Representing disabled people – what the UN disability rights committee has and has not said

On Friday 28 September I retweeted a link to the latest General Comment from the UN Committee on the Rights of Persons with Disabilities, on what constitutes ‘representation of persons with disabilities’ noting that:

“I’m sure lots of disability charities led by non disabled people will find their reasons to reject this, but a milestone statement by the UNCRPD Committee that only organisations led, directed & governed by disabled people can be regarded as representative.”

I imagined a few people might retweet and reply, but by Monday several hundred people had done so, all across the world, with heated debate about its implications. Here, for what it’s worth, are my more considered thoughts on what the Committee has said.

The Committee is giving guidance as to the meaning of ‘representative organisations’ as referenced in the obligations on State Parties in articles 4 (3) and 33 (3) of the Convention to ensure their involvement and participation in implementation and monitoring the obligations arising out of the Convention. Article 4(3) says:

“In the development and implementation of legislation and policies to implement the present Convention, and in other decision-making processes concerning issues relating to persons with disabilities, States Parties shall closely consult with and actively involve persons with disabilities, including children with disabilities, through their representative organizations.”

In its new General Comment, the Committee is unequivocal that:

“organizations of persons with disabilities should be rooted, committed to and fully respect the principles and rights recognized in the Convention. They can only be those that are led, directed and governed by persons with disabilities. A clear majority of their membership should be recruited among persons with disabilities themselves.”

What the Committee’s General Comment therefore does, very clearly, is distinguish between organisations of disabled people – representative organisations – and organisations for disabled people. So for example, in the UK, Scope, Mencap, Action on Hearing Loss, Leonard Cheshire and Shaw Trust would not meet the Committee’s definition of a ‘representative organisation’, however much they strive to represent the views and priorities of their beneficiaries, whereas Disability Rights UK, Inclusion London and Equal Lives would do. For others, such as RNIB or Learning Disability England, it is perhaps less clear.

It creates a clear expectation that States closely consult, involve and support disabled people’s organisations and it makes clear that it will not consider the consultation and involvement of non-representative organisation as a State having fulfilled its obligations.   ‘Close’ consultation and ‘active’ involvement indicate far more than obligatory, passive consultations. A few years ago I gave this presentation at a British Council event, exploring what such involvement means in practice:

Of major interest to DPOs will be the Committee’s position that:

“States parties should support organizations of persons with disabilities, through sufficient and independent funding and technical capacity-building, to be able to fulfil their roles under articles 4 (3) and 33 (3) and for autonomous participation in consultations”

The Equality and Human Rights Commission should be recognised here for its efforts to involve and support DPOs in engaging with the CRPD Committee’s examination of the UK and ongoing monitoring.  But the Committee’s position clearly lays responsibility with central government.

At the same time, this position does not preclude States from engaging and involving other organisations and taking on board their views, knowledge, insight and perspectives. Certainly, Article 33.3 of the Convention says ‘Civil society, in particular persons with disabilities and their representative organizations, shall be involved and participate fully in the monitoring process.’ (my emphasis) which clearly leaves the door open to non representative organisations being involved. This strikes me as a crucial point, both because there are many non-disability led organisations who, as allies, can make a vital contribution to advancing disability rights (such as generalist human rights organisations or anti-poverty campaign organisations for example) and because it may sometimes be beneficial to also engage organisations with extensive technical and market experience gained through providing services, or who have relationships with disabled people and their families through such service provision. However, the Committee’s position should be seen to call to an end any such non-representative organisation being regarded as ‘the voice’ of a group of disabled people and for them to be engaged with for what they are.

There are also a great many organisations providing valued services to disabled people who do not strive in any way to ‘represent’ disabled people. The General Comment can be regarded as a signal to them to more closely involve and consult disabled people, but it does not spell their illegitimacy as service providers or demand that only user led organisations win public funding to do so.

Quite reasonably, a number of parent advocates expressed concern at the content of my tweet.   The General Comment however helpfully clarifies (12 (d)):

“Organizations including both persons with disabilities and family members and/or relatives of persons with disabilities are pivotal in facilitating, promoting and securing the interests and supporting the autonomy and active participation of their relatives with intellectual disabilities, dementia and/or children with disabilities, when these groups of persons with disabilities are not represented by their own organizations. In such cases, these organizations should be included in consultation, decision-making and monitoring processes. The role of parents, relatives and caregivers in such organizations should be to assist and empower persons with disabilities to have a voice and take full control of their own lives. Such organizations should be actively working to promote and use supported decision-making processes to ensure that the right of persons with disabilities to be consulted and to express their own views are respected;”

That is to say, the Committee recognises and indeed celebrates the role of parent advocates, but qualifies this with the expectation that parents are genuinely pursuing the rights of their children, including through the application of supported, rather than substitute decision making (though as we know, that distinction is not clear cut in practice and the Committee itself has so far failed to give detailed guidance on its meaning).

The General Comment is an important and valuable milestone, restoring power to disabled people over their own lives alongside other key provisions in the Convention, such as on equal recognition before the law and political participation. At the same time, disabled people’s organisations are only as representative as the people who give their consent to be represented by them and despite some claims to the contrary no single organisation can lay claim to being the authentic voice of disabled people, in all their diversity of characteristics, views and opinion. With this recognition comes greater responsibility on DPOs to be open, inclusive and democratic, be open to collaboration with one another and prepared to negotiate and compromise.  Some DPOs also need to confront some of their own internal conflicts of interest, given many also combine advocacy with providing services under contract with or via grants from national and local government bodies.

Most of all, effective representation demands effective listening. As the ever-wise Jane (now Baroness) Campbell cautioned in 1997:

‘A political consciousness does not itself constitute a social movement and an awareness of the culture and dreams of its constituency and creating activities as a result are what the British Council of Disabled People constantly needs to engage in’

 

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Cohen’s mistake is to call for us to be conservative both in language and politics.

Nick Cohen makes three important points. In his Spectator piece ‘The Cheating Language of Equality’ and its abridged version in last Sunday’s Observer ‘Honeyed Words do nothing to curb prejudice against the disabled’ he notes how insistence on certain adopting forms of language when discussing issues connected to disability have done little to obstruct deep and damaging cuts to services and financial support. Indeed, I would share his analysis and add that the very ideas and language advocated by people such as myself may also sometimes have been weaponised to make the case for cuts, or certainly may have had the effect of diminishing public concern. Cohen also bemoans the reliance on what he labels ‘euphemism’, arguing that ‘it is easier to remove state support if you describe disabilities in a sing-song voice so soft and light you make them sound as if they are not disabilities at all.’   It is certainly true that the story of disability rights and the language used to tell it has proved extremely weak in the face of the story of spending cuts and the need to ‘live within our means.’ And finally, Cohen argues that language used to describe disability, however often it is reinvented, is appropriated as terms of offence by the wider population, suggesting that while the language may change, prejudice appears able simply to adapt.

These points merit being taken seriously. However, Cohen’s insistence that ‘The notion that you can change the world by changing language gets history upside down’ crumbles in the face of much recent evidence on the power of narrative. Language does lead to change, as ‘living within our means’ has proven to austerity, as ‘take back control’ has proven to Brexit, as ‘make America great again’ has proven to Trump and – more positively for progressives – as ‘equal marriage’ has proven across the Western world in securing the rights of gay and lesbian people to marry. Of course, such language wasn’t invented or deployed in a vacuum, and speaks to and harnesses other currents of change, but it plays a crucial role in shaping our views, feelings and actions.   Indeed, Cohen has spent a great deal of his considerable journalistic talents lately arguing (rightly in my view) that the Labour Party should adopt in full the International Holocaust Rememberance Alliance Working Definition of Anti-Semitism, essentially a guide to the language, statements or ideas that may constitute anti-Semitism and hence which should not be used. This is surely recognition of the power of language to shape the world for good or ill?   The deliberately deployed narratives of others have succeeded where disability advocates have recently failed in mobilising feelings, motivating people and guiding their viewpoints, choices and actions.   In sum, it isn’t true that language doesn’t lead to change, but it is true that language can fail to if poorly chosen or deployed.

Useless eaters

In his Spectator piece, Cohen says ‘Half the words now on the banned list were kindly meant in their day.’ Let’s unpick this a little. When the Mental Deficiency Act of 1908 used the terms ‘idiot’, ‘imbecile’, ‘feeble-minded’ and ‘moral imbecile’ it did not do so for benign reasons or to objectively describe people with learning disabilities, but to classify them as lesser human beings and hence justify discriminatory action, such as involuntary sterilisation and institutionalisation.   Lest we forget the popularity of eugenics in Britain prior to the Second World War, not least among national heroes such as Winston Churchill and those of the left such as Sydney and Breatrice Webb. In Germany in the 1930s Nazi propaganda described people with learning disabilities or mental health problems as ‘useless eaters’, emphasising the costs involved in keeping people alive, as a prelude to their extermination, which in turn served as a dry run for the Holocaust.   Only after the horrors of Nazi Germany became clear did eugenics lose (open) popularity in the UK, but its legacy is all around us, including in the language we use to deride one another. Cohen focuses on the word ‘spastic’ as an example of a word that was ‘kindly meant’, noting how Scope was previously the ‘Spastics Society’. But then, for Beatrice and Sydney Webb, so was eugenics (albeit through forced sterilisation and deprivation of liberty, not killing).   The issue today is not how we choose to describe this or that impairment or health condition, it is how we avoid describing our fellow human beings in ways that dehumanise, degrade and which render them vulnerable. A person with cerebral palsy is not ‘a spastic’, they are a person, who has cerebral palsy.   A person using a wheelchair is not ‘bound’ by it, they are liberated by it.  A person with Downs Syndrome is not ‘suffering’ from it, it is simply part of who they are.

