5. Equality, communication and procedural access

Equality Act 2010, ss 20 and 29 — Service providers and public bodies may owe a duty to make reasonable adjustments where disability creates substantial disadvantage. Official source

Equality Act 2010, s 149 — A public authority must have due regard to eliminating prohibited conduct, advancing equality of opportunity and fostering good relations. Official source

Reasonable adjustments may include accepting written answers, slowing the meeting, allowing breaks, providing documents in advance, using an advocate, avoiding adverse inferences when speech fails under fatigue, and arranging an assessment at a time and in a manner that works. The Act does not itself guarantee a specified number of care hours. Its strongest role here may be procedural: making the assessment and service genuinely accessible.

Procedure affects substance. An assessment taken only when the case-study adult is exhausted, rushed after speech fails, or treated as agreed because he cannot immediately contradict the record may be factually unreliable. Adjustments should appear in invitations, meeting practice, minutes, complaint handling and provider instructions—not merely in a diagnosis field.

5.1 Communication passport

  • I may lose speech when tired; this does not mean I have nothing to say.
  • Offer text, typing, yes/no questions and extra response time.
  • Do not treat involuntary movement, crying or silence as consent.
  • Check understanding without testing or humiliating me.
  • Record my own words and distinguish them from professional interpretation.