In brief

Dancers in a hall

Welfare bill: brutal cuts that undermine community and opportunity

The contrast between the Labour government’s plans and the essential support needed to live a good life – a demand which we highlight in this summer’s edition – couldn’t be more stark.

We can all agree on the basics of a good life, so reads our editorial in the latest digital edition of Community Living, an edition that went to press just before the Commons debated the controversial welfare bill – proposing deep cuts to personal independence payments.

The government backed down at the last minute in the face of mass protest, including that from within its own ranks. The welfare bill (its official title is the Universal Credit and Personal Independence Payment Bill) went through in a watered-down version, passing with a majority of 75 – 335 votes to 260.

Labour has said that Pip changes won’t happen until after November next year, after a review by welfare minister Stephen Timms to be conducted with disability groups. So people currently claiming Pip and the health element of universal credit will still get their benefits.

But the cuts to Pip have merely been delayed rather than dropped. And the cut to universal credit for new claimants remains.

Our welfare writer Charlie Callanan unpicks the original plans while columnist Mary O’Hara contrasts the brutal cuts in the USA with what’s happening here in the UK – under a Labour government. How different it all felt a year ago when Labour was voted in.

Reporting and analysis of the plans continued across the news media as we went to press – as did the protests from campaigning charities. James Taylor, executive director at Scope, said the bill would still “strip thousands of pounds in support” from universal credit claimants in the future. Disability Rights UK said the bill is “unworkable and must be scrapped”.

In the latest edition of our digital quarterly, you can read about the impact of good support and about those who continue to fight for the rights of people with learning disabilities and their families – work that’s vital as the welfare bill passes through parliament.

Event held against ban on campus-style homes

Almost 200 people gathered at a conference campaigning to protect the future of congregate living for adults with learning disabilities.

The Care Quality Commission (CQC) issued a guide in 2020, Right Support, Right Care, Right Culture, with the aim of helping autistic people and those with learning disabilities live in the community with more choice, dignity and independence.

However, the guide states that the CQC will not approve new group homes or campus-style accommodation as it believes such homes isolate residents from communities.

Family-led Our Life Our Choice held the event at Woburn House Conference Centre in London this spring.

The event, Learning Disabilities: Challenges and Choices in Care and Accommodation, highlighted how congregate settings can provide high-quality, cost-effective care.

Campaigners said blocking new facilities violated UN and European human rights conventions as it would deny people choice.

Performance course aims to raise profile

A performance-making diploma led by learning disabled and autistic theatre company Access All Areas has won two years of funding from Netflix.

The diploma, delivered with the Royal Central School of Speech and Drama, University of London, is thought to be the world’s only course designed by and for learning disabled and autistic creatives.

It aims to increase representation in TV and film, where people with learning disabilities and autism remain significantly underrepresented, both in front of and behind the camera.

The course builds confidence, communication, and independence, with classes co-led by learning disabled and autistic professionals.

Since its 2013 launch, 79% of graduates have secured professional roles, including work with major broadcasters and theatres.

Mass lobby opposes welfare cuts

Activists from across the UK gathered at parliament recently to confront MPs about disability benefit cuts.

Around 40 MPs attended the mass lobby organised by the Coalition Against Benefit Cuts, Disabled People Against Cuts, WellAdapt and Disability Rights UK, which said: “Never has it been more important to have your voice heard.”

No ‘outsider’: sculptor in line for Turner art prize

The shortlisting of Nnena Kalu for the Turner Prize is an important moment in the relationship between learning-disabled artists and the art world, writes Simon Jarrett.

The Turner Prize judges were wowed by her astoundingly striking large-scale creations, produced in the main from humble VHS tape.

One judge commented “most of all the jury was simply hugely impressed by Kalu’s assured and very beautiful sculptures”.

The importance of this is that Kalu has not been herded into a patronising category of outsider art.

Certain types of artist can be dismissed as interesting but not quite the thing, and may be gently but firmly nudged from the “real” art world.

Viewing the world through the prism of her learning disability and her largely non-verbal communication may indeed have shaped the enormous expressive power of her art.

Nonetheless, Kalu has been assessed and judged purely on her considerable artistic merits.


News briefs

Our new chair of board

Community Living is delighted to announce it has appointed Rhidian Hughes, chief executive of Voluntary Organisations Disability Group, as chair of trustees. He will work alongside board members to support the editorial team and the magazine’s strategic direction.

Day against detention

The Bring People Home from Hospital campaign held a day of action to protest against disabled individuals being held in mental health units. Campaigners delivered a letter to the Department for Health and Social Care calling for an end to the detention of people in psychiatric settings.

Mental health referrals rise

Nearly 30% more children have been referred to mental health services for autism and ADHD than last year, despite these not being mental health issues, according to the Children’s Commissioner.

Abuse on public transport

Disabled people often face abuse, harassment and hostility while using public transport, according to a study by United Response. Findings show low reporting, a lack of support and lasting trauma. The charity called for safety measures and greater accountability in the transport and justice systems.

Finance fears for housing

Over 150 organisations have warned the government
that a supported housing crisis threatens 70,000 homes for vulnerable people in England owing to financial issues.

The National Housing Federation urged the government to allocate £1.6 billion annually to provide safe, affordable housing.

All Update stories are by Saba Salman unless otherwise stated

What’s on our radar…

Social care – but not SEND – omitted from spending plans. Saba Salman reports

  • There was dismay at the government’s failure to include social care in its spending review. Investment in children’s social care, special educational needs and disabilities, employment support, housing and the NHS was welcomed but Scope slammed the chancellor for failing to mention disabled people once. Charities, under the auspices of the Voluntary Organisations Disability Group said it was a ‘missed opportunity’ to address and invest in social care in its
    own right.

  • As the Mental Health Bill works its way through parliament, charities and MPs have been calling for stronger safeguards to ensure individuals will not still be detained under other legal frameworks. The bill proposes ending the detention of people with learning disabilities or autism solely due to their conditions, but the Joint Committee on Human Rights has warned it falls short.

  • False claims about autism have led several UK charities to speak out. Ambitious about Autism condemned misleading statements, including the US government calling autism an “epidemic” and Reform UK leader Nigel Farage claiming that autism and ADHD are “massively overdiagnosed”. The National Autistic Society and Rethink Mental Illness criticised the overdiagnosis claims. Scottish Autism and Autism Alliance UK also warned against exploitative “cures”.

  • The government’s plan to ban overseas recruitment for care home staff sparked outrage. Care England and the National Care Association stressed the move will exacerbate staff shortages. Adult social care has around 131,000 vacancies.

Less cash to manage daily life

It is going to get more difficult to qualify for the daily living component of personal independence payment and the health element of universal credit. Charlie Callanan reports

Woman cooking at home with oven

The amount of benefits disabled people can claim will be significantly reduced under government plans.

Changes to disability-related benefits will make it more difficult to obtain the daily living component of personal independence payment (PIP) and the health element of universal credit (UC).

The proposals are detailed the Pathways to Work: Reforming Benefits and Support to Get Britain Working green paper.

Introducing this in the spring, Liz Kendall, secretary of state for work and pensions, claimed that a £1 billion package of employment support will be provided to help those who can work to get earning and that those who cannot work will be protected.

The biggest concern is how entitlement to the PIP daily living component will be assessed.

As at present and following the changes, claimants will have to score 8–11 points regarding daily living activities to qualify for the standard rate, and 12 points or more for the enhanced rate.

However, under the changes, claimants must score four or more points in at least one activity to get the daily living component. Even if their total exceeds eight points, those scoring only 1–3 points in each activity will not be eligible.

These changes will also affect existing claimants during a PIP renewal application or review. Clients could lose entitlement to not only the PIP daily living component but also to other entitlements linked to it.

Carers will also be affected. To get carer’s allowance, as they must be looking after someone who gets a qualifying disability benefit

Carers will also be affected if a person loses their benefit. To get carer’s allowance, the carer must be looking after someone who gets a qualifying disability benefit.

Other proposals include:

  • The revised PIP assessment will be used to determine entitlement to the health element of UC. The work capability assessment will be abolished
  • The health element of UC will not be available to people aged under 22 years
  • The amount of the health element paid to new claimants will be cut from £97 to £50 per week by 2026-27, and frozen for those already receiving it
  • An unemployment insurance benefit will replace new style employment and support and new style jobseeker’s allowance with one national insurance based, time-limited benefit. A health assessment will not be required. Claimants will be expected to actively seek work, but there will be ‘easements’ for some with health conditions.

It is estimated that the changes in eligibility for PIP will affect between 800,000 and 1.2 million people who are now getting PIP.

The two real-life cases below show how the changes will affect people (names have been changed).

Vishna Shah has a learning disability and lives in supported housing. Because she needs supervision to prepare food and/or cook, she is awarded four points in the PIP activity of ‘preparing food’.

If she can get a further four or more points from one or more other activities, she will qualify for the daily living component.

Her neighbour, Jimmy Smith, also has a learning disability but needs his support worker only to ‘prompt’ him so he regularly washes himself, changes his clothes, has daily meals and makes social plans.

He might score two points in several activities but is unlikely to score four points in any one so will fail the assessment.

One in five worse off

The disability sector has reacted angrily to the proposals.

Mencap has said that “this is not the life that disabled people should face in 2025” and, according to the National Autistic Society, the impact of these cuts will be huge, “with one in five households with a disabled person ending up worse off by an average of £1,720”.

United Response said: “Welfare reform should be about ensuring people get the support they need – not saving money to meet government targets.”

The danger of the safety valve

A recent case has highlighted how councils are struggling to manage the spiralling cost of special educational needs and disabilities provision, and whether a financial rescue scheme may put balancing budgets ahead of children’s education and wellbeing, writes Saba Salman

Bristol City Council office

Families of children with special educational needs and disabilities (SEND) remain determined to fight for their children’s support, despite losing a legal challenge against two local authorities.