Hence, when Cohen concludes his Spectator piece by arguing ‘if you want to be radical in your politics, you must be conservative with your language’ one must wonder whether he is calling for a return to language that degrades and dehumanises (such as referring to a ‘simple man’) and if so, to what ends?

This is where the issue does go far deeper than language, for Cohen is insistent on equating disability with loss, suffering, pain, incapacity and so on.   While Britain’s post-War welfare state may have abandoned eugenics and embraced the idea that disabled people (especially disabled veterans) could play a productive role, while it may have closed down many institutions, adopted anti-discrimination law and directed resources at supporting people to live in the community, disability continues to be construed overwhelmingly as a ‘deficit’ and it is the extent of this deficit that determines eligibility for State support. Hence governments since 2010 have been able to make deep cuts while arguing that they were protecting ‘the most vulnerable’ – those deemed to have no productive potential – and disability advocates are forced into a game of having to plead their vulnerability and lack of productive potential (attributes which in history have underscored prejudice and discrimination and which as noted above been exploited to sterilise, institutionalise and to kill) in order to safeguard what meagre income and life and limb services remain available to them.  There is nothing radical or progressive about maintaining this situation, or employing language that reinforces it, but without a better story it is understandable that people should keep telling it.

In the first excellent episode of his Radio 4 series The Tyranny if Story, the journalist John Harris talks to the Ed Woodcock and Yannis Gabrial about the working parts of all stories, and how effective communications embody these. In summary, all stories involve a hero (or subject), an adventure (or mission), the possibility that things will be derailed (or an antagonist), the capacity of humans to solve the problem, and emotion (a happy ending, or a tragic ending).   They argue that it is these ‘opposing forces’ that cause us to lean in and listen.   As humans, we need not hear the whole story. A few words – make America great again; take back control – are enough for us to fill the gaps and understand the story

Disability rights advocacy has been about changing the components of the story: where the hero of the piece is not State or voluntary charity, but disabled people themselves, where the adventure is not towards being looked after well, but being the author of ones own life and taking part in society on an equal basis with others, where the antagonist is not the persons impairment or health condition, but the barriers that society has constructed that deny people their right to participate and take charge of their lives, where disabled people are not objects ‘saved’ by others, but equal partners in bringing about social change.

That new story clearly requires a very different form of language, otherwise it cannot be told, and won’t be heard. For any narrative to be effective it has to convey the goals of the storyteller, to avoid rallying feelings, thoughts and ideas that stand in the way of achieving them, or which provide the means to pursue contradictory goals – such as cutting support.

Disability rights advocates could then certainly do with a new compelling narrative, one that relies less on neutral words and euphemism (where terms such as inclusion or independent living, which have no meaning in the wider world, are accompanied by long winded and often contested explanations as to what they do or don’t mean) and which is able to command public support and stand firm in the face of attack.   It has to make clear that investment in financial and practical support is investment in freedom and opportunity, not ‘welfare’, and consciously avoid the tropes which reinforce ideas of passivity and vulnerability. This initial work by the Frameworks Institute offers some useful insights into how a more compelling narrative might develop, but there is much work still to be done.

Cohen is right to say that change won’t come simply because language is policed.  But language change goes hand in hand with social change.  Ultimately, Cohen’s mistake is to call for us to be conservative both in language and politics.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Feeling a part of society, not apart from society – the psychology of inclusion

“Well how sad. A city with such appalling accessiblity as Bristol really hurts. To be made so unwelcome by a place’s physical make up is like an apartheid that can only change when the environment does. To live with tears at your soul.”

Mik Scarlett, via Twitter

Perhaps as a result of its Marxist origins, disability rights discourse in the UK has tended towards a highly materialist account of the barriers and inequality faced by disabled people: focusing on income, physical access or employment discrimination for example.  Even when talking about prejudicial behaviour, such as disability hate crime, the feelings of those who have endured it, or who fear it and the impact on their sense of their place in the world is rarely discussed.

Various things have collided in the past year to cause me to think about this: during some work I did talking to people with learning disabilities about employment, interviewees consistently highlighted having a role, status and a sense of purpose as being at least as important to them as having money in their desire to work, or in having found a job; conversations begun and curated by Mik Scarlett on social media about the emotional impact of being locked out of society by inaccessibility that says ‘you don’t belong’; the fact that 60% of disabled people who voted in the EU referendum put their cross next to Leave, despite so much evidence that it was not in their self-interest to do so; and this week Margaret Hodge’s recollection of her father’s advice “you’ve got to keep a packed suitcase at the door, Margaret, in case you ever have to leave in a hurry”.

Each of the above speaks to the psychology of inclusion and exclusion and of the desire, as Baroness Jane Campbell recently put it ‘to feel a part of society, not apart from society.’  Looked at through the lens of psychology – both disabled people’s own and that of the wider community – the past decade of cuts to financial and practical support can be seen not only for its damaging effect on material wellbeing, but equally for the way it has often appeared to dismiss disabled people’s very right to be in the world.  Ditto arriving in a city and being literally shut out.   On the flipside, in foregrounding how such negative developments and situations make people feel there may be greater chance of engendering empathy, than in only describing situations that non-disabled people have little if any experience of.   Feelings of hurt, loss, fear and hope are universal; experience of disabling barriers is not.

Great strides have been made on disability rights over the past thirty years, but inclusion remains precarious and far from guaranteed.  Despite the language of rights, inclusion remains something that can be given or taken away and so long as that is how disabled people feel about the world, we are way off our goals,

A recalibrated disability rights agenda should foreground psychology – how people feel about the world they inhabit – and make disabled people’s own sense of purpose, status, belonging and control the chief test of progress, its narrative to the wider world and focus for action.

 

 

 

Middle aged people – time for our revolution!

showbiz_opening_ceremony_4

So I’ve just turned 47, I live with my partner who works full time and we have a beautiful daughter aged 4 who is about to start school. I’m self-employed with a ton of work, which helps pay off a whopping mortgage than comes of living in London, which for all its many advantages is toe-curlingly expensive.  240 miles away, near Wigan, live my mum and my dad, who has Alzheimers. They increasingly need support.  That support seems incredibly hard to find.

How many of you have read that first paragraph and related to at least a fair chunk of it?   How many of you are – like me – trying not to have to imagine what happens when your mum’s not around or able to provide that support? How many of you have found it easy to sit down and plan with your parents, or to find out what’s available?  How many of your are increasingly realising that the answer is: not very much?

How many of you see yourself, your situation and your anxieties reflected in the public debate about social care?  Several years ago it was common to talk of the ‘sandwich generation’ or the ‘care crunch’ but it doesn’t seem to feature anymore (nothwithstanding that it’s very negative way to frame it, which might explain why).  Is our overriding priority really to inherit whatever assets or equity our parents leave behind? Why is that at the forefront of the debate?   Or is it to ensure our collective wellbeing: that our mums and dads will be okay and lead the lives they want to, but without huge personal cost to ourselves and our families today and into the future?

Failing to deal with this today will mean costs that will play out down the generations as we in turn require support but don’t have the private resources or public services to access them – is this the anxiety we want to pass on to our own children?

Unlike adult social care, the debate about childcare is no longer one which regards it as a personal private matter, but a public one.  It makes sense to co-invest as a society in childcare, for the benefits of child development, employers, the economy and our own individual wellbeing as parents.  It is also a vote-winner:  with austerity as its backdrop, a Conservative government introduced 30 hours a week free childcare.  And it hasn’t negated the duty to be good parents, or created a literal ‘nanny State’.  We need to think about support for adults in the same way and co-invest:  free, high quality support to protect and promote the wellbeing of adults requiring support and those with who they share their lives, that of their adult children and grandchildren, in the interests of employers and the economy.

We will inevitably have to look out for our parents as they age more than we did when we were all younger, and that’s quite right, just as parenthood brings so many more responsibilities.  But that’s fundamentally different from having to put our own lives on complete hold to provide that support, just as most of us don’t anticipate giving up work to look after our children until they go to school.

People like you and me need to marshal our collective voices, lift our heads up above the immediate challenges we face, set forth a compelling alternative vision and be seen as a political force to be reckoned with.   We need to put an end to the ‘carers as heroes’ narrative peddled by politicians and NGOs, not because those providing care and support aren’t often making huge sacrifices, but because they are, they shouldn’t be, and it’s coming at a huge – and increasing – cost to them, the people they support, their families, our economy and our society.

