Invisible Disabilities and Accessibility Challenges

I beg to move,

That this House has considered invisible disabilities and accessibility challenges.

I thank the Backbench Business Committee for granting this debate, my hon. Friend the Member for Newport West (Ruth Jones) for co-sponsoring the application, and the right hon. and hon. Members who will take part. I also thank the Minister who is responding; I was extremely grateful that, along with other colleagues, he spared the time yesterday to attend the roundtable discussion on this issue. We are all keen to look into this matter more closely over the coming months. I hope the Minister will agree that the roundtable was a constructive, illuminating and at times exciting discussion in which we were able to preview the new accessibility signage that reflects all disabilities, whether visible or invisible.

Before discussing the new signage and the wider campaign to improve our understanding of invisible disabilities, I want to reflect briefly on the progress that we have made as a society when it comes to people with all disabilities. The landmark legislation that I, as a Labour Member of Parliament, am particularly proud of, is the Equality Act 2010: a historic amalgamation of rights, placed under one statute, in the final days of the last Labour Government. The Act enshrined all the protections in one place for all disabled people in this country—a benchmark for our future direction of travel.

Many pieces of legislation start with an inspirational story involving an inspirational campaigner acting as a catalyst for change. One such campaigner is the reason why I stand here today to speak on this issue. Before I came into politics and before I considered standing to represent East Lothian as Member of Parliament—even before Brexit started, believe it or not—I had the honour of being a teacher at Prestonpans Primary School. I had the great pleasure of teaching hundreds of children over the years. I truly take pride in every young person I had the privilege to teach.

One person, who has already achieved so much in her short life and is now my constituent is Grace Warnock. Grace is a passionate, articulate, intelligent and creative young person, who is determined to change the hearts and minds of people around her. She is resolute in her mission to remind everyone that not all disabilities are visible. Grace suffers from Crohn’s disease—a condition that many hon. Members will be aware of. Those with Crohn’s need more than most to use accessible toilet facilities, sometimes at very short notice. When Grace tried to use an accessible toilet some years ago, she was accosted, heckled and abused. She was targeted because Crohn’s is not a visible illness. I would not blame any young person who, after experiencing such an incident, kept their head down, possibly even avoiding accessible toilets and facilities.

Grace felt embarrassed. She was upset, but she was also determined to do something about it, so she created a toilet sign that strikes a powerful chord—one that asks people to have a heart and to consider the range of disabilities that exists. This sign, first displayed in her primary school, has spread across Scotland and is changing perceptions along the way. It is empowering people like Grace, who may feel unable to do so, to use accessible facilities, which is a great testament to Grace’s work and to her mum, Judith. The next step is to take forward the energy, the enthusiasm and the ideas of Grace’s campaign and to put forward new signage that can be a British and international standard.

That brings me to the work of another inspirational woman, Lucy Richards. Lucy is the creative director of StudioLR, and she wants to use design to take on some of society’s big challenges and to make a positive impact on people’s lives. Lucy specialises in inclusive design, creations that are simple for people to understand. Working with people with dementia and in partnership with Life Changes Trust, an incredible charity based in Scotland, she has designed a new set of everyday symbols that help people find their way around. She was inspired by Grace’s campaign, and her work includes a new symbol for people with any disability. There is a need for a sign that is easily understandable to all.

I am sure that my hon. Friend, like me, has been contacted on many occasions by blind constituents, who have great difficulty finding their way around obstacles on the pavement. He also mentions toilets, and there is now a big shortage of toilets in the towns of this country, which may well be down to local government cuts. The Government should be looking at those two issues.

My hon. Friend anticipates, as he so often wisely does, where my speech is going on street furniture and people with sight problems, and on the availability of toilets and facilities generally across the United Kingdom.

Yesterday I was delighted to meet the British Standards Institution, which supports the establishment of inclusive signage. Understandably, the process of standardisation is rigorous, and it is fair to say that it perhaps does not lend itself to political timetables. I am under no illusion. This is a long-term project, and there are a number of barriers that stand in the way.

Of course, because of parliamentary convention, I cannot explicitly show hon. Members the symbol. However, I am happy to preview the design after the debate. The “any disability” symbol depicts a range of disabilities, both visible and invisible, and it can be accompanied by text saying, “For people with any disability.” This is a profoundly important message that strikes at the heart of the campaign.

