1 00:00:04,620 --> 00:00:06,780 SARAH STEPHENSON-HUNTER: This is the 10th annual lecture. 2 00:00:07,380 --> 00:00:18,150 It's my fifth and it's just fantastic to feel and see the buzz in the room and such a great attendance, especially on such an unusually warm evening. 3 00:00:18,420 --> 00:00:25,830 So thank you. Before I say any more, just a few words of housekeeping: For those of you online, 4 00:00:26,430 --> 00:00:31,740 you should have spotted by now that we have live captioning, which - 5 00:00:31,740 --> 00:00:38,340 – if you have any issues with that, switching that on, please do put a message in the chat online. 6 00:00:39,210 --> 00:00:44,220 You should have also realised by now that we have British Sign Language interpreters online. 7 00:00:44,970 --> 00:00:51,030 Again, they should be being pinned for you, but if there are any issues with that, do put a message online. 8 00:00:51,690 --> 00:00:55,710 And similarly, online there is the Q&A box. 9 00:00:55,830 --> 00:01:01,949 As I said there will be the Q&A session later. So please do put your question and answers in there. 10 00:01:01,950 --> 00:01:08,700 And if you've got anything else in terms of online, do put something in the chat and one of our moderators will attend to it. 11 00:01:09,360 --> 00:01:12,690 And again, just a word to those of you online and those of you in the room: 12 00:01:13,080 --> 00:01:21,490 This session is being recorded and there will be a podcast and vodcast available in roughly ten days. 13 00:01:21,500 --> 00:01:27,210 So all of you who are here, who've registered, you will get details of how to view that. 14 00:01:28,080 --> 00:01:35,400 Those of you in the room: as I've been speaking, you should have spotted we've got captioning throughout on all four screens. 15 00:01:36,120 --> 00:01:40,290 There is BSL coming through, if you haven't spotted - it's on the side two screens. 16 00:01:41,100 --> 00:01:45,590 Again, if you're not aware by now, then the toilets are out... 17 00:01:45,600 --> 00:01:50,760 ... this is where a blind person points... I believe they're at the doors at the back and to the left. 18 00:01:50,760 --> 00:01:54,749 But again, we do have stewards around. 19 00:01:54,750 --> 00:01:57,990 So if there's any other issues, please do ask. 20 00:01:58,800 --> 00:02:03,660 And we really hope we've covered every eventuality with accessibility. 21 00:02:04,440 --> 00:02:10,260 But if there are any issues, do raise your hand and a steward should be able to assist. 22 00:02:10,920 --> 00:02:21,420 So I think I've covered everything. Before I hand over to the Vice-Chancellor, I do just want to say how fantastic it is to to have this event, 23 00:02:21,780 --> 00:02:31,340 to have our speaker, and to celebrate what it means to be disabled and to highlight some of the challenges. 24 00:02:31,350 --> 00:02:35,220 So that is enough from me. And I'll hand over to our Vice-Chancellor. (Applause) 25 00:02:39,380 --> 00:02:43,880 VICE CHANCELLOR IRENE TRACEY: Great. 26 00:02:43,880 --> 00:02:48,380 Well thank you, and thanks to the unit for organising this evening. 27 00:02:48,380 --> 00:02:51,260 I think as we were just discussing before we started, you know, 28 00:02:51,260 --> 00:02:55,369 this is a great illustration of what we can do and what we should be doing more in terms of, 29 00:02:55,370 --> 00:03:01,610 again, creating such an event and facilitating the opportunity to learn from each other. 30 00:03:01,910 --> 00:03:06,019 And that's something we can again go forward with and roll out across the University. 31 00:03:06,020 --> 00:03:13,910 So I'm really thrilled that I'm here this evening. As already mentioned, this is the 10th University of Oxford Disability Lecture. 32 00:03:14,120 --> 00:03:18,740 And for those who listened to my inaugural lecture as Vice-Chancellor, 33 00:03:18,920 --> 00:03:25,639 I talked then about the risks of complacency and the very clear need for us to 34 00:03:25,640 --> 00:03:30,470 have the humility to challenge ourselves and to think and act in new ways. 35 00:03:30,770 --> 00:03:36,170 And that includes examining our attitudes towards and provisions for disabled staff and students. 36 00:03:37,230 --> 00:03:40,289 We've got approximately 60,000 students and staff. 37 00:03:40,290 --> 00:03:45,060 So our community, if you think about it, is the size of a mid-range UK town. 38 00:03:45,540 --> 00:03:50,610 And we know that disabled people make up approximately 24% of the UK population. 