The high court dismissed a judicial review brought by the three families against Bristol City Council and Devon County Council, concerning the local authorities’ involvement in the government’s safety valve agreements.

These agreements are multi-million-pound financial rescue deals aimed at reducing local authority SEND budget deficits.

The families’ challenge brought public attention to the impact of funding policies on disabled children and how special needs provision is being assessed and implemented nationwide.

Although judge Mr Justice Linden ruled against the claimants, the case raised questions about how local authorities manage rising SEND costs, and whether efforts to balance budgets come at the expense of disabled children’s education and wellbeing.

The judgment also acknowledged the financial pressures on councils, given they must still comply with their statutory obligations, including those relating to education, health and care plans (EHCPs).

Consultation questioned

The case centred on concerns about cuts to SEND services. The claimants argued that the councils had entered into the safety valve agreements without consulting them properly or fully assessing the long-term impact on children.

The families said that the cost-cutting measures risked breaching the councils’ legal duties to provide essential special needs services.

The council’s debt is still increasing despite signing the safety valve agreement and it’s not clear how this is beneficial to disabled children

The legal grounds for the challenge included an allegation that the councils had breached their duty to consult under the Children and Families Act 2014 and the public sector equality duty under the Equality Act 2010.

The families were represented by Watkins Solicitors.

Beverley Watkins, managing partner, said the judgment would not deter efforts to hold decision-makers accountable.

“This case has always been about more than one legal challenge,” she said. “It’s about the real-world consequences of policy decisions on families of children with special educational needs and disabilities.”

Watkins added: “The safety valve agreements are having a significant impact on children’s access to vital support, and we believe those impacts must be subject to greater scrutiny.

“Every day, we speak to parents who are forced to give up work or reduce their hours, who face inappropriate school placements for their children or who must pursue legal action simply to secure basic educational provision.

“This isn’t just about figures in a budget – it’s about children’s lives and futures.

“Although we did not succeed, this case has brought important national attention to the challenges families are facing under the current system.

“We remain committed to holding decision-makers to account and standing with families as they fight for the education and support their children deserve.”

In figures: parents do more as schools struggle

  • Nine out of 10 school leaders are finding it harder to meet special educational needs and disabilities (SEND) pupils’ needs than a year ago, according to a the National Association of Head Teachers. Teachers say they do not have the resources to meet the needs of all SEND pupils
  • Three in four parents of children with SEND have given up or reduced work owing to a lack of support in schools and inflexible working conditions. A survey commissioned by Sky News and Support Send Kids found 40% had quit work and 33% had cut hours, leading to financial strain
  • There are around 1.6 million children with SEND in England, accounting for 18% of the total.

Safety valve detrimental

Commenting via Watkins Solicitors, one parent from Devon, who asked to remain anonymous, said: “We may have lost this battle, but we are still fighting.”

The mother stated families were disappointed but added: “Devon Council’s debt is still increasing despite signing the safety valve agreement and it’s not clear how this is beneficial to disabled children in Devon.

“We will continue to gather any evidence that shows how the safety valve agreement is detrimental to the education of our children.

“We may have lost this battle but we are still fighting for our children’s right to an education.”

Safety valve agreements are having a significant impact on children’s access to vital support

Another parent involved in the Bristol case also voiced their frustration: “I know I’m not alone in feeling deeply disheartened by the direction things are moving for children with SEND.

“Local authorities may still have legal duties on paper but, in practice, families are left fighting for the basics – whether that’s a timely EHCP, the right school placement, or access to essential support.

“In Bristol, delays in EHCPs and the lack of specialist placements are already widespread.

“Programmes like the safety valve don’t appear to be improving the situation – in fact, they risk embedding these failures further.

“Our children deserve better, not just in theory but in the day-to-day reality of their education and support.”

Disability Rights UK argued that the education system is “institutionally and systemically ableist” and that policy and practice prioritise gatekeeping over support.

It added the SEND system lacks accountability, which has enabled and normalised widespread unlawful practice.

Cases

AB, R (On the Application Of) v Bristol City Council [2025] EWHC 893 (Admin).

When cash help comes with a stringent budget caveat for councils

One in four local authorities responsible for special educational needs and disabilities (SEND) in England have safety valve agreements.

The 38 councils have large deficits and get extra funding from the government by agreeing to reduce debts and manage high needs finances.

The programme is controversial because it offers a financial bailout only if authorities agree to make strict savings to SEND provision; campaigners say they prioritise budgets over children’s rights and wellbeing.

The Independent Provider of Special Education Advice (IPSEA) charity describes the safety valve scheme as “financial assistance to bail out local authorities facing deficits, with the condition that spending on SEND provision must be contained”.

There are concerns that the agreements could result in local authorities breaching their legal duties to children and young people with SEND.

Contact, a charity that supports families with disabled children, fears councils will make cuts: “The agreements include a review system to ensure that financial targets are met, with little to no obligation to review how the cuts are made and if special educational provision which remains is adequate to meet needs.”

Contact says it agrees with IPSEA’s conclusion that safety valve agreements, which centre on cost-cutting rather than on needs and legal rights, cannot be allowed to continue to exist in their current form.

Information from Contact

When the regulator steps in

The Care Quality Commission is charged with ensuring care providers are up to standard. George Julian describes what action it can take when concerns become apparent

Royal Courts of Justice

Since July 2022, I’ve been reporting on cases where the Care Quality Commission (CQC) has found care for autistic people and those with learning disabilities to be inadequate.

During this time, I have followed the enforcement actions the regulator has taken.

Here, I want to unpick what happens when the CQC finds a provider’s care to be inadequate.

How does the CQC decide if it needs to take action?

When the CQC has concerns about care, several options are available.

It has civil powers to reduce the risks to people using services that it regulates, and criminal powers to hold those registered for care accountable for serious failures.

The CQC goes through a four- stage process to decide on action.

Step 1: initial assessment

The CQC may become aware of concerns that could warrant action through its inspection and assessment processes and from receiving information from other sources.

These sources might include members of the public or whistleblowers, as well as safeguarding alerts and prevention of future death reports (Reducing risks of further deaths, spring 2024).

When the CQC is not assured that people are reasonably protected from harm, it will decide whether it needs to gather more information, refer the concern to another public body or progress to the next stage.

Step 2: legal and evidential review

At the second stage, the CQC conducts a review to determine whether there is sufficient evidence of a breach of legal requirements by a registered person (this can be an individual, partnership or organisation providing a service).

It compiles evidence into a bundle. If this demonstrates an identifiable breach of a legal requirement and the evidence is sufficient and robust to prove the breach, then the case continues to step 3.

Step 3: selection of the appropriate enforcement action

In this stage, the CQC follows its structured decision-making process to determine what enforcement action to take.

It considers all of the civil and criminal options available, the seriousness of the breach and whether there is evidence of multiple and/or persistent breaches.

Step 4: final review

The final step involves reviewing previous decisions in this process.

A decision is made on whether civil or criminal enforcement action should be taken and, if so, in what form. Records of meetings on this provide an audit trail of how the CQC came to its decision.

Enforcement powers

If breaches of regulations amount to a criminal offence, the CQC can:

  • Issue a caution
  • Issue a fixed penalty notice (as an alternative to prosecution)
  • Bring a prosecution.

A decision is made on whether civil or criminal enforcement action should be pursued

The CQC uses civil enforcement powers to force a provider to protect people and to ensure care is of an appropriate standard.

These include:

  • Imposing, varying or removing conditions of registration
  • Suspending registration
  • Cancelling registration (closing services down)
  • Urgent procedures
  • Special measures.
CQC process: 1. Initial assessment; 2. legal and evidential review; 3. selection of enforcement action; 4. final review
Care Quality Commision’s four-stage process when deciding on action to take

Criminal powers in urgent cases

If the CQC has urgent concerns and believes a provider remaining open would pose a “serious, immediate risk to a person’s life, health or wellbeing”, it can apply to a magistrates’ court for an order to immediately cancel registration.

In such cases, it would immediately issue a notice of decision.

Civil proceedings

In all other cases, the CQC issues a notice of proposal that it intends to make changes to registration (such as those detailed above).

Providers can then agree with the CQC; otherwise, they have 28 days to make written representations to the CQC explaining why they wish to challenge the decision.

The CQC considers the providers’ representations. If it decides to agree with the provider, it withdraws the notice of proposal. If the CQC disagrees with them, it will “adopt” the notice of proposal and serve a notice of decision.

Going to tribunal

If providers still do not agree with the CQC’s decision, they can appeal to the First-tier Tribunal (Care Standards).

The tribunal is responsible for handling appeals against decisions by the education or health secretaries, the CQC, Ofsted or the Care Council of Wales.

It is part of the Health, Education and Social Care Chamber, one of seven chambers that settles legal disputes and are structured around particular legal areas.

The tribunal is not associated with or part of the government. Applications are heard by an independent panel including a judge and specialist tribunal members with experience and expertise in health and social care.

Hearings take place in a courtroom local to the provider or via video link. Members of the public (including journalists) can attend the hearing.

Both the CQC and the provider are entitled to have legal representatives to make their case.

At the hearings, the CQC and the provider are given equal opportunities to present their evidence and explain their position.

Both parties can call witnesses to give evidence, and can highlight points they view as important.

The tribunal panel considers all the evidence and submissions and provides a written decision with reasons.

Types and numbers of cases

No statistics are published on the numbers or types of cases heard by the care standards tribunal.

I have been tracking published decisions of cases relating to providers registered to support learning disabled and autistic people. Since 2023, there have been eight cases, all of which were dismissed by the tribunal, with the CQC’s decisions upheld.

‘There was an unacceptable deterioration in care, which put residents at risk of harm’

A recent tribunal decision, issued on 18 March, related to Mitchell’s Care Homes Ltd (PDF link). Mitchell’s ran a number of residential and supported living services in Surrey.

