SUMMARY OF CRITICAL SUCCESS FACTORS FOR IMPLEMENTING AND MONITORING NATIONAL DISABILITY STRATEGIES Introduction The focus of the Centre for Disability Law and Policy’s research project Advancing the National Disability Strategy: Building on Comparative and International Innovation has been to identify critical success factors which improve the efficiency of National Disability Strategies. Based on a comparative analysis of National Disability Strategies in 11 countries1 (and evidence from literature on strategic management and new public management) this research has shown that the critical success factors listed below are proven ways in which these strategies can be made more effective. This document highlights the actions which state actors (e.g. government departments, public bodies, etc.) and community actors (e.g. people with disabilities, families, activists, support organisations) can take to further each individual success factor and advance the National Disability Strategy as a whole. This division between community and state actors is used for the purpose of simplification, as it is clear that many individuals and organisations may find themselves playing both roles in various circumstances. However, it is important for each individual, organisation or body to consider where it should position itself to achieve the best outcomes in advancing the National Disability Strategy. Examples of best practice in Ireland and abroad are highlighted below to illustrate how these success factors can operate. 1. Leadership Leadership in progressing a National Disability Strategy needs to be demonstrated both by community actors (people with disabilities, families, 1 The countries examined are as follows: Australia (especially the State of Victoria), Bolivia, Canada (especially the Province of British Columbia), England and Wales, Ireland, New Zealand, the Philippines, Portugal, Slovenia, South Africa and Sweden. However, exceptional examples from countries which do not yet have a National Disability Strategy but are in the process of developing one are considered where relevant for examples of best practice, in this document and throughout the broader study. 1 disability organisations, etc.) and by state actors (government departments, public bodies, etc.) to ensure successful implementation. State Actors Take responsibility for progressing the aims of National Disability Strategy, not just within one specific remit, but as a collective effort Provide opportunities for people with disabilities to further their leadership, communication and negotiation skills Be open with people with disabilities about what can be achieved in the current climate – people are more likely to accept these decisions if they can understand the reasoning behind them Provide a forum for rational public debate on issues of disability inclusion Promote state actors as ‘learning organisations’ where mistakes are learned from to produce better outcomes – and learn from positive leadership in the community sector Community Actors Starting at local level, make connections with other local communities and learn from what they have achieved – argue for this to happen in your local community Form networks at local, regional and national level on broad issues of importance to people with disabilities Decide who should represent you on local and national disability consultative groups, bring issues to them and ask for feedback on progress Present a coherent voice on key issues of national importance Examples of Best Practice 2 State level: Office on the Status of Persons with Disabilities (OSDP), South Africa (now incorporated into the Ministry of Women, Children and Persons with Disabilities) The OSDP was introduced under the ministry of the deputy president as part of the Integrated National Disability Strategy and subsequently relocated to the president’s office. This move occurred in an attempt to provide the Office with greater leadership and responsibility – particularly in co-ordinating the efforts of all government departments to achieve the aims of the Integrated National Disability Strategy – published in 1997. The Office published a seminal study examining progress made in implementing the National Strategy after 10 years – which draws information from several different data sources and contains recommendations for aspects of the strategy which should be prioritised in the forthcoming implementation plan for the Convention.2 Finally, the Office has amalgamated into a newly-created Ministry of Women, Children and Persons with Disabilities, where it hopes to have a more significant impact in cross-departmental coordination and develop more opportunities for strategic implementation, in line with South Africa’s ratification of the Convention. Community level: Participation and the Practice of Rights Project This project supported a group of service users and parents (the Public Initiative for the Prevention of Suicide/Greater Shankill Rights Group) to campaign for the Introduction of a “Card Before You Leave” policy for mental health service users presenting to emergency services in Northern Ireland. The campaign was based on the international human right to the highest attainable standard of mental health. Effective leadership skills were demonstrated by securing the support of high profile individuals, including Paul Hunt, the UN Special Rapporteur on the Right to Health, and publishing a list of indicators devised by the groups’ participants to measure the Office on the Status of People with Disabilities, Disability Inputs – Ten Year Research: Impact of Government Policies Towards People with Disabilities – Final Report (Cape Town: OSDP, 2003). 2 3 progressive realisation of the right to the highest attainable standard of mental health in the local community.3 2. Participation of People with Disabilities in Implementing and Monitoring the National Disability Strategy Meaningful engagement and participation of people with disabilities throughout the development and delivery of policies affecting them can lead to more effective implementation. Literature on community development also highlights the practical benefits of participatory evaluation approaches which involve people with disabilities in policy development, including financial costs saved or avoided in the long term by establishing appropriate solutions at an early stage, improved public image, and greater public acceptance of projects and programmes and improved communications saving staff time.4 Therefore, it makes economic sense for countries to establish participatory approaches to policy development and implementation, in addition to the principled reasons, emanating from the CRPD, for developing such an approach. State Actors Be receptive and willing to listen to what people with disabilities have to say Ensure skills-transfer so that people with disabilities are equipped to meaningfully participate in discussions on legislation and policy (communication, negotiation and persuasion) Establish meaningful opportunities for people with disabilities (especially those who can be harder to reach such as the deaf community and people with intellectual disabilities) to participate directly in policy development and implementation (e.g. through consultative groups in government departments and state bodies) McMillan, F. V., Browne, N., Green, S., Donnelly, D., “A Card Before You Leave: Participation and Mental Health in Northern Ireland” (2009) 11(1) Health and Human Rights: An International Journal 61. 