39 00:03:50,910 --> 00:03:55,860 So the number of our disabled colleagues and students is likely to be non-trivial. 40 00:03:56,340 --> 00:04:05,040 And the unique life experiences, the daily problem-solving skills of disabled colleagues and students contribute to creativity, 41 00:04:05,130 --> 00:04:08,520 productivity, competitive advantage, and profitability. 42 00:04:09,330 --> 00:04:16,080 Their ability to innovate and to provide alternative perspectives can be transformative in a research and development environment, 43 00:04:16,890 --> 00:04:22,890 and at the level of self-interest, we must maximise the contribution of disabled staff and students and invest 44 00:04:23,160 --> 00:04:28,050 in their excellence in order for our organisation to thrive and to flourish. 45 00:04:28,590 --> 00:04:34,079 So we must continue to commit ourselves to fostering a culture at Oxford where disability is 46 00:04:34,080 --> 00:04:40,320 not viewed as a limitation, but as a facet of human diversity to be celebrated and embraced. 47 00:04:41,430 --> 00:04:44,280 There is much more work to be done, 48 00:04:44,520 --> 00:04:51,270 and I always say that when we talk about (laughs) what we've achieved or things that we've won or et cetera, 'But it's not done yet'. 49 00:04:51,270 --> 00:04:52,200 'We've got to keep going'. 50 00:04:52,200 --> 00:04:58,260 There is much more work to be done so that we can assure that all of our staff and students feel their needs are fully supported. 51 00:04:58,920 --> 00:05:06,299 The Equality, Diversity and Inclusion strategy being elaborated by the Joint Committee on EDI has a very strong focus on disability, 52 00:05:06,300 --> 00:05:07,560 and I'm really pleased to see that. 53 00:05:08,040 --> 00:05:14,970 And there are a number of initiatives already underway to develop a more empathetic and inclusive community in this university, 54 00:05:15,270 --> 00:05:16,920 this collegiate university. 55 00:05:17,670 --> 00:05:25,470 And I would like to mention just one of those initiatives tonight. Over the last couple of years, through the Digital Transformation Programme, 56 00:05:25,860 --> 00:05:33,270 we have been reflecting on our digital accessibility maturity and looking at ways in which we can innovate in this area. 57 00:05:33,960 --> 00:05:38,270 The Chief Diversity Officer who is here this evening, Professor Tim Soutphommasane 58 00:05:38,520 --> 00:05:45,930 is spearheading the digital accessibility agenda, and I am pleased to announce that we are currently recruiting for a new role, 59 00:05:46,350 --> 00:05:54,150 a Head of Digital Accessibility, who will be tasked with implementing an institution-wide digital accessibility strategy 60 00:05:54,480 --> 00:05:59,970 and with overseeing a programme to embed accessibility in all of our digital activities. 61 00:06:00,480 --> 00:06:05,610 I look forward to moving towards a more inclusive digital culture in the University of Oxford. 62 00:06:06,690 --> 00:06:13,770 Understanding the need to reflect on our culture and on our attitudes towards disability brings us back to this evening. 63 00:06:14,610 --> 00:06:19,260 Our colleagues in the Disability Advisory Group and the Equality and Diversity Unit, 64 00:06:19,440 --> 00:06:25,769 with support from the Disabled Staff Network, have worked together to bring us tonight's event and for which I, 65 00:06:25,770 --> 00:06:34,740 on your behalf, thank them. And we are very, very pleased to warmly welcome back Beth Kume-Holland, a graduate of Pembroke College – 66 00:06:34,740 --> 00:06:42,450 – we overlapped just a little bit there – and a Harvard University Kennedy Scholar to deliver this year's 10th disability lecture. 67 00:06:43,140 --> 00:06:49,380 Through her lived experience, Beth will explore the topic of less visible disabilities and chronic illness. 68 00:06:49,740 --> 00:06:56,039 And she will share a glimpse into her own journey from Oxford undergraduate and researcher to award-winning 69 00:06:56,040 --> 00:07:03,060 CEO and international disability rights advocate. With a varied CV working for the disability charity Scope, 70 00:07:03,540 --> 00:07:10,619 Oxford University and Citibank, Beth has established herself as an award-winning social entrepreneur who has been 71 00:07:10,620 --> 00:07:16,470 named by the Shaw Trust as one of the 100 most influential disabled people in the UK. 72 00:07:17,190 --> 00:07:24,090 She is the founder of Patchwork Hub, a disabled-led social enterprise providing an accessible jobs board, 73 00:07:24,420 --> 00:07:28,920 bespoke recruitment services and training and consultancy for employers. 