary for the delivery of services or the removal of disadvantage, so it risks imposing an additional administrative burden, for limited benefit. In many cases, bodies subject to the duty, such as Government Ministers, make decisions about the Armed Forces community in general rather than about specific individuals. It would therefore be impractical and unnecessary to require these bodies to establish whether every individual who is or may be using their public services is a member of the Armed Forces community, which is what the amendment would require. It is important to say to the noble Lord that the covenant duty’s updated statutory guidance already highlights the importance of bodies identifying who is in the Armed Forces community, giving them the flexibility to determine the best way forward, rather than imposing a rigid statutory requirement. I hope that answers to an extent some of the questions asked the noble Baroness, Lady Goldie. We have statutory guidance that we have updated to try to improve the situation as well. On Amendment 7, the Government recognise the importance of ensuring that our Reserve Forces are medically ready when called upon. Fitness to serve is already a fundamental consideration for the services when reservists are being considered for mobilisation. Active reservists, as the noble Lord will know better than most, are subject to pre-mobilisation health checks delivered through defence primary healthcare arrangements, and individuals will not be mobilised unless they meet the relevant service medical standards. I share the objective of maintaining reserve readiness, but the amendment is not the appropriate means of achieving that objective. It would place a new statutory duty on health bodies across the UK to take account of reservist mobilisation status in the exercise of public health and social care functions. The proposed new clause would require health bodies to take defence readiness into account when allocating access to examination or treatment.