Aeran Taylor
PFD Report
All Responded
Ref: 2025-0057
All 1 response received
· Deadline: 28 Mar 2025
Coroner's Concerns (AI summary)
Deficient mental health assessments at military discharge, lack of inquiry into drug use linked to potential PTSD, and insufficient long-term rehabilitation options for veterans with substance abuse were identified.
View full coroner's concerns
When found to have taken illicit drugs months after completing an operational tour, there appears to have been no inquiry or check as to possible correlation with potential PTSD or other reasons for the behaviour, such as a lack of effective post-tour decompression.
- There appears to have been no formal, clinical assessment of mental health at point of discharge, which may have identified the emergence of PTSD. I understand this may now be routine, or more prevalent, but there remains a community of veterans at risk for whom no such assessment may have been in place.
- I heard evidence of a lack of awareness of regimental welfare staff and the role such organisations can play in supporting veterans. Again, those now serving may be more aware but there appears to be a community of veterans at risk who may
Regulation 28 – After Inquest Template Updated 15/10//2024 TG remain unaware, including as to how such organisations fit and work within the overall veteran support landscape.
- Despite the introduction of Op Courage and sharing of information between - and recognised efforts by - MoD, NHS and organisations such as Combat Stress to treat individuals, there appears to remain a lack of readily available, fully funded, long term rehabilitation and substance abuse recovery for veterans with PTSD at risk, notably for those only diagnosed well after leaving the Armed Forces, and/or who are ‘long term cases’ for whom treatment has not succeeded and/or who have relapsed after and despite such interventions.
- There appears to have been no formal, clinical assessment of mental health at point of discharge, which may have identified the emergence of PTSD. I understand this may now be routine, or more prevalent, but there remains a community of veterans at risk for whom no such assessment may have been in place.
- I heard evidence of a lack of awareness of regimental welfare staff and the role such organisations can play in supporting veterans. Again, those now serving may be more aware but there appears to be a community of veterans at risk who may
Regulation 28 – After Inquest Template Updated 15/10//2024 TG remain unaware, including as to how such organisations fit and work within the overall veteran support landscape.
- Despite the introduction of Op Courage and sharing of information between - and recognised efforts by - MoD, NHS and organisations such as Combat Stress to treat individuals, there appears to remain a lack of readily available, fully funded, long term rehabilitation and substance abuse recovery for veterans with PTSD at risk, notably for those only diagnosed well after leaving the Armed Forces, and/or who are ‘long term cases’ for whom treatment has not succeeded and/or who have relapsed after and despite such interventions.
Responses
Noted
The Ministry of Defence acknowledges the concerns but states that existing processes are in place to identify correlations between service and behaviour, and to provide support to veterans. They will ensure continued work to raise awareness of available support. (AI summary)
The Ministry of Defence acknowledges the concerns but states that existing processes are in place to identify correlations between service and behaviour, and to provide support to veterans. They will ensure continued work to raise awareness of available support. (AI summary)
View full response
Dear Mr Turner,
Thank you for your letter of 31 January 2025 to the Ministry of Defence (MOD) enclosing your Regulation 28 Report following the sad death of Mr Aeran Taylor on 27 October
2023. My deepest sympathies go out to all those affected by Mr Taylor’s death.
Your report raised four concerns, surrounding assessments made following drug misuse in service, and the availability and awareness of support for veterans. I am grateful to you for bringing these matters to my attention. In considering my response, I have reviewed Mr Taylor’s service records and consulted with The Royal Regiment of Fusiliers (RRF), the MOD’s Veteran Welfare Service (VWS) and Office for Veterans’ Affairs (OVA).
It is evident from Mr Taylor’s service records that checks were made as part of the discharge process to establish any mitigating factors which may have led to his drug use. Mr Taylor was interviewed following a positive compulsory drug test and his mental health was reviewed by the Medical Officer as part of his release medical. No significant concerns were noted on the contemporaneous record to indicate a possible correlation with potential PTSD, or other reasons for the behaviour. As you highlight, clinical mental health assessments are routine and since 2012, all personnel at discharge medicals or boards potentially leading to discharge undergo a Structured Mental Health Assessment (SMHA). If a SMHA indicates a need for a referral to the Department of Community Mental Health (DCMH), this is promptly arranged and support can last up to 6 months post-service, ensuring continuity of care.
