Fund Workshop September 2016 Community Support Team Hampshire County Council Program Introductions Context Purpose and objectives of the workshop Veterans Reservists and Armed Forces Families Health Needs Assessment ID: 526340
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Covenant Fund Workshop September 2016Community Support Team Hampshire County Council
Slide2
Program IntroductionsContext Purpose and objectives of the workshop
Veterans, Reservists and Armed Forces Families Health Needs AssessmentThe needs of armed forces families - Family FederationsThe Covenant FundSlide3
Veterans, Reservists and Armed Forces Families Health Needs Assessment (2015)Slide4Slide5
Why Focus on the Military Community?Increasing public interest in Serving members since Iraq and Afghanistan but needs of veterans, reservists and families less well understood
Appreciation that there are specific
challenges of Service life
Influence
of national reports and strategies:
Fighting Fit, a Mental Health Plan for Servicemen and Veterans 2010 (The
Murrison
Report)
The
Armed Forces Covenant
2011
The
Chavasse
Report
2014
Military Families and Transition, May 2016, The Centre for Social Justice
The Veterans Transition Review,
Lord Ashcroft
KCMG PC, February
2014Slide6
Armed Forces CovenantThe Armed Forces Covenant is a promise from the nation that those who serve or have served, and their families, are treated
fairly.
The
covenant’s 2 principles are that:
the
armed forces community should not face disadvantage compared to other citizens in the provision of public and commercial
services
- special
consideration is appropriate in some cases, especially
for those
who have given most such as the injured
and
the
bereaved. Slide7
Armed Forces CovenantThe Covenant encourages local communities to support the armed forces community in their area and promote public understanding and awareness.Slide8
Health Needs Assessment
A systematic method for reviewing the health issues facing a population, leading to agreed priorities and resource allocation that will improve health and reduce
inequalities
A Veteran:
Anyone who
has served in HM Armed Forces at any time, irrespective of length of service
(
Ministry of Defence)
A Reservist:
Anyone
who is registered as a reserve in the Armed Forces, but is not currently on active duty
Military Family:
The
spouse or partner of a serving person, plus any dependents. More broadly, any members of a family or household unit who experience the impact of Service life of a serving member of the Armed ForcesSlide9
Veterans, Reservists and Armed Forces Families Health Needs AssessmentTwo key steps:
Describing the veteran, reservist and Armed Forces families population
Identifying their health and healthcare needs
Not straight forward due to lack of routinely collected dataSlide10
Describing the Veteran, Reservist and Armed Forces F
amilies Population
Veterans:
Extrapolations of national data
Pension and Compensation scheme data
Service leavers data
Primary care records
Reservists:
Permanent home addresses
Armed Forces Families:
Service pupil premium
Children’s Centres’ numbers
Families Federation dataSlide11
Veterans in HampshireExtrapolations from national data:
A total of nearly 60,000 veterans living in HampshireAround 40,000 of these are likely to be over 65 years old
Around 10:1 males to females
Compensation and Pension Scheme data:
Around 25,000 receive a pension (AFPS or WPS)Slide12Slide13
Number of Veterans Receiving Armed Forces Pensions by District
District
All
Armed Forces Pension Scheme (AFPS)
All
War
Pensions Scheme
(WPS)
All
Armed Forces Compensation Scheme (AFCS)
Basingstoke and Deane
1,110
325
55
East Hampshire
1,755
385
110
Eastleigh
850
290
30
Fareham
3,745
675
105
Gosport
4,185
710
175
Hart
1,175
270
190
Havant
2,145
570
60
New Forest
1,460
510
150
Rushmoor
1,450
355
475
Test Valley
2,095
500
150
Winchester
1,400
345
105
All
21,370
4,935
1,605Slide14
Veterans in Hampshire
The population of veterans in Hampshire is mostly elderly and suffer with isolation and mobility problems
Musculoskeletal problems are a common health issue and veterans are also more likely than the general population to have sensory problems
The most common mental health problems are anxiety and depression, but some will suffer with complex problems that require specialised help
Only a small proportion of general practices routinely ask patients about their veteran status when they register with a GP
Many of the needs of the ex-
Gurkha
population will be similar to those of the general veteran population, but they have some specific issues often relating to difficulties accessing servicesSlide15
Reservists in Hampshire
There are at least 1256 reservists with permanent home addresses in Hampshire
Reservists tend to be older and have higher educational attainment than regular personnel
The health needs of reservists are likely to very similar to the general population
D
eployments
can result
in a feeling of isolation sometimes resulting in risky behavioursSlide16
Armed Forces Families in Hampshire
Very little data on numbers and locations of Armed Forces families
National data:
S
uggests
32-70% Serving personnel are
married
Service Pupil Premium:
A
round 5,000 Service children in schools in Hampshire
Survey of Children’s Centres:
At least 1,000 families with children under 5 years oldSlide17Slide18
Armed Forces Families in Hampshire
The issues of deployment and mobility can result in:Isolation and mental health problems
Relationship difficulties
A range of psychological, mental health or behavioural problems in children as they move through the stages of the deployment cycle and their family circumstances change.
