Men and mental health: What do you think?

Man with his head in his hands

Parliament’s Equalities Committee is looking at the issues that specifically affect men’s mental health. They are doing this because statistics continue to show:

  • 75 per cent of people who die by suicide are men (this is also the biggest cause of death for men under the age of 50 in England and Wales);
  • 13 per cent of men have a mental health conditions;
  • Men are more likely to become alcohol dependent than women;
  • GP data shows that, for 11-12 per cent of men, the last time they visited their GP was because of continued feelings of stress, pressure or sadness.

Business Disability Forum are responding to this consultation and would like to hear from you have you have any views on the following:

  • What are the most pressing issues affecting men’s mental health and how/why does this differ to the wider population?
  • How does gender stereotyping in society and the media, parent/fatherhood, relationship and finances affect the mental health of men?
  • What should be done (by Government, NHS, local authorities, for example) to improve men’s mental health?
  • What are the specific issues related to men’s mental health in the workplace?

How to share your views with us

We understand this topic might potentially be upsetting or difficult for some people who wish to respond. We’d therefore ask you to consider carefully if you would like to respond and, if so, the most comfortable way for you to do so. You can use the following methods to share your thoughts with us:

The deadline for contributions is Thursday 31 January 2019.

Privacy and confidentiality

All contributions, both written and non-written, to this inquiry will be kept entirely confidential. Only our Head of Policy (Angela Matthews) has access to the policy email inbox during this inquiry for this purpose. We will not name individuals in our response, and we will only name businesses who contribute if they request us to do so.

If you have any questions, please contact Angela on policy@businessdisabilityforum.org.uk

Are you a small or medium-sized business? Let’s talk!

Small business

We have been considering what a package of support could look like for small and medium sized businesses with under 250 employees (SMEs). Before we go any further we would like to hear from SME businesses themselves about the type of information and support they would value the most from us.

Why is disability important for businesses?

There are over 26 million people in the UK with a disability or long-term condition. They already impact on your business: they are your customers, your employees, your suppliers and your stakeholders.

  • Your customers: The ‘Purple Pound’ is now often referred to as the potential spending power of disabled people. The Department for Work and Pensions (DWP) reports that households with a disabled person have a combined income of £249 billion after housing costs. There is evidence to show people with disabilities are often ‘repeat’ customers when they get the service and products that meets their personalised needs.
  • Your employees: All businesses need to remove barriers to employment and career progression to ensure they are recruiting from the widest pool of talent available. They should also observe best practice in terms of support, retention and progression of all their staff, including those with disabilities and long term conditions.


What do we need from the research?

This is a piece of developmental research and not a sales call. This is an exciting project for Business Disability Forum and any help you can give us in terms of ideas for further development will be greatly appreciated.

Ideally we would like to speak to someone in a senior managerial position in your organisation with responsibility for your employees or general business development for 30 minutes over the phone. Karen Cutts, Research and Insights Manager at Business Disability Forum,  will be undertaking the interviews as tele-depths. We can schedule the interview at a time that suits you.

If you are happy to help us please contact Business Disability Forum directly on the email address below to say you have opted in to the research. We will then select a number of businesses to take part and be in touch to set up a time and give more details.

Telephone Karen Cutts on: 020 7089 2482

Email: policy@businessdisabilityforum.org.uk

All your comments will remain anonymous and you will not be identified in any way in the data or report. The report will be for internal use only at Business Disability Forum and their stakeholders who are helping fund and build this service.

We are hoping that interviews would be completed between now and mid-January.

If you have any immediate questions relating to the project please do not hesitate to contact us using the details above.

Thinking globally about disability and business

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Our Global Taskforce met for the first time in September 2018

By Diane Lightfoot, Chief Executive, Business Disability Forum

To mark the United Nations International Day of People with Disabilities (IDPD), I wanted to share some of the things we have been doing at Business Disability Forum over the past few months to get disability on the global stage.

