Top
 

health Tag

News: 21st February 2022

 

Today the Naval, Army and RAF Families Federations launch the ‘Duty and Care: Armed Forces Family Mobility and Health Care’ report. This report provides practical recommendations to inform and tackle disadvantage as well as improve health outcomes for families required to move frequently due to Service need.

 

This study, supported by NHS England and NHS Improvement and the MOD Families Team, was conducted by the Veterans and Families Institute for Military Social Research at Anglia Ruskin University (ARU), and sponsored by the three Families Federations. Families have shared their experiences to form the basis of this research and as the Foreword says, “Their voices are the most important ones here”.

The recommendations were co-created by key stakeholders to identify the clearest possible lines of responsibility and accountability.

 

Top line recommendations are:
  1. Gaining confidence of families – that the Service will support them, but the Service needs to be kept informed about any health factors that might affect postings
  2. Building on existing frameworks – to support postings – ensuring that information is captured effectively
  3. Encourage families to identify current and potential needs to primary care
  4. Expand the education and training of all NHS staff to understand the needs of mobile military families
  5. Provide more information to military families on the variable nature of the NHS, particularly when moving across devolved national borders
  6. Improving transfer of information – the transfer of health care records between primary care organisations
  7. Continuity of care, using remote access
  8. Creating single points of contact for Armed Forces families to seek advice
  9. Dentistry – look for ways to support Service families seeking dental care

 

Access the report

Click here to access the report.

 

Minister for Defence People and Veterans, Leo Docherty says:

“As a former soldier, I know only too well that families are the backbone of our Armed Forces. But unlike Serving personnel, they haven’t chosen this career, so it is even more important we give them the support they need. One of the greatest challenges faced by military families is access to quality health care.

“That’s why I very much welcome the practical recommendations set out in Anglia Ruskin University’s excellent report published today.

“Anglia Ruskin University and the Families Federations have played their part… Now it is our turn. Our upcoming Families Strategy will work hand-in-glove with the NHS, care providers, MOD, single Services and the Families Federations to translate this advice into action.”

 

Forces in Mind Trust Professor of Veterans and Families Studies, Michael Almond says:

“Through interviews with military families and those with responsibility for providing, commissioning and advising on health care for military families we were able to deliver this report which provides practical and operational recommendations for policy and practice, directed at care providers, the NHS, MOD, and families themselves, to tackle disadvantage and improve health outcomes for those families required to move frequently as a result of Service need.”

 

The Royal Navy’s Second Sea Lord, Vice Admiral Martin Connell CBE says:

“The wellbeing of our Naval families is a vital factor in the effectiveness of our operations, so I welcome initiatives that provide our families with the support they deserve.

 

“Military life creates a number of disruptive challenges for families to contend with, not least of which is the occasional requirement to move as duty demands.

 

“This can disrupt or interrupt access to quality health care or education, so Anglia Ruskin University’s comprehensive report, sponsored by the Naval Families Federation and its partner organisations, will prove a valuable asset in improving the service and support provided to families.

 

“The fact that the report draws directly on families’ experiences gives the recommendations particular weight, and it is now down to the MOD, the three Services, NHS England, care providers and the families federations to ensure that these recommendations are converted into practical measures.

 

“We are proud of our Naval families, just as we are proud of our sailors and marines, and we must ensure that all members of the wider Naval family have unhindered access to the first-class health care provided by our wonderful NHS.”

 

Further information/advice

If you experience issues or concerns regarding your family’s health care you can contact us where our health and wellbeing subject lead can be on hand to help.

We are sometimes contacted by families who need to obtain a copy of their NHS medical records.

 

England

There are two types of medical record you can ask to see:

  • medical records held by a healthcare provider that has treated you;
  • a summary care record (SCR) created by your GP.

Click here to find out more.

 

Scotland

You should contact your GP practice manager or hospital health records manager if you would like more information about how your records are stored. Click here to find out more. 

