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Dáil Éireann debate -
Wednesday, 5 Dec 1979

Vol. 317 No. 5

Private Members' Business. - Needs of Physically Disabled: Motion (Resumed).

The following motion was moved by Deputy O'Connell on Tuesday, 4 December 1979:
That Dáil Éireann, conscious of the special needs of the physically disabled in Ireland and the present discrimination practised against them especially in relation to employment, social services, housing and other facilities for their welfare, calls on the Government to take immediate steps to improve the quality of life for disabled persons in Ireland.
Debate resumed on amendment No. 1:
To delete all words after "Dáil Éireann" and substitute the following: "recognises the positive measures which the Government is taking to improve services for the physically disabled and is satisfied that it will continue to develop these services to the fullest extent that resources permit."—(Minister for Health.)

I have already mentioned a number of areas in which additional facilities could be made available for the physically handicapped. I spoke about adaptations to public buildings. I want to make the point that those adaptations would not only facilitate the permanently physically disabled but would help those who are mildly handicapped, for instance, those suffering from rheumatism, and people with broken limbs. The adaptation of public transport and public buildings would also facilitate mothers with children, the elderly, people with sight defects and so on.

The grant for specially modified cars for the physically disabled was increased from £500 to £1,000. At the time the grant was £500 it represented a greater proportion of the cost of such a car than does the £1,000 grant today. While the £1,000 grant is a 100 per cent increase, it is illusory in the present context because it represents a smaller proportion of the purchase price of the car than did £500 at the time the grant was introduced. From that point of view the grant would need to be a more realistic one. It was generally agreed during the debate that the requirement that it can only be given to a person who has a job, or, as the Minister suggests, to a person who is in a position to get a job, is no great advancement. The position of those who have to travel to their employment and who do not get a grant is most unsatisfactory.

There are 25,000 to 30,000 persons in receipt of disability benefit. I accept that some of them would be suffering greater permanent physical disabilities than others. Nonetheless, 500 or 600 persons are driving specially modified cars. What happens in relation to the rest of those people who have some disability to the extent that the Minister is prepared to sanction payment of disability benefit to them? These people must have difficulty travelling on existing transport facilities. The £150 mobility allowance which was introduced this year is pitiful and ludicrous. The conditions of that scheme are such that it can only be paid to people who are so immobile that they cannot travel at all. To call it a mobility allowance is a misnomer because it can only be paid to people who are so physically handicapped that they could not be mobile in any way.

In relation to the 3 per cent employment target, the Minister said that a study group have been looking into this matter and that he has now received their report. He should let us hear the details of the report. How many Government Departments and institutions of State have come close to reaching the 3 per cent target? How many of them have come close to reaching 1 per cent? I do not believe that 1 per cent of the employees in the public service or in any semi-State organisation are people who could be regarded as permanently physically disabled. There is a shame on all of us—those in charge of Government Departments, public authorities and so on.

It would be unfair if the debate concluded without extending praise to the voluntary bodies who contribute so much towards improving the lot of people who are permanently physically disabled, some of them without any form of State assistance. The encouragement through State assistance of voluntary bodies is a great way of developing the traditional Irish values of neighbourliness, of care for the disabled, of care for the aged. It is important for the proper development of our society that voluntary bodies should receive every possible form of State assistance. The idea that the State should take over the work of the voluntary bodies is anathema to me and to my party.

A recent French study showed that the loss to the economy at 1976 prices for every disabled person in the community was the equivalent in Irish terms of £150,000, including the loss in earning power. That has been valued at current Irish prices at a loss of £175,000 per person. It is clearly in the State's interest to invest in proper education, training and assistance for the physically disabled, if for no other reason than economics.

I accept the Minister's suggestion that there may not be need for legislation in this area. What he says bears out my contention that there is a need for a will, there is a need for decision and a need for somebody with a commitment to push for something to be done.