The nucleus of the campaign that Grace started those years ago is about changing the perception of what disability looks like. It strikes at the heart of how we define a disability. There are 13.3 million disabled people in the UK—21% of the population. If we examine the figures more closely, they reveal that 25% of those who are disabled report a mental health impairment and a further 18% have other non-visible conditions, yet I worry that what it means to be disabled is still not properly understood.

The hon. Gentleman is making an excellent speech on such an important issue. As chair of the all-party parliamentary group on disability, I was approached before this debate by a number of individuals who would like me to point out that those with an autistic spectrum disorder are often overlooked or badly understood by members of the public, and such disorders are certainly not noted as a disability because they are not visible. As I know because my husband suffered a head injury while serving in the Army, head injuries can cause cognitive processing difficulties, and so on, that are not obvious. This signage is great work, and it will aid understanding of the whole range of disabilities and impairments.

The hon. Lady raises a most profound and important point: people’s understanding of disability is influenced more by their personal experience than by what society brings together as to what it is to be disabled.

The figures show that those with non-visible disabilities suffer an unfair double attack. What sits at the heart of Grace’s campaign about having a heart and of what we hope to achieve here today and in the future is making that playing field more level and fairer. I worry about a misunderstanding of what amounts to “a disability”. Crohn’s and Colitis UK, which is leading the way in trying to change perceptions about this issue, has undertaken a huge amount of research, which shows that 93% of people think that if they challenge someone who looks healthy for using an accessible toilet, they are “standing up” for the “rights of disabled people” or doing this because the situation is not “fair” on others. One noticeable aspect of this debate is that I do not think many of the people who took part in that survey answered maliciously; they genuinely feel they are doing the right thing by pointing out to someone they do not think is disabled that they are doing the wrong thing. Their first thought is, “I want to stand up for people who are marginalised in society, those who rightly deserve full accessibility rights”. This instinctive reaction to what people believe a disability “looks like” needs to be challenged.

It is worth noting that the false perceptions of what constitutes a disability have a profound effect on the individual’s mental health. In preparing for this debate, I have been made aware of some incredibly upsetting cases of abuse directed at disabled people who have been queueing for accessible toilets or trying to use a parking bay. Further research by Crohn’s and Colitis UK shows that two thirds of people with Crohn’s or colitis have experienced an accident while they have been queuing to use a toilet, and they have, in turn, received abuse for that. Almost half say that they will change their attitude to social spaces such as restaurants because of their condition. That is just wrong, in this society; it is a damning picture of the everyday experience that disabled people suffer.

I was struck recently by an article on the impact of invisible illnesses by how hurtful people’s perceptions are. The piece noted what just an everyday misconception associated with a disability can do. We are talking about the idea, “You can’t be sick because you look so well.” There is a misconceived image of what it looks like to have one of these illnesses, and things start with a tiny casual gesture or throwaway line but then quickly evolve into something far more pernicious.

My hon. Friend is making a powerful speech. Dementia is one of those invisible cognitive impairments. I chair the all-party group on dementia, which has just conducted an inquiry on dementia as a disability. As a society, we still face issues on access to blue badges and on attitudes and how people relate to those with dementia. I am very grateful to him for his speech today.

I am grateful for that intervention. The Minister will find that one of my requests at the end may make reference to that point.

Let me follow up on what has been said about those who suffer acquired brain injury, as there are many instances where people feel that the person in front of them is drunk and has not suffered an injury. People who have fatigue syndromes are accused of laziness when they ask for a seat. In employment, people with these invisible conditions are often disproportionately discriminated against. Those with neurological conditions such as autism will struggle in a conventional workplace setting, but this is to miss the great opportunity and strength that people with autism can offer in the workplace.

I was interested to hear yesterday from leading charities about the impact of signage, particularly in respect of conditions that affect the functioning of the brain. Signage that vulnerable people can understand works for everybody and will go a long way towards allowing people, particularly those with dementia, to become and to feel more integrated in society. It is such small changes that go a long way towards changing the lives of significant numbers of people.

I stress that I do not want this debate, nor the introduction of new signage, to dilute the need to reform and rearrange the built environment for those who suffer from a physical disability. Wheelchair users and those with mobility challenges face huge obstacles in our society, and this is in no way an attempt to split the two groups. In fact, it is an attempt to bring them together. Whether it is the creation of more accessible homes, the altering of transport infrastructure or the forcing of private companies to improve their surroundings, it is all helpful.

