Armed Forces Bill

My Lords, I wish briefly to add a comment to Amendment 11, which is in the names of my noble friends Lord Kakkar and Lord Patel. We have a changing system of healthcare delivery for those coming back from active service, with an increasing number now being looked after in primary care and in hospitals nearer their own homes wherever those are. It is important that we monitor the quality of care. In meeting service personnel who have been severely injured, I have been struck that one of the problems that they are now hitting relates to limb fitting and rehabilitation services that go along with that. That is from the perspective of the recipients, and maybe we need to think of more cost-effective ways of meeting the very specific needs of those who have become multiple amputees through an incident on the battlefield, for example. There is another aspect to this, however. If we do not collate this information we will not get the information on the best way to deal with the trauma when it occurs in the battlefield. The way that trauma is inflicted on our troops is changing very rapidly as enemies use different methods and different types of improvised devices to cause injury. The speed of response of our services and medical services at the front line, and indeed the other members of the forces who are with them at the time, makes the difference between survival and death. Survival figures from battlefield trauma are a credit to those medical services. They are astounding and I have had the privilege of having discussions with some of the medics who have been in the front line doing the trauma. They also need the information, however, in the longer term of whatever they do out in the field. There are very clear clinical indications for the management of trauma on the battlefield, wherever it happens, to make sure we save more lives and that we maximise the chance of recovery. All those lessons spill over into civilian life as well, where there are multiple accidents, explosions and other forms of trauma. The way that our ordinary civilian paramedical services deal with trauma is often based on lessons learned in the battlefield. I commend Amendment 11, which might seem as if it sits a little outside the others in this group but actually will have some very important long-term implications. It is an opportunity lost if we do not collect the data.