Fourth report: Unequal impact? Coronavirus, disability and access to services: full Report

Select Committee
Women and Equalities Committee HC 1050 22 December 2020
Report Status Government responded
Conclusions & Recommendations 22 items (15 recs)
Government Response (AI assessment · 22 of 22 classified)
Government response
Fourth Special Report: Unequal impact? Coronavirus, disability and access to services: Government Response to the Committee’s Fourth Report · published 14 Apr 2021

Recommendations & Conclusions

22 results
1 Conclusion Not Addressed
We welcome the Government’s decision to discontinue the Coronavirus Act’s Mental Health Act provisions, which...
Conclusion
We welcome the Government’s decision to discontinue the Coronavirus Act’s Mental Health Act provisions, which potentially relaxed requirements for sectioning, against the grain of overdue and much-needed reforms, and which thankfully proved to be unnecessary in England. We will continue … Read more
Government Response Summary
The government response does not address the committee's comments on Mental Health Act, Care Act, or Children and Families Act provisions; instead, it discusses ensuring fair access to food in shops.
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2 Conclusion Acknowledged
Para 26
The Government’s focus on people defined as “clinically extremely vulnerable” (CEV) to the virus, while...
Conclusion
The Government’s focus on people defined as “clinically extremely vulnerable” (CEV) to the virus, while rational from a medical perspective, was an inappropriate proxy for the need for support with access to food and had unintended consequences. It was rapidly … Read more
Government Response Summary
The government states it will ask disabled people about the impact of the coronavirus emergency and, if requested, will include a plan for fair food access in emergencies in the National Strategy for Disabled People.
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3 Recommendation Acknowledged
Para 27
We welcome the steps the Equality and Human Rights Commission (EHRC) has taken to emphasise...
Recommendation
We welcome the steps the Equality and Human Rights Commission (EHRC) has taken to emphasise that food retailers’ legal obligations to make reasonable adjustments for disabled people have remained in place throughout the pandemic. We fully endorse its new guidance … Read more
Government Response Summary
The government states it has checked its efforts to ensure fair food access for disabled people, made some changes, and will continue to monitor and adjust, but does not commit to publicly stating the importance of reasonable adjustments or promoting EHRC guidance as recommended.
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4 Recommendation Rejected
Para 28
We further recommend the Government consider, with disabled people, as part of its consultation on...
Recommendation
We further recommend the Government consider, with disabled people, as part of its consultation on the proposed National Strategy for Disabled People, the steps needed to more effectively adopt a social model of disability in relation to maintaining disabled people’s … Read more
Government Response Summary
The government explicitly rejects the recommendation, stating that existing law is clear enough and a Code of Practice would not improve the situation regarding disabled people's access to food.
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5 Recommendation Not Addressed
Ministers paused the national shielding programme in August and in September asserted that “we need...
Recommendation
Ministers paused the national shielding programme in August and in September asserted that “we need to get away from the food parcel model”, without offering any evidence of the Government’s assessment of the level of disabled people’s needs for help … Read more
Government Response Summary
The government's response did not address the recommendation to publish an assessment of disabled people's food access needs or a plan for reviewing local support arrangements; instead, it discussed NHS health checks and mask wearing.
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6 Conclusion Not Addressed
Para 37
We will continue to push for greater accountability and transparency while Care Act easements remain...
Conclusion
We will continue to push for greater accountability and transparency while Care Act easements remain available to local authorities and for their swift repeal should the pandemic become more clearly under control before or at the next six-monthly parliamentary review, … Read more
Government Response Summary
The government's response did not address the committee's conclusion regarding Care Act easements, instead discussing clear face masks and funding for social care, which relates to other recommendations.
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7 Conclusion Not Addressed
Para 54
Early in the pandemic, the National Institute for Health and Care Excellence’s (NICE) critical care...