I want to conclude by offering ten points to the Minister, ten different areas in which a committed Minister could bring about real improvement for the disabled, a real improvement during 1981, the International Year for the Disabled, that would make us feel that we had done something. The Minister may be in a position to influence matters: (1) To set a time limit on all public bodies after which they would suffer financially through the loss of grants if they did not have proper ramps, proper internal facilities, proper sanitary facilities, wide doors, and light switches at the correct level, so as to assist the disabled to use those public buildings. To conduct a survey of how many public buildings do not have these facilities at present; (2) To require from the local authorities details of the number of houses which have been converted for the disabled, the number of physically disabled persons on their current waiting lists, and the number of houses at planning stage to meet that requirement; (3) To set a date after which the public transport authorities must have modifications carried out to their buses, trains, planes and so on to ensure that the permanent and temporary physically disabled can easily use their facilities; (4) to require a report from every public body, and to issue that report in public, to the embarrassment if necessary of some or all of us, as to how far the public bodies have met the 3 per cent employment content and, having got that report, to set a date obliging the bodies to meet that requirement or suffer the financial consequences; (5) to specially monitor the grant applications made by permanently physically disabled people living in private dwellings, who find extreme difficulty in having those grants expedited at present; (6) to direct that all future planning of streetscapes and new buildings should have built into them a planning requirement for facilities for the permanently disabled; (7) to direct that ordinary school buildings have facilities which would allow the partially or mildly handicapped to use them instead of special schools and to ensure that the special schools have adequate transport facilities so that we do not have the situation where a five year old must leave home at 7.30 in the morning and return at 5 o'clock; (8) to ensure that those who have to stay in permanent long-term institutions should have a reasonable amount of spending money each week so that they are not left with their physical needs catered for but in financial penury for the rest of their lives; (9) to rationalise travel grants for the disabled in respect of the grant for the disabled custom-built cars and the grant for those who have not got cars but who must travel by public transport to their places of employment; (10) to make the Department of Labour the employment agency. The Department of Health should not be the employment agency for anybody. If the Minister is still in position to do that after next week, I would urge him to do it; if the Minister is in a position to influence next week I expect that he should.

I support the Minister's amendment. As public representatives we will never be satisfied with what is being done for the underprivileged. The situation is not as gloomy as it is portrayed. There have been a number of improvements over the last number of years and improvements are taking place all the time. One of the difficulties in this debate is the question of definitions. Last night we discussed the elderly, people in wheelchairs and all the various categories in between. In the EEC the definition of physically disabled is: any limitation, physical or acquired, of a person's physical or mental ability which affects his daily work by reducing his social contribution, his vocational employment prospects or his ability to use public services. That covers the very wide range that we discussed last night and it brings one to the question of assessment. To provide a full range of services it is first necessary to have a register of handicapped persons. Then it is necessary to identify the needs of those handicapped persons, particularly in relation to employment. The Minister stated last night that a survey was being carried out in conjunction with the NRB. Hopefully when this survey is completed we will have a proper register of the people we are hoping to cater for. The health boards, the directors of community care and the NRB can help in this area of assessment which will involve details of age and disability and the social circumstances of the person.

In relation to physically handicapped, categories will have to be set up for the various degrees of handicap. The mentally handicapped are divided into three broad categories, depending on their intelligence quotient. In relation to physical handicap there is a much wider range of disability from the stroke case where a person may be totally or partially disabled, the person confined to a wheelchair, to the person who has just lost a finger, which may not create any major disability. Until we have a full register of the numbers and needs of the handicapped persons it will be difficult to find solutions to all the problems.

The Robins Report suggested that 100,000 persons are affected with long-term disability either mental or physical and that 96 per cent of these people could move around. Of the 100,000 handicapped persons in society about 400 would be totally disabled and 300 would be in wheelchairs. The Robins Report also stated that it is estimated that there are 15,000 people who would benefit from training for work. About 10,000 of these are living in the community and 5,000 are in residential care.

Dr. Kennedy of the Economic and Social Research Institute concluded, on the basis of a cost and benefit analysis, that the State would recover more than they spent on rehabilitation and I am sure we all agree with that. Apart from the human dignity of working, to which everyone fit to work is entitled, by spending money on rehabilitation the State would be rewarded and the money would in time pay for itself.

In relation to training the handicapped person, we must assess whether the person is suitable for open work or for work in a community workshop. If a person works in a community workshop it may be possible that, after a spell there, he would be capable of open employment. Many people could play a role in relation to open employment—the voluntary organisations, general commerce, the public service and many others.

The National Rehabilitation Board play a very valuable part. Their placement service is extremely important and needs to be developed. There are a number of places where handicapped persons can be trained, but the biggest problem is in placing them. An experienced placement officer who can get employment for the handicapped is a very valuable person. This area should be looked at again and training for placement officers should be provided.

In the public service there is a problem because the Civil Service Commissioners Act, 1976, section 17 (c), says that a candidate must be in good health and free from any physical defect or disease which would be likely to interfere with the proper discharge of his duties in that position and possess the physical characteristics, if any, described for the position by the said regulations. This section might have to be changed, depending on one's interpretation. The public service must know which jobs they can offer handicapped persons and the number of persons available to fill those posts. The positions which spring to mind are telephone operator, audio-typist and computer programmer. There are a number of handicapped people, particularly blind people, working as telephone operators. Switchboards with flashing lights are unsuitable for them.