 

Wales

NHS Wales in partnership with the Informatics Service is bringing in a number of ways to view records electronically while still ensuring information is safe and secure. You can also find out more how patient details are handled. Find out more here.

 

Northern Ireland

Health and medical records will be held about you at your GP surgery, or in a hospital if you have had any appointments or treatment there. You should be able to request to see your records, though there may be a cost. Find out more here.

 

Did you know that you can also register on-line with your GP surgery, in England, which will allow you to view a lot of your GP records, book appointments and request prescriptions? More details can be found here

 

Posted on: 26th April, 2018

The Armed Forces Covenant aims to honour the sacrifices the Armed Forces Community make to keep us safe, including those of families.

 

The Armed Forces Covenant Annual Report details some of the successes the Covenant has had over the past year, including in the key areas of healthcare, education and accommodation.

 

Every year the Families Federations are invited to make their observations on the Armed Forces Covenant and below is an extract of part of the report written by the Naval Families Federation in conjunction with the Royal Air Force Families Federation and the Army Families Federation. Based on the feedback we receive from Service personnel and their families, our observations have highlighted areas which we believe are working well and other aspects that we believe need to be improved upon:

 

Whilst the high tempo of UK operations endures the impact of Service life on Armed Forces families remains challenging. The issues of mobility and long periods of separation from loved ones demand a level of commitment and resourcefulness from families, which sets them apart from the general population. Constant change and the prospect of new policies that will redefine the Armed Forces’ lifestyle mean that unease and uncertainty prevail. Whilst families are proud of their serving loved one, and willingly make compromises and sacrifices, it is vital that the Armed Forces Covenant plays its part to ensure that they are treated fairly.

 

The Families Federations recognise the Armed Forces Covenant as an important and valuable mechanism to effect necessary change and very much appreciate the way in which Government departments and other stakeholders continue to work with us to achieve it.

 

Much has been accomplished in the past 12 months but there remains considerable work to do. We appreciate the opportunity to comment on those aspects of the Report relevant to serving personnel and their families.

 

Healthcare

That Armed Forces and Veterans issues are now part of the national curriculum for GPs, and will be tested in their Royal College of General Practitioners membership exam, is an extremely positive development. We look forward to there being greater understanding of the unique challenges that Service personnel and their families face.

 

Following our observations about compensation for clinical negligence cases for those families living overseas, we were pleased to note that the Ministry of Defence (MOD) has now issued a Defence Internal Notice on Health Service Provision for Entitled MOD Personnel in British Forces Germany.

 

Whilst we recognise that families are now able to transfer their place to new waiting lists when they move location due to an assignment, we are still hearing concerns from those who then face even longer waiting times for certain treatments. This is a particular issue for those trying to access a NHS dentist in a number of remote locations around the UK, which have a large military footprint, including North Wales, Norfolk, Devon and Cornwall. Whilst we are working with our unit Covenant Champions, local authorities and NHS England and health partners to try and find resolution locally, more could and should be done. We recognise that work is being undertaken to ensure that those families who are assigned to Northern Ireland are not disadvantaged with regard to the time they have already spent on a waiting list for treatment.

 

However, concern remains about cases involving family members who find that they do not meet the eligibility criteria in their new location, or that certain medical treatment is not provided in Northern Ireland. Additional waiting times and concern about whether they will be able to have these procedures is causing undue anxiety. We would like to recognise formally the activity, support and engagement offered by the Armed Forces Commissioning Managers within NHS England, which has been outstanding; they continue to assist many families in need of advice and help. We also welcome the Defence People Mental Health and Wellbeing Strategy and we are pleased to note that Mental Health is at the forefront of the Health Agenda. We look forward to seeing the new services implemented over the coming months.

Education

As key stakeholders in the Service Children’s Progression Alliance (SCiP), we are delighted to be working alongside our partners in helping to improve educational outcomes for Service children. The development of the SCiP website is providing a hub of information and resources for professionals involved in Service children’s education. The organisation Service Children in State Schools (SCISS) continues to provide proactive guidance to schools on how best to support Service children, especially through the challenges of mobility and separation.

