Proposal to scope potential research on the views and needs of the Armed Forces Community Introduction The purpose of this paper is to ask the Board to consider and approve progression of a scoping exercise for potential research amongst the Armed Forces Community in Surrey. Dependent upon the results of this work, the exercise may result in a later proposal to the Board to approve research. Conflicts of Interest Please note that this proposal arises from opportunities perceived and connections made from the Chair’s participation in other groups and organisations in the County particularly the Surrey Civilian Military Partnership Board, Surrey Community Action and Queen Elizabeth’s Foundation for Disabled People. Thus there is clear potential for the Chair to be conflicted. This should be noted and taken into account by Board members in considering this proposal. Background A report titled, “Health Needs Assessment of the Armed forces Community” produced in March 2013 by Surrey Public Health on behalf of NHS Surrey and Surrey County Council, included the following in its first paragraph: “The Armed Forces Community is made up of serving members of the Armed Forces, reservists, veterans and their respective families. This group is poorly understood and accounted for among the local civilian agency structures. There is very limited local data available to give an accurate picture of this population group in Surrey . . .” In recent years, there has been increasing awareness and activity to promote better civilian understanding between the Armed Forces Community (AFC), with much emphasis on the Military Covenant. The Armed Forces Covenant is the expression of the moral obligation that the Government and the nation owe to the Armed Forces Community. It acknowledges that members of the Armed Forces sacrifice some freedoms and often face dangerous situations. It recognises that families play a vital role in supporting the operational effectiveness of the Armed Forces. There are two key principles in the Armed Forces Covenant. Firstly, that the Armed Forces Community faces no disadvantage in the provision of public and commercial services. Secondly, that special consideration should be given when required, such as to the injured or the bereaved. The Armed Forces Covenant is therefore a promise made by the Government to ensure that the Armed Forces face no disadvantage as a result of their Service. In Surrey, a Civilian Military Partnership Board has been established and is led by the Chairman of Surrey County Council. Its structure includes three Task Groups that drive the main areas of activity. One of these, the Transition Task Group, aims to ensure that the AFC in the County know where to go to get services and that the providers of those services are better made aware of the needs of the AFC and are prompted to make necessary changes to improve service provision. The AFC includes not only serving personnel, who have many services provided ‘inside the wire’, i.e. on military bases and provided by the MoD, (excluded from the work of the Transition Group) but also their families, veterans, dependents and others who receive services ‘outside the wire’, i.e. normal civilian services. These normal civilian services may include Housing, Health, Education, Employment and Welfare. Transition encompasses personnel leaving the services and entering civilian life. It also includes ‘Rebasing’, where military location changes bring new personnel and their families into the County. 1 Proposal Evidence from many sources demonstrates that there are shortfalls in service provision to the AFC, with many problems indicated. However, Surrey specific data, particularly from the AFC consumers themselves, is very limited and fragmented. This scoping proposal seeks to establish how this evidence gap can be filled. To this end, a number of organisations have been involved in initial discussions and are interested in taking things forward. These included Surrey Community Action, The Army Families Federation and SSAFA - and a response is awaited from Public Health. Other relevant parties will be approached if and when the Board approves this proposal. An emerging view from the early discussions is that, given the indications that AFC issues occur across a range of services, research with this target audience might be able to fulfil multiple needs, i.e. to gain the AFC ‘Voice’ across Housing, Health, Education, Employment and Welfare services. A next step will be to meet with researchers and similar from interested organisations to examine and map out how research might sensibly and economically be conducted. Funding The scoping will include an investigation of funding sources for research. There are a number that might be available, including the LIBOR Fund and the Veterans Challenge Fund. Healthwatch Surrey funding for the scoping should be limited to time and travel costs to meetings. Timescales The scoping exercise is not included within our current work programme. Timings will, therefore, need to be discussed with the delivery team and the work scheduled. It is envisaged that the emphasis for scoping will be on speed as well as quality and efficiency. Benefits Better understanding of the AFC issues and concerns in Health and Social Care, and the potential to prompt system improvements. The opportunity exists to lead this work, potentially enhancing Healthwatch Surrey’s positioning and value perception amongst partner organisations. It may also provide an opportunity to acquire additional funding, outside that coming from the SCC Healthwatch contract. Recommendation The Board is asked to consider the proposal and to approve progression of a scoping exercise for potential research amongst the Armed Forces Community in Surrey. Peter Gordon 11 July 2014 2