England needs a ‘wellbeing revolution’ through a collective investment in our shared future.  Ours is the generation to bring it about.  Who’s in?

 

 

 

To lead by example, the UK government should embrace disability inclusive development at home as well as abroad

Next week the UK Government Department for International Development (DfID) will host a ‘Disability Summit’, with the express aim of putting disability at the heart of international development.   DfID is a world leader on international development, and more recently on disablity inclusive development.   Disability inclusive development make sense given – as in the UK –  disabled people form a disproportionately high percentage of all living in poverty globally.  It is not a matter of ensuring that implementation of the Sustainable Development Goals reaches disabled people; it’s a fact that the goals will not be reached unless disability is at the very heart of how they are implemented.  Fusing the UN Convention on the Rights of Persons with Disabilities (CRPD) with the SDGs offers a clear pathway for achieving this.  DfID should be celebrated for showing such leadership.

However, given the impact of austerity measures and reforms on disabled people’s rights here in the UK, and the damning verdict of the UN Committee on the Rights of Persons with Disabilities following its examination of the UK in 2017, it is quite understandable that UK disability activists are intent on highlighting the UK government’s credibility gap as the host of this summit.  It is not only the retogressive impact of these specific measures on disability rights in the UK that creates this credibility gap, is it also the clear failure domestically to create policy coherence between the UK’s approach to ‘development’ (as in policy related to addressing disability related poverty) and the promotion of human rights and equality of opportunity.

There are, I guess, various ways UK organisations can harness the summit to highlight this credibility gap.  Some will protest the summit itself, while others are organising a parallel summit to debate these issues.  Others are taking part in the summit and plan to use their platform to both embrace and celebrate DfID’s agenda, while highlighting the negative journey in the UK.  It will be interesting to see whether it plays out in a similar way to, for example, how the deporation of members of the Windrush generation gathered media attention as a result of the issues being spotlighted during the Commonwealth Heads of Government Meeting.

Perhaps most productive would be the see the summit as an opportunity to put the SDGs on the domestic map.  The UK government is of course already subject to the SDGs.  Unlike the predecessor Millenium Development Goals, the SDGs are designed to be truly universal, but from my vantage point have yet to play any significant part in domestic debates about disability-related poverty or rights.  Rather than just emphasising a credibility gap to strive to embarass the government, why not propose a clear agenda for closing it,  asking the UK government to set forth a programme of disability inclusive development here at home in order to be the change it purports to seek in the wider world?

 

My dad, Alzheimer’s and me.

My journey into disability rights was a happy accident and while over time and through the development of friendships my professional and personal commitment and involvement have blurred, as a non disabled person I have always sought to maintain a degree of distance, offering advice, sharing information and ideas, challenging thinking, but always – I hope – in support of, never on behalf of those with lived experience.

Recently that has begun to change, not through my own direct experience, but because in 2014 my dad was diagnosed with Alzheimer’s.

I have learnt since that such an early diagnosis is unusual – for many the condition isn’t identified until it has made significant progress. In my dad there were subtle but noticeable signs that something was changing, but even the medical professionals didn’t at first think it was Alzheimer’s, describing it instead as mild cognitive impairment. Following a battery of cognitive tests they changed their minds, yet in the immediate months afterwards there was little real sign of change and there was little if any proactive support shown or signposted by the NHS, with the exception of being prescribed medication to ameliorate the effects of the condition. In effect he was discharged upon being diagnosed and everything since has been down to us.

We didn’t much talk about it after his diagnosis, until my dad saw an advert in the Daily Telegraph for a drug trial in 2016.   I recognise that for many people, including my dad, curing or halting the progress of the condition would be their ultimate preference and to achieve that, randomised controlled trials are vital. But everything about this was truly, unspeakably appalling: from the advertisement implying that a cure was already available, to turning up at the address given to find the company had moved offices, to the staff addressing all of their conversation to me and my mum while ignoring my dad, to the initial consultation overrunning and then being told the company was unable to do the tests that day and could we come back (my mum and dad had travelled from Manchester to London).   Here was a company exploiting desperation and treating the very people it needs to help it get to the pot of gold at the end of the rainbow as dispensable and invisible.   A trial in which there is a 1 in 3 chance people will receive a placebo, a 1 in 3 chance they’ll receive a low dose and a 1 in 3 chance they’ll receive a drug that doesn’t actually work is still being advertised as offering a cure to Alzheimer’s, and that, frankly, stinks.  We walked away, but still nagging in my mind today is that it might have worked.  Bastards.

What also stinks is the sheer amount of money going into such medical research in contrast with the complete absence of investment in support, as evidenced again this week with the delay in the social care green paper, and in building social inclusion. Four years on and the effects of Alzheimer’s on my dad are now apparent, following exactly the path loss of semantic memory predicts: previously intuitive tasks, like making a cup of tea, are no longer intuitive. Driving has become too risky. Money matters are all but impossible. Words are hard to come by.  Slowly, gradually, my mum is becoming what bureaucrats – but not many of the people involved – like to call a ‘carer.’  If they require formal ‘social care’ at some stage, they will have to foot the bill, despite relatively modest savings and assets. I am no longer just an observer, commentator or would be influencer of policy in this area: it now has very direct implications for me and my family.

Hence if people have wondered why I have become so passionate about the way social care is framed and discussed, it is not because I have discovered some new ‘fad’ or simply to make a more persuasive case to the public at large. Rather it is because I am seeing up close both how care and support is unavailable to people at the very point it could help extend their independence and wellbeing, placing strain on families, while at the same time social care is seen by those who may need support as a threat – as something to be resisted. Public discourse frames social care as a ‘cost’ and the ageing society as a burden. It is positioned as a way to spare the NHS the costs of caring, not as having a valuable end in and of itself.   Social care is associated with having to leave home and with losing our home and hence our security, our relationships and our sense of who we are and were we belong.   Accepting it into our lives is seen as emblematic of losing our independence, not of extending or regaining it.   As someone put it, social care is seen as a ‘broken system for broken people’ and well, who wants to go there?  The need to reframe the debate about social care is not just about winning support from those as yet unaffected, but equally about shifting perceptions among those that are, those that provide support and those that commission it.

But this isn’t of course just about social care. The All Party Parliamentary Group on Dementia has recently launched an inquiry into disability and dementia, building on previous work by the Mental Health Foundation and others such as Peter Mittler and DEEP, including submissions to the UN Committee on the Rights of Persons with Disabilities in 2017.   It is asking how people with dementia can benefit from law and policy that has evolved out of the struggle for equal rights among disabled people.  I’m meeting with Alzheimer’s Society – who are supporting the inquiry – next month to share my thoughts.

As I have said before, I would be wary of the ‘exceptionalism’ that I think has sometimes surrounded this debate. Only 42% of people classed as disabled under the Equality Act 2010 self-identify as such. Most people with rights under the Equality Act or the UNCRPD do not, nor are they expected as a matter of course, to recognise themselves or to be recognised as a disabled person, save when seeking to enforce their rights or access dedicated financial and practical support.   In this sense, people with dementia have more in common with the majority of disabled people than with the (albeit substantial) minority that do self-identify as a disabled person.   That then is a communications challenge for government and others such as the Equality and Human Rights Commission, to ensure that they are reaching the right people with information, services and support.

This fact also opens us out to seeing the strong relevance and learning that can be drawn from what others have done and that others can gain from initiatives related to people with dementia. For example, Time to Change is a major campaign which strives to end mental health stigma and has enjoyed significant government and philanthropic investment.   Many of the specific challenges it has sought to address are common to those faced by people with dementia, with stigma acting as a barrier to individuals and immediate families seeking support, telling relatives and friends and so on. Again, language is crucial, and research into how to talk about dementia productively – for example avoiding the language of ‘battling dementia’ that has surrounded news of Barbara Windsor having Alzheimer’s – is needed urgently.   Equally vital is emphasising the capabilities and contributions of people with dementia and tackling head on the ‘prescribed disengagement’ that Kate Swaffer has talked so powerfully about.  Last but not least, dementia needs to be framed as a social inclusion issue, not as one engaging only medicine or care, as now.

Within the fields of mental health, learning disability and autism, there remains a strong focus on the right to self-determination, to supported decision-making and self advocacy, often enmeshed with the struggle to live independently and to be included in the community. Bringing these ideas together with ‘dementia friendly communities’ could be hugely powerful.

Discrimination on grounds of disability, including failure to make reasonable adjustments, is hugely under explored when it comes to people with dementia, yet could provide a powerful lever in leveraging accessible services, transport and in ensuring that people are not rendered ‘invisible’ as my dad was by so called dementia specialists in the medical profession.

New technologies have a huge role to play, including Artificial Intelligence and robotics, while people with dementia should play a central role in debating the ethical dimensions of each in the context of their being developed and deployed to support people.

There’s much more to say, and I will in time, reflecting on my dad’s experience, those of my mum and how it affects me and my own family, as it surely will.

There’s nothing I or anyone else can do to halt the progress of my dad’s condition right now, and I can’t pretend that it’s not upsetting or that I wouldn’t prefer to reverse things.  But I refuse to allow despair to win over hope and I’m going to do all that I can to ensure his and my mum’s wellbeing and to use the platform, networks and relationships, knowledge and ideas I have to do whatever I can to try to change the world at large.