Many countries have blind telephonists, audio-typists and computer programmers. In this country there are a number of computer programmers who pass very rapidly through the public service. There are many more jobs than personnel available. Computer programming is a career which would be suitable for a number of handicapped persons and they would be happy in the service because of the security of State employment.

Before we amend the present Civil Service Act, the public service will have to know the number of handicapped people available for work, the type of work they are capable of doing, and the type of work they can offer to these people.

Housing, the environment, and public buildings were mentioned last night. The entrance to the Office of Public Works should be adapted to facilitate the handicapped. There are a number of steps up to the entrance and a lift or a ramp should be installed. Many of our public buildings are over 200 years old. It is only in the last 30 years that there has been any great development in making the handicapped mobile. It is important that all new public buildings being built should have facilities for the handicapped.

The disabled persons grant for housing is now £2,400, an increase from £800 two years ago. The Department of the Environment give £1,200 and local authorities give £1,200. In 1978, £622,580 were spent by the Department of the Environment on these grants. As regards application forms and assessments by the local authorities some counties, like County Monaghan, have a space on the application form for persons who are handicapped. In this way those who apply for houses are identified and catered for as the need arises.

So far as housing and public buildings are concerned, it is very important that there be a good approach. A simple solution at pedestrian crossings—and this might not cost very much—would be to build small ramps where people in wheelchairs could cross the street. We could also supply handrails, platforms, suitable doors for wheelchairs to go through, simple lifts, wide corridors and office furniture, to facilitate the handicapped who may be working in these places. The National Rehabilitation Board have produced a guide in relation to the city of Dublin. It shows cinemas, libraries, theatres and churches that have facilities for the handicapped. It is more economic at the building stage to incorporate any needs for the handicapped than to adapt buildings at a later stage.

In 1978 AnCO, as pointed out by Deputy Boland, trained 224 people. This year they will train almost 400 people, which is a good improvement on last year. It is not as many as we should like to see trained, but the problem is one of placement. The European Social Fund provided £11 million over the last two years, much of which will benefit the training of the handicapped. Transport has been mentioned. This is a problem, because if the handicapped are going to work they are going to need transport to get them there. There is a problem in relation to boarding buses, trains and so on.

It is estimated that there are 1,400 births per year with a significant degree of handicap. About 400 of these are motor. They involve the muscle system and cause handicap such as spina bifida, cerebral palsy and genetic abnormality. One thousand of them are sensory. About 350 of them have hearing or visual loss and 650 are mentally handicapped. Prevention is important. The improvement in ante-natal care and modern medical developments should help in this regard. The number of public health nurses has been increased from 850 in 1975 to over 1,100. They can encourage the mother to have the necessary check-ups and so on after her baby is born. While the improvement in medical care will prevent the numbers born with degrees of handicap, it also means that more people survive now with a significant degree of handicap than formally. We must cater for this.

Deputy Boland referred to the mobility allowance. I compliment the Minister on introducing this. It is a benefit of recent origin. It may not be as much as everyone or the Minister would like, but it is a start. It must be monitored to assess its merits. It is available to those immobile and living in their own homes. They can use it at the weekend or to go on a holiday. At present it is not available to those in residential care. I have no doubt that that will come in time. There are two schools of thought as to whether it should be paid to the person in residential care or to those in charge of the residential institution. Giving the allowance to the person is the better one, because it is undignified to have no income and it enables them to arrange their own outings and so on. Some suggest that to give it to those in charge of the institution would be better value for money.

I should like to pay tribute to all the voluntary organisations involved in the care of the handicapped, to the health boards for the support they give them and for the work they do themselves, to the Minister and to his Department. The Minister has a tremenodus awareness of the handicapped and over the past three years has made a significant improvement in their quality of life.

I support the motion put forward by my colleague, Deputy O'Connell. This debate will serve a number of important purposes. It will highlight the plight of the people concerned and the apparent lack of public interest in the matter. It is unfortunate that it takes place at a time when the media might find more newsworthy items to write about. A debate such as this deserves the fullest publicity. There is not sufficient public awareness of the lack of services for the physically handicapped. Because of this, handicapped people are imprisoned by our society. They cannot go where they like or do things they might wish. This motion is for the purpose of setting up a charter of rights to ensure that in future society will be obliged to see that the needs of the physically handicapped are taken care of.