The delivery of support for veterans, including long term treatment, is a multi-agency effort. On discharge, the MOD makes every effort to ensure individuals are appropriately transitioned into civilian life and that aftercare is in place should this be required. Support
OFFICIAL SENSITIVE PERSONAL OFFICIAL SENSITIVE PERSONAL
is provided throughout and following transition, by the Defence Transition Services (DTS) and VWS. Access to VWS is available at any time for veterans, recognising that some life challenges do not become apparent until post-transition, such as addiction or issues concerning mental health. Indeed, I understand Mr Taylor was in contact with and received support from VWS between 2013 and 2018. In terms of healthcare following transition, this is delivered by statutory health services in collaboration with the third sector. The MOD continues to support veterans through the OVA, which works to improve coordination of veterans’ issues across Government.
I recognise that we need to ensure our veterans, past, present, and future are aware of the support available to them as this provision develops. The OVA has a support directory on gov.uk to ensure this information is readily available and accessible to our veterans. The OVA are also exploring options to better coordinate and cohere the support for veterans. This includes those with the most complex needs, across central, devolved and local government, and the third sector. The focus is to improve data and insights, governance and accountability in an institutionally resilient way, and how we work more closely with local service providers including local authorities.
Raising awareness of the support available will include the promotion of regimental welfare associations, whom I agree have an important role to play. While membership is voluntary, each Regimental or Corps Headquarters in the Army has an Association or equivalent for its serving personnel and veterans. In Mr Taylor’s regiment, the RRF, everyone who has served is entitled to be a member and receive support from the Regimental Charity, The Fusiliers Aid Society (FAS), who I understand did provide Mr Taylor with support. I know that the RRF ensure that all Fusiliers are briefed on joining and discharge on the support available to them. However, I accept that does not mean support and awareness is universal, but I would highlight that Regimental and Corps Headquarters are working to increase awareness of their Associations to current and former personnel. I will ensure that this continues.
I hope my response is clear and reassures you that there are sufficient processes in place to identify any possible correlations between an individual’s service and a behaviour. Ensuring veterans can access the support available to them is a priority for me, and this Government. We will continue to work hard to raise awareness of the support available to our Armed Forces community to ensure it does not go unnoticed by those who most need it.
OFFICIAL SENSITIVE PERSONAL OFFICIAL SENSITIVE PERSONAL
Thank you for writing to me regarding these matters. Your challenge is imperative to ensure that the MOD learns from these tragic events and continues to provide the best support to our Armed Forces personnel. My thoughts remain with Mr Taylor’s family and all those affected by his very sad death.
Thank you for your letter of 31 January 2025 to the Ministry of Defence (MOD) enclosing your Regulation 28 Report following the sad death of Mr Aeran Taylor on 27 October
2023. My deepest sympathies go out to all those affected by Mr Taylor’s death.
Your report raised four concerns, surrounding assessments made following drug misuse in service, and the availability and awareness of support for veterans. I am grateful to you for bringing these matters to my attention. In considering my response, I have reviewed Mr Taylor’s service records and consulted with The Royal Regiment of Fusiliers (RRF), the MOD’s Veteran Welfare Service (VWS) and Office for Veterans’ Affairs (OVA).
It is evident from Mr Taylor’s service records that checks were made as part of the discharge process to establish any mitigating factors which may have led to his drug use. Mr Taylor was interviewed following a positive compulsory drug test and his mental health was reviewed by the Medical Officer as part of his release medical. No significant concerns were noted on the contemporaneous record to indicate a possible correlation with potential PTSD, or other reasons for the behaviour. As you highlight, clinical mental health assessments are routine and since 2012, all personnel at discharge medicals or boards potentially leading to discharge undergo a Structured Mental Health Assessment (SMHA). If a SMHA indicates a need for a referral to the Department of Community Mental Health (DCMH), this is promptly arranged and support can last up to 6 months post-service, ensuring continuity of care.