 

We welcome the introduction of a Service child flag on the Common Transfer File from September 2017, which means that Service children will now be identified when moving schools. We would welcome the addition of key information detailing each child’s support needs. We also look forward to learning about the impact of the Service Children’s Local Authority Working Group which will work collectively to improve education for Service children in the 13 key areas around the country.

 

The overseas education suitability reviews, recently conducted by the MOD, are a welcome asset for families who are considering an overseas assignment. This will enable them to make an informed decision, based on the facts, about the provision of educational facilities outside of the UK.

 

The Families Federations are reassured to learn that the Service Pupil Premium (SPP) will not be affected by the wider reform of school funding. The SPP provides schools and academies in England with a much needed additional resource, allowing them to support Service children in a number of ways, and we believe that it should be protected. It has stood at £300 per pupil, per year, for some time now and an increase would be well received. We would also welcome the extension of SPP to include early years (under 5s), to support transitional childcare arrangements, and for all children in compulsory education, including those aged 16-18 years.

 

There is still more work to be done, however, on educating schools on how best to spend their SPP, especially those that have lower numbers of Service children. While they receive less funding, they still need to use it as effectively as possible to support their Service pupils, and not combine it with their main Pupil Premium funding.

 

The issues surrounding Service children being moved to a new school during the academic year are well documented. We recognise the work that the Directorate of Children and Young People, via the Children’s Education Advisory Service, are doing to try to resolve some of the difficulties that occur, particularly as a result of these mid-term moves. We would, however, welcome information about what work, if any, is being undertaken by the single Services to help overcome some of these issues, through careful timing of assignment order dates. We recognise that the needs of the Service will always prevail, but believe that more well-timed moves in some cases would go a long way to support parents and to aid retention.

 

In our Observations on the Annual Covenant Report 2016, we requested further support for school admissions by way of changes to the Schools Admission Code. Whilst we have continued to pursue this with the Department for Education, as it stands the Code will not be changed. We believe that this decision needs to be revisited.

 

We understand that the MOD Education Support Fund (ESF) is scheduled to close. We would like to highlight our support of the ESF as a vital resource for schools, especially for those wishing to provide targeted support for Service children which cannot be funded through Service Pupil Premium. The key reasons for its introduction, i.e. deployment and mobility, remain extant, and we would like to see the fund retained.

 

We continue to receive evidence from families who are affected by the huge variations in the provision of Special Educational Needs support around the country, particularly those who are assigned to work and live in more remote locations. We would like this issue to be reviewed in the coming year to determine what extra support can, and should, be provided to those families who have to move location due to their Service commitments.

Accommodation

The issues surrounding accommodation continue to generate the highest number of concerns reported to the Families Federations. Nevertheless, we are pleased to see progress with the performance of CarillionAmey, although there is still room for improvement in some areas, such as follow-on works and communications. Their decision to 14 introduce Customer Engagement meetings is to be commended, as families have long voiced their frustrations about not having face to face contact with the team responsible for Service Family Accommodation. We also welcome the recent engagement by the MOD and the Defence Infrastructure Organisation with regards to the new housing contract, and we look forward to representing the views of families as this important consultation is taken forward.

 

The Armed Forces Continuous Attitude Survey 2017 report highlights that the number of Service personnel who feel that they get value for money for their Service accommodation is at its lowest for 8 years. We believe that there is a direct correlation between this decline, the previously poor performance of CarillionAmey (which only recently has started to perform to the contract targets), and the introduction of the Combined Accommodation Assessment System (CAAS) (which is deeply unpopular with many who feel that often significant rises in charges are not adequately explained or justified). This sense of frustration is compounded by poor communication and a complex challenge/ appeal process. We note the CAAS Working Group’s intent to simplify the system, but remain concerned by the negative effect of CAAS.