Disruption to schooling
Other issues of transition
Some
of the potential disadvantage that
Armed Forces
families may experience as a result of their Service life has been mitigated by actions taken in response to the Armed Forces CovenantSlide19
Summary of recommendationsPlease note that the following slides are a only a summary of some of the recommendations. For a full copy please reference to the full Health Needs Assessment Document.Slide20
Recommendations: Veterans - Mental Health
Better
identification of mental health problems related to Service, by increasing awareness of the ways in which they might present and ensure that veterans receive the treatment that is most appropriate for them and their mental health problemsSlide21
Recommendations: Veterans - Mental HealthAddress the needs of the elderly veterans in Hampshire who may be experiencing isolation. Part of this could include befriending services or peer support between veterans, with a focus on activities that emphasise
the positive aspects of memories of serviceSlide22
Recommendations: General Practice
∙ To
encourage GPs to use the designated READ codes to record veteran, reservist or military family status on primary care records. This could be achieved through greater awareness of the benefits of doing this, both to the care of patients and to the practice with regards to accessing the additional support available
.Slide23
Recommendations: Children & Families
Raise awareness of the Service Pupil Premium in schools so that uptake of it increasesPromote understanding of the Armed Forces Covenant in all Local Authority departments that families may come into contact with, such as education, so that families receive the appropriate support and care to ensure no disadvantage is experienced by themSlide24
Recommendations: Gurkha Population
Influence all partners to better understand the health needs of Gurkhas and some of the difficulties with accessing servicesSlide25
Recommendations: ReservistsWork with employers to improve understanding of the needs of reservists
Encourage Reservists to identify themselves as such to NHS GPs so that any issues related to their service can be identified quickly and appropriate care, support or referral can be givenSlide26
Recommendations: Armed Forces Covenant Fund
Encourage partners to submit applications for the Armed Forces Covenant Fund for projects around 4 priorities:Veterans
’ Gateway
Families in Stress
Improving local covenant delivery (for Local Authorities)
Community integration / delivery of local services
For
more information about the grants:
https://www.gov.uk/government/collections/covenant-fund
F
or
more information and help with
applications
contact Hampshire
Community Support Team Slide27
SummaryThe exact numbers and locations of veterans, reservists and military families is hard to estimate
. Data does indicate that Hampshire
has one of the largest
Armed Forces
populations in the country
60,000 veterans
1,200+ reservists
20,000 serving Military Personnel
The health and wellbeing of veterans , reservists and
m
ilitary families in Hampshire can be improved by work in key areas:
Mental health
GP practices
Children and families
Gurkha
population
TransitionSlide28
SchoolsFor further information - please access the PDL website to see past copies of Supporting Service children briefing sheetshttp://www3.hants.gov.uk/education/hias/pdl/understanding-pdl/supporting-service-children.htmSlide29
Contacts
Hampshire Community Support Team
Melissa Juniper (
Melissa.juniper@hants.gov.uk
) – Team Manager
Jenny
Wilford
(
Jennifer.wilford2@hants.gov.uk
) – Partnership Officer, Veterans, Military Families and Reservists
Annette Lindsay (
Annette.Lindsay2@hants.gov.uk
) – Partnership Officer,
Gurkha
/Nepali and Foreign & Commonwealth