The delivery of support for veterans, including long term treatment, is a multi-agency effort. On discharge, the MOD makes every effort to ensure individuals are appropriately transitioned into civilian life and that aftercare is in place should this be required. Support
OFFICIAL SENSITIVE PERSONAL OFFICIAL SENSITIVE PERSONAL
is provided throughout and following transition, by the Defence Transition Services (DTS) and VWS. Access to VWS is available at any time for veterans, recognising that some life challenges do not become apparent until post-transition, such as addiction or issues concerning mental health. Indeed, I understand Mr Taylor was in contact with and received support from VWS between 2013 and 2018. In terms of healthcare following transition, this is delivered by statutory health services in collaboration with the third sector. The MOD continues to support veterans through the OVA, which works to improve coordination of veterans’ issues across Government.
I recognise that we need to ensure our veterans, past, present, and future are aware of the support available to them as this provision develops. The OVA has a support directory on gov.uk to ensure this information is readily available and accessible to our veterans. The OVA are also exploring options to better coordinate and cohere the support for veterans. This includes those with the most complex needs, across central, devolved and local government, and the third sector. The focus is to improve data and insights, governance and accountability in an institutionally resilient way, and how we work more closely with local service providers including local authorities.
Raising awareness of the support available will include the promotion of regimental welfare associations, whom I agree have an important role to play. While membership is voluntary, each Regimental or Corps Headquarters in the Army has an Association or equivalent for its serving personnel and veterans. In Mr Taylor’s regiment, the RRF, everyone who has served is entitled to be a member and receive support from the Regimental Charity, The Fusiliers Aid Society (FAS), who I understand did provide Mr Taylor with support. I know that the RRF ensure that all Fusiliers are briefed on joining and discharge on the support available to them. However, I accept that does not mean support and awareness is universal, but I would highlight that Regimental and Corps Headquarters are working to increase awareness of their Associations to current and former personnel. I will ensure that this continues.
I hope my response is clear and reassures you that there are sufficient processes in place to identify any possible correlations between an individual’s service and a behaviour. Ensuring veterans can access the support available to them is a priority for me, and this Government. We will continue to work hard to raise awareness of the support available to our Armed Forces community to ensure it does not go unnoticed by those who most need it.
OFFICIAL SENSITIVE PERSONAL OFFICIAL SENSITIVE PERSONAL
Thank you for writing to me regarding these matters. Your challenge is imperative to ensure that the MOD learns from these tragic events and continues to provide the best support to our Armed Forces personnel. My thoughts remain with Mr Taylor’s family and all those affected by his very sad death.
Sent To
- Ministry of Defence
Response Status
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56-Day Deadline
28 Mar 2025
All responses received
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Source: Courts and Tribunals Judiciary
Report Sections
Investigation and Inquest
On 01 November 2023 I commenced an investigation into the death of Aeran Luke Sebastian TAYLOR aged 38. The investigation concluded at the end of the inquest on 22 January 2025. The conclusion of the inquest was that: On 27 October 2023 Aeran Taylor was sadly found deceased at his home address in Crawley. There was evidence of drug use but nothing to indicate intent, or the involvement of a 3rd party. Post mortem analysis showed the presence of multiple substances combined to fatal toxic effect, likely as a result of an accidental overdose.
Circumstances of the Death
Mr Taylor had rapidly fallen into drug addiction, having been discharged from the Army for substance misuse in December 2006, following an operational tour to Iraq (Op Telic 7 – Nov 2005-May 2006) with the Royal Regiment of Fusiliers. He was subsequently diagnosed with PTSD arising from combat operations. Despite the payment of compensation by MoD, and prior engagement with and help from Combat Stress, as well as with and from local GP, Housing, and Adult Addiction services in West Sussex at the time of his death, he had relapsed into addiction and had not fully recovered from PTSD. He was under probation at the time of his death. His death resulted from an accidental overdose of primarily illicit drugs.
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.