4 See for example, InterAct, Evaluating participatory, deliberative and co-operative ways of working (Brighton, InterAct Evaluation, 2001). 3 4 Community Actors Develop opportunities (independent from government) where people with disabilities and family members can have a say about public policy e.g. Disabled Persons’ Parliament Support people with disabilities to participate in decision-making within community organisations, local bodies, service providers, etc. Examples of Best Practice State level: Equality 2025 – Direct Representation in an Advisory Body Equality 2025 is a group of individuals with disabilities from diverse backgrounds who advise government on matters relevant to people with disabilities through the mechanisms in place in the Office of Disability Issues (ODI) located within the Ministry of Work and Pensions). The individuals in question are selected in an open and transparent process by the ODI – as the positions are advertised to the public and anyone with a disability is eligible to apply. Each member is appointed for a period of three years and their terms of reference have been set out in a memorandum of understanding between ODI, Equality 2025 and the Minister for Disabled People.5 In selecting the group (which consists of not more than 25 individuals) the ODI has regard to the different experiences of various disability communities and also to other factors which can compound disadvantage (e.g. gender and race). This group has been actively involved in the Roadmap to 2025 initiative, which aims to secure equal life chances for disabled people by the year 2025. Community level: New Zealand National Assembly of People with Disabilities (DPA) 5 Equality 2025, Memordandum of Understanding between Equality 2025 and the Office for Disability (London: Office for Disability Issues, 2009). 5 The DPA grew out of regional coordinating councils for the disabled throughout New Zealand, which formed a national body (the New Zealand Council for the Disabled) in 1978. Following the seminal Rehabilitation International Conference in Winnipeg in 19806, the Council developed into the DPA which produced a new Constitution in 1983 requiring a majority of the Executive of DPA to be persons with disabilities. Although representatives of service providers can be members of the organisation and attend meetings, they are not allowed to vote on measures, thus addressing the potential for power imbalance between individuals with disabilities and service provider organisations within the assembly. The DPA has taken a particularly active role in relation to the New Zealand Disability Strategy and includes a message to people with disabilities in annual progress reports on the Strategy compiled by the Office of Disability Issues.7 This message acts as a form of shadow reporting mechanism – setting out the DPA’s perspectives on how much progress has really been achieved and highlighting key priority areas for action in the coming year. 3. Integrating the National Disability Strategy with Domestic Implementation of the Convention on the Rights of Persons with Disabilities (CRPD) Ireland was one of the first countries to sign the CRPD, which it did as soon it opened for signature on 30 March 2007.8 Progress towards ratification is still ongoing at the time of writing and is occurring in tandem with the implementation and monitoring processes for the National Disability Strategy. The Irish government has identified the National Disability Strategy as the main mechanism for implementing the Convention at grassroots level, stating that “the NDS … continues to be the focus of Government policy and its implementation, which is ongoing in spite of current economic circumstances, 6 14th World Congress of Rehabilitation International, Winnipeg, Canada, 22-27 June 1980. See for example, Minister for Disability Issues, Work in Progress 2009: The annual report from the Minister for Disability Issues to the House of Representatives on implementing the New Zealand Disability Strategy (Wellington: ODI, 2009), p. 3. 8 See UN Enable, The Convention and Optional Protocol Signatures and Ratifications available at <http://www.un.org/disabilities/countries.asp?id=166> (last accessed 19 July 2010). 7 6 will also provide the basis for implementation of the UNCRPD.” 9 The Department of Justice, Equality and Law reform, in its report to the United Nations High Commissioner for Human Rights on implementation of the CRPD, has also stated that: “[t]he Irish National Disability Strategy already meets a considerable proportion of the UNCRPD’s requirements.”10 Following ratification, Ireland will have to assign a national focal point for implementing the Convention (within government)11 and develop a monitoring framework to oversee implementation at national level (including one or more independent mechanisms).12 Creative ways of aligning and adapting existing focal points and monitoring processes (such as the Office of the Minister for Disability and Mental Health, the National Disability Authority, the National Disability Stakeholders Monitoring Group) to reflect the principles and obligations outlined in the Convention should be considered – before ratification occurs, if possible. Evidence from other human rights frameworks, especially in the realm of socio-economic rights, demonstrates that international human rights norms can be made meaningful at domestic level and lead to more effective implementation of domestic law and policy. 13 An integrated approach to implementing the CRPD and the National Disability Strategy also makes sense from a pragmatic perspective, as it reduces duplication and ensures that those responsible for compiling state reports under the CRPD are informed and involved in domestic processes for change. The requirements of the Convention can also serve as an opportunity to reconsider the rationale 9 Directorate-General for Employment, Social Affairs and Equal Opportunities, Draft Third Disability High Level Group Report on the Implementation of the UN Convention on the Rights of Persons with Disabilities (Brussels: European Commission, 2010), p. 49. 10 Department of Justice, Equality and Law Reform, The position in Ireland: Implementation and Monitoring (Dublin: Stationery Office, 2009), p. 1 as part of the OHCHR study on National Frameworks for the Promotion and Protection of the Human Rights of Persons with Disabilities. 11 Article 33(1), CRPD. 12 Article 33(2), CRPD. 13 One important example of this is the work of the PPR Project in Belfast, highlighted above. See Participation and the Practice of Rights Project, Rights in Action: Changing Mental Health Services 28th November 2007 Findings of the International Panel (Belfast; Dublin: PPR Project, 2007). 7 for existing structures, and whether these are achieving their intended purpose. State Actors Choose focal points for the CRPD which can link implementation of the Convention with progress in delivering the National Disability Strategy Consider reframing National Disability Strategy in light of the principles of the CRPD and publishing an implementation plan for the CRPD based on the National Disability Strategy Ensure that monitoring frameworks for the CRPD are linked with existing monitoring mechanisms for the National Disability Strategy Community Actors Contribute to implementation and monitoring mechanisms at national level for both the National Disability Strategy and the CRPD Integrate the principles of the CRPD into domestic debates about reform and the National Disability Strategy Work together to develop shadow reports for Ireland to the Committee on the Rights of Persons with Disabilities Examples of Best Practice State level: Australia’s proposed National Disability Strategy Australia is currently developing a National Disability Strategy to align with its ratification of the CRPD and a draft strategy was published in July 2010.14 The original discussion paper on the National Disability Strategy which was released in 2008 stated that: “The National Disability Strategy will provide a national framework for new and existing work being progressed by the Commonwealth, State and Territory Governments. The Strategy will build on 14 Council of Australian Governments, National Disability Strategy 2010-2020: an initiative of the Council of Australian Governments (Barton; Australian Capital Territory: COAG, 2010). 