74 00:07:29,340 --> 00:07:33,090 She is also the co-founder of the Disabled Entrepreneurs Network, 75 00:07:33,360 --> 00:07:40,020 and was recently announced as a Commissioner on the UK's Independent Commission on Healthier Working Lives. 76 00:07:40,380 --> 00:07:47,680 Beth, thank you so much for giving us the honour of coming here this evening to speak and a very warm welcome back to Oxford. Thank you. (Applause) 77 00:07:47,700 --> 00:08:07,650 BETH KUME-HOLLAND: So we do the awkward set up. 78 00:08:09,280 --> 00:08:12,310 Great. Hopefully you can all hear me okay. Perfect. 79 00:08:13,090 --> 00:08:16,269 So thank you so much for that kind introduction, Vice Chancellor. 80 00:08:16,270 --> 00:08:23,530 And thank you all for joining this evening. I really am genuinely honoured to be back in Oxford and with you today. 81 00:08:24,070 --> 00:08:28,779 And also special thanks to Dr Catherine Walter and Sarah Stephenson-Hunter 82 00:08:28,780 --> 00:08:34,540 for the invite, and the wider EDU's work for not only organising today's event, 83 00:08:34,810 --> 00:08:40,510 but the genuine commitment to the agenda and accessibility that I've got to witness since we connected last year. 84 00:08:41,590 --> 00:08:48,010 So good evening everyone. Before we get going, and in the interest of accessibility, as a visual description of myself, 85 00:08:48,400 --> 00:08:57,160 I'm a 29-year-old white woman with long brown hair, brown eyes, wearing a black and pink floral dress. 86 00:08:57,490 --> 00:08:59,500 And some ill-advised black heels. 87 00:08:59,980 --> 00:09:06,250 And just to add, I will be using slides throughout the lecture, but they will just be capturing the content 88 00:09:06,280 --> 00:09:10,960 I'm also speaking. In any places where this isn't the case, I'll just give a quick visual description. 89 00:09:12,190 --> 00:09:15,370 The other thing I like to share is I have a cognitive impairment, 90 00:09:15,370 --> 00:09:21,700 which can affect my communication at times and presents all sorts of barriers in an environment like this, alongside the physical. 91 00:09:22,240 --> 00:09:29,020 So if at any point my words come out jumbled, or I seem to be looking at my notes more than the average presenter, this is why. 92 00:09:29,200 --> 00:09:36,960 True disability inclusion in action. Being back in Oxford with such an incredible platform to speak about disability 93 00:09:36,960 --> 00:09:42,120 inclusion means an awful lot to me. My time as a student at Oxford, 94 00:09:42,870 --> 00:09:51,570 trying to deal with confusing and undiagnosed conditions and symptoms, alongside the rigorous academic side of things, wasn't a simple one. 95 00:09:52,520 --> 00:09:57,170 But in so many ways, my time at Oxford completely changed my trajectory for the better, 96 00:09:57,590 --> 00:10:01,430 and I'm very grateful for the time I spent here and the people here who supported me. 97 00:10:02,270 --> 00:10:04,790 But more of that and my story in a sec. 98 00:10:04,820 --> 00:10:12,590 Today I'm honoured to be delivering the 10th Annual Disability Lecture: Changing the Narrative around Disability: From Unseen to Understood. 99 00:10:14,110 --> 00:10:20,500 The aim of this evening's lecture is to provide a bit of an insight into some of the key issues around disability and accessibility. 100 00:10:21,520 --> 00:10:24,040 I know we're lucky enough to be joined in the audience tonight, 101 00:10:24,310 --> 00:10:31,630 in the room and online with an incredible array of academics, students, staff, professionals and advocates. 102 00:10:32,170 --> 00:10:39,940 And my hope is that regardless of your existing knowledge around disability inclusion, there'll be something by way of insights and takeaways for each of you. 103 00:10:41,250 --> 00:10:49,830 Now, I've been out of academia far too long, but one of the things I do remember is the rule drummed into me by my tutors for all of my essays. 104 00:10:50,160 --> 00:10:52,830 Keep it simple, and remember the power of threes. 105 00:10:53,430 --> 00:11:01,230 So, with this in mind, today we'll be exploring the who, the why and the how of disability and disability inclusion. 