Experience of Disabled

Middlesex University Research Repository An open access repository of Middlesex University research http://eprints.mdx.ac.uk Ryan, Peter, Edwards, Mike, Hafford-Letchfield, Trish ORCID: https://orcid.org/0000-0003-0105-0678, Bell, Linda, Carr, Sarah, Puniskis, Mike, Hanna, Sue and Jeewa, Sid (2016) Research on the experience of staff with disabilities within the NHS workforce. Project Report. Ryan, Peter, Edwards, Mike, Hafford-Letchfield, Trish ORCID: https://orcid.org/0000-0003-0105-0678 and Bell, Linda, eds. Middlesex University, London UK. [Monograph] Published version (with publisher’s formatting) This version is available at: https://eprints.mdx.ac.uk/18741/ Copyright: Middlesex University Research Repository makes the University’s research available electronically. Copyright and moral rights to this work are retained by the author and/or other copyright owners unless otherwise stated. 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See also repository copyright: re-use policy: http://eprints.mdx.ac.uk/policies.html#copy Research on the experience of staff with disabilities within the NHS Workforce: A joint report between Middlesex University and the University of Bedfordshire This report was produced by: Peter Ryan1, Mike Edwards2, Trish Hafford-Letchfield3, Linda Bell4, Sarah Carr5, Mike Puniskis 6, Sue Hannah7, & Sid Jeewa8 We wish to acknowledge the enormous contribution of our service user researchers without whom this work could not have been completed: Linda Fallon, Penny Fraser, Dorothy Gould, Nuala.Kiely, Jacqui Lynskey, Clive Travis, & Linda Henness 1 Professor of Mental Health, Middlesex University 2 Senior Lecturer in Social Work, University of Bedfordshire 3 Professor of Social Care, Middlesex University 4 Associate Professor in Research Methods, Middlesex University 5 Associate Professor in Mental Health Research, Middlesex University 6 Visiting Lecturer in Education, Middlesex University 7 Senior Lecturer in Social Work, Middlesex University 8 Service User Researcher, University of Bedfordshire Rev. December 2015 Table of Contents Executive Summary ................................................................................................................................ 4 Section 1: Introduction ............................................................................................................................ 7 Legal and policy context ..................................................................................................................... 8 Some initial issues .............................................................................................................................. 9 Section 2: Research methods ............................................................................................................... 10 Analysis of NHS Survey and ESR data ............................................................................................ 10 Literature review ............................................................................................................................... 10 Search strategy ............................................................................................................................ 10 Inclusion and exclusion criteria .................................................................................................... 11 Data extraction, quality assessment, and data synthesis ............................................................ 11 Section 3: Results of the NHS 2014 staff survey and ESR quantitative analysis ................................. 13 Section 4: Literature review................................................................................................................... 28 Introduction ....................................................................................................................................... 28 Abstracts of relevant research studies that include NHS staff ......................................................... 28 Theoretical context ........................................................................................................................... 32 A broad overview of the literature on disability and employment ..................................................... 33 The research questions addressed in this report ............................................................................. 35 Section 5: Discussion of results ............................................................................................................ 46 Section 6: Recommendations for Best Practice Organisations ............................................................ 53 Section 7: Towards a draft Disability Equality Standard ....................................................................... 56 References ............................................................................................................................................ 58 Bibliography .......................................................................................................................................... 62 Appendix 1 ............................................................................................................................................ 65 Appendix 2 ............................................................................................................................................ 67 Appendix 3 ............................................................................................................................................ 75 Appendix 4 ............................................................................................................................................ 83 2 List of Figures Figure 3.1: Disability by trust type, gender, full/part time, age and ethnicity (2014 staff survey) ......... 13 Figure 3.2: Disability by gender, ethnicity and age (ESR) .................................................................... 14 Figure 3.3: Comparative disability rates in the NHS Staff Survey and the ESR ................................... 16 Figure 3.4: Staff with disabilities and non-disabled staff experience of bullying and harassment ........ 18 Figure 3.5: Disabled and non-disabled staff: managerial pressure to attend work despite not feeling well ............................................................................................................................................... 19 Figure 3.6: Fairness with respect to career progression ....................................................................... 19 Figure 3.7: To what degree do you think your organisation values your work? ................................... 20 Figure 3.8: Does my role make a difference to patients/service users? ............................................... 21 Figure 3.9: Results of appraisals, disabled versus non-disabled staff .................................................. 22 Figure 3.10: Has your employer made adequate adjustments to enable you to carry out your work? ...................................................................................................................................................... 23 Figure 3.11: ‘Adequate adjustments’ and ethnic background ............................................................... 24 Figure 3.12: Percentage of staff with a disability who report that their employer has failed to make adequate adjustments to enable them to carry out their work, by type of trust and by ‘Two Ticks’ status. ........................................................................................................................................... 25 Figure 3.13: Reasons for leaving for staff with disabilities .................................................................... 26 List of Tables Table 1: Metrics for the Disability Equality Standard ............................................................................ 56 Table 2: B, p and ExpB values for disability status in regression models that also include gender, age, sexuality and ethnicity .................................................................................................................. 65 Table 3: Disability by medical/non-medical staff and by region ............................................................ 67 Table 4: Agenda for change band and grade by disability status, November 2014

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