8 the whole-of-government initiatives currently underway in jurisdictions. States and Territories have agreed to work with the Commonwealth to help develop a clear reporting framework that will align with the United Nations Convention on the Rights of Persons with Disabilities and the National Disability Agreement.”15 Since the final National Disability Strategy has not yet been published it is difficult to assess its level of coordination with domestic measures to implement and monitor the CRPD; however, there are positive indicators which demonstrate that the government’s approach to implementation may be well thought out. For example, according to the proposed monitoring framework in the draft National Disability Strategy, qualitative data on life outcomes for people with disabilities in a range of areas will be collected to monitor the strategy’s progress.16 This will feed into two-yearly government progress reports on the strategy and in turn inform Australia’s state reports to the Committee on the Rights of Persons with Disabilities. Community level: Finland – Shadow Reporting Civil society is generally quite involved in reports prepared by the Finnish government for international human rights treaty monitoring bodies, and provides views to government on the information to be included in such reports. Interested civil society representatives are invited to attend a discussion on each draft report before its finalisation by the state. Civil society is also active in conducting shadow reporting in relation to a number of human rights treaties to which Finland is a state party. In relation to disability issues, the Finnish Association on Intellectual and Developmental Disabilities (Kehitysvammaliitto) has prepared a strategy for the implementation of the CRPD in Finland and presented this to government. This strategy and the 15 Department of Families, Housing, Community Services and Indigenous Affairs, National Disability Strategy Discussion Paper (Canberra, FAHCSIA, 2008), p. 9. 16 The focus areas for data collection are as follows: inclusive and accessible communities, rights, protection, justice and legislation, economic security, personal and community support, learning and skills, health and wellbeing. See Council of Australian Governments, National Disability Strategy 2010-2020: an initiative of the Council of Australian Governments (Barton; Australian Capital Territory: COAG, 2010). 9 contributions of people with disabilities, their families, and representative organisations, have been instrumental in the development of the Government Disability Policy Programme currently being prepared – which is in turn based on the principles of the CRPD.17 4. Positive Legal Obligations and Funding Programmes to underpin the National Disability Strategy There is substantial evidence that obliging actors to take proactive measures to combat discrimination against particular groups (e.g. persons with disabilities, ethnic minorities etc.) is proven to be effective in reducing discrimination, especially in the employment sphere.18 The types of legal obligations in question are duties to be proactive in promoting equality (positive action measures, disability equality duties, obligations to include people with disabilities in planning or developing new policies, etc.) rather than rights to end-product services for people with disabilities. This evidence provides support for the notion that legal obligations and proactive duties to combat inequality are effective (whether at micro-level of employment or at macro-level in developing broader public policy). In addition, failure to cost the implementation of National Disability Strategies has been identified as a major barrier to success in a number of jurisdictions.19 Therefore, examples of funding programmes in countries which specify the resources to be allocated to achieve the aims of a National Disability Strategy will be considered, due to their potential to ensure follow-through on key legislative and policy objectives. 17 Directorate-General for Employment, Social Affairs and Equal Opportunities, Draft Third Disability High Level Group Report on the Implementation of the UN Convention on the Rights of Persons with Disabilities (Brussels: European Commission, 2010), p. 37. 18 See Craig, R. L., Systemic Discrimination in Employment and the Promotion of Ethnic Equality (Leiden: Martinus Nijhoff Publishers, 2007). 19 For example, in the 2008 implementation review of New Zealand’s Disability Strategy, the lack of a national implementation plan and linked funding was identified as a serious barrier in making the strategy effective in the lives of people with disabilities. See Litmus, New Zealand Disability Strategy Implementation Review 2001-2007 (Wellington: Commissioned by the Office for Disability Issues, 2008), p. 4. 10 These particular success factors (funding and legal obligations) primarily require action on the part of the State for effective implementation. Therefore, the recommendations and examples of best practice listed here focus on the role of state actors. However, community actors can play an important part by advocating for these measures to be introduced in their respective countries if they do not already exist, and demonstrating that such mechanisms represent best international practice. Legal Obligations This success factor focuses on innovative legal obligations on public bodies to consider how they can advance the inclusion of people with disabilities, assuming that basic human rights of people with disabilities are already protected at domestic level (e.g. via anti-discrimination legislation and legal provision for reasonable accommodation). State Actors Enact legal provisions which require public bodies to plan how their work will impact on people with disabilities, subject to external review and enforcement mechanisms Ensure that these plans are formulated with direct input from people with disabilities Develop appropriate redress mechanisms for those who have difficulty accessing justice (e.g. people in institutions) by assigning powers of inquiry to an independent body (e.g. National Human Rights Institution or Ombudsman) Example of Best Practice: UK Disability Equality Duty 11 The Disability Equality Duty20 places an enforceable obligation on all public authorities in the UK to draft a disability action plan, setting out the efforts to be made to provide more accessible services and to include people with disabilities in all aspects of the organisation’s work.21 This duty has also resulted in disability-proofing of legislation and policy prior to publication. It is important to note that this duty applies to all government departments, public authorities and state bodies equally – as this demonstrates a citizenship approach to disability, rather than assuming that the only policies which have a major impact on the lives of people with disabilities come from the health domain.22 Other important examples of best practice include the Australian Disability Action Plans introduced under the Disability Discrimination Act 1992 (mandatory for public bodies and optional for private entities, all plans registered with the Australian Human Rights Commission), legal duties on key government departments to prepare sectoral plans in Ireland and the use of powers of inquiry by National Human Rights Institutions (or the Ombudsman) to investigate situations where the human rights of people with disabilities are of concern. Funding Programmes States should develop a funding programme to accompany any implementation plan for the National Disability Strategy, with funding linked to outcomes and timelines for completion of goals. In so doing, it is important to 20 Requirement of the Disability Discrimination (Public Authorities) (Statutory Duties) Regulations 2005 (SI 2005/2966). 