Major barriers included: lack of effective systems for identifying and flagging patients with intellectual disabilities, lack of staff understanding of the reasonable adjustments that may be needed, lack of clear lines of responsibility and accountability for implementing reasonable adjustments, and lack of allocation of additional funding and resources.
Although no data is available on the gender, ethnicity, age and disability breakdown of staff on hourly paid and zero-hour contracts – little data is available on casualisation at all, in fact – the effects are clear.
The hotel has had the extra cost of an interpreter and even though guests are informed on check-in about the disability of some staff, some are impatient.
Back or neck-pain-related disability of nursing staff is mainly attributed to physical and psychosocial risk factors.
"The actions towards people with learning disabilities by former members of staff at Winterbourne View Hospital were both wholly unacceptable and deeply distressing for all concerned and we are truly sorry this happened in one of our services".
Other strategies recommended for maximising the participation of people with disabilities were in: staff training, staff selection, and through supporting the formation of self help groups.
Specialist learning disability liaison nurse Jainab Desai is making meticulous checks of the complex arrangements to receive a tricky patient with learning disabilities, with staff of the day surgery unit at Royal Bolton hospital.
In 2011, for the first time a UNICEF Global Staff Survey included a "self-declaring" question on Disability and more than 3% of staff indicated that they had a disability, which had a bearing on their work.
And only 43% of staff with disabilities have been successful, compared with 62% of staff who did not declare a disability.
BBC management was also criticised by the National Audit Office for the lack of documentation for and inadequate control over 91 exceptions made to the standard relocation package in cases of staff with disabilities or caring responsibilities.