Conclusion
Early in the pandemic, the National Institute for Health and Care Excellence’s (NICE) critical care guidelines and doctors’ inappropriate or blanket use of “Do not attempt resuscitation” (DNAR) notices were potentially discriminatory. While we welcome actions taken swiftly to address … Read more
Government Response Summary
The government's response did not address the committee's conclusion regarding discriminatory practices in DNARs and critical care guidelines, instead discussing social care funding.
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8 Recommendation Not Addressed
Para 55
The Equality Act 2010’s Public Sector Equality Duty is intended to ensure public authorities have...
Recommendation
The Equality Act 2010’s Public Sector Equality Duty is intended to ensure public authorities have due regard, including in their decision making, policies and service delivery, to achieving the Act’s objectives, which include the elimination of discrimination against groups of … Read more
Government Response Summary
The government's response did not address the recommendation for it to consent to a statutory Code of Practice on the Public Sector Equality Duty, instead focusing on social care funding.
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9 Recommendation Not Addressed
Para 64
Prior to the pandemic, people with learning disabilities experienced health inequalities and faced difficulties accessing...
Recommendation
Prior to the pandemic, people with learning disabilities experienced health inequalities and faced difficulties accessing healthcare and receiving accurate diagnoses and effective treatments. They had increased risks of dying from a range of illnesses, including respiratory infections. These problems have … Read more
Government Response Summary
The government response does not address the recommendation about setting targets for the reintroduction of annual health checks for people with learning disabilities, instead discussing a new plan for education for children with special educational needs.
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10 Recommendation Not Addressed
Para 68
The widespread adoption of continuous facemask wearing in health and social care settings has made...
Recommendation
The widespread adoption of continuous facemask wearing in health and social care settings has made effective communication impossible for patients and healthcare professionals who lip-read, and much more difficult for Deaf people who use British Sign Language and people with … Read more
Government Response Summary
The government's response discusses funding for special educational needs and disability (SEND) education, not addressing the recommendation regarding clear facemasks or the request for updates on their distribution and assessment of need.
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11 Conclusion Deferred
We were disappointed with the 2020 Spending Review’s financial settlement of £300 million in additional...
Conclusion
We were disappointed with the 2020 Spending Review’s financial settlement of £300 million in additional grant funding for local authorities’ social care in 2021/22. We believe it falls considerably short of what is required. We agree with the Health and … Read more
Government Response Summary
The government states it will consider the committee's findings regarding the inadequacy of social care funding when developing the UK National Strategy for Disabled People.
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12 Recommendation Not Addressed
The Government must bring forward a social care reform package, which includes the whole sector,...
Recommendation
The Government must bring forward a social care reform package, which includes the whole sector, in this financial year. There has been a tendency by successive governments to focus on the problem of rising costs of caring for elderly people, … Read more
Government Response Summary
The government's response discusses optional training for Ministers on communicating with disabled people, completely failing to address the recommendation for a comprehensive social care reform package addressing funding, workforce issues, and integration of services.
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13 Conclusion Not Addressed
Para 87
Our interim Report made several recommendations about how the Secretary of State should use his...
Conclusion
Our interim Report made several recommendations about how the Secretary of State should use his powers in relation to duties towards children and young people’s educational, health and care needs, if they are required again during the pandemic. We also … Read more
Government Response Summary
The government's response highlights its efforts to provide accessible information about Coronavirus and collaborate with disability organizations, but it does not address the committee's points on the Secretary of State's powers or guidance regarding children and young people's SEND needs.
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14 Recommendation Not Addressed
Para 98
Delivering effective support for children and young people with SEND during a public health crisis...
Recommendation
Delivering effective support for children and young people with SEND during a public health crisis was inevitably a massive challenge, to which some local authorities were unable to rise. The pandemic demonstrated and exacerbated a widely acknowledged pre-existing crisis in … Read more
Government Response Summary
The government's response discusses British Sign Language provision in the House of Commons, completely failing to address the recommendation on prioritizing and publishing the SEND review.
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15 Conclusion Acknowledged
Para 104
We welcome the Government’s educational catch up fund made up of £650 million to be...
