Oral question asked in the House of Lords, by Lord Bramall (Crossbench). It was answered on Wednesday, 25 November 2009.

Defence Medical Services

Question: My Lords, does the Minister accept that the Defence Medical Services are still grossly understrength in surgeons, anaesthetists and other specialists, have been suffering actual cuts in vital clinical training and professional development and are excessively reliant on the National Health Service and the Reserve Forces for the comprehensive handling of battle casualties? All this is happening at a time when any surge in the numbers in Afghanistan is likely to make even greater demands on them.

Answer: My Lords, I do not accept that there is an excessive reliance on the National Health Service; rather, there is a complementary relationship, which is the whole idea behind having reserves. It is true that there are pinch points in terms of some of the skills that are needed. For example, we have had to enter into a contract in order to provide a neurosurgeon. Perhaps that should not be surprising, because it would be difficult to provide every level of expertise in a field hospital without some additional help. No cuts have been made in the Defence Medical Services. The pressures have arisen out of the difficulties of recruiting and retaining the skills that are necessary. Significant steps have been taken to improve remuneration and pensions. Retention rates are improving. We are seeing some benefits and improvements, which should be reassuring, although it is not the end of the problem.

Secondary information