There was one typical example of the lack of concern for wheelchair cases which I saw this evening. As I was coming into the House at 7 p.m. I noticed that somebody had parked on the ramp provided at Leinster House. Perhaps that person had parked there all day, but certainly the car was there at 7 p.m. If there is that lack of concern by somebody connected with this House, what can we expect from the public at large? I say that by way of highlighting the complete—I will put it charitably—absent mindedness of people. After many years this House provided a ramp to facilitate disabled people and wheelchair cases. Somebody with authority to park in Leinster House thoughtlessly parked on this ramp and prevented them from using it. That is only typical of the kind of thoughtlessness we have allowed to develop in relation to disabled people. We have examples of it every day. This Bill is a very good method of bringing home to people the need to think, particularly in relation to the provision of buildings and where they park cars, so that they will be building or parking in a way that will facilitate handicapped persons. There is this history of lack of concern and lack of thought and I hope that one of the results of the Bill would be to remedy this to some extent.

Other speakers have referred to the necessity to put disabled people into various categories, but I am primarily referring to the physically disabled who are confined to wheelchairs. There is no code within the social welfare system to cater specifically for such people. The same code, the same level of benefit and the same qualifying conditions apply to the person claiming sickness benefit with the common cold as to a person claiming because perhaps of paralysis from the chest down. They both get the same benefit and are subject to the same qualifying conditions. The person with the cold will in all cases be better after a few days or a week and go back to work, but the person with the illness that results in permanent confinement to a wheelchair has to live on the same level of benefit. A completely different code for this category of people is required. It is grossly unjust and inadequate to apply to them the same rate of benefit as applies to the person out of work because of a cold or flu. Something must be done regarding the establishment of a separate code for these people.

You also have the same qualifying conditions for free electricity, free travel and free TV licence. I have in mind a wheelchair case where the person had to have at home two of his teenage children who were in employment in order to lift him in and out of the chair and in and out of bed. Because he had two children at home who were over 18 he is disqualified from getting free electricity and a free TV licence. That is grossly unfair and unjust. Again, the same code of regulations is applied to the ordinary pensioner who is fully capable and to the incapacitated pensioner. There is again need for a special, separate code unconnected with and divorced from the code that operates generally in the social welfare system.

These people are not asking for charity but for their rights. This Bill seeks to establish their rights in legal form, not a system of charity but a system of rights. With their disablement they are at a disadvantage compared with ordinary men or women and we must try to balance the scales. One need only look at the decisions in the civil courts when somebody has an accident resulting in physical disablement and see what juries award in such cases. I am not making the case that a similar type of situation should arise where a person is physically handicapped from birth or through illness, but I think the example helps to highlight the financial disadvantage some people suffer. It highlights the complete inadequacy of the present system of payments such people get.

I do not think that our health boards have the necessary staff to give the kind of devotion and attention necessary to the physically handicapped. They do their best, but that is not good enough in cases like this. There should be a specialised section within the health boards to cater specifically for the disabled. That could be included in Deputy Dr. O'Connell's Bill. In our health board system the handicapped come within what is known as the community care programme, a vast programme ranging over a multiplicity of services. It is very difficult to get somebody directly responsible within that system. In the final analysis the CEO or the programme manager may hold the responsibility, but there appears to be no special unit for this purpose within the health boards. This is something that should be considered immediately.

These problems and the extent of them are not generally known because disabled people find it so difficult to get out and the public, when they do not see a problem or see it very rarely, do not regard it as a major problem. However, there is absolutely no room for any complacency in regard to it.

In relation to employment and training it is very disappointing to note that only something between 1 per cent and 2 per cent of all people training with AnCO are physically disabled people. That is not good enough. As regards education generally, there is need for additional grants. Take higher education grants. As far as I know, the same rules and regulations and the same means test apply to the physically disabled person as apply to the normal person. This should not be. There should be special conditions and a special rate of higher education grant for disabled people. Similarly in relation to AnCO training and other training there should be higher allowances than they are getting at present.

One of the things that a bill of rights would do is to make it compulsory for public, private and semi-public employers to employ a number of disabled people. With the kind of automation that has developed in recent years there are now many jobs that could be very efficiently carried out by people in wheelchairs if they were given the opportunity and training to do so. Unfortunately, this has not been done. Many positions that could be filled by physically handicapped people are not being filled by these people. Perhaps it is due to a lack of thought, because basically the Irish people are willing to give a helping hand when they see it is needed. Perhaps they do not see the need. They may never have heard of a discussion here in the Dáil about this problem. I hope that as a result of this discussion there will be a better approach and more enlightenment, particularly in regard to education and employment.

