JSP 464 - Ministry of Defence

Home Owners
12. Funding the provision of adaptations to the private homes of injured Service
Personnel who are retained by the Armed Forces is a TLB responsibility, until their last day
of service, after which responsibility transfers to the appropriate NHS Primary Care Trust.
Adaptations to a parental home, where this is the primary off-duty residence of the injured
Service person, are included in this policy as are adaptations to a second property when
an injured Service person moves from an adapted parental home into their own property
(again, until their last day of Service). 2 Where injured personnel are occupying substitute
accommodation, guidance is to be sought from the appropriate single Service Housing
Colonel. 3
Reservists
13. Mobilised Reserves and FTRS(FC). Reserve Forces personnel are eligible for a full
range of DMS 4 healthcare on the same basis as regulars when they are mobilised or
serving on FTRS(FC). DMS is responsible for medical care and OT assessment costs
where the mobilised reservist has sustained a serious injury or disability, with the relevant
TLB responsible for adaptations including fitting until termination of service, or when a
medical discharge date is offered. Following a period of mobilised service the reservist will
transfer back to NHS care. The accommodation adaption policy for seriously injured
FTRS(FC) personnel is the same as for regular personnel.
14. Medical Employment Standards 5 determine that a Reservist can be maintained in a
downgraded category for a fixed period of at least six months to eighteen months
continuously before requiring referral to a Medical Board. Until a medical discharge date is
offered, PCTs are dissolved of responsibility for funding/provision of adaptations in
Reservists’ own homes as it remains the responsibility of the relevant TLB.
15. Sponsored Reserves. Sponsored Reserves (SRs) are not entitled to occupy SFA or
SLA. When mobilised, the responsibilities for SR medical care will transfer from the NHS
to the DMS. DMS is responsible for the medical care and OT assessment costs if the
mobilised SR sustained a serious injury or disability, with the relevant TLB responsible for
adaptations, including fitting, until demobilisation. Medical care and treatment will transfer
back to the NHS upon demobilisation when costs, identification and fitting of adaptations
will then fall to the relevant PCT.
16. . Non-Mobilised Volunteer Reserves. All non-mobilised Reservists injured whilst on
duty are eligible for emergency treatment from DMS but within the current structure of both
the DMS and the NHS. The majority of reservists who sustain an injury while on duty and
require further treatment following emergency treatment will transfer to NHS care. For all
non-mobilised reservists the responsibility for primary health care rests with the NHS,
however, those that sustain a significant injury whilst on duty can be considered for
treatment within DMS facilities if suitable facilities are not available in the NHS following
2 Adaptations resulting from operational injuries are an allowable cost against the Reserve under Net Additional Cost of Military
Operations (NACMO). The funding is for the duration of the Service person’s recovery pathway and limited to a maximum of 2
moves/addresses, up to 3 years after the SP’s Return to Unit and only for the period during which Operational costs are authorised to
be drawn from the Reserve. Once a decision has been made to retain a Service person, the respective TLB will become responsible for
the adaptations from that point onwards and for providing adaptations for any subsequent accommodation. At the stage that an
Operation ceases to qualify for Reserve funding, the liability for funding adaptations will revert to TLBs.
3 Service Housing Colonels should refer to DCDS Pers SCW for guidance in this area.
4 JSP 751 – Joint Casualty and Compassionate Policy and Procedures Issue 5 dated Sept 07.
5 JSP 346- PULHHEEMS- Joint System of Medical Classification
As at 13 Jul 12 3F - 3