Forty-five per cent of our members are global or have some sort of international presence. Together, they employ over 8 million people across the world. Many have a presence in developing countries where there is a real opportunity to realise the theme for this year’s IDPD: that is, of “Empowering persons with disabilities and ensuring inclusiveness and equality.”

We upped the ante on our global focus in earnest earlier this year, with the launch of our new Global Taskforce, co-chaired by Shell, back in April. Since then, it has developed into a lively and collaborative community of global businesses including Accenture, Barclays, GSK, EY, Microlink, Unilever, KPMG and more. As with all our Taskforces, it’s a forum where organisations can share best practices and also challenges – a “safe space” to talk about what’s not working and how we might work collectively to fix it.

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Our Global Framework, released in July, uses a scoring system to assess practice

When I first spoke to Partners to moot the idea of a global taskforce, they told me that they didn’t want “another talking shop”. So, the taskforce has been deliberately “action – task!” oriented. We began with the development of our new Global Business Disability Framework, based on our UK based Disability Standard and reframed as a “maturity model” as a self-assessment tool for global leads. We were delighted to launch the Framework at the UK Government’s Global Disability Summit back in July 2018 and it is now being used by global organisations to measure and improve their corporate approach to disability inclusion.

Next year will see the taskforce publish research, create a comprehensive suite of guidance tailored for global business and develop the next iteration of the Global Framework.

We’ve also been on tour! In the last few months we’ve spoken at conferences and held meetings in France, Switzerland, Germany and the Netherlands.

I and my colleagues Brendan and Delphine were very pleased to attend the ILO Global Business Disability Network (GBDN) conference in Geneva last month where I presented our Framework and continued to build our collaboration with the ILO. We really enjoy our partnership with the GBDN and encourage our members to work with them, especially by using their global presence to support the establishment of national business and disability networks in the countries where they are present. We were really pleased to see the Bangladesh network doing well, a new China network just launched and a network in India due to launch in 2019. With that in mind, we were also delighted to host a delegation from the Ministries of Inclusion, Education and Human Rights in Brazil at our London office.

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The conversation around disability is shifting to cities all over the world

I was also lucky enough to join our member CAFE – the Centre for Access to Football in Europe – in Bilbao a couple of weeks ago to speak at their triennial conference at the San Mames stadium. It was a fabulous event in a stunning city and a privilege to talk to such a diverse audience about how the beautiful game can make a real difference to disability employment.

Fittingly, the most recent meeting of our Global Taskforce was on Friday (30 November) hosted by our Founder Leader Barclays at which we discussed strategic approaches to improving disability inclusion globally and how to communicate effectively with a global internal and external audience. Central to this is our partnership with and support to the #Valuable campaign which is seeking to get disability on the agenda of global boards worldwide and we were delighted when Unilever CEO Paul Polman announced our collaboration on stage at One Young World in October.

So, as we celebrate IDPD today with a whole host of events across the world, let’s hope that this is just the start of really shifting the dial on the inclusion of disabled people worldwide.

For more information on Business Disability Forum’s Global Taskforce and the Global Business Disability Framework, visit: https://businessdisabilityforum.org.uk/membership/global-taskforce.

Poverty and disability in the UK: the potential impact of Brexit

Rain

By Diane Lightfoot, Chief Executive Officer, Business Disability Forum

In my third and final blog in our series on poverty and disability in the UK, I look at the very topical issue of Brexit and its potential impact.

I have written these blogs to coincide with the UN Rapporteur on Extreme poverty and Human rights’ current visit to the UK. The implications of Brexit on poverty is a key issue that the rapporteur has been considering during his two-week long visit. Business Disability Forum was one of the organisations asked to submit evidence on this and other issues affecting income levels of disabled people to Philip Alston ahead of the trip.

At the time of publishing, the Brexit negotiations seem to be in ever more turmoil. Given this, and how much is at stake, we questioned our timing for this blog, but felt that whilst the bigger picture remains deeply uncertain, it’s vital that we continue to represent the rights of disabled people and ensure that they do not become a casualty of this uncertainty.