Together we can do this.

 

 

 

Why it’s time to change the way we tell the story of people with learning disabilities

Marking the anniversary of the BBC Panorama exposé of inhuman and degrading treatment at Winterboure View there has been much commentary this week concerning the lack of progress on respect for the human rights of people with learning disabilities. This has centered not only on the slow transition from ‘assessment and treatment units’ to community based living, but also the recent ‘LeDeR’ report into unexpected deaths and its shocking update on the gap in life expectancy between people with learning disabilities and the wider population (29 years for women and 21 years for men).

Writing in the Guardian (Seven years on from Winterbourne View – why has nothing changed?), Saba Salman ventured that ‘For all the talk of learning lessons, the biggest one of all is that if you want a national scandal to go unnoticed, make sure it involves someone with a learning disability’ and many people appeared to endorse this line, tweeting it and linking to both Saba and Alicia Wood’s articles.   I was pleased to see Sara Ryan challenge it though, noting how ‘I think there is some change afoot. The #leder review wasn’t buried as planned, inquests/hearings are now being live-tweeted. We are shining a light…’ I think this actually underestimates the change: despite NHS England’s best efforts, the LeDeR review was the second headline story across the whole of local elections results day on BBC news, from BBC Breakfast, through to the 1, 6 and 10 bulletins and the news channels, as well as radio and online, meaning tens of millions will have learned about its findings. The Inquests into Connor Sparrowhawk and Richard Hadley enjoyed similar coverage. It is simply counterfactual to suggest that such scandals are going ‘unnoticed’.   The truth is that as a result of the engagement of journalists and the amplification of social media – not least the Justice for LB campaign –  they have a higher profile than ever before.

Yet it does often feel as though for all of this profile and focus, real change continues to be elusive. There are no doubt many reasons for this: a lack of political leadership, the impact of spending cuts, the ‘liability culture’ that has infected health and social care and creates perverse action, the fact that sustainable change takes time to implement. But I want to recommend we consider something else: the impact of the way the issues are being framed and communicated by those of us who want change to come.

How could it be that such unprecedented media coverage of such outrageous injustice isn’t obviously translating into tangible public demand and political support for change? Well, one hypothesis is that the way the story is being told is devoid of any sense that it can be solved, and so the bigger the story becomes the greater people are left with a sense of fatalism rather than possibility.   Further, the way the issues have been communicated have focused on individual cases and have failed to point people to the systemic causes: to the things that need to be fixed.   By allowing the story to be told in this way, we actually weaken its impact on those with responsibility to enact change.

These are not framing challenges unique to these issues, but are commonplace and the current focus of efforts by organisations such as Joseph Rowntree Foundation in its work to reframe poverty, and Crisis in changing the narrative on homelessness.

This is not a call to sweep negative stories under the carpet. Rather, as Sir Bert Massie once said ‘only high expectations shine a light on injustice.’ Hope is preferable to despair as a lever for change. As Thomas Coombes points out:

‘Fear and threat trigger primordial base defensive instincts in the brain, which leads to defensive political impulses. Safety and calm however, encourage the upper parts of the brain, generating more empathy and welcoming political instincts.’

To these ends, I was struck by the Red Cross’s recent campaign for First Aid to be part of the formal school curriculum. Their campaign message was ‘By making first aid compulsory on the school curriculum, we can empower young people to save a life.’   The campaign aims to fix a major problem, which is that the majority of us have no idea how to administer first aid in an emergency, which means people die avoidably. If the Red Cross were to emulate our communications on people with learning disabilities the campaign message would be ‘people are dying because most of us don’t know how to save them’. Which of these two messages motivates you to think that something can and must be done?

The lesson here is to ‘dial up’ the solutions and dial down the sense of crisis. So for example, in telling the story of insufficient progress towards people moving from ATUs into the community, start with stories of success or possibility, not failure. Or when it comes to health inequalities, show the difference good practice makes in improving health and life expectancy, don’t just present the overall gap. Doing so does not diminish the sense of injustice involved, it reinforces it by showing that those with responsibilities are failing to do the things they could do, with the result that insufficient progress is being made, or that people’s life expectancy is cut vastly short.   A lesson should also be learned from the campaigns for Equal Marriage and ‘Repeal the Eighth’ in Ireland: don’t focus your message on the people that oppose you, but on your growing support.  Noone wants to join the losing team.  Tell stories of how people have realised there is a better way, the journey they’ve been on, the improvements they’ve made and the dividends to them and society.  This is about making what we want to see appear to be the new normal, not the exception. We need to stop saying noone notices and noone cares.

This leads us to the individual versus systemic issue. Individual stories – not just of the people directly affected, but of those with who they share their lives – are powerful, but at the same time if told in certain ways can give the impression that they are just that: individual, tragic stories. That means that the systemic factors lying behind them go untold. We need instead to tell a ‘thematic story’, pointing first to the systemic causes of inequality, or rights violations, with individual case studies used to illustrate it and bring it to life.  This places the focus squarely on the things that those in charge are responsibility for and that can be changed.

What I say here is not a ‘silver bullet’. I do think there is apathy about the lives of people with learning disabilities, underscored by prejudice and low expectations, which also need to be challenged proactively and in evidence based ways, including via strategic communications.   But at the same time, by ensuring focus on the systemic causes of the problems faced, by dialling up solutions and by telling stories of positive change we can harness the vast amount of notice these injustices do now attract and win more change as a result.

Here are some helpful reflections from the Frameworks Institute on how to talk about disability and human rights

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mind the gap

Yesterday, the disability charity Scope published findings on  attitudes, awareness and opinion among disabled and non-disabled people concerning disability in Britain today.   The report focuses on the ‘gaps’ in perception between what non-disabled people think or believe and either facts or the perceptions of disabled respondents.   So for example, where their polling found 1 in 3 disabled people regard there to be a ‘a lot of prejudice’ towards disabled people, among non-disabled people the figure is 1 in 5. The report, and Scope’s communications around it, have also emphasised how 66% of people underestimate the prevalence of disability in the UK.

The report includes some useful insight into the nature of prejudice towards disabled people, confirming a previous finding that seemingly benevolent attitudes may mask prejudice: 75% of people surveyed some or most of the time think of disabled people as ‘needing to be cared for’ while 32% regard disabled people as ‘less productive’.  Though in both instances these may not necessarily always point to negative or unhelpful attitudes, such findings do arguably support the direction given in Article 8 of the UN Convention on the Rights of Persons with Disabilities to ‘promote awareness of the capabilities and contributions of persons with disabilities.’

It also helpfully points to ‘contact theory’ – the idea that prejudice is most effectively tackled through people coming to know one another – and the potential of strategies to increase social interaction between disabled and non disabled people, noting that ‘Just 17 percent of those who don’t know a disabled person think there is a lot of prejudice against disabled people. This compares to 37 percent of respondents who have a disabled friend they know fairly well.’

Such research into attitudes is vital and it is welcome that Scope continues to carry it out. However, I felt the report was weakened by a tendency to draw conclusions that are not obviously supported by the data (and which may lead to unhelpful responses), by Scope’s current pre-occupation with emphasising prevalence of disability (which seems linked to their own strategic repositioning) and the conclusions they draw from the data on under-estimation of prevalence and finally by somewhat thin and perhaps contradictory-in-places recommendations. I’ll take each of these in turn:

Things sometimes look worse because they’re getting better

Scope’s polling finds that the percentage of non disabled people perceiving there to be a lot of prejudice to have declined more steeply than disabled people since 2000 (10 percentage points compared to 5 percentage points). It concludes this to be a problem because it implies non-disabled people are in effect increasingly ignorant of the prejudice that disabled people are still more likely to report.   There is no doubt that prejudice and discrimination remains prevalent, with profound implications for some groups such as people with learning disabilities and much of the public is probably unaware it goes on. That is a clear problem. However, to respond to this data in the most productive way I think we need to interrogate what it is saying a bit more deeply.

First of all, the finding that 5% fewer disabled people today than in 2000 regard there to be a lot of prejudice towards disabled people is a positive finding that somewhat flies in the face of claims made by some that prejudice and hostility have become more commonplace in recent times. It’s a shame Scope don’t frame this finding in this way, perhaps referencing evidence that the overall incidence of disability hate crime also appears to have declined in recent years too, contrary to claims otherwise, for example.

Second, it would be helpful to ascertain the degree to which disabled people’s expectations to be treated fairly and with dignity and respect have or have not increased over a period since 2000, which saw major expansion of anti-discrimination law and awareness-raising activities surrounding it. Greater expectations would correspond with greater recognition and intolerance of prejudicial attitudes and behaviours. Just as increased reporting of disability hate crime is often miscast as an increase in incidence, so disabled people’s perception that there is ‘a lot of’ prejudice could reflect an improvement in awareness and expectations, not necessarily a wholesale lack of progress in tackling it per se.   Such a finding would not of course negate the need to robustly tackle such prejudice, but it would indicate an increased strength and resolve to do so, on which to build, not simply failure to have done so.   Looking at the timeframe from 2000 it would also be hugely helpful to know what caused the spike in perceptions of prejudice among disabled and non disabled people in 2012 – the Welfare Reform Act? The Paralympic Games?