Similarly in the provision of housing, whereas there are a number of schemes and special grants, there appears to be some lack of cohesion in the system of housing for the physically handicapped. If one were to ask all the local authorities if they have plans and specifications for houses for wheelchair cases, I doubt if more than a handful of local authorities would be able to reply in the affirmative. I doubt very much that even the Department of the Environment could produce a plan and specification for such a house. I know people who have tried to obtain one and were it not for the Irish Wheelchair Association and the Rehabilitation Centre in Dún Laoghaire, people would have been waiting quite a long time to get a proper plan and specification for a house for a handicapped person. For those who wish to provide private houses there should be further increased special grants and there should also be special loan facilities at reduced rates for house purchase for those people.

In relation to the provision of transport, loan facilities at reduced rates should be provided for those who can use an adapted motor vehicle, because unfortunately many physically handicapped people are not in a position to avail of a motor vehicle and to have it adapted simply because they have not got the capital cost required. In such cases there should be a scheme of loans available at a subsidised rate similar to the loan schemes available in certain cases for house purchase.

I agree fully with the points made by previous speakers about the necessity for our planners to provide that all planning permissions should take full account of the needs of physically disabled people. I would suggest that the system of grants for adapting houses should be enlarged to include the houses of parents or near relatives of disabled persons. Generally speaking, nowadays the design of houses, with houses and rooms getting smaller and smaller, does not take account of the needs of the physically disabled person.

In relation to the mobility allowance, it is a start. But when the Minister went about it at all he could have gone about it in a much more generous way. It seems from the applications already made and the apparently long delay in processing them that the administrative costs per capita of running this scheme are going to be high. The Minister should have a look at least at the rates in this case and the other limiting conditions which are making it very difficult for people to qualify. I do not understand the reason for not applying it to people who have attained pension age. I do not know what pension age has to do with the application of the scheme. It is beyond my powers of comprehension to know why one does not qualify if one is 66 or over and loses it on attaining the age of 66. I would like the Minister to have a look at that.

I agree with and support fully and will continue to shout about the necessity to provide facilities in all public places to enable the physically disabled to go where they wish to go and to help them to lead as normal a life as possible. I have confined my remarks to the physically disabled who are confined to wheelchairs. There are other categories such as the blind, deaf and dumb. Many things could be done for these handicapped people which are not being done at the moment.

In conclusion I would like to praise the voluntary associations such as the Wheelchair Association and their branches throughout the country. I had occasion to be involved in a small way with some of these branches and members of these associations are to be admired and praised for the time and trouble they give to the disabled. If they were not there I would hate to think what the plight of the physically handicapped would be. In addition to the Wheelchair Association and their various branches throughout the country the National Rehabilitation Centre are also doing a magnificent job but they do not get the kind of support they should get from employers generally. I do not want to make a blanket accusation in this. Some employers have taken disabled people into their employment and have been extremely good to them in relation to wages and working conditions, but others have not done so, and other employers again have not given the kind of co-operation they should give to the National Rehabilitation Centre who have the responsibility of trying to place disabled people in employment.

At the moment the physically disabled are almost totally dependent on goodwill and, whereas there is some goodwill around, the time has come where that alone is not enough. We will have to have something like the bill of rights proposed by Deputy O'Connell, and I urge the Minister to accept that Bill. If he finds that he cannot accept it I ask him to do something very soon, because we have talked enough about this matter and now we want action. The Minister will have the full support of the public at large in anything that he would do to improve the lot of the physically handicapped.

This debate both yesterday evening and now this evening has been very useful. It is unfortunate that it should be taking place this week when other things are happening in this House to attract the attention of the press and, therefore, what is said between 7 p.m. and 8.30 p.m. this evening may not find many words in the newspapers.

This motion refers to one area where we as a nation are very likely to slip and that is in regard to providing for the physically handicapped. The Minister for Health and Social Welfare will, I am sure, for very many years be spoken of where health is concerned, because as Minister for Health he has made his mark and has attained a tremendous press. I congratulate him on that. Anything he has endeavoured to do for the health of the nation probably on all occasions has got to the front page of newspapers. Here tonight we have something which probably straddles both his portfolios of health and social welfare. I am referring to the care of the physically disabled and handicapped. I have no doubt that the Minister, before he moves on from his present office, is anxious to do something for them. Deputy O'Hanlon spoke of the Minister's awareness of the need to do something in this area. That is not going to be of much use to those who are handicapped if the Minister moves on and in the future it is written that Minister Haughey was very much aware of their plight, unless he does do something before he moves on to ensure that, even if he is not there to carry out, at least it will be on the desk of his successor. I hope the Minister will give priority to this matter in the next few days, or maybe hours, to ensure that at least a future Minister will be aware that not only was the Minister aware of the plight of the physically handicapped but he was also prepared to do something about it.

