Jonathan Cole
5 Jun 2023 · Coroner Sophie Cartwright · Derby and Derbyshire
The coroner's concerns
1. shortage of mental health staff in Ministry of Defence
“I have a concern as to the number and availability of psychiatrists and psychologists within the Ministry of Defence and accessible to serving personnel. This concern extends to ensuring a soldier receives access to appropriate treatment including diagnosis. Diagnosis is also important as under the Armed Forces Compensation Scheme, mental disorders must be diagnosed by a relevant accredited medical specialist, namely, a medical practitioner whose name is included in the specialist register kept”
2. unit-led vulnerability risk management process
“I have a concern that the Vulnerability Risk Management Process [Suicide Vulnerability Risk Management as was] is Unit led and that DCMH clinicians do not have a greater role in influencing the Army's vulnerability risk management (VRM) process for suicidal soldiers”
3. inadequate medical advice on PTSD claims
“the training and experience of the Medical Advisors at Veterans UK providing advice under the Armed Forces Compensation Scheme. b. rejection of claims for PTSD under the Armed Forces Compensation Scheme if there is not a formal diagnosis by a consultant psychiatrist or psychologist but evidence of PTSD within medical records from other medical professionals”
4. unqualified medical advisors making compensation decisions
“[REDACTED] was a retired GP who went on to work as a part-time medical advisor at Veterans UK in October 2013 and rejected Jonny's claim for compensation for PTSD and psychological injury under the armed forces compensation scheme. [REDACTED] had no specialist knowledge of psychiatric or mental health issues and had had no specialist training in that area”
Responses
2023-0186-Response-from-Ministry-of-Defence.pdf ↗· Ministry of Defence
Stated action · later this year
“The Office for Veterans' Affairs (OVA) works across government and with private sector organisations, charities and other public sector organisations to support and deliver services to veterans. Its 'Veterans' Strategy Action Plan'4 sets out commitments the UK Government will deliver to support the objective of making the UK the best place in the world to be a veteran. The OVA has also worked closely with the Department of Health & Social Care and NHS England on the development and promotion of”
2023-0186-Response-from-Nottinghamshire-Healthcare.pdf ↗· Nottinghamshire Healthcare NHS Foundation Trust