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16.2  |  Support for injured Service Personnel and veterans
and GPs were aware of the policy, the allocation of priority treatment was
determined by a number of factors.
The arrangement between the MOD and the DoH had never been formalised,
but was rather a “gentleman’s agreement”. “Priority access” had never been
defined.
The MOD did not regularly remind war pensioners of their right to priority access.
168.  The official stated that the only alternative to the current arrangement, the
provision of treatment in the private sector, was unlikely to be affordable. To mitigate
the weaknesses of the current arrangement, the MOD’s current level of engagement
with the DoH, including at Ministerial level, should be sustained. The information that
was now being collected by the SPVA would, in the future, allow better analysis and
“evidence-based” action.
169.  On 23 November, Mr Alan Johnson, the Health Secretary, and Mr Derek Twigg,
Parliamentary Under Secretary of State for Defence and the Minister for Veterans,
announced that the NHS would provide priority treatment for all veterans (not just
those in receipt of war pensions), whose ill-health or injuries were attributed to their
military service.122
170.  Lt Gen Lillywhite told the Inquiry that the arrangement on priority access was of
limited – but some – utility to veterans.123
171.  In July 2008, the Government published a command paper entitled The Nation’s
Commitment: Cross-Government Support to our Armed Forces, their Families and
Veterans (known as the Service Personnel Command Paper).124 The paper contained a
number of measures to address the disadvantages experienced by veterans, including:
a commitment that the standard of prosthetic limbs provided to veterans by the
NHS, would match or exceed the standard of limbs provided to injured personnel
by the DMS;
a commitment to raise awareness amongst healthcare professionals of the
healthcare needs of veterans;
funding for supported housing for Service leavers;
a commitment to fund tuition fees in further and higher education for Service
leavers; and
measures to improve veterans’ access to transport and employment
opportunities.
172.  The Inquiry’s conclusions and lessons on the care provided to Service Personnel
are set out in Section 16.4.
122  Ministry of Defence, Government boost to veterans healthcare, 23 November 2007.
123  Public hearing, 20 July 2010, page 80.
124  The Nation’s Commitment: Cross-Government Support to our Armed Forces, their Families and
Veterans, July 2008, Cm 7424.
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