It should also be noted that our concerns over Brexit, expressed here, do not relate to the decision to leave the European Union. On this we remain neutral. Instead it is the unintended consequences of the mechanisms being used as part of the Brexit process which have and continue to concern us and many other disability and human rights groups.

Here is what we said.

 

The impact of Brexit legislation on accessibility

Research undertaken by Business Disability Forum in February 2018 showed 39 per cent of businesses feel there would be no change to disability related legislation post-Brexit, and 47 per cent did not feel Brexit would have any impact on disabled people’s opportunities[1].

We are concerned, however, that this may well not be the case should the Trade Bill 2017-19 (currently, at time of writing, at the House of Lords Committee stage) complete its journey through parliament without the addition of significant safeguards.

As it stands, the Bill currently allows ministers to change a wide range of laws without Parliamentary scrutiny in order to implement international trade agreements. One of the Acts affected by this is the Equality Act 2010, which secures many rights for disabled people.

Without safeguards added, the Trade Bill will, for example, permit specific aspects of the Equality Act 2010 to be immediately suspended should accessibility requirements make doing trade deals difficult. In effect, it could allow accessibility for disabled people to become an optional, disposable element of any contract the UK enters into if it would further trade. Such wide ranging powers to change primary legislation by the Executive and without Parliamentary scrutiny is unprecedented and hugely concerning. The current Government has provided assurances that protections enshrined in law for over twenty years will be protected but we cannot be sure that such assurances will be respected by any future Government. Rights this important must be protected by our democratic processes and any changes scrutinised by elected representatives of the people including disabled people.

 

Wider context

Why are we highlighting such a seemingly technical point such as the potential effect on vehicle accessibility regulations of the Trade Bill in the midst of all the many difficult aspects of the Brexit negotiations? Trade is of course vital to the future prosperity of the UK and we are not suggesting that the country’s ability to enter into good trade deals should in any way be hampered. What we are saying is that no agreement post Brexit or at any time should be at the expense of the rights of some of the most disadvantaged people in our country. The UK has been a leader in protecting the rights of disabled people and now is not the time to allow any roll back on that leadership role or to allow anyone else to do so in the future.

The Trade Bill is completing its passage through parliament, at a time when UK-wide scrutiny into disabled people’s experiences of public transport has found that disabled people are already greatly disadvantaged by the standard of public transport in the UK. Since 2013, Select Committees and All Party Parliamentary Groups (APPG) in the UK[2] have looked at the competence of transport to meet the needs of people with disabilities in the UK. In addition, the Department for Transport also led a major consultation on accessible transport this year, which led to the publication of the UK’s ‘Inclusive Transport Strategy: Achieving Equal Access for Disabled People’ in August.

 

The effect of inaccessible transport on employment and poverty

 The Government recognised the barrier that inaccessible transport represents to disabled people getting and staying in work, in its ‘Improving Lives: The Future of Work, Health and Disability’ strategy[3].

Feedback from Business Disability Forum members and partners shows that workplace adjustments related to transport (for example, travelling to work, and travelling to meetings, or between ever-growing ‘multi-sited’ workplaces) are some of the most commonly requested adjustments we see employers making for employees, due to them experiencing difficulties with inaccessible or a lack or inclusive travel. These are matters we are trying to address through our current Going Places campaign.

We have also seen an increased number of calls to our Advice Service since Access to Work, the UK Government’s scheme for providing funding support to businesses to help cover the cost of adjustments, decreased funding available to cover transport-related support for disabled employees. In these cases, employees have had to have some of their work duties reallocated to another employee, change roles completely, or even reduce their hours.

 

Social isolation

But it is not only access to employment opportunities which is affected by the availability of accessible transport, but social inclusion generally. Without suitable transport on offer, disabled people are at greater risk of social isolation as they become cut off from vital networks and community and healthcare services.

They are also less able to access shops and businesses, which in turn has a knock-on effect on the economy.