Mitchell’s had three residential homes in Surrey – Rainscombe Bungalow (first rated inadequate in May 2023), Rainscombe House (first rated in adequate in June 2023) and Nutbush Cottage (first rated inadequate in July 2023).

The CQC reinspected them in November 2023 and again in June-August 2024.

It then took action to close the homes and remove the provider’s registration.

Mitchell’s appealed to the Care Standards Tribunal, disagreeing with the the CQC’s decision. During the proceedings, Mitchell’s withdrew its appeal, agreeing to close the care homes.

Amy Jupp, CQC deputy director of operations (south), said: “When we inspected Rainscombe Bungalow, Rainscombe House and Nutbush Cottage, we found very little progress on the significant improvements we highlighted were needed at previous inspections.

“There was an unacceptable deterioration in the level of care across the services, which put people living there at risk of harm.”

Action was taken by the CQC to cancel Mitchell’s registration to provide the regulated activity of personal care in the supported living settings.

Inadequate throughout

The regulator inspected Mitchell’s head office in May and June 2023, and visited 11 supported living homes, finding them inadequate in every domain.

It reported nine breaches of regulations, placed the service in special measures and issued a notice of proposal to cancel registration.

A reinspection in April-May 2024 showed concerns had not been addressed.

The tribunal hearing took place over 10 days in October-November 2024 at the Royal Courts of Justice. It focused on whether the CQC’s decision to cancel Mitchell’s registration was proportionate and reasonable.

The tribunal met to deliberate in December 2024 and January 2025.

Judge Iman said (PDF link): “There remained ongoing risks and we concluded that there were insufficient oversight, systems and strategic capability to ensure the safe and effective running of the service.

“We were particularly concerned in respect of risk assessments, safeguarding, safe recruitment of staff and the ability to recognise issues that need addressing through a robust auditing process.”

Mitchell’s Care Homes Limited v Care Quality Commission

Mary O’Hara: Austerity 2.0 is on its way, courtesy of Labour

What the right-wing US administration is doing to welfare could be expected – but it is galling that the more left-wing government in the UK is also savaging the benefits system

Cabinet meeting of Labour government

The word “sweeping” is overused when referring to welfare reforms but, in light of the UK government’s proposal to cut disability benefits by billions of pounds, this time the term is right on the proverbial money.

That it is a Labour government savaging the benefits system – and in a way that will undermine essential support for people with learning disabilities – makes the planned cuts all the more galling.

Campaigners have repeatedly flagged that slashing billions from the benefits budget would hit already impoverished families (700,000 according to the government’s own figures) and exacerbate dire inequalities for learning disabled people, including those in employment.

Work support at risk

The fears are well founded. Alongside the cuts set out in the government’s green paper (with consultation expected to conclude this summer) have come warnings of a second round of cuts that some argue could undermine Access to Work. Given how vital this is for supporting people with learning disabilities and autism in the workplace, this is a huge concern.

Prime minister Keir Starmer with secretary of state for work and pensions Liz Kendall may have spun the reforms and cuts as necessary to get people back to work and make essential savings.

However, many (though not enough) Labour MPs are uneasy about the scale and nature of what’s coming.

In a letter to The Guardian in early May – in what is likely the biggest rebellion Starmer faces in his still fledgling premiership – more than 40 MPs from the party wrote that the proposals for cuts were “impossible to support”.

The missive came on top of Labour MPs raising the alarm about the range of reforms on the table, including a tightening of eligibility criteria for personal independence payments (PIP).

Worse off by £155 a week

According to the Resolution Foundation think tank, an estimated 620,000 people could be worse off to the tune of £675 a month if the planned £5 billion worth of cuts to PIP goes ahead.

As the May letter cautioned: “The planned cuts of more than £7bn represent the biggest attack on the welfare state since George Osborne ushered in the years of austerity.”

In what is likely the biggest rebellion Starmer faces, more than 40 MPs from the party wrote that the proposals for cuts were impossible to support

It is safe to say Labour supporters weren’t anticipating Austerity 2.0 when they cast their votes in 2024.

While some will have taken comfort from the MPs speaking out, it was still a small number.

It has been an unsettling experience observing the UK government’s welfare stance from the US. Here, millions of disabled people are facing threats to services and support on multiple fronts.

First is the slashing of staff levels in state agencies that handle assistance by the Department of Government Efficiency, first led by Elon Musk. On top of this, the controversial person in charge of the Department of Health and Human Services, Robert F Kennedy Junior, appears hell-bent on denying science, prompting disability activists and families to accuse him of pushing harmful rhetoric and reinforcing stigma.

Kennedy particularly inflamed public opinion when he claimed people with autism did not contribute to society – something that is patently untrue – and which provoked fears of what he might have in store for people with learning or intellectual disabilities.

Other threats are looming. Republicans are determined to gut Medicaid, a federal programme on which many disabled people and their families rely.

As the National Association of Councils on Developmental Disabilities has warned: “By decreasing funding for Medicaid in order to fund tax cuts, many programmes which benefit and accommodate individuals with intellectual and developmental disabilities could be at risk.”

It is deeply disturbing to watch what the US government is doing – but it is an overtly right-wing administration. It was expected that Trump’s government would target welfare programmes. But Labour in Britain? That’s just shameful.

Mental health gets expert input

Autistic people, as experts by experience, are creating multimedia learning materials and working alongside professionals to train staff to improve mental health care. Georgia Pavlopoulou reports

Dr Georgia Pavlopoulou - National Autism Trainer programme

Health staff are being supported to improve care provided to autistic people in mental health services as part of a three-year, charity-run programme.

Two non-profits collaborated to develop and deliver the National Autism Trainer Programme. Practitioners qualified through this, alongside an expert by experience, educate their colleagues. More than 5,200 people have learnt to co-deliver this training in their organisations.

The National Autism Trainer Programme (NATP) is a train-the-trainer course co-produced with autistic people to improve mental health care in England.

The programme, which ended in March 2025, is delivered by Anna Freud, a child mental health research, training and treatment charity, with AT-Autism and is commissioned by NHS England.

Details about the scheme – in which I have been involved since the outset – are on the Anna Freud website. Some highlights stand out.

The scheme trains mental health staff to work with colleagues to develop personalised adaptations to evidence-based practices that embed autistic experiences.

Each session is delivered by autistic people and allies. Trainers present multimedia slides, videos and animations created by autistic individuals of all ages.

The NATP promotes reflection and a commitment to anti-oppressive practice; attendees gain practical ideas for making small yet significant changes. Our focus on partnership and working together allowed us to identify ways of making practice more inclusive.

The training takes an interactive, collaborative approach. Participants are invited to share how they’ve identified areas for improvement or made adjustments to improve care.

Many professionals believe change needs to be monumental and it is common for them to feel concerned or guilty about not having done enough.

Practice changes

The scheme has resulted in a variety of improvements.

  • Staff at a mental health inpatient hospital created resources including videos to familiarise autistic people and families with the setting
  • A therapist slowed the pace of appointments and adapted assessments, for example by completing forms with people
  • Staff at an adult secure mental health unit were supported to understand how autism impacts mental health

We aim to work with them and show how many small changes can create a substantial cultural shift.

Training was open to staff in inpatient and community mental health services, residential special education, along with health and justice settings. They included nurses, psychologists, psychiatrists and occupational therapists.

We worked with more than 100 autistic trainers and content developers with experience of mental health difficulties to deliver the training and produce resources.

We trained over 400 autistic people and other experts by experience, including 20 parents, carers and siblings of autistic individuals, to become co-trainers.

The scheme is co-produced and co-delivered with autistic people as the experts in their experiences.

It is only by working with autistic people can we rewrite the narrative that sees autism as a set of deficits and create meaningful change.

Support we offer after training includes opportunities for professionals to refresh their knowledge on mental health and discuss how to work with rather than on or for autistic individuals.

Practitioners report they now appreciate the importance of taking time to ensure safe interactions with autistic people, encouraging a slower pace, curiosity and the opportunity to truly connect with those needing mental health support.

It has been amazing to see NATP-trained professionals forming working groups and communities of practice to discuss what they have learnt and find inspiration to make further changes.

It fills me with hope that these efforts will result in substantial and long-lasting improvements in the care of autistic people of all ages in mental health settings.

Georgia Pavlopoulou is strategic co-lead and programme director, National Autism Trainer Programme

A need to thrive again

With pressures on public finances, self-advocacy support has diminished and people are finding things hard. Governments need to focus on both financial and moral responsibility, says Joe Powell

Joe Powell AWPF

Self-advocacy is the ultimate preventive service – but it is under threat.

If people with learning disabilities are empowered to speak for themselves, they are more likely to live more fulfilled lives and change attitudes towards them.

The groundbreaking All Wales Strategy in 1983 was the first strategy to recognise that a learning disability is not a health condition so should not be treated in hospitals. It stated that people with learning disabilities should live “normal patterns of life in their local communities”.

The strategy also recognised the importance of the voices of parents and carers and gave them more agency in influencing policy.

However, the idea of people with learning disabilities speaking for themselves was not something that was considered back then.

That came later when activists such as Gary Bourlet introduced People First to the UK. The movement championed the fact that people could and should speak for themselves and not be subservient to those supporting them.

Over the years, All Wales People First worked hard with the Welsh government to ensure the voices of people with learning disabilities were central to groups such as the Learning Disability Ministerial Advisory Group in Wales.

The advocacy grant scheme (pump-prime funding from the Welsh government for advocacy) saw a really strong network of self-advocacy groups develop across the country. Wales led the way thanks to the faith the Welsh government had in people being able to speak up for themselves.

In 2012, when I was appointed chief executive of All Wales People First, with experience of staying in learning disability care services, I hoped to be part of a new movement that would build on the brilliant things we achieved in Wales.

Fast forward to 2024 and the advocacy grant scheme is gone and self-advocacy groups are merely existing. I find myself protesting with others in support of the Homes not Hospitals campaign led by campaign group Stolen Lives

Far from building on what we had achieved, we are regressing.