I remember that when I was trained as a dementia friend I was shocked to be informed that sometimes if a person with dementia comes across a dark rug on the floor, they get absolutely petrified because they think it is a hole. When we make public places, we have to realise that we need to be careful when we put down a dark rug or piece of carpet or whatever, because it might look like a hole to someone with dementia, and they are sometimes terrified.

That powerful intervention shows that those people who are not suffering from dementia or do not feel that they have a disability need to think about the simple things to make the world and the community accessible to everybody in society.

We have an obligation under article 19 of the UN convention on the rights of persons with disabilities. We should continue to lead by example. Will the Minister update the House on the work the Government are doing to ensure that the UK continues to meet its international obligations? In particular, how are the Government ensuring that those with invisible disabilities face no barriers to their day-to-day lives? How can we make sure that they can live their lives without facing abuse?

I call on the Minister to support the campaign for an easily understandable disability sign and, crucially, for there to be a standardised version of this sign that truly represents people with a wide range of visible and invisible disabilities. Once we have accepted the layout and design of a new accessible sign, we can start to progress the campaign and to consider how it can be rolled out. On that point, will the Minister consult colleagues across Government to explore the possibility of implementing such signage on our blue badge parking and disability railcards? People with a range of invisible disabilities are entitled to hold those passes. It would be a symbolic and practical change to the lives of those with such conditions if Government literature reflected the use of the new sign. I would be grateful if the Minister would agree to one further meeting with me and colleagues to discuss how we can move the matter forward.

I am sorry to interrupt my hon. Friend’s excellent speech. He made the point about people not recognising disability, but there are problems even when it is recognised. Tanni Grey-Thompson is a very well-known former athlete who uses a wheelchair, and she suffered terrible embarrassment on a train because of failure to access a disabled toilet. Even when someone is well known, that often does not help them if the facilities are not made available when they should be.

Absolutely, and that is why the call for a new sign is a small request in a big argument that requires society to change its view and stop seeing people with disabilities and instead see disabled people.

I thank Lucy Richards for the work she has put into creating the new signage, and I am grateful for the support of everyone who attended yesterday’s roundtable, including my hon. Friends the Members for Newport West (Ruth Jones) and for Rhondda (Chris Bryant), the right hon. Member for Broxtowe (Anna Soubry) and the hon. Member for Ayr, Carrick and Cumnock (Bill Grant). I am also grateful for the work of the Life Changes Trust, Innovations in Dementia, Dr Gordon Hayward and Rob Turpin of the British Standards Institution. I also thank my constituent Grace for the incredible work that she has put into the campaign.

In conclusion, although we must keep ensuring that our built-up environment is fit for purpose for everyone who uses it, environmental changes go hand in hand with changing social perceptions and meeting the holistic range of accessibility challenges that individuals in our community face. I hope that hon. and right hon. Members will use this time today to note the value of changing perceptions about invisible disabilities.

This debate is about far more than just accessible signage, but symbols matter because societal attitudes reflect the way that they are interpreted. Until we start a national conversation on how we change and adapt accessibility signs to reflect any and all disabilities, we will continue to marginalise disabled people across the UK. That goes against Grace’s fundamental reason for starting this campaign: she wants society and people to have a heart.

It is truly an honour to follow the hon. Member for East Lothian (Martin Whitfield) in this debate. I congratulate him on his excellent speech and thank him and the hon. Member for Newport West (Ruth Jones) for bringing forward this important debate this afternoon.

Reading the original application to the Backbench Business Committee, I was struck by the campaign from the hon. Gentleman’s constituent Grace Warnock. Members across the whole House should be grateful for the work that she has done to raise awareness of the challenges that she and, indeed, very many of our own constituents face on a daily basis.

Although it is an enormous time after the actual event, may I welcome the hon. Member for Newport West to this House? I served with her predecessor on various Committees and cross-party groups and was proud to be one of the very few Tories that he never verbally slaughtered in the Chamber, presumably because we mischievously used to gang up on the then Chairman of the Committee on which we both served just for a giggle. He will be much missed in this place, but I am in no doubt that she will very quickly find her own way in this incredible madhouse.

I will not pretend that I am an expert on disability, hidden or otherwise. I am, however, very proud to be the independent chair of Medway Council’s physical disability partnership board—a role that I have had for some time. I have learned a phenomenal amount about the challenges that those with physical disabilities face—something that I as an able-bodied individual would never ordinarily appreciate. The right hon. Member for Cynon Valley (Ann Clwyd), who is no longer in her place, was quite right to mention some of the challenges that exist, such as being able to find suitable toilets, which is something that Baroness Grey-Thompson experienced.