Conclusion
We welcome the Government’s educational catch up fund made up of £650 million to be allocated across all schools and £350 million for pupils in more disadvantaged schools to access subsidised small group tutoring and mentoring.
Government Response Summary
The government responded that it would 'think about looking at what happened during the Coronavirus emergency afterwards', a vague statement that did not specifically engage with the committee's welcome of the educational catch-up fund.
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16 Recommendation Not Addressed
We agree that catch up funding should be weighted towards children who have been “hardest...
Recommendation
We agree that catch up funding should be weighted towards children who have been “hardest hit” by disruption to their education. We know that many children with special educational needs and disabilities (SEND) will be in the hardest hit group; … Read more
Government Response Summary
The government's response discusses the Equality Hub's work on making coronavirus information accessible, completely failing to address the recommendation for increased and ring-fenced catch-up funding for pupils with SEND or an additional strand of specialist provision.
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17 Recommendation Acknowledged
Para 112
There was a clear divergence of opinion between some disabled people and their organisations, who...
Recommendation
There was a clear divergence of opinion between some disabled people and their organisations, who felt excluded and ignored by the Government, and Ministers, who described their engagement with disabled stakeholders during the pandemic as very positive, open and effective. … Read more
Government Response Summary
The government acknowledges the importance of disabled people influencing policies and outlines existing engagement methods, stating they will consider this input for the UK National Strategy for Disabled People, but does not commit to new consultation mechanisms.
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18 Recommendation Rejected
Para 117
The way the Government has communicated with disabled people has, on occasions, caused confusion and...
Recommendation
The way the Government has communicated with disabled people has, on occasions, caused confusion and compounded already keenly felt anxiety. The chosen method and timing of communications with people categorised as clinically extremely vulnerable, and therefore likely to be living … Read more
Government Response Summary
The government rejects the recommendation, stating that training for Ministers and officials is optional rather than a mandatory requirement.
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19 Recommendation Acknowledged
Para 124
The accessibility of the Government’s communications to disabled people during the pandemic has been poor...
Recommendation
The accessibility of the Government’s communications to disabled people during the pandemic has been poor from the outset of lockdown in March. The Government has been far too slow to address concerns, notably about the lack of British Sign Language … Read more
Government Response Summary
The government states its desire for accessible information and its ongoing efforts to provide it in accessible ways, working with disability organizations, but does not commit to fully implementing the specific list of asks from RNID and other charities by the recommended deadline.
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20 Recommendation Acknowledged
Para 125
NHS health and publicly funded social care services are legally required, by the Accessible Information...
Recommendation
NHS health and publicly funded social care services are legally required, by the Accessible Information Standard, published under section 250 of the Health and Social Care Act 2012, to provide health and care information to patients and service users in … Read more
Government Response Summary
The government acknowledges the importance of accessible information and states that departments already have legal obligations under other laws, with guidance provided by the Equality Hub, but does not commit to extending the Accessible Information Standard as requested.
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21 Recommendation Deferred
We agree with organisations representing Deaf British Sign Language users that we should set a...
Recommendation
We agree with organisations representing Deaf British Sign Language users that we should set a good example in the accessibility of our public oral evidence sessions. It is regrettable that we did not provide live BSL interpretation and subtitles via … Read more
Government Response Summary
The government agrees with the recommendation for more British Sign Language provision in Parliament but defers responsibility to the House of Commons and its committees to develop and implement a plan.
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22 Recommendation Deferred
In the light of starkly disproportionate and tragic data on death rates from coronavirus of...
Recommendation
In the light of starkly disproportionate and tragic data on death rates from coronavirus of disabled people, including shocking figures for deaths of people, including young people, with learning disabilities, there must be a discrete independent inquiry into the causes. … Read more
Government Response Summary
The government defers a decision on establishing an independent inquiry into disproportionate coronavirus death rates among disabled people, stating it will consider the matter after the pandemic is under control.
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