There is debate about what is meant by the terms 'disabled' and 'disability', and how to use them, in different contexts.
If children are disabled they have entitlements arising from their assessed needs. This section identifies what counts as 'disability' within the context of different Acts of Parliament.
What is your understanding of what constitutes a disability?
How would you identify and define characteristics in such a way that they could be applied to differentiate between 'disabled' and 'non-disabled' individuals?
Further discussion of the application of these definitions is available in the Equality Act 2010 Guidance.
The implications of the Equality Act 2010 for schools and services are considered
later
in this module.
Take a look at the Equality Act 2010 Guidance to find out more.
Impairment
Substantial
Long-term
Normal day-to-day activities
The Act itself does not define the term impairment and case law has established that a formal medical diagnosis is not always required, as long as it is proven that functions are impaired. However, if no organic or mental cause of symptoms can be found, it may be difficult to secure a tribunal endorsement that a person has an impairment.
The provision for a specifically described condition to be (or not to be) an impairment may be made by parliament through Regulations.
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The term substantial means 'more than minor or trivial' (section 212(1)). However, the cumulative effect of a number of 'minor' impairments may be considered as 'substantial'.
Where the impact of an impairment is reduced or eliminated through measures taken to correct it (eg medication, a prosthesis or other aid), the effects must be considered as if these measures were not taken. This does not apply where spectacles or contact lenses are used to correct sight.
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Schedule 1 (Part 1, paragraph 2(1)) of the Act states that:
The effect of an impairment is long-term if:
(a) It has lasted for at least 12 months.
(b) It is likely to last for at least 12 months.
(c) It is likely to last for the rest of the life of the person affected.
If the substantial effects of a long-term impairment cease, it is still considered as continuing if those effects are likely to recur.
Regulations may prescribe circumstances where, despite these circumstances, an effect should (or should not) be considered long-term.
For example, a severe disfigurement is deemed to have had a substantial adverse effect on the ability of the person to carry out normal day-to-day activities.
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These are actions that are carried out by most people on a daily basis, and there is considerable case law to assist with determining which activities are included.
The Equality and Human Rights Commission defines normal day-to-day activities as involving any of the following:
- Mobility.
- Doing something with your hands.
- Physical coordination.
- Continence (controlling your bladder and bowels).
- Ability to lift, carry or move everyday objects.
- Speech, hearing or eyesight.
- Memory or ability to concentrate, learn or understand.
- Perception of the risk of physical danger.
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So far in this section we have considered the applications of the Equality Act 2010, however the Children Act 1989 is also relevant as it contains a definition of disability that is applicable within other related legislation.
Think of a child you know well, in or out of school, and consider whether or not they would fall within the legislative definition of 'disabled'.
1. Does the child have difficulty with 'normal day-to-day activities'? You might want to consider issues relating (but not limited) to:
- Mobility: getting to/from school, moving about the school and/or going on school visits.
- Manual dexterity: holding a pen, pencil or book, using tools in design and technology, playing a musical instrument, throwing and catching a ball.
- Physical co-ordination: washing or dressing, taking part in games and PE.
- Ability to lift, carry or otherwise move everyday objects: carrying
a full school bag or other fairly
heavy items? - Continence: going to the toilet or controlling the need to go to the toilet.
- Speech: communicating with others or understanding what others are saying; how they express themselves orally or in writing.
- Hearing: hearing what people say in person or on a video, DVD, radio or tape recording.
- Eyesight: ability to see clearly (with spectacles/contact lenses where necessary), including any visual presentations in the classroom.
- Memory or ability to concentrate, learn or understand: work in school including reading, writing, number work or understanding information.
- Perception of the risk of physical danger: inability to recognise danger eg when jumping from a height, touching hot objects or crossing roads.
2. Are any difficulties that the child has caused by an underlying impairment or condition?
3. Has any impairment or condition that the child has lasted, or is it likely to last, more than 12 months?
4. Is the effect of any impairment or condition that the child has 'more than minor or trivial'?
If you have answered yes to questions 1 to 4, then the child is probably disabled.
If the child receives medical or other treatment to reduce or remove the effects of
his or her condition, he or she is likely to still be regarded as disabled. The test
is whether the effects would recur if the treatment
was stopped.
Children with disabilities are children 'in need' as defined by section 17(10(c))
of the Children
Act 1989 and are, therefore, entitled to a range of support services, dependent
upon their
particular circumstances.
However, the definition of disability given in Part III of this Act is more medically oriented than that within the Equality Act 2010.
Section 17(11) of the Children Act 1989 states:
"... a child is disabled if he is blind, deaf or dumb or suffers from mental disorder of any kind or is substantially and permanently handicapped by illness, injury or congenital deformity or such other disability as may be prescribed."
The definition within the Children Act 1989 reflects the definition applicable to adults within section 29 of the National Assistance Act 1948, and is the definition that also applies for children under the:
- Chronically Sick and Disabled Persons Act 1970 (section 28a)
In order to identify the extent and level of services needed to comply with their general duty towards children with disabilities, local authorities have to keep a register of disabled children. The register helps local authorities and other agencies to plan services for disabled children.
Whoever (health professional, education professional or social worker) is the first to identify that a child has a disability is required to discuss all available services with the parents. This should include discussion of the registration process.
Parents of disabled children are not required to register their children, and children don't have to be on the register to have access to services.
Because of this, local authorities cannot be sure of the number of disabled children who may require services. Without accurate records local authorities may find it difficult to target resources.
Register of children with disabilities
- Is your school/setting aware of which disabled pupils are and are not on
the local
authority register? - If so, are any pupils considered disabled
but not registered?