21 However, some concerns have recently emerged about reduced protection from the disability equality duty based on the introduction of a generic public sector equality duty in section 149 of the Equality Act 2010. See Disability Now, “‘Equality bill disappointing’ says Sir Bert” 29 April 2010 available at <http://www.disabilitynow.org.uk/latest-news2/news-focus/oldnews-focus/equality-bill-disappointing-says-sir-bert?searchterm=disability+bill+dis> (last accessed 1 November 2010). 22 The general duty applies to all public authorities (apart from a small handful which have specific exemptions). It includes government departments, executive agencies and ministers, local authorities, governing bodies of colleges and universities, governing bodies of schools, NHS trusts and boards, police and fire authorities, the Crown Prosecution Service and the Crown Office, inspection and audit bodies and certain publicly funded museums. It also includes any organisation which exercises some functions of a public nature. 12 determine which aspects of the Strategy/Implementation Plan should be prioritised, in consultation with people with disabilities. For example, some aspects of the strategy may need to be in place before other goals can be achieved – and these should be prioritised from a funding perspective. State Actors Consider carefully exactly what should be funded, and whether each allocation of funding has the potential to improve life outcomes for people with disabilities or is merely maintaining the status quo in terms of service provision Develop innovative and creative ways of implementing the aims of the National Disability Strategy in a cost-effective manner in partnership with people with disabilities, their families and those who support them Learn from the experience of community actors (including those in the business community who may have innovative proposals which can promote financial independence for people with disabilities) Work in partnership with a wide range of stakeholders (public and private) to fund the provisions of the National Disability Strategy Example of Best Practice With respect to funding programmes, there are more examples of countries where the lack of an implementation plan and funding programme is recognised as a barrier to successfully delivering a National Disability Strategy than examples of best practice in developing a strategy. Where funding programmes do exist they tend to focus on funding for a discrete element of the strategy, e.g. disability services (such as the Multi-Annual Investment Programme for Disability Services 2006-2009 in Ireland). However, in Australia, the proposed National Disability Strategy in Australia will contain a funding strategy23 – and this will be based on the findings of the Disability Investment Group. This group made up of experts from the world of 23 See Department of Families, Housing, Community Services and Indigenous Affairs, National Disability Strategy Discussion Paper (Canberra, FAHCSIA, 2008), p. 5. 13 finance as well as those with experience of disability and has already submitted its first report which sets out proposals for a national disability insurance scheme, among other recommendations to achieve greater value for money where government and private industry combine to promote the equality and participation of people with disabilities. Since Australia’s final National Disability Strategy has not yet been published, the format of this funding programme remains to be seen, but early indications are that this could give concrete backing to the high level principles which will be contained in the draft strategy. 5. Transparency and Accountability in Reporting on Progress in Delivering the National Disability Strategy In assessing implementation of the National Disability Strategy, it is vital for the State to be frank about progress made, and more importantly, barriers encountered – as identifying these barriers is the first step in dismantling them to ensure more successful implementation. People with disabilities have a right to the relevant information on how the strategy is progressing – and this is also encompassed in states’ obligations under the CRPD to raise awareness about domestic law and policy affecting people with disabilities 24 and provide accessible information on measures adopted.25 Accurate information is also important in managing the expectations of those involved in the National Disability Strategy (whether public or private, individuals, communities or organisation). Every progress report published on the National Disability Strategy can also help to shape the next phase of implementation. It should be noted that transparency and accountability is not only required of state bodies in delivering the objectives of a National Disability Strategy – but of all participants in the process. In order to achieve transparent policydevelopment, implementation and monitoring processes, people with disabilities and their representative organisations must be fully included at all stages of the process, as discussed above. However, where representatives 24 25 Article 8, CRPD. Article 9(2)(d)-(h), CRPD. 14 are appointed, this must be done in a transparent manner – and these representatives must have a clear understanding of their roles. In addition, where private sector bodies are involved in delivering the aims of the strategy, their participation in the reporting and monitoring process should also be conducted in a transparent and accountable manner. State Actors Devise progress report template for all public bodies based on goals in National Disability Strategy/Implementation Plan Publish individual progress reports for particular remits (e.g. transport, education, etc.) at regular intervals and where possible include perspectives from community actors, especially people with disabilities, on progress made Compile Annual Reports on implementation of the Strategy as a whole and use these as a basis for regular review of implementation, timeframes, funding and goals Community Actors Seek information on progress from disability representatives on monitoring bodies for the National Disability Strategy at national, regional and local levels Encourage public bodies (including government departments) to publish information on their websites on progress they have made within their remit to deliver the National Disability Strategy Work together to assess and evaluate information available, offer publication in accessible formats (easy-to-read, Braille, audio files, etc) and disseminate widely using regional and local networks Examples of Best Practice 15 State and Community levels: Sweden’s E-Tool for Local Authority Accessibility The E-Verktyget (or E-tool) developed by Handisam (the Swedish Agency for Disability Policy Coordination) is an example of transparent reporting on accessibility in local communities across Sweden.26 This tool gathers data online from all 21 counties and 290 municipalities to determine levels of accessibility in the work of local government. Anyone can read the results online and this tool also compares data across municipalities and counties, allowing for shared learning and examples of best practice and barriers to emerge. It is usually the responsible officials in municipalities or county councils who publish information on the e-tool; however, there seem to be some opportunities for disability organisations to register as information providers in order to ensure that statements about accessibility reflect the reality on the ground for disabled people in that particular locality. 