As for the sharper decline in non disabled people’s recognition of disability related prejudice, we can see this – as the report does – as a dangerous decline in awareness, leading to ambivalence and that the answer therefore is to bring non-disabled people’s perceptions into line with those of disabled people. However, people believing there to be less prejudice towards a group (despite that group still facing it) is not necessarily a bad thing if it is evidence of a ‘social norming’ effect. This has been harnessed to hugely successful effect by LGBTi campaigners, especially with regard to campaigns for Equal Marriage around the world.   That is to say, people believing there to be less prejudice towards a group can help create the climate in which prejudice towards that group is deemed unacceptable, or in which thinking positively about a group becomes the norm. I was reminded of the instance a few years ago where a couple of parents comments on the CBBC website that the presenter Ceri Burrell, who has a visible impairment, ‘frightened’ their children. A quick look at the website found that several hundred parents had replied to say how positive they found Ceri’s presence, yet It was the prejudicial views of the two initial parents that was widely reported. The sharp decline in perception among non-disabled people of disability prejudice could be a sign that the public at large increasingly regards such prejudice as wrong. It would be useful to understand in more depth what the 78% who don’t think there is ‘a lot of’ prejudice do think about disability because therein may lie the clues of how to overcome prejudicial thinking and attitudes.

Big numbers don’t always make people sit up and listen

Regarding the focus on gaps in perception concerning the prevalence of disability, I’ve noticed Scope regularly tweeting that there are 14 million disabled people in Britain. The report argues that:

‘Disabled people should have the right to live their lives without the attitudinal barriers they currently face. To make that happen, non-disabled people’s understanding of the scale of this problem, and the scale of any solutions required, must be a central part of achieving change.’

Yet research carried out by the Frameworks Institute looking at the communications of several international disability organisations found:

‘Organizational materials in the sample relied heavily on the use of statistics, facts, and numbers to emphasize the scope of the issue. In other words, facts are a primary framing strategy in the field. The assertion underlying these numerical statements is that disability issues deserve our collective attention because the population of people with disabilities is extremely large.

…There are two primary reasons that facts, when presented alone, fare so poorly as a communications strategy. First, numbers provide little explanatory power; on their own, they do not help people understand underlying causes, effects, or opportunities for remediation. Second, when facts or numbers are provided without an organizing principle, or frame, that helps the audience understand the larger story that the numbers are meant to tell, people easily default to their existing ways of understanding the issue. In most cases, these dominant understandings direct people away from perspectives that allow for productive issue engagement and problem-solving.’

That is say, it’s unlikely that knowing there are 14 million people in the UK who meet the Equality Act definition of disability has – on its own – any useful effect on attitudes and awareness. However, the report expresses concern that:

‘If this group is seen to be smaller than it is, then attempts to remove these barriers may be dismissed by some as a niche concern. Similarly, under-representation of disabled people, whether in the workplace, on-screen, or in public life, may seem a less significant concern.’

I think there are far more targeted and effective ways to do this. For example by noting how:

  • Almost half of people in poverty in the UK are in a household with a disabled person or are disabled themselves
  • 23% of all unemployed people are disabled, as are nearly half of those who are economically inactive but would like to work
  • The current generation of unqualified people has very high rates of disability, and the disabled members of the group have very low rates of employment. Their employment rates are more affected by disability, than (at the other extreme) people with degrees.
  • Almost half of social housing tenants have a long term limiting illness or disability.

The above examples give context, direction and scale and help make these injustices the problem of those who have the power to affect change.

Most disabled people do not identify as disabled – and why should they?

Interestingly, unlike the section on gaps between disabled and non-disabled people’s perceptions of prejudice, the report doesn’t say anything about gaps in perception of prevalence, perhaps because there are none. This leads to another issue that the report grapples with: a lack of recognition, by non disabled people, that that some people they may already know and who are defined as disabled for the purposes of the Equality Act, are disabled.   The report suggests that:

‘Positive attitudes towards disabled people rely on people being aware that other people around them are disabled. Survey results relating to contact may also be affected by disabled people’s willingness, confidence or opportunity to talk openly about disability, and whether they choose to identify as a disabled person

The results suggest that some people must be unaware that they know
any disabled people. Given the apparent relationship between contact and improved attitudes, understanding and overcoming these barriers should be a key part of improving attitudes.’

I find this idea problematic for two reasons. Firstly, if we understand prejudice as ‘preconceived opinion that is not based on reason or actual experience’ isn’t the ideal scenario that people simply relate to people as individuals, not to them as a member of an ‘out-group’ that they are either perceived to, or required to belong? Are we interested in tackling prejudice towards ‘disability’ or towards disabled people? Would we have succeeded in tackling prejudice experienced by disabled people through constructing a preferred ‘attitude to disability’? Social model advocates have argued so in the past, and I’ve found myself sympathetic to their argument, but Scope doesn’t obviously seem to be referring to the social model definition of ‘disabled person’ here anyway, so what is the purpose of doing so?.

Related to this, the majority – 58% – of people defined as disabled for the purpose of the Equality Act do not themselves self-identify as disabled, so the question of recognition is far from a ‘perception gap’ between disabled and non-disabled people, but between common perceptions and the – very broad – criteria used in the Equality Act. And here comes a conundrum: if disability attracts prejudice, what advantage is there in identifying as such and why would we encourage this? And as I say above, if our interest is in eliminating the prejudice encountered by disabled people, why would we demand people assume an identify to which preconceived ideas, not about the individual in question, are attached, when they presently are not the object of these?

This was a major issue faced by the Disability Rights Commission in meeting its statutory obligation to promote awareness of rights and obligations under the Disability Discrimination Act and it did so not via encouraging a mass exercise in self-identification – though some felt this should be the strategy – but by conducting audience research to understand how the group non identifying as disabled did self- identify. While some were in deep denial, the majority when asked acknowledged their specific impairment and recognised that they sometimes faced unfair treatment for reasons connected to it, which they wished to see challenged. DRC research also found that small employers often already hired disabled people and made adjustments but didn’t recognise them as such. The DRC’s communications from then on deliberately made reference to specific impairments and used the global term ‘disabled people and people with long term health conditions’ or ‘people with rights under the Disability Discrimination Act’.

There is another important reason to look beyond global attitudes to disabled people. The public opinion agency Ipsos-Mori used to track attitudes to various ‘equality groups’ including disabled people. Its key question to the public on attitudes to disabled people was something along the lines of ‘would you be happy to have a disabled GP’ and the results showed improvements over time. But what if the question was ‘would you be happy to have a GP with a learning disability’ or ‘a GP with schizophrenia’?   I’m unconvinced that attitudes to disabled people are uniform, with differences in impairment not the sole variable.   Hence attitudes to people with physical impairments, or mental health conditions could see improvements, with little change in attitudes to people with autism or learning disabilities.   Or certain disabled people may be the object of negative attitudes because of their circumstances rather than their characteristics, such as people claiming benefits or those living in a poor area.  If attitudes are not uniform, then neither are any solutions we might conceive of.

One vision….?

Which leads me to the recommendations. I was pleased to see ‘contact theory’ referenced in the report – something the DRC did tentative work on before being wound up in 2007, yet not picked up by the EHRC or anyone else until now.   But the only recommendation Scope make to these ends is for there to be a more robust effort to meet the government’s existing goal of 1 million more disabled people being in work. Clearly workplaces are important places for contact and interaction, but the report says nothing about all the other domains of associational life – schools, places of worship, sports, football supporters, Cub-Scouts and Girl Guides, youth clubs and so on – the places where we come together and meet one another. Inclusive education in particular is a huge omission.  Nor does it say anything about the influence of power in those relationships, which lies at the heart of tackling the prejudice Scope notes that disabled people are too often perceived as ‘objects’ of care, not active citizens.  Surely the findings and theory suggest the need for a concrete social interaction strategy, with contact theory at its heart? But we should also ask whether it is sensible to expect to ‘change attitudes to disabled people’ as a whole? Does people having more contact with people who use a wheelchair or have a sight impairment change attitudes to people with mental health conditions?

Similarly, the report argues that the findings give cause a new dedicated cross-Departmental strategy on disability. This flows naturally from Scope’s apparent insistence on trying to mould a big and diverse bunch of people into one disability category, to encourage them all to take on that description of themselves, and increase the degree to which other people recognise that category as a thing too – with the aim of raising the status of the group.   But isn’t this also a contradiction?  Reinforcing the idea of an – albeit large – outgroup is also likely to reinforce rather than help dismantle prejudice. Aren’t there other ways of recognising that there are different routes to fulfilment and the exercise of rights, while finding all sorts of ways to make common cause across a disability/non-disability divide that needs to be broken down rather than risk being reinforced in this way?