I want to be associated with the praise expressed for the voluntary organisations who have done so much in this field. I will go further and say that the general public have been very sympathetic to the physically handicapped, but the time has come, if not passed, when we in this House should give a lead to ensure that the sympathy of the general public is not just taken for granted. In past elections in the forties, fifties, sixties and even into the seventies a certain part of the election programmes concerned the care of those who were not able to look after themselves, but I am sorry that in recent years this seems to have slipped a little and election promises now seem to be directed more to people who are quite capable of looking after themselves.

I am afraid that in the anxiety of politicians to gain office the people least able to look after themselves may be forgotten. Having regard to what has happened in the recent past the trend is in that direction. Local authorities can do a lot to improve the position of the handicapped but they must be given every encouragement. Usually when they bring in schemes to assist the handicapped it is because of a circular from the Department of the Environment, but it is up to the Minister for Health and Social Welfare to start the operation.

The ball is in the Minister's court. I am glad that Deputy O'Connell has brought forward this matter. It is unfortunate that it should be discussed this week, but it was not possible to judge other events. I would encourage the Minister at least to give consideration to the ten points put forward by Deputy Boland. They covered a considerable amount of ground. Even if the Minister cannot see his way to implementing the ten points, perhaps he can go most of the way.

I should like the Minister to consider giving priority to assisting those people who can be cared for at home rather than those who must be cared for in institutions. Having listened to the debate he might be tempted to give priority to assisting the handicapped who visit public buildings. I have no doubt that the vast majority of the physically handicapped wish to be cared for in their homes and I appeal to the Minister to give priority to that matter.

The mobility allowance was a step in the right direction, but I agree with other speakers who said the Minister could have been more generous. He could show his awareness of their need by increasing immediately the mobility allowance and extending it to other categories. It will not cost much money, and not only will he get the thanks of the physically handicapped but he will also be thanked by the vast majority of the Irish people.

This has been a very constructive debate. It has achieved a lot in highlighting the needs of the physically handicapped, the lack of facilities provided for them and the difficulties they encounter with regard to access and so on. I hope the Minister's colleagues will show the same concern that he has shown. I must pay tribute to him for sitting in on this debate. It shows his concern for the disabled, but I am sorry his colleagues have not chosen to do likewise.

The health and social aspect is only one aspect of the area of concern for the disabled. As I said last night, access to the environment is very important and is one sphere in which the disabled are discriminated against. I hope the Minister for the Environment will give consideration to this matter. Not only should he encourage local authorities to take action but he should direct them to do so by way of legislative measures.

I hope the housing requirements of the disabled receive the priority they deserve. This matter should be a special function of housing authorities and there should be a special housing programme for the disabled. I hope this will be given due attention by the Minister for the Environment in the near future. Disabled people who are contemplating buying houses shall be given special grants or subsidies so that the houses may be built to their requirements from the design stage.

I do not want to go over the health and social welfare aspects, but I make a special appeal to the Minister with regard to the maintenance allowance for disabled people. Those who are destitute, who are dependent on institutions in which they remain for the rest of their lives, should be given this allowance as of right. This will enable them to keep their sense of dignity and they will not have to plead for money which should be given to them as of right. I hope the Minister will make a declaration of intent to this effect, that he will say that all persons who have no means will be granted this allowance as of right. If he did this it would be the greatest step he could take in public life. I have seen so many of these people depending on relatives and on charity and I appeal to the Minister to take this major step. It is very important.

The report of the Irish Wheelchair Association stated that the handicapped were being deprived of their right to employment. I refer to the report by Pauline Faulknan which stated they were not receiving their rights as citizens in our society. The Government should make a determined effort to ensure that the 3 per cent quota is not only filled but is exceeded. They should set the example for private employers by filling that quota.

The report of the National Rehabilitation Board as presented to the inter-departmental committee should be published in order to see to what extent the Government have succeeded in fulfilling their obligations in this respect. I realise that it is the Minister for Labour who is responsible for this, but I hope the Minister present will see to it that he makes this report available for publication.