 

Making accessibility a priority

The UN rapporteur is set to conclude his visit today. As he issues his interim findings, we hope that issues such as accessible transport and its implications for the life chances of disabled people are acknowledged and addressed, and legislation such as the Trade Bill, reviewed.

Disabled people are at far greater risk of poverty than non-disabled people, due to the factors covered in this series of blogs. This visit has enabled us to raise awareness of these issues. Let’s hope that the rapporteur’s final report, due next year, will offer some solid recommendations which lead to positive change.

 

 

[1] See https://businessdisabilityforum.org.uk/media-centre/news/press-release-businesses-unprepared-for-threats-to-disability-rights-post-brexit-survey-finds/ [Accessed 10 September].

[2] For example, the Transport Committee (2013-2014); Young Disabled People’s APPG (20152-16); APPG on Disability (2018).

[3] Published by the Department for Work and Pensions (2017).

Poverty and disability in the UK: the role of the welfare system

 

derelict housing

By Diane Lightfoot, Chief Executive Officer, Business Disability Forum

As the UN Rapporteur on extreme poverty and human rights makes further visits as part of his fact-finding trip to the UK this week, we continue our blog series looking at poverty and how it affects disabled people. Today, we will be looking at the impact of the welfare system.

Business Disability Forum is one of the organisations that was asked to submit evidence to the UN Rapporteur ahead of his visit.

This is what we said about the welfare state and how it affects the life chances of disabled people and in turn the businesses they work for and do business with.

 

The need for an effective welfare system

Over a million disabled people, both in work and out of work, rely on income from the welfare system to help them meet basic living costs. There are several reasons for this.

As we looked at in our first blog in this series, at 51 per cent the employment rate for disabled people in the UK is far below the national average, meaning that disabled people are far more likely to experience poverty and need financial assistance than non-disabled people. In addition, those who are in paid employment may need to work fewer hours due to the nature of their disability or long-term condition, and therefore may need to top-up their income.

Alongside this, there are the additional costs of living with a disability. Research carried out by the Extra Costs Commission in 2015 found that disabled people spend on average £550 per month on disability related costs (such as accessible transport options; specialist or assistive equipment; and having to pay premiums on some types of insurance).[1] A updated report finds that the monthly spend directly related to a disability now stands at an average of £570 per month and, for some, this can reach up to £1,000 per month.[2]

Therefore, the welfare system has a vital role to play in providing financially for disabled people and in reducing poverty.

 

Changes to the system

Although the welfare system is designed to do just that, evidence suggests that the recent changes to the benefits process, particularly over the last five years, have significantly and adversely affected disabled people.

Around 1.6 million disabled people claim the Personal Independence Payment (PIP). PIP replaces the Disability Living Allowance (DLA) and is intended to cover the additional daily living and mobility costs experienced by people with long-term health conditions and disabilities.  A recent inquiry by the Work and Pensions Committee reported that many disabled people found the process of claiming Personal Independence Payments (PIP) to be inaccessible. The inquiry evidenced a huge amount of distrust by claimants and detailed how 290,000 disabled people were refused PIP awards on first application but were later granted them on appeal.[3] In addition, a reported 59 per cent of PIP applicants needed assistance with completing the application form.

The roll-out of the new six-in-one benefit, Universal Credit (UC), has also received much criticism in the news recently. Evidence from both parliamentary select committees and think tanks has suggested that without additional investment and structural change, the new benefit could have a detrimental effect on the incomes of claimants, both now and in the future. Issues include claimants falling into debt due to receiving reduced or delayed payments, through to increased use of foodbanks and claimants falling out of the welfare system as a result of an inaccessible online application processes

Additional funding for UC was announced in the Chancellor’s recent budget statement, but even taking this into account, it is estimated that nearly a million disabled people could be worse off on Universal Credit and by more than £200 a month.[4]

Prior and in addition to the introduction of UC, many disabled people have also experienced a reduction in their Housing Benefit (one of the six benefits making up UC), since 2013, due to the introduction of what has become known as the ‘bedroom tax’. The legislation provides less financial support for housing for people who live in accommodation with ‘unnecessary’ additional bedrooms and has meant that disabled people have seen a decrease of 14-25 per cent in the amount of housing benefit they receive.