Prejudice blights lives and undermines opportunity. As the recent LeDeR report found, it causes people to die needlessly. Scope are to be commended for putting the issues back on the agenda. We should redouble our efforts to tackle it, learning from other fields such as LGBTi or race for example. If we’re going to succeed, we need to mind the gap between what the available evidence appears to say and what it actually means, and avoid promoting ideas that may have the unintended consequence of making matters worse.

 

 

 

 

 

 

 

 

 

 

 

 

Following Grenfell, how can human rights have real meaning in the ‘small places, close to home’?

Power-to-the-people-Citizens-should-soon-have-more-voice-to-sway-policy_knowledge_standard

“Where, after all, do universal human rights begin? In small places, close to home – so close and so small that they cannot be seen on any maps of the world. Yet they are the world of the individual person; the neighborhood he lives in; the school or college he attends; the factory, farm, or office where he works. Such are the places where every man, woman, and child seeks equal justice, equal opportunity, equal dignity without discrimination. Unless these rights have meaning there, they have little meaning anywhere. Without concerted citizen action to uphold them close to home, we shall look in vain for progress in the larger world.”

Eleanor Roosevelt, “In Your Hands: A Guide for Community Action for the Tenth Anniversary of the Universal Declaration of Human Rights.” Thursday, March 27, 1958. United Nations, New York.

 In the wake of the horrific fire at Grenfell Tower in 2017, numerous organisations and individuals were quick to connect human rights to the event and to the issues perceived to surround it. Commentators focused on the alleged failure of the State – national and local – to protect the right to life and to fulfil the right to an adequate standard of living, including to safe housing. The Equality and Human Rights Commission has launched a non-statutory Inquiry into the equality and human rights implications of Grenfell.  Others have explored the issue through the lens of austerity, particularly the duty to fulfil economic and social rights to the ‘maximum of available resources’ following suggestions that fire safety was compromised to save money. Grenfell has also become a byword in debates about socioeconomic inequality, given the status of many residents. To these ends, Grenfell has spotlighted precisely why human rights matter most in the ‘small places, close to home.’

At the same time, the reality is both that the public bodies involved already had obligations to respect, protect and promote human rights, while the residents could, in theory, have invoked human rights in their struggle to secure safe homes prior to the fire.   Rather than note, post hoc, that the events leading up to and following Grenfell engage human rights, a bigger question perhaps is to ask why human rights seemingly played no evident part in the resident’s struggle or in the decision-making of the local council and its agents in the events that led to the fire? I believe the answers to this question could have profound implications for how we approach the promotion and protection of human rights in future.

One possibility is that human rights are inadequate – or at least provide only a small part of the solution. If one regards inequality as the underlying issue, then Samuel Moyn’s forthcoming book ‘Human Rights are Not Enough’ questions whether human rights offer the solution:

“With only rare exceptions, material equality is not something that human-rights law and movements ever set out to defend….. Human-rights law lacked the norms, and human-rights movements the will, to advocate for a serious redistributive politics. Even in theory, with their focus on ensuring a bare floor of material protection for individuals in a globalized economy, human-rights movements did nothing to prevent the obliteration of a wealth ceiling. With the decline of the welfare state, human-rights movements both failed to attack the victory of the rich and struggled to cope with the poverty of the rest. The political and legal project of human rights became a companion to the rise of inequality, which paved the road to populism and further rights abuses…..we must recognize the limits of human rights, and admit our own failure to contribute bold visions and projects outside of the rights framework. Human-rights movements were latecomers to the era of distributional concerns. Even when they did take an interest, they set a low bar, focusing only on saving the worst off from destitution. Human rights are not to blame for inequality, but we need to face our responsibility for treating them as a panacea.”

The inclusion in the Equality Act 2010 of a ‘socioeconomic duty’ on public bodies was a recognition of the shortcomings of anti-discrimination law as a vehicle for tackling socioeconomic inequality. The duty has however lain dormant, with Conservative-led government’s since 2010 refusing calls to commence it.  There has also been an upsurge in interest in economic, social and cultural rights since 2010, driven in response to austerity, but it is important – as Moyn points out – not to confuse pursuing the ‘floor’ of human rights with the far broader challenge of narrowing the gap between rich and poor.

Another possibility is that human rights are too easily disregarded, especially where segments of the population enjoy relatively low social status or lack political power. In an interview with the Guardian newspaper, the UN Special Rapporteur on housing, Leilani Farha contemplated whether a human rights based approach might have reshaped the way the residents were perceived and in doing so have helped prevent the fire:

“If the population wasn’t viewed as somehow undeserving, as really lucky to receive the benevolence of state support for housing, if they were viewed as rights holders, I just wonder if that same decision (to use cheaper cladding) would have been made.”

Farha calling on national and local government and wider society to show greater respect for the human rights of social housing residents is not unhelpful, but the question of how this greater respect can be secured is left unanswered.   It is an equally relevant point in other spheres, including social security, where public attitudes and discourse often debase and demonise claimants. The protection and promotion human rights provides an imperative – and potentially the goal – but again it is not human rights law, standards or ‘approaches’ that provide the answers. I also struggle to see how a narrative-shift to describe people living in social housing or claiming benefits as ‘rights holders’ would be helpful. Quite the contrary, I fear it would inflame the situation further, deepening the basis for much stigma which is the idea that people are unfairly accessing protection and entitlements without commensurate responsibilities.

Others have put the ownership model in the dock. The think tank Legatum has argued:

‘if Grenfell Tower had been owned by residents they would never have approved the refurbishment that led to the fire, because no homeowner would have considered those particular works either necessary or a good use of their own resources.’

It proposes that the State should put estates like the Lancaster Estate on which Grenfell Tower was situated into Trust and hand ownership – and hence control over decision-making – to the residents.   This echoes ideas in other areas of human rights thinking, such as in disability rights where transferring control over public resources via measures such as direct payments and personal budgets has come to be recognised as an important way to respect, protect and fulfil human rights obligations, especially the right to autonomy.

What links these analyses and proposals together are questions of power and status – political, legal, economic and social – and how they might be transformed.

Human rights are not – nor were they ever intended to be – the cure to all society’s ills, as Samuel Moyn so eloquently points out. Grenfell should challenge us to commit to tackling socioeconomic inequality, to consider the influence of ownership and control over assets and place and to attend to corrosive public attitudes towards people in low incomes and those requiring support. Human rights may play only a very small part – if any – in doing so. But I still believe existing human rights law and standards could have and can in future play a greater part in securing justice in these ‘small places.’

So we must ask ourselves: How could the residents of Grenfell have drawn upon – or had the means to draw upon – existing human rights law and standards in their struggle to make their homes safe and habitable? How can other highly localised, barely constituted groups or pop-up campaigns draw upon human rights law and standards to win change, in areas such as health and social care, criminal justice, housing, children’s services or planning for example? How would they find their way to human rights and to expert advice and support? How would we reach them, and what with?   What can human rights NGOs do? How can donors support them? What can we learn from things like community organising and the localism agenda? What new partnerships might we strive to form with those committed to empowering local communities?

Human rights should provide everyday people, in everyday struggles for justice and fairness with added firepower, not as the solution, but certainly as part of the solution. I believe that strategically this will require a concerted effort by donors, NGOs and human rights bodies to truly democratise human rights.

In May, the Thomas Paine Initiative, which I direct, will host a meeting for donors, NGOs and other interested parties to meet and discuss the challenges and opportunities this question raises. In the meantime, please do share your thoughts and ideas, or get in touch.

neil@global-dialogue.eu

 

Image from Power to the people: Citizens should soon have more voice to sway policy by HEC Paris here

 

 

 

 

 

 

 

 

 

 

 

 

Implementation of the UN Convention on the Rights of Persons with Disabilities – a basic monitoring checklist

A few years ago I worked with Professor Gerard Quinn and Abigal Rekas on a manual for National Human Rights Institutions on human rights and disability, which you can read here.

The basic monitoring checklist I drafted was not used in the manual & while it could do with some development I think it’s a good starting point for anyone – duty bearers, independent monitors, disabled people’s organisations – thinking about what implementation of the Convention means Article by Article, so in the spirit of not allowing good things to go to waste, open source sharing, and my general lack of commercial nouse, here it is…..

Basic monitoring checklist – implementation of the Convention on the rights of persons with disabilities

CRPD Articles Structures Processes Outcomes
Equality and non-discrimination (Article 5) Do persons with disabilities enjoy a constitutional guarantee of equality?

 

Is discrimination against all persons with disabilities prohibited in law?

 

Are all areas covered by the CRPD addressed by anti-discrimination law?

 

Does the approach to disability discrimination include denial of reasonable accommodation?

 

Has a competent body been designated to promote, enforce and monitor equality and non-discrimination?

 

Has guidance been produced for duty-bearers, rights-holders and advocates, including in relation to reasonable accommodation?

 

Can rights-holders secure adequate redress?

 

Is the law being enforced?

What gaps in outcomes exist between persons with and without disability across key domains e.g. employment participation, health outcomes, use of public

 

What complaints are being made regarding disability discrimination – are there clear patterns and evidence of systemic problems?

Awareness (Article 8) Has the State initiated public awareness campaigns to promote awareness of and receptiveness towards the rights of persons with disabilities?