I should hope that the Government would make a declaration of intent on this matter and that not only would they set the example but that they would encourage private employers to employ disabled people, because in many cases these people are capable of taking up full employment. The incentive from the Department could be by way of tax incentives, concessions and grants. There is no reason for the Government not being able to say to private employers that, for instance, if they engaged a disabled person they would be relieved of the social welfare obligation in respect of that person because the Government are prepared to meet the contribution in that regard. That would be a very good inducement to a private employer to engage some of these people. In the absence of any such policy on the part of the Government we are left with the situation of disabled persons pleading with employers to give them work.

The physically disabled are discriminated against, too, in relation to education vis-à-vis access to schools and also in terms of the apartheid that exists by reason of special schools for these people. That is a very bad arrangement, and we must take steps to ensure that this apartheid is brought to an end. The physically disabled must be allowed, encouraged and permitted to be educated in normal school circumstances. This is a matter on which I feel very strongly, and I urge the Minister, who seems to have assumed responsibility for these people and who is about the only one who has shown concern for them, to plead with his colleagues to ensure that what I am asking is implemented.

As I said last evening, the booklet entitled Aids For The Disabled was not available to disabled persons. Indeed, in many cases they were not aware of its existence. Incidentally, when my office telephoned the Department of the Environment in this regard, they were not aware either of the existence of the booklet. I am glad to hear the Minister for Health say that he will ensure the book is elaborated on in order that the necessary information is available to the disabled. Apart from this booklet, the Department of Health should conduct an information campaign through the media in order to make the disabled aware of their rights. This would be a great step forward. Hopefully, the Minister's intent will be implemented by his Department who could do an enormous amount of work on this matter.

The other question which I considered in much depth last night was the matter of the sheltered workshops. The Central Remedial Clinic adverted to this question and recommended that it was one area which should be considered very seriously. The need is for 3,000 places, but the Minister has told us that the number of places available is 1,450. That leaves a shortfall of almost 1,600 places. In these circumstances this area should be expanded in order to provide for the disabled the right to work. The Government should ensure, too, that disabled persons are paid proper wages for work done. Remuneration of between £5 and £12 per week is both insulting to them and discriminating against them. We must let them know that they enjoy the same privileges, rights and obligations in society as apply to anybody else.

Last evening the Minister referred to the mobility allowance and expressed the hope that the health boards would be flexible in this regard. As I have said, this is a Catch-22 situation: no job, no car; no car, no job. I was delighted to hear the Minister refer to this matter, but I am afraid that too often the health boards are rigid in their approach to this question. Perhaps the Minister would send a circular to the health boards in regard to flexibility in this area.

I will take that as done. Last evening I referred to the question of a Disabled Persons Bill. This whole area of the disabled is one that concerns all of us. It is not a party political matter. It would be my hope that the Minister would succeed to higher office because the time he has served in the Department of Health and Social Welfare must have helped him enormously in the creation of a social conscience. What he has done in that ministry has been of benefit to the entire country, but should he succeed to higher office I should hope that in formulating policy he would ensure that the social aspect of our economy is given as much priority as is the case in respect of the economic aspect. Hopefully, he would consider the question of a Disabled Persons Bill, not because we want to see the rights of these people enshrined in legislation but because we are inclined too often to consider as charity anything we do for the disabled. It would be helpful to the disabled if we were to let them know that we will ensure that their rights are on the Statute Book. I accept that many pieces of legislation are put on the Statute Book but never put into practice, but in regard to the disabled we should be able to assure them that not only will we legislate for their rights but that we will ensure they get their rights. If such legislation were enacted disabled persons would be in a position to say whether the law was being obeyed in any instance. Such a situation would be very useful in terms, too, of their morale. We must get rid of the notion of charity where these people are concerned. Let us remember that any of us here could become disabled. The Minister was disabled at one stage as a result of a car crash. He might have been disabled permanently. If such a fate should befall any of us we would hate to find ourselves in the position of being dependent on the charity of relatives and friends. That is why we must ensure that the rights of the disabled are enshrined in legislation.

Perhaps the Minister would reconsider what he said last night in that regard. I am glad that my proposal about a register of the disabled is being considered seriously. If we are to tackle the problem in all its aspects we must at the outset establish such a register, a register which would contain not only information regarding the number of disabled but the extent of their disability and how best we might cope with the situation.

One other aspect of this area to which I would direct the Minister's attention relates to the question of medical cards, as of right, for the physically disabled. This would establish their independence and might allow us to expand the day centres so that those who need care might not have to finish up in institutions.

