Working conditions - Catering for disabled health students

Disability legislation sets out a clear duty to the health sector to make ‘reasonable’ adjustments for health workers and students.

But determining what is ‘reasonable’ depends on a number of factors: type of placement; cost implication and who would be liable; availability of staff or other resources; and practicality of making the adjustment (is it practical to make a major change if the student is only there for a short observational placement?).

The ultimate decision is subjective. Who should determine what is ‘reasonable’ is not clear. Should it be the education provider, placement provider or a shared decision involving the student?

A Health Professions Wales conference in December identified the following good practice.

First, there should be clear partnership working between education and placement providers. Adjustments should, where possible, be agreed in advance of placement between education, service and the student. Adjustments must be kept under constant review.

Assumptions about impairments and adjustments must be avoided. What worked for one person does not necessarily work for someone else with the same type of difficulty.

Mentors and practice-based teachers should have disability equality training and guidance in supporting individuals with specific learning needs.

The education provider should work with mentors of disabled students to prepare for their placements. The students should visit prior to their placement to discuss their needs with their mentor/supervisor.

A central point should be established to advise health education and placement providers on making adjustments, thus ensuring consistency nationally.

Where there is a cost implication for an adjustment, the education and service provider should establish who is responsible for meeting it. If a placement provider is not able to make adjustments, an alternative placement should be sought.

Trust-based disability advisory groups should also be established.

More information

Read the longer version of the article, including contacts and further resources