The picture is similar across the rest of the UK. People still struggle to secure meaningful employment, to maintain friendships and relationships and to be accepted as equal citizens. In that sense, nothing much has changed.

Many people are under enormous pressure to find work and face benefit sanctions if they can’t secure work. Covid-19 saw many day centres close – many remain shut.

How much money advocacy really saves

Investment in specialist community-led advocacy support could save the NHS millions and transform lives, writes Saba Salman.

Non-profit enterprise Social Finance recently calculated the cost benefits of the Henry Smith Charity’s £2.6 million funding for 15 advocacy organisations.

This helped 1,600 people receive independent advocacy support, saving around £34.5 million in public funds between 2022 and 2024. For every £1 invested, an estimated £7 was saved for the NHS and £5 for local authorities.

People received support ranging from one-to-one advocacy to self-advocacy and peer advocacy for decisions about issues including health, care, employment and housing.

Self-advocacy’s decline seemed to come after the 2008 financial crash. Add to that budget cuts and pandemic costs, and councils have rethought priorities. Self-advocacy appears to be desirable, not essential.

Cruelly, disabled people are being labelled as economically inactive, tarred in the media by the same brush as those who could work and choose not to.

The solution?

Whatever party forms the UK government, human rights should be sacrosanct. The government must do all it can to ensure disabled people are not demonised, not encourage an inaccurate, right-wing narrative that they are partly to blame for the economic mess.

Governments should focus on both financial and moral responsibility. Part of the latter is to make sure all citizens have a voice.

Joe Powell is chief executive of All Wales People First. Read more by Joe on the NDTi blog

Call for a good life renewed

A rights-based vision, covering all aspects of life, was relaunched by Learning Disability England at its annual conference, attended by hundreds of people. Saba Salman finds how it has evolved

Gary Bourlet

Campaigners have renewed a national vision for learning disability policy with heightened urgency as Labour’s benefit crackdown threatens support.

Learning Disability England (LDE) said: “In a time where human rights seem to be on the chopping block, it’s more important than ever for Learning Disability England members to come together and have their voices heard.”

Mark Brookes
At the conference: Mark Brookes from Dimensions. Photo: Seán Kelly/www.seankellyphotos.com

The relaunch of Good Lives took place at the recent LDE conference in Manchester. Around 500 people attended the annual event, including self-advocates, family carers, supporters, organisational leaders, researchers and policy experts. The event had a focus on diversity, intersectionality and working together.

Conference highlights included 40 speakers from small community organisations to national voluntary sector and private organisations, a cinema room showing films made by people with learning disabilities, podcast coverage by self-advocates People First Keighley and Craven and a live band.

Good Lives, a framework launched in 2022, sets out what is needed for all with learning disabilities to live a good life.

It is now more than 20 years since the groundbreaking white paper on learning disability, Valuing People, came out.

While this rights-based policy shone a welcome light on learning disability issues, there has been a policy void since then.

The Good Lives framework reflects different aspects of life and sets out what is important to people and their support networks.

People with learning disabilities and those who support them were involved in drawing up both the original manifesto and the refreshed version.

Topics include housing, communication, advocacy, love and relationships, employment and health. There are also suggestions for action.

Andrew Bright and Sarah Danby
At the conference: Andrew Bright and Sarah Danby. Photo: Seán Kelly/www.seankellyphotos.com

The aim, says LDE, is that the resource “will inform policymaking by showing clearly the needs and aspirations of people with learning disabilities, enabling policymakers to develop more informed and effective policies to address these needs”.

The update includes the latest examples of good practice in support and a renewed focus on intersectionality, which LDE defines as “the idea everyone has different characteristics that make up our identities… like our age, ethnicity, religion, disability, sexuality and gender”.

There is also a new section on health, reflecting priorities such ensuring people with learning disabilities can live healthy lives and are treated fairly in healthcare.

Gary Bourlet, LDE membership and engagement lead, co-delivered a presentation on the new version at the conference.

Bourlet explained why LDE decided on a relaunch: “We always wanted to keep the Good Lives framework current and relevant to what’s happening now.

“The world is always moving so we wanted to reflect what we’ve learnt and bring new ideas for change. We wanted to reflect members’ positive work, action and impact.”

He stressed that, while LDE hosts Good Lives, the organisation does not control it. Bourlet is keen it is shaped by learning disabled people, their supporters and allies: “It belongs to the community.”

‘I would be nothing without Del’

Del the pig is an invaluable partner to Tilley Milburn, speaking as the ‘voice of reason’ whether at home or on stage. Seán Kelly finds out about the life and times of this unusual double act

Tilley holding Del

Tilley Milburn bought Del the stuffed pig for £9.99 in the Ashford branch of Clinton Cards 21 years ago. It was an unusual start to a double act that endures to this day.

Del (short for Delphine) speaks from Milburn’s mouth in a high-pitched voice about the first time she met her performance partner (who identifies as non-binary): “Yes, I was on the shelf.”

“They came along and they were quite excitable. A bit like a child really. Quite a big child, they were 20.”

Milburn laughs at the memory of buying Del. “It was full price. Normally I don’t buy anything full price. I didn’t even have the money.

“When you are in residential care, you have no money. So I was lent the money by my keyworker who was called Delphine.

“I was worried she might be offended by my calling my pig after her. But I got attached to this pig really quickly.”

In the years since, Tilley and Del have become well known as performance and visual artists often hosting events including many run by Heart n Soul. They are gearing up for a busy summer season of shows, sessions and workshops, including a series of bookings at July’s Tunbridge Wells Summer Fringe.

In the home, I would get people to speak to Del. My mum has asked to speak to Del instead of me

Milburn is 41, lives in Kent and self-describes as being diagnosed with Asperger’s and non-binary. “The thing is I get it, I know that I look female, and I am not saying that I am not gendered. I just prefer to say that I am non-binary. I just don’t like having to tick one box or the other.”

It is clear that Del gives Milburn a bridge to connect with other people. “Del is the confident one, the calm one,” Milburn says.

“Even in the care home, I would get people to speak to Del. And my mum sometimes has asked to speak to Del instead of me. Del is like the voice of reason.

“People say she is me. But she’s all the things I want to be but maybe I can’t be. She is the eye candy, and cute and different, and I am not. I often say that I would be nothing without Del.”

Delphine’s namesake

Milburn adds that before Delphine (the original one who gave her name to Del), there was a string of keyworkers.

“I became known for not staying with one for very long before I would sabotage the relationship. Even to this day, I can’t let people get too close to me. I just have an inability for it and it seems to have been like this my whole life.”

Recently, Milburn and Del went back to Ashford to mark the 20th anniversary of their meeting. Sadly, the card shop seems to have gone but they decided to have a curry to celebrate.

Milburn says “I don’t know what they thought of us there. I said I am celebrating a 20-year relationship but it’s just me and my pig sort of thing.”

How did they respond? “They were a bit rude to be honest. It felt like they were trying to rush us. We’re used to it. We seem to divide people wherever we go.”

I ask Del about her life now and she says “I love it. I don’t know if I could ever have imagined what I do now. But it’s a lot of work.”

Del refers to Milburn as “my owner” which seems to make Milburn a little exasperated. “I don’t know why she keeps calling me that.”

Because you bought her?

“Yes, but we don’t have that kind of relationship. I like to feel that we are equal to each other. Don’t you feel, Del?”

Del is not so sure: “Well it’s hard to say that we are equal. If I don’t get paid then how am I equal? They say that they pay the bills and they pay the rent and they have to deal with the tax return and the invoices and the admin.”

Milburn sighs “Yes, all those things that you can’t do. And you wouldn’t want to do them, trust me. I wish to God that I didn’t have to do those things.”

What would Del use money for anyway? Del quickly replies “Well, I don’t have many clothes. And we like holidays.”

Ah, yes, but would the bank actually let a stuffed toy open a bank account? Del shoots straight back: “Well that’s inequality for you isn’t it?”

The pair have developed group sessions called Puffing and Wooling. They are hard to describe and, although cushions and soft toys are involved, they are definitely for adults.

People say she is me. But she’s all the things I want to be but maybe I can’t be. She is the eye candy, and cute and different, and I am not

There is a Puffing and Wooling podcast in which Milburn and Del chat over a tinkling keyboard and the sound of a snuffling hamster. Milburn puts it simply: “We delight in making you feel good.”

Tilley and Del on stage
Tilley and Del on stage. Photo: timmitchel.co.uk

 

Puffing and Wooling is often advertised at nightclubs and events as a workshop but Milburn says there are none of the skills training and planned outcomes you would expect at a workshop.

“It is a time and space to be in the moment, whatever that might mean, with whoever we end up with.”

One of the most successful Puffing and Wooling events happened when, by chance, the group consisted of about 10 people in their 50s and 60s.

None of them knew each other yet they were comfortable spending an hour reminiscing about favourite TV programmes and games and toys from when they were young.

Milburn produces some impressive testimonials. “If you want cuddles, this is the best place to come without a doubt,” reads one. “It makes you feel young again. It makes you feel cosy and warm inside out. It will lower your blood pressure for sure.”

Beyond praise

I tell her that the last comment in particular is great. “Yes” says Milburn, “that was from my mum.”

Nonetheless, Milburn’s mother is very honest and “does not give praise too openly”. There are many more testimonials from people who are not relatives and, as Del adds: “I love it anyway. Isn’t that what’s important?”

Milburn and Del also worked on Believe in Us, a two-year project run by Oxleas NHS Foundation Trust and Heart n Soul to make NHS services in the south east more accessible and less confusing for people with autism and learning disabilities.

The project involved people who use services, professionals and artists such as Milburn and Del and produced recommendations and resources like a jargon buster and videos to train NHS staff.

Life is not always so positive though. Milburn tells me about a recent attempt to become a volunteer with a Kent tourist attraction.