106 00:11:01,920 --> 00:11:06,540 So first up, Who? Who are we actually talking about when we talk about disabled people? 107 00:11:07,140 --> 00:11:11,340 And who am I to be talking to you today on such a topic? Next, Why? 108 00:11:11,340 --> 00:11:15,450 Why does accessibility and disability inclusion matter 109 00:11:16,230 --> 00:11:20,010 across individuals, organisations and wider society? 110 00:11:21,080 --> 00:11:27,470 And finally, How? How can we all make a difference to both the disability rights movement generally, 111 00:11:27,740 --> 00:11:33,110 but specifically the experiences of students, staff, and beyond at institutions like Oxford? 112 00:11:34,390 --> 00:11:38,080 Even at speaking events like this, I don't just want to pontificate, I want... 113 00:11:38,530 --> 00:11:43,990 I think it's so important to give everyone some actionable take-aways that you can begin to use in your day-to-day life. 114 00:11:45,200 --> 00:11:47,510 So that will be around 50 minutes or so long. 115 00:11:47,510 --> 00:11:53,150 And then we'll finish off by handing over to you for a Q&A where I'll try my best to answer any questions you might have. 116 00:11:54,970 --> 00:12:03,010 So who am I? So today I'm an entrepreneur and disability advocate, and my day job's spent running my business, Patchwork Hub, 117 00:12:03,310 --> 00:12:07,480 which is a social enterprise that helps organisations to become more disability 118 00:12:07,480 --> 00:12:12,130 inclusive and accessible through our jobs board, training, and consultancy services. 119 00:12:12,730 --> 00:12:17,050 I also do a range of work focussed on closing the disability employment gap in the UK, 120 00:12:17,800 --> 00:12:21,580 creating a more inclusive future of work and just trying to break down some of those 121 00:12:21,580 --> 00:12:25,660 needless barriers that get in the way of so many talented people in this country. 122 00:12:27,010 --> 00:12:32,500 But working in disability inclusion and starting my own business wasn't part of some grand plan. 123 00:12:33,220 --> 00:12:41,950 And to be honest, neither was going to Oxford. Growing up, I didn't think that university, no less Oxford or Harvard, were for people like me. 124 00:12:42,700 --> 00:12:48,910 My parents didn't go to university, and my school certainly didn't feel equipped to prepare people for Oxbridge. 125 00:12:49,780 --> 00:12:55,120 But I got a lucky break at 17, when I was fortunate enough to be accepted into an access program here called 126 00:12:55,120 --> 00:12:58,600 the UNIQ Summer School, for people from lower socioeconomic backgrounds. 127 00:12:59,590 --> 00:13:07,120 And it was this summer school that convinced me that maybe university could be for me, and maybe somewhere like Oxford was worth a shot. 128 00:13:07,990 --> 00:13:12,370 And, well, I'm so very glad I did. It certainly wasn't an easy journey. 129 00:13:13,570 --> 00:13:17,140 I had a host of health complications across teenage years. 130 00:13:18,220 --> 00:13:21,280 At the time, we weren't sure what they were. 131 00:13:21,310 --> 00:13:29,590 Like so many people living with chronic health conditions, it was a case of a lot of appointments, but very little by way of diagnosis or answers. 132 00:13:30,590 --> 00:13:38,030 Then during my first year at Oxford, I became particularly unwell, caught glandular fever and, to be blunt, never recovered. 133 00:13:39,220 --> 00:13:42,549 Combined with an autoimmune condition, over a number of years 134 00:13:42,550 --> 00:13:49,840 this caused me to develop fibromyalgia, and subsequently triggered a range of underlying genetic and limiting chronic health conditions. 135 00:13:50,560 --> 00:13:53,230 It's a trajectory that will now perhaps sound more familiar, 136 00:13:53,230 --> 00:14:01,600 since society has become increasingly aware of how viral illnesses can trigger long term impacts during the Covid 19 pandemic and Long Covid. 137 00:14:03,240 --> 00:14:07,800 So that you have a couple of examples of what that means in terms of symptoms I live with in practice: 138 00:14:08,550 --> 00:14:13,680 So fibromyalgia means my brain misinterprets nerve signals as pain signals. 