I recall hearing a story while serving on the partnership board that may make Members laugh because it is amusing—apart from to those to whom it is relevant. A blind constituent of mine got on a bus and asked the driver to tell her when she was at her stop, to which the driver replied, “Well, can’t the dog tell you?” That just shows how we as a society still have so much to learn about physical disabilities, and even more to learn about hidden disabilities. In my time as chair of the partnership board, I have got to understand other disabilities or health conditions better, but I am always willing to accept that I need to learn so much more.

The hon. Lady’s speech is very enlightening about many of the things we could be doing. Following on from the comments by the hon. Member for East Lothian (Martin Whitfield), does she think that one of the issues we have to overcome with invisible disabilities is not only our own ignorance of what they might be, but people’s reticence to come forward because they fear that their invisible disability might be rejected as a disability?

I absolutely agree. I always think that one of the main advantages of being Members of Parliament is that we get exposure to issues that, ordinarily, members of the public do not. We get to learn things and to discover issues and conditions that ordinarily pass the vast majority of members of the public by. The more we can do to educate and inform people about these issues, the better. My hon. Friend the Member for Orpington (Joseph Johnson) mentioned what he had learned as a dementia friend. Like the hon. Member for Oldham East and Saddleworth (Debbie Abrahams), I was previously—before ministerial life—a co-chair of the all-party group on dementia. What we learn in this place about dementia is incredible, and we need to get that across to everyone.

As the chair of the partnership board, I have learned things about disabilities that I would never have come across. Some of that is just about basic education and information. Unless someone has a family member who is affected, or they themselves have a disability—physical, visible, intellectual or hidden—they do not necessarily know about these things, and they certainly do not understand them. I have tried in my speech not to use the word “understand”, because I do not think I would ever fully understand these things; I could only appreciate the challenges that people face.

It will be no surprise to anybody in the House that one of my other great pleasures in life is watching and participating in sport. I want briefly to give a nod to the amazing Special Olympics team and their sponsors—especially Coca-Cola, which has partnered them since 1978. Special Olympics is by far the largest disability sports organisation in the world, with a strapline of transforming people’s lives through sport. Our competitors, who do not receive any regular funding from central Government—much to my disappointment, but not due to a lack of effort—are quite possibly the happiest, smiliest, most appreciative group of people you will ever meet in your life. I would like to mention the phenomenal work of my hon. Friend the Member for Daventry (Chris Heaton-Harris), who has supported Special Olympics for many years.

I thank my hon. Friend the Member for East Lothian (Martin Whitfield) for instigating this debate, which I am delighted to be able to co-sponsor.

The whole point of the development of a new sign—Grace’s sign—is to be welcomed as a physical reminder that not all disabilities are visible, but also as a general encouragement to us all not to take people at face value. We need to have compassion and care for one another, as this sign reminds us. As a physiotherapist, I was well used to treating patients with disabilities that were visible because of, say, a plaster cast, crutches or a wheelchair. These are outward signs that the individual needs to be given extra consideration in a number of ways. We are all very used to seeing someone with a visual impairment using a white stick or a guide dog, and hopefully we react appropriately. This is perfectly normal.

In my previous role as a physiotherapist, I spent some time working with stroke patients, and it was my goal to help them to walk independently without the use of a stick. But my patients would often tell me that they wanted to keep the stick, even though they could walk independently, because other people knew that it signified that they may need additional time or space when walking. Certainly, in crowded areas, my patients valued the stick as an outward reminder to others that they needed to be treated with just a bit more care. So it is with people who may have invisible additional needs or disabilities.

My hon. Friend explained the origin of the planned new sign, so I do not need to repeat that, but there are others who have other invisible disabilities such as learning difficulties. I have worked with some fantastic children, young adults and adults who have learning difficulties. They do not want our sympathy; there is no need—they are getting on with their lives very well, thank you. What they need is our empathy and understanding. They may require extra help when accessing toilet facilities or a parking space for the family car close to the shops. These people look perfectly normal, whatever “normal” may be. They can walk, but some days they may not want to walk for whatever reason. Those are times when Grace’s sign would explain to the ordinary person that they need the extra space or help to ensure that they can get on with their lives.