“I thought they would be impressed. I was honest. I said I am running a business. I am learning to drive. I am living independently but I am autistic. That one word in amongst there, and it was ‘no’. They said ‘we can’t have people like you’.”

What is worse is that Milburn was already a season ticket holder at the attraction. “Well, I am obviously a fool. They want my money but they don’t want me.”

Milburn looks at me and asks “Does it upset you?” I realise my feelings must be showing on my face. “Yes,” I say, because I feel like things are stacked against the artist.

But, through work with Del, the performer and artist presents a different, more hopeful perspective on life. A hug seems inappropriate but Del comes to the rescue.

And so it is that the afternoon ends as Del the pig and I share a sympathetic hug while Milburn looks on with quiet approval.

Tilley and Del are appearing at Tunbridge Wells Summer Fringe

Game to play your cards right

A game gets people thinking about how life stories are linked to human rights. Saba Salman gets playing

Two women in a meeting

A card game that shows how people with learning disabilities can exercise their human rights is to be launched this summer.

Cwm Taf People First and the British Institute for Human Rights (BIHR) developed the Game of Rights, which will be unveiled at the self-advocacy charity’s annual festival, VIVA Fest, in Newport, Wales, in August.

“Playing the game can be both fun and educational as it will make people aware of the challenges people with learning disabilities face and the human rights they have,” according to one member of Cwm Taf People First, Stuart (he prefers not to share his surname).

Foundation for justice

Cwm Taf says developing the game provided “a foundation for us to champion human rights better in the future and to ensure that people with learning disabilities are not forgotten, overlooked or devalued when accessing and interacting with public services”.

The easy read game uses real-life stories from Cwm Taf members and from BIHR’s work. The goal is for players to decide which human rights apply to each story. For example, the act’s article 8 on the right to private life supports people’s rights to be involved in decisions that affect their lives.

Each player has a counter and a variety of cards are laid out, each representing a specific human right.

As scenarios are read aloud, players decide which card best matches the situation, placing their counter on it.

Points are awarded to those choosing the most appropriate human right, which also sparks discussion.

BIHR first shared the Game of Rights at its Human Rights Day event in parliament in December last year. It says the project is timely given the threat to disability benefit.

Chief executive Sanchita Hosali explains: “The plans to shake up welfare are likely to have a real impact on disabled people’s human rights, risking the support that allows people to live independently and with basic dignity.

“The better people understand their rights and the duties on government to uphold these, the better equipped they are to hold public power to account – whether that’s through responding to or challenging consultations or having direct conversations with decision-makers.”

The project was part of BIHR’s broader community programme, which involved collaboration with groups across the UK between 2021 and 2025. The aim was to support organisations to use human rights law to address social justice issues.

BIHR chose Cwm Taf People First as a partner because it had a clear, creative vision for how to teach people about their rights.

The better people understand their rights and the duties on government to uphold these, the better equipped they are to hold public power to account

Alongside the game, Cwm Taf has developed podcasts, radio shows, songs and TikTok videos around human rights.

The game took six months to produce. Cwm Taf had the idea of using a fun card game to teach people about their human rights, and worked with BIHR to make it entertaining while also informative.

The project involved online and in-person workshops, a development phase with regular online check-in meetings and a testing session in person in the Cwm Taf offices.

BIHR heard from some of the Cwm Taf members about their favourite games.

Cwm Taf play-tested the first version of the game; around 12 people attended the testing session. BIHR also visited Cwm Taf to play the final version together.

Awareness of human rights is low even among the general public, and BIHR advocates making them a part of everyday conversations.

Hosali says: “The Game of Rights and our other resources are designed to support people to have human rights conversations outside the courtroom.”

Jan Walmsley: inclusive history group has gained an international influence

A group including people with learning disabilities set out to correct the official record and paint a more complex, nuanced picture – and set a standard for inclusive research

Dorothy Atkinson, Social History of Learning Disability Research Group co-founder (middle) with self-advocate Mabel Cooper meet a conference delegate in the mid 1990s

This year is the 30th anniversary of the Open University’s Social History of Learning Disability Research Group (SHLD) and, as one of its founders and with our annual conference on the horizon, I want to reflect on its significance. The university’s professor of learning disability studies, Liz Tilley, who has chaired SHLD for 15 years, has written this article with me.

The group’s purpose was to pioneer what we might call inclusive history. What history there was in the early 1990s was from the perspective of psychiatry, special education or celebratory accounts of great men, organisations or institutions.

There was very little of the voices and memories of the people who lived through that history, though a start had been made with life stories like Nigel Hunt’s autobiography (1966), Joey Deacon’s story (1974), Bogdan and Taylor’s Inside Out (1982) and the university’s anthology Know Me As I Am (1990).

The SHLD set out to build on this inspiring work, and to do what oral history does best – to correct the official record and paint a more complex and nuanced picture.

From the outset, we had impetus from Mabel Cooper, a woman who had spent her early life in institutions, labelled an imbecile.

Cooper believed passionately that the best way to avoid a return to the grim days she had spent incarcerated is to remember them. She was assisted to write her life story by Dorothy Atkinson, co-founder of the SHLD, and this was published in our first book Forgotten Lives (1997).

Other books included Witnesses to Change (2005), testimonies from family members dating back to the Second World War, with touching and appalling accounts of parents being told to “put her away and have another child” – advice all the book’s contributors ignored.

Alongside books were annual inclusive conferences at the university campus in Milton Keynes.

Conference for all

Academics, campaigners, self-advocates, family members and advocates present in a way so nearly everyone can be included.

Most people rise to the challenges of speaking strictly to time, in plain English, with visual aids. Any who don’t are soon brought to heel by our chairs; these included Cooper herself until her death in 2013, and Ian Davies and Craig Hart.

We have yet to find ways to include people without speech as presenters, but no one can forget Johanna, a regular attender who struck up a relationship with Gloria Ferris, Cooper’s friend. Her body language clearly showed Johanna was an active audience member.

Inclusive research with people with learning disabilities is now regarded in many quarters as the default – or at least the gold standard researchers should aim towards.

It was not always so. Much of this work was pioneered in the 1990s and early 2000s within SHLD.

Through life history research and heritage projects, researchers with and without learning disabilities developed collaborative ways of working that informed many of the participatory methods that now underpin so much social science and humanities research in the learning disability field.

SHLD has always been a network – an international one – and it has been a joy to watch the seeds of inclusive research in SHLD set down roots in a range of countries over the past 30 years.

This has always been a two-way process, with SHLD providing a home for researchers in learning disability from all walks of life to share ideas, problem solve and seek support when trying to push research boundaries across a range of disciplines.

Many lifelong friendships have been forged, uniting people through scholarship, activism and care.

At our 2023 conference – after a long period apart following the pandemic – we reflected on SHLD as a space for emotional connection and a sense of belonging, developed over three decades of collaboration.

We look forward to building on this rich history, looking towards the next chapter of SHLD.

Let’s all drink to our pub

A pub with a games room and cheap drinks. What more could you want? asks Hannah Fearn

Walla & Irene

The cost of living might be biting but, in north Oxfordshire, there’s still one place a drink with friends is affordable: a pint at Banbury local Cheers M’Dears will set you back only £3.50.

The pub, with a games room and with plans for a sensory garden this summer, is open three times a week at the Banbury Community Support Service day centre.

The centre, run by Oxfordshire County Council, supports 22 people a day. When a large room within it came available, people were unanimous – they wanted to transform it into a pub.

Oxfordshire is full of country pubs, but people did not always feel welcome or able to relax in a traditional boozer.

So the team (the centre has 21 workers) and those they support agreed to create a welcoming, pub-style space inside the centre.

A social media fundraising campaign brought in donations of cash and pub furniture and the doors opened in July 2023.

“What they really wanted was to have karaoke, have a dance, have a drink – they just wanted to have fun,” explains Jen Farrell, manager of Banbury Community Support Service.

“So we’re inviting people into our spaces, where our community can absolutely be themselves without any judgment whatsoever.

“The response we’re getting is that they’ve never been to a pub where they’ve felt so welcome or where they’ve had so much fun.”

The pub, which can hold up to 30 punters, tackles social isolation. According to research organisation the Belonging Forum, one in five people living with disabilities experiences loneliness and a quarter report never going to a pub, bar or coffee shop with friends.

Socialising can be difficult for young people with a learning disability, with one in three spending less than a single hour outside their home on an average Saturday, according to Mencap.

The bar is open every Friday to all comers and once a month it hosts a pub lunch, serving fish and chips, sausage and chips and other popular pub grub. Alcohol is served on special occasions like birthdays; most drinks are non-alcoholic.

“When you walk into that room, you’re not in a day service,” Farrell says. “It’s broken down all these barriers. It’s bringing the night into the day.”

The Cheers M’Dears pub has been instrumental in reducing feelings of isolation and infantilisation. One woman who had a stroke eight years ago had not felt confident to be out of her home, but now visits the pub every week.

“She’s got other people in her situation who can relate to how she’s feeling, and that really breaks down the loneliness and isolation,” Farrell explains.

As another puts it: “I like going to our pub room on a Friday. It lifts my spirits to be with my friends and it always feels fun and safe.”

Becoming a publican

Learning the tricks of the pub trade has been transformational.

One woman who had needed two-to-one support during her visits to the day centre said it was her passion to work behind a bar.

“At first we thought: how is this going to work? She found the world very difficult and had difficult behaviours. But we didn’t see it as a barrier,” says Farrell.

The team showed her to learn how to make drinks, handle money and operate the till. Training took two months and, initially, she needed a lot of support. Now, the structure of the work and the responsibility have boosted her independence.

“She’s no longer supported two-to-one during the week, she’s now volunteer working in another cafe and she works independently at the bar on a Friday,” says Farrell.

“If we can give one message, that is: do not concentrate on what someone cannot do – advocate for what that person can do.”