27 Handisam also publishes what it terms ‘open comparisons’ between government agencies at national level on an annual basis, scoring each agency out of a maximum of 13 points for basic accessibility (developing an action plan, surveying premises, procedures in place) 15 points for information and communication (availability of information in different formats, website accessibility, etc.) and 17 points for commercial accessibility (rating accessibility of the agency’s headquarters).28 Open comparison surveys of all state agencies at national level were conducted by Handisam in 2007 and 2010 – allowing for comparisons of progress made across the various public bodies. 26 See Handisam & Sveriges Kommuner Och Landsting, E-Verktyget (2010) available at <http://www.e-verktyget.se/EService/EServicePage____1000.aspx> (last accessed 10 October 2010). 27 See Handisam & Sveriges Kommuner Och Landsting, Sex sidor om e-verktyget för tillgänglighetsarbete (2010) available at <http://www.everktyget.se/EService/EServicePage____1106.aspx> (last accessed 25 October 2010). 28 See Handisam, Öppna jämförelser 2010 (2010) available at <http://www.handisam.se/Tpl/OpenComparisonSurvey2010____13728.aspx> (last accessed 22 October 2010). 16 State and Community levels: New Zealand Annual Progress Reporting on National Disability Strategy One of the best examples of annual reporting on a National Disability Strategy is the New Zealand Annual Progress Report. These reports are based on annual work plans developed by government departments, state bodies (including the police, Education Review office and Statistics New Zealand) and crown entities.29 Each department or body publishes its own progress report in conjunction with its proposed work plan for the following year, and the Minister for Disability Issues is obliged to report to parliament under the Public Health and Disability Act 2000 to give an overview of progress achieved across all areas of government. As noted above, these reports also contain messages from the New Zealand Disabled Persons’ Assembly (DPA) – which help to give an accurate picture of implementation at grass roots level. Previous reports demonstrated that the rate of implementation was not as swift as people with disabilities expected, and as a result, the 2009 Progress Report identified a number of new objectives to focus implementation on priority areas (resourceful citizens, accessible New Zealand and modern disability supports).30 These reports improve transparency and accountability by acknowledging areas where improvement is crucial and allowing the DPA to contribute towards shaping future priorities for implementation. 6. Mainstreaming Disability Equality – Citizenship and the Lifecourse Approach One of the advantages of mainstreaming disability equality in generic policy development is that this places the focus squarely on the particular domain (e.g. employment, transport) and helps to identify systemic barriers which affect people with disabilities. This provides policy makers with an opportunity 29 These are the Housing New Zealand Corporation, Sport and Recreation New Zealand and Accident Compensation Corporation. 30 Minister for Disability Issues, Work in Progress 2009: The annual report from the Minister for Disability Issues to the House of Representatives on implementing the New Zealand Disability Strategy (Wellington: ODI, 2009). 17 to reassess the purpose of the system in question and whether it is achieving its aim of serving all members of the public. Zola has highlighted the costeffectiveness of adopting a mainstreaming approach, or as he puts it, “universalizing disability policy” as analogous to the idea of universal design (in technology, transport, employment).31 There is also economic evidence which suggests that mainstreaming for gender equality and racial equality improves efficiency in other areas of policy development.32 These findings are analogous to the potential outcomes for people with disabilities where disability proofing and other mainstreaming techniques are introduced. State Actors Proof legislation and policy for potential impact on people with disabilities and ensure compatibility with the aims of the National Disability Strategy Connect provisions of the National Disability Strategy with related initiatives in other fields, including other national strategies e.g. on social inclusion, children and families, older people, etc Create opportunities for active citizenship by meaningfully involving people with disabilities as citizen representatives in the development of all national strategies (e.g. transport, education, employment, etc) Increase disability awareness across public services to ensure that these services are as accessible as possible and as responsive to the concerns of people with disabilities as to those of all other citizens Community Actors Focus campaigns on reform of public systems, rather than on disabilityspecific requirements, e.g. reform of transport/education/employment Zola, I. K., “Toward the Necessary Universalizing of a Disability Policy” (1989) 67(2)(2) The Milbank Quarterly 401. 32 See Craig, R. L., Systemic Discrimination in Employment and the Promotion of Ethnic Equality (Leiden: Martinus Nijhoff Publishers, 2007). 31 18 systems to make these services more responsive to the needs of all citizens, including people with disabilities Form alliances with other interest groups from outside the disability sphere on issues of common interest to campaign for reform Seek representation on management and training bodies of public services to include disability equality perspective in how these organisations work Examples of Best Practice State level: Disability Proofing The Disability Equality Duty in England and Wales and the Disability Action Plans in Victoria (Australia) are good examples of disability proofing as they apply equally to all public sector bodies, regardless of remit, and require all policy-makers to consider disability and accessibility issues in the planning process. Ireland also committed to amend its Cabinet Handbook to introduce disability proofing as part of its National Disability Strategy. 33 However, this has not yet been achieved, as highlighted by the Disability Federation of Ireland in its Pre-Budget Submission 2010 – which argued that funding allocations and arrangements should also incorporate disability-proofing.34 Community level: South Africa – Disability organisations forming alliances with mainstream civil society groups to campaign for broader reform In the development of the new Children’s Bill in South Africa, an alliance was formed between government decision-makers and civil society with the establishment of a Children’s Bill Working Group based on a recommendation by two key civil society organisations: the Children’s Institute and Resources Aimed at the Prevention of Child Abuse and Neglect. This working group Department of An Taoiseach, Sectoral Plans under the Disability Act 2005 – An Overview (Dublin: 2006), p. 4. 