 

The impact

 The information that we have presented here suggests that changes intended to improve the welfare system, in recent years, have had done little to reduce the risk of poverty for disabled people, and, in fact, have put them at greater risk.

Since we made our submission, new evidence has come to light from the Work and Pensions Select Committee[5] on the negative effect of benefits sanctions on disabled people looking to either enter into work or to increase their working hours, and this really gets the nub of the problem.

The welfare system should be there to help improve the life chances of disabled people, yet there is far too much evidence to suggest that for many it is simply making life harder.

The knock-on effect for business and the wider economy of an ineffective welfare system is twofold. Firstly, it means that at time when many sectors are experiencing a skills shortage, attracting and recruiting talented disabled candidates becomes even more difficult. Secondly, it reduces the spending power of disabled people as potential customers.

Having a welfare system that works and supports those most in need, is of benefit to everyone. We hope that as the UN Rapporteur prepares to issue his interim report at the end of this week, he will address this important issue.

 

[1] Extra Costs Commission (2015), Driving Down the Extra Costs Disabled People Face.

[2] Touchet, A. and Patel, M. (2018) The Disability Price Tag: Policy Report.

[3] Department for Work and Pensions (2018) Personal Independence Payment Claimant Research – Final Report: Findings from three waves of qualitative and quantitative research exploring claimants’ experiences of the PIP claim process.

[4] Disability Benefits Consortium, Statement on Universal Credit Managed Migration Rules, https://disabilitybenefitsconsortium.wordpress.com/2018/11/05/dbc-statement-on-universal-credit-managed-migration-regulations/ [Accessed 5 November 2018]

[5] Work and Pensions Select Committee (2018) Benefit Sanctions

12 tips for great customer service – and why welcoming disabled customers means welcoming everyone

Regent Street

By Bela Gor, Business Disability Forum

Purple Tuesday is a reminder of the significance of the Purple Pound and that disabled customers deserve not just to be able to get in to a shop, store or website but really great customer service as well.

The spending power of disabled people in the UK is around £249 billion per year and likely to increase as we live longer. This means that quite apart from being the right thing to do as an ethical retailer, it makes good business sense to design premises and websites that are both accessible and usable and to train customer facing colleagues on how to provide excellent customer service to disabled people. If you can do this then you will be providing the best shopping experience for everyone, regardless of disability.

Receiving good customer service is important to everyone, but it can be particularly important to disabled customers and clients who may have very specific needs and be concerned about how these will be met by your organisation. When surveyed about access, 72 per cent of disabled people said that were more likely to visit somewhere new if they were welcomed by staff or the venue appeared to care about access.

What makes for great customer service?

  1. Know your customer
  2. Obvious really but disabled customers should be treated with the same courtesy and respect as anyone else.
  3. Be aware of your legal obligations – although if you are committed to providing the best possible customer service, you will more than meet the requirements of the law.
  4. Nevertheless, ensure that disabled customers can access your service in the same way or as close as possible to the same way as customers without a disability.
  5. If this is not possible, you must offer a reasonable alternative. This may mean doing things differently and providing the service in a different way. The level of service should not change, however. This is an opportunity to think flexibly and creatively about how to provide great service while meeting the needs of your disabled customers.
  6. Make sure signage is clear and direct.
  7. Grant access to assistance dogs. Assistance dogs provide vital support to a wide range of disabled people and people with long-term conditions.
  8. Ensure that customer service and sales assistants know the building. There is no point in making your premises as accessible as possible if customers aren’t told about lifts, accessible toilets, ramps, and hearing loops. Schedule regular checks to ensure these facilities are working and make sure you inform disabled customers and offer alternatives. You can’t help things breaking but you can and should make contingency plans for when they do. Remember to tell your customers about the alternative ways in which you can provide the service to them. It shouldn’t need saying, but telling disabled customers to come back another day when things are fixed is not an acceptable alternative!
  9. Be aware of emergency evacuation procedures and how they affect people with disabilities. Be ready to explain procedures to people if needed.
  10. Always be on the lookout for people who may need extra assistance and offer help regardless of whether or not you think the person has a disability. Most disabilities after all are not visible.
  11. Some people may need extra time paying for goods or completing a form. Always be patient and never rush the customer, even if other customers are waiting.
  12. Have local public transport information available including numbers of accessible taxis.