Hannah Fearn is a freelance social affairs journalist

Our history by ourselves

A peer-to-peer oral history project and touring exhibition aims to take people from the margins into the mainstream, covering a huge range of issues and stories. Saba Salman finds out more

Sam Reynolds

Final preparations are under way for a powerful oral history project, curated by autistic people and individuals with learning disabilities, ahead of a national touring exhibition.

Our Life Stories, run by United Response and supported by the National Lottery Heritage Fund, features 50 interviews with people supported by the charity.

Interviewees range in age from teenagers to older people and live in different parts of England, from Devon and Cornwall to York and Newcastle.

British Library archive

The aim of the two-year project, launched in 2023, is to preserve learning disability history for future generations; the stories will be archived in the British Library after the tour. The work also marks the charity’s 50th anniversary.

The work is believed to be the first peer-to-peer oral history project by people with learning disabilities. It acknowledges diverse life stories, ranging from time spent in institutions to the community care movement and campaigns for equal citizenship and employment rights.

It is a vital project, says team member and peer interviewer Sam Reynolds: “It means learning disabled people can tell their stories and people in the future will be able to listen to them.”

Project manager Charlotte Moore adds: “Oral history has recorded the life stories of numerous people from different backgrounds in their own words since it first originated.

“However, historically, people with learning disabilities and autism have been invisible within this heritage picture and marginalised within contemporary social and cultural life.”

The peer curators have been trained and supported to conduct interviews and deliver workshops.

The first of the 11 interviewers learnt interview skills and oral history techniques over three days in sessions led by Moore and Jan Walmsley, a historian, researcher and Community Living columnist.

Their skills in gathering information are apparent in the range of topics discussed by interviewees, from relationships and family to funny stories and more difficult “life-changing events”, says Moore.

As a peer interviewer, Reynolds learnt to have questions ready to ask “and come up with new ones in the interview”. The most challenging part of this project? “Remembering to listen and not just ask the next question.”

This problem was solved by not having all the questions on paper but using an iPad, and working with a smaller selection
of questions.

Reynolds adds that the best part of the work was “meeting new people, talking to them, travelling and getting coffee for the train”.

Moore, as project manager, says she learnt to allow more time than she had expected for interviews: “People who can seem really quiet at first can have truly powerful life stories if you take the time to listen, and it is important to capture everything that the individual wants to share.”

The greatest challenge was coordinating interviews around the country and ensuring the support needs of both interviewers and interviewees were met, says Moore.

People who seem quiet can have truly powerful life stories. It is important to capture everything

These was solved by sheer manpower, she adds, with staff throughout United Response in different locations – area managers, team leaders and support workers – recognising the value of participation in the project.

People took time outside their work schedules to ensure those they support could take part.

The final interviews will be shown at a touring exhibition in Leeds, York, Nottingham and Cornwall during February 2026.

The project team believes that the fact the project will be archived at the British Library is important
for preserving cultural heritage, celebrating achievements and raising public awareness about the difficulties people have experienced.

Reynolds hopes people who find out about the project while it is on tour will “learn about our lives and get to see the photography that one of the other participants has taken”.

For Moore, it is about enthusing people so they come away reflecting on a side of history they perhaps knew little about.

She adds: “I hope it will inspire many others to record their own life stories.”

The trials of transition

Moving to adult services can cause huge upheaval, with moving home combined with the loss of long-term relationships. How could a person fare with such instability? Beverley Samways asks

Teenage boy on park bench in evening with fireflies

“We’re never going to see Maddie again,” Julie says, her voice cracking.

Julie works at a children’s home in the south where Maddie has lived since she was 13. Julie has just returned from the final transition visit to Maddie’s next home.

Maddie, who has severe learning disabilities and autism, has lived in the same home and attended the same school for six years. She has been surrounded by all those who know her best.

But at 19, she is moving from children’s to adult social care and her new home – new staff, new peers – is two hours away.

Alongside Julie’s understandable grief is an assumption that Maddie will neither return to nor remain connected with the home or people she has grown up with and who have loved her.

I met Julie and Maddie in my role as a specialist consultant supporting individuals with learning disabilities and the people caring for them.

Around 20,000 young people with learning disabilities will finish education this year and some, like Maddie, will continue into adult social care.

In 2023, the government issued a report, Children’s Social Care: Stable Homes, Built on Love.

Its opening statement reads: “Our aim is to create a children’s social care system which prioritises love and stability for children and families relentlessly.”

But it was not relentless; Maddie’s transition into adulthood has been the all too common scrabble for a good enough placement – wherever it could be found and, crucially, whoever it is with. For Maddie,  love and stability have relented. Abruptly.

Shortly after Maddie moved, the transition cogs began whirring around another young person, Adam. The 18-year-old, who is severely autistic and has a learning disability, had also lived in a children’s home since his early teens. His distress had escalated in recent years but he was supported almost exclusively by three specialist staff who grew to know, trust and love him.

They described him in an ordinary, familial way, with great fondness. “He’s changed me,” one said. “He’s helped me understand things, including myself, differently.” Another simply said: “We love him.”

These relationships, built on love and stability, helped Adam heal from his distress. One option for Adam’s adult home was to continue to be cared for by these three staff.

It was not the cheapest option but the best one. Yet this was not obvious to everyone.

So those around Adam – family, team, managers, specialists – fought for what seemed obvious. The strain of moving to a new home in a new area would be eased if Adam retained the support of those he trusted.

If he moved to a new place and simultaneously lost those who loved and cared for him, how would he fare? How would anyone?

In the end, we could reach only a compromise with local adult social care commissioners: those who loved Adam would phase him into his new home without any guarantee they could stay in his life.

This isn’t good enough.

What to consider when planning a transition

  • Who are the key relationships for this person?
  • Could relationships remain after the move in some capacity?
  • If not, could email, photos or phone or video calls or visits facilitate ongoing connection?
  • If not, what will be in place for the young person to process the loss associated with the move?

Trauma risk

Love, relationships and stability are not yet at the heart of transition. Instead, moving home for young people like Maddie and Adam is recognised as a challenging life event, which can lead to a trauma response.

The “relentless” pursuit of love and stability should not have an age limit.

For young people with learning disabilities – who have much higher rates of trauma than others – love and relationships need to be at the heart of transitions.

This does not feel radical – it is simply what Adam and Maddie wanted, and what any of us would want.

Names have been changed 

Beverley Samways is founder of consultancy Unique Connections

Fun at the festival

Everyone should be able to enjoy live music festivals. Seeing people with disabilities doing things they want to do lifts the spirits, says Rohan Lowe

Annie and Amber with pints

Great live music makes me feel alive and in the moment. Pop and RnB are probably my favourite types of music. It’s great when you get to see someone live.

I first heard about the charity Stay Up Late when founder Paul Richards gave an interview to local magazine The Hovarian. I saw that and decided to get involved.

The first thing I did was become a gig buddy (this is where Stay Up Late pairs up people with and without learning disabilities in Sussex to be friends and to go to events together). I then became a Stay Up Late quality checker. This is someone who visits supported living homes to see what their support is like. Now I’m also an ambassador so I’m pretty well involved.

Stay Up Late went to Glastonbury for 10 years. In 2024, it changed things a bit, and attended a number of smaller festivals more local in Sussex with the hopes of making it more affordable and accessible for more adults with learning disabilities and/or autism.

I first went to Love Supreme in Lewes in 2023. I went with my parents and I thought it was nice, a relaxed festival that was accessible. I recommended Stay Up Late should go to Love Supreme as a group.

Going to the festival with Stay Up Late last year was a different experience because I went with the other gig buddies in a group instead of with my parents. I was with 26 others, including three staff members. It was much better, it was more fun and I really enjoyed myself.

Also, we got the train and then a coach together – that was really fun. Going with gig buddies is the best way to go to a festival because you get to see people with disabilities doing things they want to do – it makes me happy to see that.

I can’t remember the names of any bands I saw at Love Supreme last year, but the music was really good. There were lots of different tents and stalls, and I thought the price was OK for what you got.

Food and drink were nice, with lots of choice. One stall had a machine that took both cash and card, so that was good for people with disabilities to use but it was a bit strange giving your order to a machine instead of a person.

The negatives were that there was no phone signal, so it was really hard to meet up with friends because you couldn’t message or call them. Leaving at night was also a bit tricky – the bus back to the train station was really packed. It also got very cold. The weather wasn’t very good for July, so we left earlier than I would have liked.

The festival was quite accessible, even though in some places it was very busy. There was an access tent but I didn’t use it. Overall, the festival site was laid out well with plenty of space which was good for access.

The best thing about smaller, local festivals is that they are less busy and you can enjoy the area and the music more. I think more people could go which was good and made a more fun experience.

My tips for someone who wants to go to a festival but is nervous is to go with people you feel safe with. It makes bits like travelling easier, as you’re in a group having fun. Try a small one to start – there are less issues with crowds. I’d also say prepare and find out which music you’d like to see and focus on that – it can then feel really exciting.

Rohan Lowe is a Stay Up Late assistant and was supported to write this piece

Made visible through portraits

People with profound and multiple learning disabilities (PMLD) are rarely represented in the media and the arts, and their personalities and individuality are not often highlighted. A photography project has challenged this lack of visibility, writes Saba Salman

Geoff

Front and Centre, by rights-based organisation Changing Our Lives, highlights the lives of 14 people with PMLD.

The project uses family portraiture to share the character and stories of individuals whose voices are often unheard.

Front and Centre features a series of portraits by Katie Seymour, a Changing Our Lives associate. Seymour’s work emphasises a person’s individuality and personality over  their disability.

The work was launched at the Ikon Gallery in Birmingham in April, with the exhibition funded by the Inclusive Communities Fund.

The portraits – some of which you can see here – are free to view on the Changing Our Lives website.

