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1134549

	registered interest
	date	25/06/2019
	answering body	Ministry of Defence
	answering dept id	11
	answering dept short name	Defence
	answering dept sort name	Defence
	hansard heading	Armed Forces: Mental Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Defence, what steps she is taking to (a) protect the mental health and (b) treat mental health issues of members of the armed forces during training.
	tabling member constituency	Motherwell and Wishaw
	tabling member printed	Marion Fellows
	uin	269082
	answer	answer is ministerial correction date of answer 01/07/2019 answer text <p>The Ministry of Defence (MOD) recognises that maintaining good mental health, and providing treatment when required, is fundamental to maintaining a fit, healthy, and effective military force. The comprehensive 2017 Mental Health and Wellbeing Strategy set out measures to further improve the psychological health of the Armed Forces, including a new operating model focusing on Promote, Prevent, Detect and Treat.</p><p> </p><p>Personnel in training receive the same mental health support as their fully-trained colleagues, including stress management training and a wide range of psychiatric and psychological treatments. Basic healthcare is available through Service primary care facilities, with treatment delivered primarily from a network of 20 permanent locations, comprising 11 Departments of Community Mental Health, six Mental Health Teams, and three locations with a permanent Community Mental Health Nurse. In-patient care is provided in dedicated psychiatric units through a central MOD contract with a partnership of eight NHS Trusts.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p>Personnel deployed to combat zones are supported by a GP-led healthcare team with access to a mental health nurse. In Iraq and Afghanistan, we deployed uniformed mental health nurses to deliver in-theatre care and treatment, and consultant psychiatrists visited periodically to provide clinical support. A permanent on-call consultant psychiatrist was available to provide specialist support by phone 24 hours a day, and a UK-based team of a psychiatrist and a mental health nurse was at immediate readiness to deploy to the operational theatre to support the local team if required.</p><p> </p><p>Trauma Risk Management (TRiM) is widely employed as a support model for deployed personnel. It aims to empower non-medical staff to spot those who might have been affected by traumatic events in order that their peers and leaders can provide them with appropriate support or, where it is required, to refer them for specialist help. As TRiM is primarily a Unit-led innovation it is intended to reduce the stigma associated with mental health problems.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Bournemouth East answering member printed Mr Tobias Ellwood grouped question UIN 269083 question first answered 01/07/2019 13:53:41 answering member 1487 label Biography information for Mr Tobias Ellwood
	tabling member	4440 label Biography information for Marion Fellows

1134550

	registered interest
	date	25/06/2019
	answering body	Ministry of Defence
	answering dept id	11
	answering dept short name	Defence
	answering dept sort name	Defence
	hansard heading	Armed Forces: Mental Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Defence, what steps she is taking to (a) protect the mental health and (b) treat mental health issues of members of the armed forces during service in combat zones.
	tabling member constituency	Motherwell and Wishaw
	tabling member printed	Marion Fellows
	uin	269083
	answer	answer is ministerial correction date of answer 01/07/2019 answer text <p>The Ministry of Defence (MOD) recognises that maintaining good mental health, and providing treatment when required, is fundamental to maintaining a fit, healthy, and effective military force. The comprehensive 2017 Mental Health and Wellbeing Strategy set out measures to further improve the psychological health of the Armed Forces, including a new operating model focusing on Promote, Prevent, Detect and Treat.</p><p> </p><p>Personnel in training receive the same mental health support as their fully-trained colleagues, including stress management training and a wide range of psychiatric and psychological treatments. Basic healthcare is available through Service primary care facilities, with treatment delivered primarily from a network of 20 permanent locations, comprising 11 Departments of Community Mental Health, six Mental Health Teams, and three locations with a permanent Community Mental Health Nurse. In-patient care is provided in dedicated psychiatric units through a central MOD contract with a partnership of eight NHS Trusts.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p>Personnel deployed to combat zones are supported by a GP-led healthcare team with access to a mental health nurse. In Iraq and Afghanistan, we deployed uniformed mental health nurses to deliver in-theatre care and treatment, and consultant psychiatrists visited periodically to provide clinical support. A permanent on-call consultant psychiatrist was available to provide specialist support by phone 24 hours a day, and a UK-based team of a psychiatrist and a mental health nurse was at immediate readiness to deploy to the operational theatre to support the local team if required.</p><p> </p><p>Trauma Risk Management (TRiM) is widely employed as a support model for deployed personnel. It aims to empower non-medical staff to spot those who might have been affected by traumatic events in order that their peers and leaders can provide them with appropriate support or, where it is required, to refer them for specialist help. As TRiM is primarily a Unit-led innovation it is intended to reduce the stigma associated with mental health problems.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Bournemouth East answering member printed Mr Tobias Ellwood grouped question UIN 269082 question first answered 01/07/2019 13:53:41 answering member 1487 label Biography information for Mr Tobias Ellwood
	tabling member	4440 label Biography information for Marion Fellows