 

We note the MOD’s intent to establish a Single Living Accommodation Management Information System, but are concerned that this has now been in the pipeline for years, and that there is still no sign of a working solution. We continue to hear about the poor state of infrastructure in units, including Single Living Accommodation (SLA), and the concomitant adverse effect on morale and feeling valued. The MOD now needs to address this urgently as the condition of SLA is an area of real concern for those personnel still living in poor quality and badly maintained accommodation.

 

There remains much confusion, and some anxiety, about the long-term plans for Service accommodation under the Future Accommodation Model (FAM) programme. The Families Federations will continue to work with the FAM team to represent the views of families across all three Services and to ensure that those who are working on the new policy are aware of their concerns. We will also provide information and feedback on the proposals, as we believe it is essential for families to be involved in this process, especially in those locations selected to be part of the pilot in 2018. We would like reassurances that our feedback is given sufficient consideration by the FAM team, and that decisions are not solely based upon financial constraints. In addition, we would like the FAM team to recognise the unique nature of the three Services and the potentially differing requirements of those families.

 

We are delighted that, following much work by the Army Families Federation and the Royal British Legion, there is movement on the issue of divorced/ separated spouses having a local connection when applying for social housing. Once The Ministry of Housing, Communities and Local Government (formerly the Department for Communities and Local Government) and the Local Government Association have completed their consultation, we look forward to seeing new statutory guidance being issued to ensure that military family members are not disadvantaged because they too have been mobile, in support of the Armed Forces.

Covenant in Business

The growing engagement of businesses is celebrated but we think there is still much more that could be done, especially by regional Small and Mediumsized Enterprises (SME) and not just the national or multinational corporate giants. Much attention is given, quite rightly, to supporting Reservists and Veterans in the workplace but spouse or partner employment is an issue that affects a great many Service families too. We will therefore be interested to note the findings of the review being commissioned by the Forces in Mind Trust to look at the pledges made by businesses to support Service family members.

Family Life

The introduction of a new MOD Domestic Abuse Strategy is to be commended. We hope that this will reassure family members that the MOD and the single Services take this issue very seriously, and that there is a clear focus on prevention through education and awareness. As a result of a successful bid for Covenant Funding, the Army Families Federation Foreign and Commonwealth Specialist, on behalf of all three Federations, has already been able to assist 20 spouses who have been victims of domestic abuse and has had a 100% success rate with their immigration applications. It is hoped that their work will complement the policies and procedures put in place by the new strategy.

 

Whilst we welcome the news that the MOD has held initial meetings with the Home Office to discuss the challenges faced by some Foreign and Commonwealth families when applying for visas, we would like to see this issue given a higher priority. These cases frequently take months to resolve and can involve substantial amounts of money, which is having a significant impact on the families involved.

 

Service families moving to and from the devolved administration areas have raised concerns regarding the nuances of living in different countries. Whilst it is acknowledged that there are some clear benefits to living and working in Scotland or Wales, there has been a particular focus on the issue of the Scottish Rate of Income Tax and the challenges faced by some family members when applying for funding for further or higher education courses.

Childcare

We were delighted that Directorate of Children and Young People was tasked to produce a draft childcare policy but are disappointed that it has been buried in the MOD for nearly a year with no news about its adoption. We recognise the potential costs, and that this is an issue that can affect all families, whether Service or civilian. Nevertheless, there are some issues that are unique to Service families, and are compounded for dual-Serving and lone parents. Childcare remains a significant challenge for our people, not just in terms of cost but in terms of availability, governance, quality, opening hours and variability of delivery. We would welcome a decision in the near future.

Transition from Service to Civilian Life

The research currently being undertaken by our Transition Liaison staff will help to identify the actual needs and concerns of families as they go through the process of leaving the Armed Forces. We expect that this evidence will prove invaluable to informing Tri-Service policy on transition.

 

The Families Federations would welcome a commitment that policy makers will continue to work with us to review the current approach to transition policy, and the current Resettlement provision, to identify where it can be explicitly extended to families or where new provision needs to be designed. This could include provision for supporting families to understand better what life after the Service could look like, and to help them to identify skills, characteristics and experiences that are of value to themselves and future employers, as well as to help families to become active citizens.