 

Does the national school curriculum include

 

Has the State taken steps to encourage portrayal of persons with disabilities by the media in a manner consistent with the aims of the CRPD

 

 

 

How many people or organisations have been reached by campaigns regarding awareness or receptiveness?

 

Has the State evaluated the impact of its awareness raising activities?

What does the public think about the rights of persons with disabilities?

 

What do persons with disabilities perceive the attitudes of the public to be towards them?

 

How are the lives of persons with disabilities typically characterised by the media? Does this correspond with the aims of the CRPD?

Accessibility (Article 9) Has the State ensured the development of minimum standards and guidelines regarding accessibility?

 

Has the State taken effective measures to ensure that private entities open to or providing services to the public take accessibility into account?

 

Has the State taken action to promote universal design principles, including in relation to new technologies?

 

 

Has the State taken sufficient steps to promote and monitor the implementation of minimum standards and guidelines?

 

Has the State provided training for stakeholders (including planners, architects, designers, engineers, manufacturers, persons with disabilities) on accessibility?

Can persons with disabilities move freely and spontaneously around the built environment and use public transport on an equal basis with others?

 

Can persons with disabilities access goods, facilities and services on an equal basis with others?

 

Can persons with disabilities access information and communication on an equal basis with others?

 

Do persons with disabilities benefit equally from technological innovations?

Right to Life (Article 10) Does the State criminalise the murder and manslaughter of persons with disabilities and properly enforce the law?

 

Has the State taken steps to prevent accidental deaths of persons with disabilities, including those detained under mental health laws or residing in social care facilities?

 

Are official independent investigations automatically conducted following the deaths of persons with disabilities detained by the State? Are cases involving the murder or manslaughter of persons with disabilities effectively investigated and prosecuted?

 

What number of persons with disabilities have died while detained by or in the custody of the State?

Situations of Risk and Humanitarian Emergencies (Article 11) Are the rights of persons with disabilities integrated into Disaster Risk Reduction protocols? Have steps been taken to rehearse implementation of disaster reduction plans involving persons with disabilities?

 

Has the effectiveness of disaster reduction plans been evaluated with respect to the rights of persons with disabilities?

 

What has been the effectiveness of ‘drills’ in minimising risks to persons with disabilities

 

What has been the situation of persons with disabilities following natural disasters and humanitarian emergencies?

Equal Recognition Before the Law (Article 12) Does the law prohibit people from being denied legal capacity on grounds of disability?

 

Is law and practice founded on a model of supported rather than substitute decision-making?

 

 

 

Can persons with disabilities access support with decision-making that is designed to respect their right to equal recognition before the law?

 

Has the State taken action to ensure that third parties such as banks, health services or landlords respect the right of persons with disabilities to equal recognition before the law?

 

How many persons with disabilities are subject to substitute decision making regimes?

 

 

 

 

Access to Justice (Article 13) Has the State ensured the development of law, policies and guidelines regarding access to justice for persons with disabilities including in relation to:

 

–      Reporting crimes to the police

–      Arrest of persons with disabilities

–      Detention of persons with disabilities

–      Persons with disabilities as witnesses and defendents

–      Ensuring consideration of persons with disabilities is mainstreamed into actions and activities such as promoting access to justice for victims of gender-based violence or child abuse

Are laws, policies and guidelines known about and followed?

 

Is training provided to all levels of the justice system (civil and criminal) including for the police and prison staff, legal professionals and the judiciary?

Can persons with disabilities secure access to justice on an equal basis with others?
Liberty & Security of the Person (Article 14) Does the law prohibit persons from being deprived of their liberty on grounds of disability?

 

Does the law prohibit persons with disabilities from being detained on grounds of their perceived risk to themselves or others?

 

Are persons with disabilities able to challenge deprivation of liberty and seek compensation?

 

 

How effective are any procedural or judicial safeguards regarding deprivation of liberty? How many persons with disabilities are detained in institutions including psychiatric hospitals and social care facilities?

 

How long have persons with disabilities been detained in such institutions?

Freedom from torture, inhuman or degrading treatment (Article 15) Has the State developed effective law, regulations and oversight to protect persons with disabilities from torture, inhuman or degrading treatment?

 

Are practices such as compulsory medical treatment, solitary confinement, physical restraint and non-consensual electroconvulsive treatment prohibited in law?

 

Is the use of medical treatment, physical restraint and other treatments effectively regulated?

 

Are policies and systems in place to address persistent targeted harassment of persons with disabilities?

 

Is the National Preventive Mechanism under OPCAT empowered to address situation of persons with disabilities detained in or confined to institutions?

 

Are laws prohibiting the use of methods which amount to inhuman and degrading treatment enforced?

 

Are the bodies tasked with regulating and monitoring places of detention adequately resourced, sufficiently independent and effective?

 

 

Are persons with disabilities subject to torture, inhuman or degrading treatment such as compulsory medical treatment, solitary confinement, physical restraint and non-consensual electroconvulsive treatment?

 

Can persons with disabilities secure protection and redress?

Freedom from exploitation, violence and abuse (Article 16) Has the State ensured that all facilities and programmes designed to serve persons with disabilities are independently monitored?

 

Has the State taken legal or programmatic steps to recognise exploitation, violence and abuse affecting persons with disabilities, such as violence against women with disabilities, abuse and exploitation of children with disabilities (including trafficking) and disability hate crime?

 

Does the State monitor incidents of exploitation, violence and abuse affecting persons with disabilities?

 

 

Are facilities and programmes designed to serve persons with disabilities routinely inspected and monitored by competent authorities?

 

Have criminal justice agencies developed policies and initiated actions to improve operational effectiveness with respect to protecting persons with disabilities and providing redress following incidents of exploitation, violence and abuse

 

Is counselling available to persons with disabilities who have encountered violence, exploitation and abuse?

What is the incidence of exploitation, violence and abuse experienced by persons with disabilities including violence against women with disabilities, abuse and exploitation of children with disabilities and disability hate crime?

 

What proportion of such crimes are reported to the authorities, including the police, what proportion are recorded and what proportion are prosecuted?

 

What proportion of persons with disabilities who have encountered exploitation, violence and abuse have received counselling?

Protecting the integrity of the person (Article 17) Has the State taken action – including prohibiting in law – to ban practices that violate the integrity of disabled persons such as non-consensual sterilisation, abortions, the administration of

drugs, electroconvulsive treatment and forms of restraint?

Has the State taken steps to enforce laws protecting the integrity of the person, including through monitoring and criminal sanctions? Do such practices still occur?
Liberty of movement and nationality (Article 18) Does the State ensure that persons with disabilities can acquire and change nationality on an equal basis with others, are not deprived of their nationality arbitrarily or on the basis of disability, or of their ability to obtain, possess and utilize documentation of their nationality or other documentation of identification, or to utilize relevant processes such as immigration proceedings, are free to leave any country, including their own and are not deprived, arbitrarily or on the basis of disability, of the right to enter their own country?

 

 

 

 

Is documentation concerning immigration and nationality available in accessible formats?

 

Are proceedings concerning immigration accessible to persons with disabilities?

 

Are all children with disabilities registered at birth and given a name and nationality?

 

Do persons with disabilities enjoy liberty of movement and nationality on an equal basis with others?

Living independently and being included in the community (Article 19) Do persons with disabilities enjoy legal rights to exercise meaningful choices over where and with whom to live on an equal basis with others?

 

Does the law prevent persons with disabilities from being obliged to live in a particular living arrangement?

 

Do targets exist to reduce the number of people confined to institutions?

 

 

 

Is there sufficient investment in community based accommodation and support such that persons with disabilities have meaningful choices that prevent their isolation and segregation from the wider community?

 

What mechanisms are in place to facilitate the exercise by persons with disabilities of choice and control over where and with who they live, such as personal budgets or personal assistance schemes?

What proportion of persons with disabilities live in community settings versus institutions?

 

Do persons with disabilities report that they have control over where and with whom they live?

Personal mobility (Article 20) Has the State taken effective measures to ensure personal mobility with the greatest degree of independent for persons with disabilities including by inter alia facilitating access to aids and equipment and by providing training and information to persons with disabilities? Is there sufficient investment in support for personal mobility?

 

 

What proportion of persons with disabilities requiring support with mobility are able to access such support?

 

What is the gap in outcomes between persons who require support with mobility and those who do not in terms of travel and participation in community life?

Freedom of expression and opinion (Article 21) Has the State taken steps, including legislative steps, to ensure that persons with disabilities can receive and impart information, and in particular to ensure that public and private entities produce information in accessible formats and offer accessible modes of communication such as sign language?

 

 

Has that State taken steps to promote good practices in relation to accessible information and communication across public bodies and private entities and among society more widely? Can persons with disabilities access and impart information and communicate on an equal basis with others?
Respect for privacy (Article 22) Does the State ensure that the right of persons with disabilities to privacy routinely respected, irrespective or living arrangements and with particular respect to personal information regarding health and rehabilitation? Are the State’s data protection safeguards sensitized to the situation of persons with disabilities?

 

How does the State ensure that the privacy of persons with disabilities is respected by those providing support?