34 See Disability Federation of Ireland, 2010 Pre-Budget Submission (2010) available at <http://www.disability-federation.ie/index.php?uniqueID=226> (last accessed 2 November 2010). 33 19 recognised the need for specialist knowledge in crafting proposals for the Children’s Bill, and created sub-groups to fill this gap, including a subgroup on issues affecting children with disabilities, known as the Disability Task Team (DTT). With the backing of mainstream civil society groups such as the Children’s Institute, the DTT succeeded in securing new clauses in the Children’s Act which went far beyond what the disability sector had originally envisaged. One of the key reforms introduced included a provision for children with disabilities to have access to the children’s court inquiry process, which Parliament voted to include in the final Act over the objections of the Deputy Minister for Justice. The reforms secured by the DTT were made possible by the support of other mainstream children’s organisations and the disability caucus in the South African parliament, and ingredients for success in its advocacy methodology have now been compiled by the Children’s Institute to inform the work of other advocates seeking law reform.35 7. Independent Monitoring and Review of National Disability Strategies Many National Disability Strategies rely primarily on self-reporting by government departments and public bodies to measure progress in implementation – therefore, it is important to ensure that this reporting structure is independently monitored to present an accurate picture of progress. As described above, the CRPD requires states to establish a national monitoring framework, including one or more independent mechanisms to promote, protect and monitor implementation of the Convention, which should include an analysis of the role of any existing National Disability Strategy in implementing the Convention at domestic level.36 The Convention also states that civil society, especially people with disabilities and their representative organisations must be involved in the monitoring process.37 35 See Jamieson, L. and Proudlock, P., From Sidelines to Centre Stage: The inclusion of children with disabilities in the Children's Act (Cape Town: Children’s Institute Case Study Number 4, University of Cape Town, 2009). 36 Article 33(2), CRPD. 37 Article 33(3), CRPD. 20 These requirements fit well with evidence from literature on community development which emphasises the effectiveness of “participatory evaluation” of social policy, including strategies to promote disability equality. 38 Many community-based NGOs are using participatory evaluation techniques to assess their own success in working with people with disabilities and increasingly this approach is being adopted to evaluate the impact of social policy in rural areas, with participants/recipients who are traditionally difficult to reach (including children, the elderly, and people with disabilities) and whose voices have not previously been included in similar evaluation processes.39 This approach can be replicated by individual state actors in evaluating the impact of their policies on people with disabilities, and can contribute to a broader national framework for monitoring the implementation of both the National Disability Strategy and the CRPD at domestic level. State Actors Establish a process for independent monitoring/external review of the National Disability Strategy as whole, and its individual legislative and policy components Ensure that this process is accessible and inclusive, with a broad reach to incorporate the views of people with disabilities, their families and supporters Where necessary, adapt existing processes for review of the National Disability Strategy in light of the requirements of the CRPD to establish a domestic monitoring framework for implementation which includes one or more independent mechanisms Community Actors 38 Hasenfeld, Y., Hill, K. and Weaver, D., A Participatory Model for Evaluating Social Programs (San Francisco: James Irvine Foundation, 2002) 39 Kuipers, P. Kendall, E. and Hancock, T., “Evaluation of a rural community-based disability service in Queensland, Australia” (2003) 3 Rural and Remote Health 1. 21 Seek involvement in independent monitoring processes for the National Disability Strategy (as a whole and any monitoring sub-groups for various components) and the CRPD Work together to provide external evaluation and critique of implementation of the National Disability Strategy and the CRPD which is constructive and contains realistic proposals for reform Examples of Best Practice Review of a component of a National Disability Strategy State and Community levels: Review of the Accessibility for Ontarians with Disabilities Act Charles Beer (a former Minister of Community and Social Services who has now retired from politics)40 was appointed to conduct a comprehensive review of the Accessibility for Ontarians with Disabilities Act (AODA) in June 2009 and the report was published in May 2010. This review was the first of a number of five-year reviews which are planned in order to assess levels of progress being made towards the goal of full accessibility for Ontarians with disabilities by 2025.41 Mr. Beer’s experience as Minister has ensured that he is familiar with the issues facing the disability community, and his selection as independent reviewer was commended by the AODA Alliance and many other disability organisations. In carrying out the review, Mr. Beer aimed to ensure an open and participatory process, and to this end almost 90 meetings with key informants (from disability organisations to businesses and government officials) were held, in addition to 4 roundtable sessions with private sector, accessibility groups, transportation sector and the broader public sector, respectively. An online questionnaire was available to any member of a standards development Counsel Public Affairs, People – Charles Beer (2010) available at <http://www.counselpa.com/people/people.php?id=0> (last accessed 20 September 2010). 41 Beer, C., Charting A Path Forward: Report of the Independent Review of the Accessibility for Ontarians with Disabilities Act, 2005 (Toronto: Queen’s Printer for Ontario, 2010), p. 3. 