Communicating the Covenant

We recognise the Armed Forces Covenant Cross Government Communications Working Group as an effective and positive development, but suggest that more is needed in the way of tailored messaging that will resonate with every rank, trade, age group and family situation. We also believe that there is more that can be done to support Unit Covenant Champions. We still hear about organisations that have signed up to the Covenant and yet failed to tell their employees, leading to confusion, stress and unnecessary bureaucracy when approached by Service families. Finally, despite the excellent work of Forces in Mind Trust and the MOD to identify and share good practice, we would like to see more work done to ensure that the Covenant is effectively communicated to local authorities, ensuring a focus on the removal of patchy delivery of the Covenant across different authorities.

Conclusion

On behalf of the serving Armed Forces community we would like to offer our sincere thanks to everyone who has played a part in delivering the Armed Forces Covenant during the past 12 months and are particularly grateful to those who have worked to address areas of disadvantage for our families. Whilst we celebrate the encouraging progress that has been made, we look forward to seeing the recently renewed commitment made by the Government to support Armed Forces families yielding positive outcomes.

 

Further information

To read the full Armed Forces Covenant Report, click here.

To read a summary of the Armed Forces Covenant Report, click here.

Contact us

Without your feedback we cannot gather the evidence that we need to bring about change, where required, and make life better for Naval Service families.

Call us: 023 9265 4374

Email: contactus@nff.org.uk

You can also contact us on social media:

Follow us on Facebook here.

Follow us on Twitter here.

 

Posted on: 14th February, 2018

Royal Navy

Physical and mental fitness are at the heart of Royal Navy life, and NAVYfit is here to help you stay at the top of your game. Explore the benefits of an active and healthy lifestyle, discover sporting opportunities, and find out how you can push yourself even further with Adventurous Training; all in one place. More information can be found here.

Staying healthy

Regular exercise can reduce your risk of major illnesses, such as heart disease, stroke, type 2 diabetes and cancer by up to 50%. If you’re in the Service or your other half is, remember you can use the Royal Navy’s sports facilities, free of charge. To find out what’s on offer near you, please visit here.

Starting an exercise programme

The NHS has a great total beginners’ running programme with free podcast and app, plus advice for new runners. NHS Couch to 5K.

Local authorities

As part of their commitment to their local Armed Forces Covenant, many local authorities have chosen to offer discounts to Serving personnel, and their families in some areas, so that they can access fitness centres whilst they are at home and away from their unit fitness facilities. Search your local authority website for more information here.

Stumptuous

For sensible and straight-talking advice on starting weight-training, visit here. This site contains some colourful language.

Change 4 Life

This NHS website that has loads of ideas, recipes and games to help you and your family to be healthier and happier. Visit their website here.

Change 4 Life – Wales

Would you or your family like to be healthier and happier? Would you like loads of ideas, recipes and games to help you do this?

Then join the thousands of other people in Wales and sign up today.

British Cycling and HSBC UK

British Cycling and HSBC UK are working in partnership to encourage people of all ages to get on their bikes and discover the delights and health benefits of cycling. More information about the range of programmes they are offering can be found here.

Eat Better Feel Better

This is a Scottish website that shows ways you can make changes to how you shop, cook and eat, to help you and your family eat better and feel better. It includes tips for fussy eaters, cook along videos, and recipes that you can save to your own account. Please visit here.

Get a Life, Get Active

This a Northern Irish website which has resources to help you incorporate enough activity into everyday life for better health. Please visit here.

Train Like a Jedi

This Star Wars themed programme aims to encourage children to get more active. It features a video staring Jade Jones, British taekwondo athlete and double Olympic gold medalist, to teach children 12 Jedi moves that can increase heart rate, improve physical skills, develop confidence, and emotional resilience. Please access this programme here.

Posted on: 6th May, 2016
Updated on: 4th April, 2022