1135923

	registered interest
	date	01/07/2019
	answering body	Ministry of Defence
	answering dept id	11
	answering dept short name	Defence
	answering dept sort name	Defence
	hansard heading	Children: Maintenance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Defence, by what methods (a) HM Paymaster, (b) the Defence Council and (c) an authorised officer determine the amount payable by a member of the armed forces in child maintenance.
	tabling member constituency	Motherwell and Wishaw
	tabling member printed	Marion Fellows
	uin	271510
	answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>The Child Maintenance Service (CMS) is responsible for setting the overall amount of child maintenance to be paid.</p><p>The Ministry of Defence has a Memorandum of Understanding (MOU) in place with the CMS to facilitate the direct deduction of child maintenance payments from the pay of non-resident parents who are Service personnel. Under the MOU, the Department calculates a 'Minimum Drawing Rate', which takes into account gross basic pay, specialist pay, some allowances as well as gross statutory deductions such as National Insurance and PAYE.</p><p>Child maintenance deductions are always made. The only exception is when the Service person is on military operations and their Commanding Officer may advise that engagement with the CMS be delayed until their return to the UK when they are in a position to consider properly any papers from the CMS and respond accordingly, at which point deductions would commence.</p><p>I refer the hon. Member to the answer I gave her on 11 June 2019 to Question 261264 which detailed the administrative reasons for the rejection of deduction of earnings requests.</p> answering member constituency Bournemouth East answering member printed Mr Tobias Ellwood grouped question UIN 271511 271551 question first answered 04/07/2019 15:20:41 answering member 1487 label Biography information for Mr Tobias Ellwood
	tabling member	4440 label Biography information for Marion Fellows

1135924

	registered interest
	date	01/07/2019
	answering body	Ministry of Defence
	answering dept id	11
	answering dept short name	Defence
	answering dept sort name	Defence
	hansard heading	Children: Maintenance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Defence, what criteria (a) HM Paymaster, (b) Defence Council and (c) an authorised officer use to determine when child maintenance should be paid.
	tabling member constituency	Motherwell and Wishaw
	tabling member printed	Marion Fellows
	uin	271511
	answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>The Child Maintenance Service (CMS) is responsible for setting the overall amount of child maintenance to be paid.</p><p>The Ministry of Defence has a Memorandum of Understanding (MOU) in place with the CMS to facilitate the direct deduction of child maintenance payments from the pay of non-resident parents who are Service personnel. Under the MOU, the Department calculates a 'Minimum Drawing Rate', which takes into account gross basic pay, specialist pay, some allowances as well as gross statutory deductions such as National Insurance and PAYE.</p><p>Child maintenance deductions are always made. The only exception is when the Service person is on military operations and their Commanding Officer may advise that engagement with the CMS be delayed until their return to the UK when they are in a position to consider properly any papers from the CMS and respond accordingly, at which point deductions would commence.</p><p>I refer the hon. Member to the answer I gave her on 11 June 2019 to Question 261264 which detailed the administrative reasons for the rejection of deduction of earnings requests.</p> answering member constituency Bournemouth East answering member printed Mr Tobias Ellwood grouped question UIN 271510 271551 question first answered 04/07/2019 15:20:41 answering member 1487 label Biography information for Mr Tobias Ellwood
	tabling member	4440 label Biography information for Marion Fellows

1136013

	registered interest
	date	01/07/2019
	answering body	Ministry of Defence
	answering dept id	11
	answering dept short name	Defence
	answering dept sort name	Defence
	hansard heading	Children: Maintenance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Defence, under what circumstances (a) the MoD Defence Council, (b) an Authorised Officer, and (c) HM Paymaster is able to reject a deduction of earning request from the Child Maintenance Service.
	tabling member constituency	Motherwell and Wishaw
	tabling member printed	Marion Fellows
	uin	271551
	answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>The Child Maintenance Service (CMS) is responsible for setting the overall amount of child maintenance to be paid.</p><p>The Ministry of Defence has a Memorandum of Understanding (MOU) in place with the CMS to facilitate the direct deduction of child maintenance payments from the pay of non-resident parents who are Service personnel. Under the MOU, the Department calculates a 'Minimum Drawing Rate', which takes into account gross basic pay, specialist pay, some allowances as well as gross statutory deductions such as National Insurance and PAYE.</p><p>Child maintenance deductions are always made. The only exception is when the Service person is on military operations and their Commanding Officer may advise that engagement with the CMS be delayed until their return to the UK when they are in a position to consider properly any papers from the CMS and respond accordingly, at which point deductions would commence.</p><p>I refer the hon. Member to the answer I gave her on 11 June 2019 to Question 261264 which detailed the administrative reasons for the rejection of deduction of earnings requests.</p> answering member constituency Bournemouth East answering member printed Mr Tobias Ellwood grouped question UIN 271510 271511 question first answered 04/07/2019 15:20:41 answering member 1487 label Biography information for Mr Tobias Ellwood
	tabling member	4440 label Biography information for Marion Fellows