40 22 committee (which include people with disabilities) to fill out, including questions on successes, barriers, and potential improvements. Finally, public meetings were held in a number of locations around the province, to give people with disabilities who experience barriers to accessing public services the opportunity to contribute to the review. These public meetings made full use of the available technology to ensure that those who could not travel to attend the meeting would have their voices here. In so doing, Mr. Beer commented on the need for future disability policy in Ontario to provide for better access to interpreters, real time captioners and personal assistants to ensure that similar inclusive and participatory processes could be conducted across the entire province.42 An open call for submissions was also made and about 60 formal written submissions and hundreds of emails were sent to Mr. Beer in preparing his report on the review. In his final report, Mr. Beer commented: “My review is taking place at a crucial time — a time when a number of stakeholders have begun to express disenchantment with the implementation of the act, the timelines for change and the ability to realize the 2025 vision.”43 He made a number of recommendations on harmonising accessibility standards, renewing leadership for implementation of the Act, establishing an independent advisory body for accessibility standards, strengthening the role of Municipal Accessibility Advisory Committees, and repealing the Ontarians with Disabilities Act 2001 (once the appropriate accessibility standards had been implemented). With the exception of a recommendation to extend the timeframe for the next review of the Act, all of these recommendations were firmly endorsed by the AODA Alliance, which is continuing to lobby government to commit to fully implement the recommendations of the review.44 42 Beer, C., Charting A Path Forward: Report of the Independent Review of the Accessibility for Ontarians with Disabilities Act, 2005 (Toronto: Queen’s Printer for Ontario, 2010), p. 16. 43 Beer, C., Charting A Path Forward: Report of the Independent Review of the Accessibility for Ontarians with Disabilities Act, 2005 (Toronto: Queen’s Printer for Ontario, 2010), p. 42. 44 See Accessibility for Ontarians with Disabilities Act Alliance, Charles Beer Independent AODA Review Report Calls for Stronger Government Leadership on Accessibility and Revamped, Revitalized Process for Developing Accessibility Standards (2010) available at <http://www.aodaalliance.org/strong-effective-aoda/05312010.asp> (last accessed 2 November 2010). 23 External Review of National Disability Strategy as a Whole State and Community levels: New Zealand: Disability Strategy Implementation Review 2001-2007 When the New Zealand Disability Strategy was launched in 2001, it included a commitment to independent review after 5 and 10-year periods.45 The first review was completed in 2007 by an external evaluation and research company Litmus Ltd., commissioned by the Office for Disability Issues. An extensive evaluation of the strategy was undertaken through a whole of society approach, as Litmus note in the Executive Summary of the review: The review involved an analysis of documents related to the Disability Strategy and in-depth interviews with disabled people, disabled persons’ membership organisations, parents of disabled children, disability support providers, central government agencies, local authorities, District Health Boards, tertiary education institutions and lead implementation agencies.46 A number of evaluation objectives and associated questions were also developed to determine how implementation had evolved to date (identifying barriers and enabling factors), reviewing perceived intermediate outcomes on the lives of disabled people (including unintended outcomes), preparing for future implementation of the strategy to 2011 and developing a framework to facilitate a more effective independent review in 2011. At the time of the review, there were disparities between the progress claims made by government departments and public bodies and the expectations and experiences of people with disabilities on the ground. Therefore, with this in mind, the external evaluators developed an outcomes framework to measure progress in implementing the New Zealand Disability Strategy. Minister for Disability Issues, The New Zealand Disability Strategy – Making a World of Difference (Wellington: Ministry of Health, 2001), p. iv. 46 Litmus, New Zealand Disability Strategy Implementation Review 2001-2007 (Wellington: Commissioned by the Office for Disability Issues, 2008), p. 3. 45 24 According to the logic of the framework, outcomes emerge at two levels: Implementation outcomes - Changes in the way stakeholders view, think and act in relation to disability responsiveness, which support improvements to how disabled people are valued, engaged with and supported to participate fully in society. Life outcomes of disabled people - The implementation outcomes ultimately lead to full participation of disabled people in all areas of life. This will be reflected in official statistics, and in the reported experience of disabled people.47 This conceptualisation is particularly important as provides the basis for indicators to be developed in accordance with both outcome measures. The report went on to emphasise disabled people’s frustrations: “disabled people’s perception is that, despite wide implementation activity, little has changed for them in the life outcome areas of health and wellbeing, education, transport, housing and disability supports.”48 To manage these conflicting expectations the report recommended that the government should prioritise implementation activities that are likely to have the greatest positive effect on the lives of disabled people. It also emphasised the importance of measuring how the implementation of the Disability Strategy had contributed to disabled people’s quality of life, optimum level of participation within their communities and value in society. Perhaps the greatest achievement of this independent review is that it clearly identified barriers to implementation and set in motion a process to develop solutions, beginning with the recommendations proposed in the review report. The main barriers to implementation were conceptualised as follows: “Participants noted three overarching challenges to implementation; specifically the absence of a national implementation plan and linked funding; the size and status of the Office for Disability Issues; and society’s attitudes to disabled people. Central government agencies’ internal processes were seen as another barrier to adopting and embedding a disability perspective, and to 47 Litmus, New Zealand Disability Strategy Implementation Review 2001-2007 (Wellington: Commissioned by the Office for Disability Issues, 2008), p. 3. 48 Litmus, New Zealand Disability Strategy Implementation Review 2001-2007 (Wellington: Commissioned by the Office for Disability Issues, 2008), p. 57. 25 implementation.”49 The report proposed a number of indicators for the tenyear review for each of the stakeholders of the New Zealand Disability Strategy, and identified where data sources existed to support these indicators or where new data would need to be gathered. 8. Indicators and Data – Measuring Implementation and Monitoring The term ‘indicators’ refers to a statistical measurement of the impact of various initiatives introduced by a National Disability Strategy, which can be used in order to determine effectiveness of these initiatives and the strategy as a whole. For example, a relevant indicator in relation to employment outcomes from a National Disability Strategy could be the number of people with disabilities employed in the open labour market. The importance of measurable indicators in assessing the impact of a National Disability Strategy on the lives of people with disabilities is evident from comparative analysis, such as that carried out by the Academic Network of European Disability experts.50 The CRPD itself recognises the need for data and statistics to be gathered at domestic level “to help assess the implementation of States Parties’ obligations under the present Convention and to identify and address the barriers faced by persons with disabilities in exercising their rights.”51 This requirement can also be reflected in domestic policy by embedding indicators of disability equality in National Disability Strategies. State Actors Develop a set of indicators in consultation with people with disabilities to measure progress in implementing the National Disability Strategy, based on goals outlined in the Implementation Plan 49 Litmus, New Zealand Disability Strategy Implementation Review 2001-2007 (Wellington: Commissioned by the Office for Disability Issues, 2008), p. 4. 