The year 1981 will be the International Year of the Disabled. I hope we will make progress now so that in 1981 we can look back on our achievements rather than looking forward to promises. If the Minister can see to it that this is done, we can be proud as legislators that we have done something for the disabled.

Am I to put the amendment?

This is a non-party political matter and we will not call for a vote on it. We have highlighted and explained it and that is more important than any vote.

Is the amendment agreed?

It is Deputy O'Connell's motion.

It is a matter for the House.

I asked if I should put the amendment.

I am asking that the amendment be put.

It is Deputy O'Connell's motion and it is the Minister's amendment.

If I might explain, I would have had no problem in accepting the motion except for the fact that it speaks of positive discrimination against the disabled. That is the only reason I put down the amendment. Perhaps the House would accept my amendment on that simple basis.

It is a matter for the House. I am not accepting the Minister's amendment.

I am putting the amendment in the name of the Minister for Health.

If Deputy O'Connell wants to accept the Minister's amendment that is his business.

The Deputy wants to bring politics into a matter affecting the disabled.

The Deputy should know. He is permanently disabled.

Amendment put.
The Dáil divided: Tá, 66; Nil, 37.

  • Ahern, Bertie.
  • Allen, Lorcan.
  • Andrews, David.
  • Andrews, Niall.
  • Aylward, Liam.
  • Barrett, Sylvester.
  • Brady, Gerard.
  • Brady, Vincent.
  • Briscoe, Ben.
  • Browne, Seán.
  • Callanan, John.
  • Calleary, Seán.
  • Cogan, Barry.
  • Colley, George.
  • Conaghan, Hugh.
  • Connolly, Gerard.
  • Cowen, Bernard.
  • Daly, Brendan.
  • Doherty, Seán.
  • Fahey, Jackie.
  • Farrell, Joe.
  • Faulkner, Pádraig.
  • Filgate, Eddie.
  • Fitzgerald, Gene.
  • Fitzsimons, James N.
  • Flynn, Pádraig.
  • Fox, Christopher J.
  • French, Seán.
  • Gallagher, Dennis.
  • Power, Paddy.
  • Smith, Michael.
  • Tunney, Jim.
  • Walsh, Joe.
  • Geoghegan-Quinn, Máire.
  • Gibbons, Jim.
  • Haughey, Charles J.
  • Herbert, Michael.
  • Hussey, Thomas.
  • Keegan, Seán.
  • Kenneally, William.
  • Killeen, Tim.
  • Killilea, Mark.
  • Lawlor, Liam.
  • Lemass, Eileen.
  • Lenihan, Brian.
  • Leonard, Jimmy.
  • Leonard, Tom.
  • Leyden, Terry.
  • Loughnane, William.
  • McCreevy, Charlie.
  • McEllistrim, Thomas.
  • MacSharry, Ray.
  • Meaney, Tom.
  • Molloy, Robert.
  • Morley, P.J.
  • Murphy, Ciarán P.
  • Nolan, Tom.
  • Noonan, Michael.
  • O'Connor, Timothy C.
  • O'Hanlon, Rory.
  • O'Kennedy, Michael.
  • O'Malley, Desmond.
  • Walsh, Seán.
  • Wilson, John P.
  • Woods, Michael J.
  • Wyse, Pearse.

Níl

  • Barry, Myra.
  • Barry, Richard.
  • Begley, Michael.
  • Belton, Luke.
  • Boland, John.
  • Bruton, John.
  • Collins, Edward.
  • Conlan, John F.
  • Corish, Brendan.
  • Cosgrave, Michael J.
  • D'Arcy, Michael J.
  • Deasy, Martin A.
  • Desmond, Barry.
  • Donnellan, John F.
  • Enright, Thomas W.
  • FitzGerald, Garret.
  • Fitzpatrick, Tom. (Cavan-Monaghan).
  • Flanagan, Oliver J.
  • Griffin, Brendan.
  • Hegarty, Paddy.
  • Horgan, John.
  • Keating, Michael.
  • Kenny, Enda.
  • L'Estrange, Gerry.
  • McMahon, Larry.
  • Mannion, John M.
  • Mitchell, Jim.
  • O'Brien, William.
  • O'Connell, John.
  • O'Keeffe, Jim.
  • O'Toole, Paddy.
  • Pattison, Séamus.
  • Quinn, Ruairí.
  • Ryan, John J.
  • Spring, Dan.
  • Timmins, Godfrey.
  • White, James.
Tellers: Tá, Deputies Woods and Briscoe; Nil, Deputies Horgan and L'Estrange.
Amendment declared carried.
Motion, as amended, put and declared carried.
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