Disabled customers are more likely to return if they receive good customer service. Providing such service gives out a positive message to everyone about how much you value all your customers. Good customer service goes beyond days like Purple Tuesday. This is an opportunity for retailers to get it right and to keep getting it right every day of the year for all their customers.

The unsung people helping millions stay in work – and why we need to acknowledge them

Business Disability Forum. Marketing photos

Angela Matthews

By Angela Matthews, Business Disability Forum

At Business Disability Forum we put a big focus on the idea of ‘Going Places’ – being able to get into work, to get on at work, and to lead a productive life. The conversations about this of kind social mobility for disabled people tend to focus on what businesses and government can do – making buildings accessible, adapting workstations or interviews. But there is another critical factor that seldom discussed, and that is the GP or general practitioner.

“GPs are the bedrock of the NHS. They are the first port of call,” Matt Hancock (Health and Social Care Secretary), announced at the National Association of Primary Care’s conference in October. He was talking about GPs’ roles in ‘preventing’ ill health, not their role in the lives of the some 26 million people in England who are ‘managing’ long-term conditions.

But GPs are also the first port of call for millions of people working with a disability or long-term condition. Put simply, without the role of the GP, many would not be able to stay in work.

I am one of those people.

GPs roles in the ongoing management of people’s conditions is severely under-recognised and rarely celebrated. Yet without GPs, many people would not be able to manage their conditions in a way that also enables them to work, take part in leisure or social activities, or be as independent as many of us are.

I often think that a GPs working environment can be challenging: particularly in rural areas where they are often based in poorly maintained physical environments, ever-increasing workloads, and more demands being made on their time alongside continued budget pressures at Clinical Commissioning Group (CCG) level, to name just some examples. Yet the UK is desperate to attract more people into the profession to ensure we have a primary care service fit for a more populated ageing future.

Consider that, while facing these challenges, my GP is the key professional figure that makes my life work. My GP speaks to me most months about how I am getting on with my medications and treatment. For example, he might ask is my current formula manageable with what I am currently needing to do at work? If not, we can change it. Or how does this medication work if the first part of your day is sat on a train commuting into the city?  How easy was it to get your medical supplies this month?

When my hospital team need to change something in my treatment, they write to my GP requesting him to make the changes on my prescription. I log onto my patient app and I can see it has been done within a few days. I no longer go into the surgery just to request my medication. Neither do I send an email, or make a phone call. I request this through the app; I send any comments to my GP via this app, and it also allows me to see when my GP has sent my prescription to the pharmacy, which always happens within just a few days. I get off the train from work in the evening, collect my car, and go to the pharmacy which is open until 10.00 pm to collect my supplies. It is a perfect example of how the future is in finding that intelligent ‘sweet spot’ between humanity and technology.

Before this, I had to work reduced hours for a week each month while convincing my previous GP what I needed, checking the pharmacy could get what had been prescribed, and facilitating communication between surgery receptionists and the pharmacy about the complexity of my prescription requirements. I am not alone; I hear of many people who do not work or have to reduce their hours because they literally ‘don t have time’ to have a job while managing their medical condition.

As per the Government’s Work and Health Strategy, the primary healthcare setting is absolutely pivotal for retaining and increasing the employment of people who can work but need to manage complex and fluctuating medical conditions every day of their lives.

A switched on, understanding GP can be everything for sustaining the social and economic contribution of the tens of millions of individuals managing their work and personal lives with long-term medical conditions today.