50 See for example, Lawson, A. and Priestley, M., Indicators of Disability Equality in Europe (IDEE): A preliminary list of indicator proposals for discussion (Brussels: Academic Network of European Disability Experts; Human European Consultancy and Centre for Disability Studies, University of Leeds, 2009) 51 Article 31(2), CRPD. 26 Review process of data collection and outcomes from indicator data at regular intervals to ensure the aims of the National Disability Strategy are being met Ensure that indicators have local, national and international relevance, by keeping track of developments at EU level by the Academic Network of European Disability Experts and at UN level in the work of the Committee on the Rights of Persons with disabilities Community Actors Contribute to indicator-development for the National Disability Strategy, using the principles of the CRPD as guidance Facilitate public discussion on the nature of positive life outcomes for people with disabilities based on goals set in the National Disability Strategy/Implementation Plan Use existing community resources to help gather qualitative data on the life experiences of people with disabilities Examples of Best Practice State level: UK Independent Living Strategy: Disability Equality Indicators Disability Equality Indicators were developed to monitor implementation of the UK’s Independent Living Strategy. The main areas covered by these indicators are as follows: disabled children and young people, employment outcomes and opportunities, living standards, discrimination and attitudes, participation in positive activities, access and use of goods and services, accessibility and suitability of housing, crime and justice and independent living.52 The list of indicators has been expanded over time to include new questions on aspects of employment and education and new topics such as poverty. Each topic has an attached list of between 2 and 12 indicator Office for Disability Issues, Roadmap 2025 – Disability Equality Indicators (2010) available at <http://www.odi.gov.uk/roadmap-to-disability-equality/indicators.php> (last accessed 4 November 2010). 52 27 measures and the baseline date for gathering data varies between the topics. However, the information available on the Office for Disability Issues’ website is constantly updated, and includes details on data trends. The information on trends is presented in a very accessible manner – indicating whether data is moving in the right direction, moving in the wrong direction, or remaining constant. The Office for Disability Issues’ website also highlights where there is insufficient data to determine a trend in a particular indicator and gives the most recent publication date of new data in that area.53 State level: Ireland’s National Disability Survey Ireland’s National Disability Survey is also a good example of data-collection which records the experiences and perceptions of people with disabilities (e.g. it records information about attitudes to people with disabilities, and disabled people’s experiences of social participation).54 This survey gathers information on the prevalence of disability based on the International Classification of Functioning, Disability and Health (ICF)55 from a sample primarily drawn from people with disabilities who had identified themselves in the 2006 Census, with a smaller sample being drawn from non-disabled peers. About 17,000 people were interviewed for the survey across all age ranges. Therefore, the information produced is more focused on people with disabilities. However, Ireland’s National Disability Survey does provide a wealth of information on people with disabilities’ experiences in a range of aspects of life. Two reports have now been published by the Central Statistics Office on the National Disability Survey, one on prevalence of disability and types of impairments in the sample studied, and one on more broad-ranging issues of participation in society. The results of the second report cover the following topics: caring and help from other persons, attitudes of other people, transport, built environment accessibility, education, work and training, social Office for Disability Issues, Roadmap 2025 – Disability Equality Indicators (2010) available at <http://www.odi.gov.uk/roadmap-to-disability-equality/indicators.php> (last accessed 4 November 2010). 54 Central Statistics Office, National Disability Survey 2006 – Volume 2 (Dublin: CSO, 2010). 55 The ICF was officially endorsed by all 191 World Health Organisation Member States in the Fifty-fourth World Health Assembly on 22 May 2001(resolution WHA 54.21). 53 28 participation, sport and exercise and general demographic information.56 The findings of this survey are significant in filling the gaps in data available on people with disabilities identified in the National Disability Authority’s 2005 report How far towards Equality? and if future cycles of the survey are carried out these have the potential to measure the impact of provisions in the National Disability Strategy on the lives of people with disabilities.57 Conclusion The success factors and examples of best practice outlined are just some of the techniques which can be used to advance Ireland’s National Disability Strategy – and apply equally to other countries which have or are developing National Disability Strategies as to Ireland. All eight success factors described above are interrelated and a positive performance in one factor inevitably leads to improvements in achieving many of the other factors, as has been noted throughout the analysis above. These eight factors relate to three central themes – consultation and participation of people with disabilities, implementation and reporting on progress, and independent monitoring and review. All three themes are reflected throughout the principles of the CRPD and should form the basis for an effective National Disability Strategy. The conference held by the Centre for Disability Law and Policy on 10 December 2010 aims to highlight these issues and generate discussion on how Ireland’s National Disability Strategy can be reframed and adapted to address the concerns of people with disabilities especially in the current economic climate, and in a manner which is consistent with the principles of the CRPD. Many of the examples of best practice highlighted above demonstrate that it is possible to achieve change in a cost-effective manner without compromising on the ideal of empowering people with disabilities. The most pressing challenge now facing the disability sector and government decision-makers alike is to reach consensus on the change which should occur to improve life outcomes for people with disabilities and to work in Central Statistics Office, National Disability Survey 2006 – Volume 2 (Dublin: CSO, 2010). National Disability Authority, How far towards Equality? Measuring how equally people with disabilities are included in Irish society (Dublin: NDA, 2005). 56 57 29 partnership to achieve this change. Experience in comparative countries has shown that this is a challenge which is common to all jurisdictions, but one which can be overcome, where there is a will to address it. 30