Photos: Katie Seymour

Ian Goldsworthy: the hairiest of issues when it comes to personal care

The fact that I have to shave my 20-year-old son each morning astonishes people. Our morning routine requires a complicated choreography – and only I know the steps to this dance

Man with beard being shaved

Years ago, a misguided work talk focused on structuring your day like a CEO for maximum efficiency.

The speaker’s advice focused on what you do in the first few hours and how you can set yourself up for success.

He seemed to suggest that all you had to do was wake right, breakfast right, stretch right and the world was yours. His advice seemed to have not made much contact with reality.

We dismissed him but it sparked a discussion about our morning routines.

“Oh my god! You have to shave him!”

Most colleagues already knew Elliott’s care needs meant my days started early with washing, feeding, dressing and toileting him before work.

Not a parental role

But the fact that I have to shave my 20-year-old son each morning was what caused gasps of astonishment.

Perhaps it was because shaving your child is something that most parents never have to do.

Every parent has changed their child, fed them or wiped a messy bottom. But those days of parental personal care are long gone by the time shaving becomes part of the routine.

Shaving is the hairiest of issues when it comes to Elliott’s personal care. Elliott is blessed with his 6’6″ in height from me and his thick, dark, fast-growing Iberian hair from his mother. While this makes him the definition of a tall, dark, handsome stranger, it also makes it difficult to control his face fuzz.

The situation is exacerbated by the fact that Elliott finds the act of shaving unsettling at best, distressing in the main and terrifying at worst.

It’s not just electric shavers; all personal care faces resistance. Teeth are brushed briefly and nails clipped while he is asleep – but shaving is the hardest.

Over the years, we have developed a complicated choreography that guides our morning shearing.

After his shower, I take the shaver. Attempts to have Elliott hold it ended when he tried to shave his tongue.

So, instead of Elliott holding the shaver, he holds my arm. Hard. Some days, he allows me to move my arm towards him. Some days, he holds me at an arm’s length so long a falcon could comfortably land there.

Eventually, Elliott indicates he’s ready and directs the shaver to his right cheek – the easy side, usually done in under a minute..

Then the dance begins.

All personal care faces resistance. Teeth are brushed briefly and nails clipped while he is asleep – but shaving is the hardest

Elliott hates having his left side shaved. He hitches his shoulder up to evade me. He pushes my arm away after the briefest of strokes. He steps back. And to the left. And back. And to the left.

So we go around and around in a circle. For 20 minutes, we circle each other in a barbershop ballet.

They say Ginger Rogers did everything Fred Astaire did but backwards and in heels. Well, I think the dance I do with Elliott is equally impressive.

If all of this sounds a faintly ridiculous way to begin each day, believe me it feels it.

We’ve tried all sorts of different ways to solve this problem but, each time, we default back to me and my adult son twirling his stubble away.

And, as silly as this situation is, the truth is that I’m the only one who knows the steps to this dance.

I was recently lucky enough to go on holiday for two weeks. I returned to find that he hadn’t let his mum shave him at all and now resembled some kind of wild beast.

It took nearly six hours over the following days to pare back the Brian Blessed-style beard that had sprung up.

In truth, there are probably hundreds of routines like this that we have developed as Elliott’s carers.

Strange ways of doing simple tasks that mean it takes 10 times longer but is the only way to get the job done.

And, while none of them might be how a CEO starts their day, they are the only way to set Elliott’s day up for success.

Tale of old oak is a treat for all senses

Wood smoke and rainy storms evoke loss and renewal in a primeval forest. Simon Jarrett lets himself be immersed

Frozen Light production

The Ancient Oak of Baldor

Frozen Light Theatre

Tramshed, Woolwich, London

April 2025; UK tour into 2026

Frozen Light is a company that creates original multi-sensory theatre for people with profound and multiple learning disabilities.

Its intentionally small audiences become part of an immersive world in which they see, hear, taste,
smell and touch what is going on around them.

There is music, dance and singing, the songs at times specifically aimed at individual audience members, performers gathering and singing to them, including their name as they sing.

With subtle lighting changes and close-up, compelling sets, the audience find themselves not passively watching a performance but very much participating in it and part of its world.

When I reviewed Frozen Light’s The bar at the edge of time in 2023 I described it as “exhilarating… original… cool… fabulously detailed” (Louche and luxurious, Spring 2023).

Returning two years later to see their latest production, I wondered if they could manage to hit such heights again.

I needn’t have worried.

The Ancient Oak of Baldor is set in an early, mythical, primeval forest with the huge, beautiful old oak tree at its centre. The people of the forest, as rooted in this land as the tree, have gathered to witness “the great cracking”, when the tree opens up and we see what lies within.

A story of loss and renewal and readaptation unfolds as we see Elspeth, who was hoping to see Lars return on this day, engage with the grief of his non-appearance.

There are some amazing, thrilling moments. When there is a storm, you don’t just see and hear it – rain falls on your face, the wind wafts towards you and the thunder rumbles in your ear as the lights dim around you.

Sniff, touch, eat, drink

Smoky, burnt wood is brought close for you to smell and there is moss to feel and sniff. The sense of smell is the most evocative of the senses, able to retrieve deeply stored memories and emotions.

For me this recalled woodfires that burnt at evening cooking time when I was a teacher in rural Kenya many years ago.

A small plate of food and drink, with a variety of textures and scents, is brought for each person first to touch and sniff, and then to eat or drink if they wish.

The whole experience is truly immersive.

Frozen light production
Photo: JMA Photography

Frozen Light brilliantly and subtly guides their audience to engage with underused senses and deep memory at a very profound and contemplative level – something we 21st century urban sophisticates are usually very bad at doing.

The effect on those present was magical. The gradual rise in engagement of the audience members was a very powerful and moving thing to observe.

Mostly starting with some trepidation and nervousness about what was happening, each person was gently coaxed into this sensory world of beauty, drama, memory and new experiences.

The cast of just three – Jake Oldershaw, Ting-Ning Wen and Hazel Simmons – are not only a multi-talented bunch, singing, dancing, acting and playing instruments, but also highly expressive and sensitive performers who engage with their audience in such a way as to cause no alarm or distress.

They win their confidence with a display of great empathy and are very alert to any risk of unwelcome intrusions into people’s space.

It is a warm, kind and gentle performance, but also does not hold back from creating some startling and dramatic effects.

Kat Heath’s set design and the lighting and other technical effects are near perfect.

Ancient Oak is part way into a 50-venue tour. If you know anyone who you think could be part of the audience for this show, I cannot recommend it highly enough.

When neglect is built in

The enjoyment of something as basic as eating can be compromised by social segregation and dental care so poor it could amount to systemic violence, argues Sara Ryan in this extract from her latest book

Eating together with family and friends is an internationally accepted activity that involves being sociable, togetherness, belonging and learning about social and cultural norms.

A Swedish study of the mealtimes of people who lived in group homes or supported living found people appreciated the rare occasions where staff members ate with them.

The study found: “According to the staff, food is often a topic of discussion [among the residents], and so were requests to eat together in the common eating area to which those with supported living as well as participants living in the group homes had access. They also began talking about sharing Christmas meals early in the autumn.”

There is a refreshing example of someone living in a group home inviting a neighbour in the same home for a meal and then sharing the meal “in silence”. Restrictions on opportunities to share meals were imposed by staff when people were seen as unruly or too noisy to eat with others.

Rules around staff eating food paid for by public funds allocated to people with learning disabilities reduced opportunities for people to eat together.

This generated feelings of awkwardness on the part of staff who would sit and read a newspaper or do some other distracting activity so as not to stare at the person eating.

Some staff rejected eating with the people they supported or even using the same plates and cutlery. The study found people with learning disabilities wanted more opportunities to eat with other people although this was not always possible outside group homes.

Related to eating is the likelihood that people with learning disabilities will have no or fewer natural teeth than non-disabled people. A tendency to extract rather than fill teeth offers further evidence of systemic violence.

Edentulous – the term for having no natural teeth – among people with learning disabilities has been attributed to the overuse of antipsychotic medication.

This can leave people’s mouths dry and susceptible to decay, poor dental hygiene and resistance to dental treatment. Tooth removal is a preventable inequality which has substantial impact on someone’s quality of life, including the enjoyment of eating, yet this is rarely considered.

Neither, it seems, is the use of dentures or dental implants.

I remember reading with horror about the dental experiment the Vipeholm institution, Sweden, in the 1950s. This involved giving toffees to the children with learning disabilities who lived there – across nine years – to study the effect on tooth decay.

A largely unrepentant plaque collector from the study wrote his reflections about the experiment 50 years later.

He attributed the high number of citations the study has to the design and execution of the research. For example, the institution enabled well-controlled conditions, and the results were supported by supplementary studies.

In responding to criticisms about the ethical implications of the study, he concluded with two trite sayings: the end justifies the means, and it is easy to be wise after the event.

There is some poignancy that the unnecessary loss of teeth continues to be replicated 70 years later

While this is not the only example of the abuse of people with learning disabilities in pursuit of scientific knowledge, there is some poignancy that the unnecessary loss of teeth continues to be replicated 70 years later.

Once again, evidence generated from the harm of people with learning disabilities is used to further the health and wellbeing of the mainstream population without benefiting those who were harmed.

The children at Vipeholm also experienced higher mortality rates during World War Two because of their higher support needs around eating and staff shortages.

Again, it is not difficult to identify examples of social murder.

Family caring to the end of life

Caring for an autistic person is lifelong and can include managing serious illness in later life. In this extract from her family memoir, Caroline Elton describes supporting her brother Lionel

Looking after book cover

Looking After: a Portrait
of My Autistic Brother

Caroline Elton

Hutchison Heinemann, 2025

Despite the changes over the course of Lionel’s lifetime – the improvements in diagnosis, the special schools, the holiday clubs, the support for siblings, the designated employment schemes for autistic people, the housing complexes, the relationship: training – despite all this good stuff, end-of-life care for the autistic population is still almost completely overlooked.

