Deaf health campaigner Ian Crimond’s Deaf Access Research Group has recently researched health providers, GP surgeries, out-of-hours GP services and the experience of Deaf users of those services in Wales. Deaf access to GPs is a growing issue, since last week, research suggested that 28% of deaf people left their doctor unsure of their diagnosis.
Crimond’s research focuses on the first contact Deaf people make with a service – booking an appointment. The aim is to examine to what extent service providers in Wales are complying with the relevant sections of the Equality Act, specifically those referring to the need to make “ reasonable adjustments “ in order to access a particular service. The research looked at hundreds of GP surgeries, and found that 90% of them did not offer an alternative method of booking an appointment (other than using the phone). We interviewed him to find out more.
Tell us about you. Who are you, and how long have you been deaf?
I first became aware of my deafness while I was at University in the late 70′s and unfortunately I failed my medical for my first teaching job. I had a second medical and this time the doctor was much older, deaf and from the same part of Scotland as myself, so he just passed me. Once you pass, the teaching establishment never test you again!
Hearing aids are not suitable for my type of deafness and they just don’t work. In 2000 I retired from university teaching and moved to the Lincolnshire coast. I soon discovered that if I needed to see a GP, because I can’t hear on the phone, I had to go to the surgery to make an appointment and then go back for the appointment itself.
I was advised that my surgery and Primary Care Trust (PCT) were in breach of the Disability Discrimination Act (now the Equality Act) because of their failure to make reasonable adjustments/provide alternative methods of accessing a service. So we went to court. In week one, the PCT compensated me and bought me a screen phone. In week two, the GP surgery also settled.
How was the group set up?
I set up the Deaf Access Research Group (DARG) in January 2012. From a psychological perspective people pay more attention to the name DARG than had it just been my name!
How many of these kinds of surveys have you done?
The Wales report was my first research report as I could just about mange researching 700 GP surgeries. England has just under 9000 and Scotland has 1100, so it was easier to focus on Wales. I also have many Welsh deaf colleagues.
What is the most shocking piece of information in the survey, in your view?
I think the most shocking fact was the sheer scale of the problem. The fact that so many GP surgeries are ignoring the Equality Act and giving deaf people a really bad deal. I also had records of over 1500 people who had had problems with health services, via emails, forums and internet messageboards. That drove me to do the study – especially the story of one woman who told me she had sat by her husband’s bedside as he died.
How does it make you feel about the Equality Act?
In my view the Equality Act is simply not working when so many NHS bodies ignore it and very very few deaf people can either afford to take legal action or have the knowledge of how to go about it. I think the Equality Act’s sections on goods and services needs to be part of criminal law not civil law, and I really believe that more and more deaf people need to campaign or take legal action on this issue.
NHS Direct, and out of hours GP services are all phone only. That is a national disgrace.
What’s next for DARG?
DARG has now been joined by another campaigner from Wales and an IT specialist, and a few more think tank colleagues are helping to supply information.
I am just about to start our second study into the out of hours GP service in England , but as so many are run by private companies who are refusing Freedom of Information requests for data and information, it will be some time before this study is completed.
Far far too many out of hours services go by different names – such as ‘urgent care units,’ ‘walk in service,’ ‘minor accident unit’ and so on. A large number have been disguised behind A&E units, so its hard to track some of them down. The Quality Care Commission have shocked me by telling me how many out of hours private providers have failed their tests.
To download the report, go to: http://scribd.com/doc/115983905/Darg-Final
You can now follow DARG on Twitter: https://twitter.com/FredMallard1<
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Andy
January 28, 2013
I’m filled with admiration for Ian’s determination and hard work. He’s turned up on the AOHL forum, pumped us for information and then gone off and performed a valuable and hard hitting piece of research. By anyone’s standards that’s a Wow!
The NHS service is currently being rebuilt from the ground up. It is in the interest of all of us to sit up and take notice of what they are doing and to make sure that deaf people of all kinds are included. Otherwise we’ll just end up with the same old, same old.
So please be inspired by this dude, he’s doing us all a big favour in many ways.
cherry
January 28, 2013
Very timely this piece Ian was your research combined with the AoHL research that they just released on 17th January ‘Access all Areas’ or in addition to it to focus on whats happening in Wales? I will download your report and read further as its also timely for what I am raising as a life long HoH person working within an NHS Trust in London and have been having just these same discussions internally to raise within the equity and diversity dept PPE’s Communication and Specialist services so these dialogues have begun but any further evidence adds weight too – especially the admissions in their error of their ways and the pay out received this adds even more and stands out on where the failing is.
You might have already read my piece on here last November Case for Captioning in NHS (as one choice and option) it would be good to communicate further with you too so could you email me – more weight added to any discussions is valuable.
Thanks for this posting too.
Helen
Editor
January 28, 2013
Just to say this is separate from Action on Hearing Loss’s report – Ed
cherry
January 28, 2013
thanks for letting me know – would Ian mind if i use his example here to back up the discussions i’m currently having where i work – could the Ed put us on contact thanks
Editor
January 28, 2013
I’ve just asked him and he says that’s fine! Ed
Monkey Magic
January 28, 2013
So much for providers ‘anticipating’ the need for reasonable adjustments!! I think its very interesting that ramps, widened doorways and accessible toilets are all provided without any fuss, yet providers fail to see what they might need to anticipate to provide for people with sensory disabilities. Many people benefit from adjustments made for physically disabled people and it wouldn’t only be deaf people that would benefit from another way of making a booking – there are many conditions or reasons that people might have for not being able to access a service over the phone. I guess sensory disabilities appear less tangible compared to physical disabilities and this is also clearly the case with the way in which interpreting has been contracted for in public services. It’s allowing under-qualfied and unregistered people to work with people who require the exact opposite. Funny how a wobbly ramp wouldn’t be acceptable yet ‘wobbly’ interpreting is perfectly acceptable!!
barakta
January 28, 2013
This is brilliant! Identifying real problems, doing the research, identifying problem areas and how they impact on real people. It helps that Ian has experienced difficulties himself so recognises the true magnitude of it. I love the twitter account, I wonder how many organisations don’t respond – I wonder if Ian is logging that for challenge (what a huge job that’d be!)
I don’t understand why more GPs don’t have online booking systems and alternative access. My university GP in 2000 had one and it was great. My current GP is medically great and v good with my complex medical history and so on but phones are a continual problem. Thankfully they’ll take TextRelay calls properly but trying to work a minicom while ill is a challenge and I still can’t access test results as it’s “phone at lunch time X days a week” which I can’t do. I have to make another appointment missing time off work to do so which isn’t fair or reasonable especially for a “yes all is fine”. I keep meaning to go and ask them to look into alternatives – I might just email them and see what they say.
Andy
January 28, 2013
I’ve got a lot of admiration of Ian’s determination on this subject. If only we had one Ian Crimmond in every town.
Steve Powell
January 28, 2013
What’s so frustrating is that all GP surgeries have a facility today to allow patients to book online appointments, but only a few actually make that available to their patients. Why, because some surgeries actually make money out of patients ringing premium rate numbers. But there is hope. The NHS Mandate states that by 2015 all patients should be able to book appointments online. This will apply to England, the question is will Wales follow?
In Scotland NHS 24 have made their service accessible using Video Relay Services.