Are there incidents of the right of persons with disabilities to privacy being violated?
Respect for home and the family (Article 23) Are all persons with disabilities legally permitted to get married and start a family?

 

Does the State support parents with disabilities in the performance of child-rearing responsibilities?

 

Does the State support parents of children with disabilities with their child rearing responsibilities?

 

Are all persons with disabilities able to retain their fertility on an equal basis with others?

 

Does the law allow children be separated from their parents on the basis of (the child or parents) disability alone?

 

Do judicial safeguards exist regarding the separation of children from their parents, where either has a disability?

 

Where families are unable to support a child with a disability, are policies and strategies in place to support the child within the wider family or within the community in a family setting?

 

 

 

 

 

Can persons with disabilities access information and support regarding their reproductive rights?

 

Can parents with disabilities access support with child-rearing?

 

Can parents of children with disabilities access support with child rearing?

 

 

 

 

Are persons with disabilities prevented from having relationships, including sexual relationships and/or from starting a family?

 

What proportion of children born to parents with disabilities stay with their parents?

 

What proportion of children with disabilities stay with their parents?

Education (Article 24) Do all children with disabilities enjoy the right to be educated in the general education system in the communities in which they live?

 

Is the State taking concrete steps to develop an inclusive education system, for example through laws, policies and implementation strategies?

 

Are children with disabilities entitled to individualised support with learning?

 

Does the State invest in supporting the development by persons with disabilities of life and social development skills to facilitate full participation in society, such as the use of Braille and sign language?

 

Is discrimination prohibited in tertiary and higher education?

 

Has the State ensured the programmes of initial and ongoing teacher training are grounded in the principle of inclusive education?

 

Has the State provided sufficient funding to improve the accessibility of educational establishments and for the provision of individualised support?

What proportion of children with disabilities are enrolling in and completing primary and secondary education?   Is this situation improving and at what rate?

 

What are the comparative levels of educational attainment between children and adults with and without disabilities? Is this situation improving and at what rate?

 

What are the comparative numbers of children with disabilities in special school versus mainstream school places? Is this situation improving and at what rate?

 

What percentage of persons with disabilities are entering higher education? Is this situation improving and at what rate?

 

Health (Article 25) Has the State taken steps to ensure that persons with disabilities enjoy access to the highest attainable standards of health without discrimination, including in relation to health and life insurance?

 

Has to State ensured the provision of supports to persons with disabilities to manage their impairment or health condition and to prevent further deterioration or the emergence of secondary conditions?

Has the State taken steps to raise awareness of the human rights, dignity, autonomy and needs of persons with disabilities through training and the promulgation of ethical standards for public and private health care? What are the comparative health outcomes between disabled & non-disabled people including life expectancy?

 

Does evidence exist of people being denied access to health services on an equal basis with others, including life-saving health care?

 

 

 

Habilitation and Rehabilitation (Article 26) Has the State organised, strengthened and extended comprehensive habilitation and rehabilitation services and programmes, particularly in the areas of health, employment, education and social services to enable persons with disabilities to attain and maintain maximum independence, full physical, mental, social and vocational ability, and full inclusion and participation in all aspects of life? Has the State promoted the development of initial and continuing training for professionals and staff working in habilitation and rehabilitation services?

Has the State promoted the availability, knowledge and use of assistive devices and technologies, designed for persons with disabilities, as they relate to habilitation and rehabilitation?

Can persons with disabilities access multi-disciplinary habilitation and rehabilitation services?
Adequate standard of living and social protection (Article 27) Does the State ensure that persons with disabilities have access to clean water and sanitation?

 

Do poverty reduction programmes exist to eliminate poverty among persons with disabilities?

 

Do social protection programmes address disability-related costs?

 

Do persons with disabilities enjoy equality of access to public housing programmes?

 

Does the State measure and monitor levels of relative and absolute poverty among persons with disabilities?
What steps has the State taken to ensure private entities involved in the provision of essential services ensure equal benefits for persons with disabilities? 
Do persons with disabilities enjoy equal access to clean water and sanitation

 

What are the levels of relative and absolute poverty among persons with disabilities – how do these compare to the general population?

 

How many persons with disabilities are waiting for accessible housing or living in unsuitable housing?

Work and Employment (Article 28) Is discrimination, including the denial of reasonable accommodation, prohibited in all areas of employment and by all employers?

 

Has the State taken action to ensure just and favourable conditions of work for persons with disabilities including equal pay, safe and healthy working conditions and protection from harassment?

 

Has the State initiated effective programmes concerning vocation training, career development and self-employment?

 

Has the State taken positive steps to promote employment of persons with disabilities in the public and private sectors, including via affirmative action?

 

 

What steps has the State taken to promote awareness of the rights of persons with disabilities among employers?

 

Does the State provide support to employers with respect to employing persons with disabilities, for example through advice and information or practical and financial support in providing reasonable accommodation?

 

What goals or targets does the State have with respect to increasing the employment rate of persons with disabilities and how is this monitored?

 

What is the overall employment rate of persons with disabilities and how does this compare with other countries?

 

What is the gap between employment rate of persons with disabilities and general population?

 

Do persons with disabilities enjoy equal pay?

 

Are persons with disabilities more likely to report harassment at work?

 

How many persons with disabilities have been assisted into employment by targeted support programmes?

 

Participation in political & public life (Article 29) Do all persons with disabilities have the legal right to vote in elections?

 

Can all persons with disabilities seek election?

 

Does electoral law require reasonable accommodation, including in relation to election materials being made available in accessible formats, accessible voting procedures and support for persons with disabilities to vote?

 

Does disability discrimination law cover public appointments and political parties?

 

 

Is participation by persons with disabilities in elections monitored?

 

Is guidance provided to election officials regarding non discrimination and accessibility?

 

Do targets and strategies exist to increase the participation of persons with disabilities in political and public life?

 

Are Parliamentary buildings and procedures accessible to persons with disabilities?

 

What percentage of persons with disabilities vote in elections?

 

What percentage of persons with disabilities have experience barriers when trying to vote?

 

How many Members of Parliament are persons with disabilities?

 

How many public appointees are persons with disabilities?

Participation in cultural life, leisure, recreation and sport (Article 30) Has the State taken all appropriate measures to ensure persons with disabilities enjoy access to cultural life, including cultural materials, television, film and theatre and to places for cultural performances or services and, as far as possible, enjoy access to monuments and sites of national cultural importance?

Has the State adopted measures to States Parties shall take appropriate measures to enable persons with disabilities to develop and utilize their creative, artistic and intellectual potential?

Has the State taken steps to prevent intellectual property rights unreasonable preventing access by persons with disabilities to cultural materials?

Has the State formally recognised sign language as an official language?

Has the State adopted measures to promote the participation by persons with disabilities in mainstream and disability-specific sport as participants and spectators?

Has the State adopted measures to ensure that children have equal access to play, recreation and leisure, including at school?

(e) To ensure that persons with disabilities have access to services from those involved in the organization of recreational, tourism, leisure and sporting activities.

 

 

 

Do targets and implementation plans exist in relation to the various obligations under Article 29?

 

Has the State engaged key agencies and actors in the fields of culture, leisure, recreation and support to support implementation of Article 19?

 

Do any targeted programmes exist to increase the participation and contribution of persons with disabilities in the fields of culture and sport?

To what extent do persons with disabilities engaged with or in cultural, recreational, leisure or sporting activities and how does this compare to the general population?

 

Are persons with disabilities visible in the fields of culture and sport?

Statistics and data collection (Article 31) Has the State committed to improve the quality of statistics and data collection regarding the rights of persons with disabilities? Has the State taken steps to ensure that reliable and comparable data is being collected which is capable of measuring implementation of the Convention? Does the data available allow disaggregation of the barriers experienced by persons with disabilities
International cooperation (Article 32) Has the State adopted any laws, regulations or guidelines concerning disability inclusive development? Is the State providing funding or technical assistance to other States or otherwise cooperating with other States in efforts to implement the CRPD?

 

 

National implementation and monitoring (Article 33) Has the State identified a focal point or points within government to implement the Convention?

 

Has the State established, strengthened, designated or maintained a framework to promote, protect and monitor implementation of the Convention?

 

Does the framework include a Paris Principles compliant national human rights institution?

Are persons with disabilities formally involved in the monitoring framework?

 

 

Has the State committed adequate resources to the focal point, independent mechanism and to organisations of persons with disabilities such that they are able to discharge their roles and responsibilities adequately?

 

Has the State taken steps to ensure the effective involvement of persons with disabilities in implementing the Convention?

Does a framework exist and does it conform with the requirements of Article 33?
Reservations (Article 46) Is the State proposing or has it insisted on entering any reservations or interpretive declarations when ratifying the CRPD?

 

Are the reservations compatible with the object and purpose of the CRPD

 

 

Has the State provided compelling reasons for entering any reservations or declarations, including in a statement to Parliament?

 

Has Parliament had the opportunity to scrutinise any proposed reservations or interpretive declarations?

Is the effect of any reservations or interpretive declarations to render lawful acts of discrimination against persons with disabilities in the enjoyment of their human rights?