In the public imagination, autism is a Peter Pan condition affecting those who remain children for ever, rather than being understood as something that is lifelong and will affect how a 70-year-old man responds to a diagnosis of leukaemia.

Little attention to older age

Even amongst academics, there’s shockingly little research on this topic, despite there being tens of thousands of academic papers covering different aspects of autism.

And there’s also a huge literature on end-of-life care. But there’s only one paper across all these tens of thousands that has looked at how end-of-life care should be adapted to best meet the needs of autistic patients.

This groundbreaking study from the US focused on helping autistic people to write their living wills so that they have a voice in determining how their end-of-life care is managed.

The study authors took a standard template for living wills and replaced the open-ended questions (e.g. What matters most to you?) with concrete options that included aspects of care that might not be so relevant to neurotypical patients, such as being able to maintain one’s routines or having access to items that one finds comforting.

This is an important step forward, but it’s just a tiny beginning. Enabling autistic people to have a good death extends far beyond helping them with living wills, important though that is.

Responses to care

Lionel’s autism impacted on so many aspects of his care, including how he responded to touch, pain, unfamiliar clinicians visiting his bedside, understanding the information he was given and waiting for procedures.

What became obvious as we supported him through his illness was that the needs of autistic people for continuity, calm, quiet and predictability pull in one direction, while the demands of treating a disease like leukaemia pull in another.

Autistic patients have an equal right to receive the best treatment for cancer available.

But access to treatment isn’t the end of the story; we need to spend much more time thinking about how we can make the experience of receiving these treatments less aversive for neurodivergent patients.

We knew from Mum’s funeral that, while she and Dad were buried next to each other, there was no space on either side of their graves. If Lionel was buried in the same cemetery as Mum
and Dad, he wouldn’t be anywhere near them.

Needs for continuity, calm, quiet and predictability pull in one direction, while the demands of treating a disease like leukaemia pull in another

Liz [my sister] and I couldn’t bear to think of Lionel resting for all eternity on his own, next to complete strangers. We opted, instead, for cremation.

While Mum left no specific instructions, sometimes, when feeling particularly maudlin, she’d remark to Liz and me that nobody would come to Lionel’s funeral beyond the two of us and a couple of cousins.

She couldn’t have been more wrong. The large hall in the crematorium contained so many people that some were left standing at the back.

There must have been a hundred people there including: staff from the lunch clubs he attended; the Reserve Power [advocacy organisation] advocates, together with some of their other clients; residents from the sheltered housing complex where he lived; colleagues from places where he had worked over the previous 30 years; staff from the Maudsley Hospital who had supported him for decades; family members; my friends and Liz’s friends.

We even received a condolence card, delivered by hand to Lionel’s block of flats from the high-street branch of Tesco where he went to get his breakfast every morning.

Nothing off the table

Celebrities face a shower of eclectic questions by learning disabled interviewers on a TV show. It’s both very funny and deadly serious, but is there a tinge of the king’s wise fool? Simon Jarrett tunes in

Jade Thirlwall

The Assembly

ITV

April 2025

Singer/songwriter Jade Thirlwall (once of pop group Little Mix) sits nervously among a group of around 15 interviewers.

One of them stands up. “You”re part Egyptian yeah? There”s something I want to ask you and maybe I shouldn’t but I’m going to anyway.” Thirlwall’s nervousness ratchets up a notch, as does the tension in the room.

“OK,”she replies hesitantly.

“So,” the questioner continues, “did aliens build the pyramids?”

Welcome to The Assembly, a new TV show where a “collective of autistic, neurodiverse and learning-disabled interviewers” ask questions of an invited celebrity.

There are three rules. No subject is out of bounds, no question is off the table and anything might happen.

The format originated in France, where president Emmanuel Macron was famously asked if he thought it was good role model behaviour to marry his teacher.

The BBC ran a pilot but, inexplicably, passed up on the chance to turn it into a series, and it has been snapped up by ITV.

In the first three episodes, as well as Thirlwall, actors Danny Dyer and David Tennant appear.

Danny Dyer
Photo: Soccer Aid for UNICEF/Wikimedia Commons /CC BY 3.0 unreported

In a fine moment, Dyer was asked why he had called former British prime minister David Cameron a “tw*t”.

This referred to a legendary moment live on Good Evening Britain in 2018 when Dyer accused “that tw*t Cameron” of scuttling off for a holiday in Europe after causing the Brexit mess, and “sitting in Nice with his trotters up”.

Dyer gave an equally sweary reply to justify his original sweariness. “Why do you swear so much?” asks a woman sitting next to him.

Dyer mumbled something about having been brought up by strong sweary women. “I don’t swear,” she tells him.

The questions are magnificently eclectic. Tennant is asked if he believes in God, how it felt to be rejected from Taggart 16 times, and what his skincare regime is.

Thirlwall is probed over “selling her soul” after being on The X Factor, her teenage eating disorder and whether she has trapped wind.

Dyer is asked how working class it was to send his son to private school, and whether he and his wife still have a joint bank account following his ejection from the family home some years ago (they are since reconciled) over his drug and drink addictions. One interviewer asks if he fancies a fight.

It is this unpredictable shower of questions that disarms the victims and draws replies they would probably not give to any other interviewer or in any other format.

This gives the show its power and its ability to be both very funny and deadly serious, humorously casual and deeply probing.

Tennant said that he had been asked questions that he would have walked out on in a conventional set-up, but felt compelled to answer here. Is there a problem with this?

Why would Tennant feel he has to answer questions from neurodivergent and learning-disabled people that he wouldn”t answer from anyone else? Does he not want to upset them?

Are there some uncomfortable echoes of the historical idea of the wise fool, who could whisper things in the ear of a king that no one else would be allowed to say?

Such caveats and questions have to be considered, but they don’t seem to bother the interviewers, who relish their chance to be up close and dissect the personalities of their chosen celebs.

The interviewees seem to enjoy the honesty and kindness with which they are picked apart.

“This is my favourite interview I’ve ever done,” says Thirlwall.

“This show is going to be f*cking massive,” says Dyer – with an apologetic glance to the woman next to him.

Medieval assessments

Few records of people with learning disabilities in the middle ages exist – unless they owned or would inherit land. Susanna Shapland looks at how their ability to look after estates was tested

Medieval farming

It is difficult to identify learning disabled individuals in the world of medieval England. They were less visible than the “mad” – theologians and philosophers wrote on whether mental affliction was the result of sin and a punishment from God.

This is partly because medieval society appreciated the difference between “lunacy” and “idiocy”. Learning disability was understood to be a lifelong condition and therefore incurable, so of no interest to the medical profession.

This also made the clergy accept learning disability and the “natural fool” – someone they acknowledged was born learning disabled – as part of God’s plan. To criticise the natural fool would be to criticise God.

Instead, court and administrative records make learning-disabled individuals visible to modern readers. While the fixed nature of their disability may have saved them from the scrutiny of medics and priests, a particular group – those who owned or would inherit land so had responsibilities – were the concern of their communities and, ultimately, the crown.

This was because the crown claimed guardianship of all so-called “idiot” landholders, so had a vested interest in seeing their lands properly administered.

Understanding of learning disability was practical, shaped by the necessity for an individual to fulfil their role in a society where close-knit communities were sustained by functioning and responsible landowners.

Those who were seen to be failing to carry out their responsibilities by not properly managing their lands or affairs, or by making decisions their heirs considered detrimental to their interests, would be brought up in front of officials to be tested.

Tests were pragmatic, designed to assess common sense, orientation and memory in a largely illiterate society where a good memory was crucial.

Subjects had to name the town where they were on trial or family members, or perform tasks such as measuring cloth or identifying coins to see if they could be trusted with money.

If they could not do these things, they were deemed unlikely to make sound decisions on managing their goods and lands, vulnerable to exploitation or liable to make unwise financial decisions or forget the duties associated with their estates.

The crown claimed guardianship of all so-called ‘idiot’ landholders, so had a vested interest in seeing their lands properly administered

Passing tests made the subject “wise” and free to continue administering their estate. If these tests were failed, guardians would be appointed to manage their affairs – and often the subjects themselves.

Those who failed were usually described as idiots. The label of idiot covered several types of person in medieval England; the understanding of idiocy then was not directly equivalent to that of learning disability today.

Idiots also included those who experienced mental aberration sporadically (perhaps as a form of schizophrenia or a stroke) or as a characteristic acquired with age (such as a form of dementia) who as a result were unable to manage their goods, lands or selves.

It also included a more general definition of a sane person who just made bad or foolish decisions. The point was that poor decisions were made, so the individual was an idiot.

Every individual who came to trial was examined as just that – an individual. The priority was keeping society functioning rather than labelling and pathologising people.

The process was pragmatic, with people tested only when their actions were considered problematic for their dependents and community, and the labelling dynamic and fluid as a result.

Those who had mild learning disabilities often went unnoticed in a largely illiterate society that prioritised strength and diligence so they, along with those who were without lands or responsibilities to manage, were left in the care of their families and communities,
and are therefore less immediately visible to modern historians.

Further reading

Metzer I. Fools and Idiots? Intellectual Disability in the Middle Ages. Manchester University Press; 2016

Metzer I. “Will-nots” and “cannots”: tracing a trope in medieval thought. In: McDonagh P, Goodey CF, Stainton, T, eds. Intellectual Disability: a Conceptual History. Manchester University Press; 2018: 45-63

Community Living news: boosting our board of trustees

Three new expert trustees have joined the charitable board that publishes Community Living magazine.

New Community Living Trustees

The board is strengthened by the appointment of Shaun Webster, human rights campaigner and self-advocate, Michael Donlevy head of programme, Centre for Learning Disabilities Education at City Lit, and Rhidian Hughes of VODG (Voluntary Organisations Disability Group).

The trio bring their experience, expertise and rights-based values to the board. They will work alongside existing trustees to support the editorial team and the strategic direction of the digital magazine.