139 00:14:14,100 --> 00:14:23,700 And I live with a great deal of chronic pain. ME/CFS gives me intense brain fog and post exertional malaise after physical and mental activities, 140 00:14:24,120 --> 00:14:27,420 which I should know will not just fix itself by exercising more. 141 00:14:28,830 --> 00:14:36,720 EDS, or Ehlers-Danlos Syndrome, affects my connective tissues and means I regularly and easily dislocate or sublux my joints. 142 00:14:37,500 --> 00:14:44,820 And POTS, or Postural Tachycardia Syndrome, means that my blood vessels don't properly pump blood back up my body. 143 00:14:45,090 --> 00:14:48,480 And when I stand, I can faint if I have to stand still for long periods. 144 00:14:49,680 --> 00:14:54,660 Obviously, each condition I have is wide-ranging and complex, and includes a range of other symptoms, 145 00:14:54,990 --> 00:14:58,920 but it's hopefully helpful just to have a couple of examples of what my conditions mean in practice. 146 00:15:00,310 --> 00:15:02,710 I'm also not just telling you so you know more about me. 147 00:15:03,460 --> 00:15:10,330 I'm telling you, because my experiences of navigating chronic illness at Oxford, then Harvard, and then when I started my own business, 148 00:15:10,660 --> 00:15:13,810 serve to contextualise where I'm coming from and what I'm about to put forward. 149 00:15:14,590 --> 00:15:20,800 They also hopefully illustrate some of the barriers that at least this disabled person has faced in education and work, 150 00:15:21,100 --> 00:15:27,640 as well as support and help I received along the way. During my time at Oxford, I got very lucky. 151 00:15:28,540 --> 00:15:33,700 I'm sure I don't need to tell most of you here that eight-week Oxford terms can be intense, 152 00:15:34,120 --> 00:15:39,370 and they just don't leave a lot of scope for fluctuating health conditions and health emergencies. 153 00:15:40,290 --> 00:15:45,060 I got lucky because I was fortunate enough to have some tutors and a mentor that just got it. 154 00:15:45,720 --> 00:15:48,180 He worked with me to find a sustainable path forward, 155 00:15:48,660 --> 00:15:53,310 particularly at points in my second year while I was recovering from an operation and really wasn't well. 156 00:15:54,310 --> 00:16:01,960 My tutor that term was flexible, empathetic, and trusted that I would get the work done if he gave me space to do it in a way that worked for me. 157 00:16:03,460 --> 00:16:08,500 At the same time, I was lucky that my family were only a short drive away in West London, 158 00:16:09,010 --> 00:16:14,290 and that my friends and those around my college, like the porters, were wonderfully supportive and looked out for me. 159 00:16:15,410 --> 00:16:19,190 Even with the support, Oxford was hard and had an impact on my health. 160 00:16:20,160 --> 00:16:27,510 But I truly believe that the understanding and support I got from key people was the difference between graduating and having a successful time here, 161 00:16:27,810 --> 00:16:30,150 versus having to pause or stop altogether. 162 00:16:31,190 --> 00:16:37,490 I came to realise how lucky I was because unfortunately, things were quite different for me when, after graduating from Oxford, 163 00:16:37,700 --> 00:16:41,840 and spending a year working here as a Research Fellow, and some time as a researcher at Citibank, 164 00:16:42,140 --> 00:16:46,660 I got a Kennedy scholarship to go to Harvard. At Harvard, 165 00:16:46,990 --> 00:16:52,569 suddenly I was an ocean away from my family and wider support network, and unfortunately, 166 00:16:52,570 --> 00:17:00,940 I came up against some inflexibility and barriers in both the institutional 'way things are done', and from individuals I was working with. 167 00:17:01,840 --> 00:17:09,639 To give one example, at an institutional level: even though I'd registered my conditions and provided medical documentation of my impairments 168 00:17:09,640 --> 00:17:14,320 prior to arriving at Harvard Grad School, because I wasn't a primary wheelchair user, 169 00:17:14,650 --> 00:17:20,170 I was given a room up eight flights of stairs with no lift and no other suitable alternatives. 170 00:17:21,500 --> 00:17:26,869 This meant there were periods of the year through which I was completely confined to my room, 171 00:17:26,870 --> 00:17:32,780 because my illness meant I physically couldn't climb the stairs to leave my floor, and I was relying on friends to bring me food. 172 00:17:33,680 --> 00:17:41,430 This was hard and had many long term impacts, something which I'm sure anyone else in the audience with an energy-limiting condition 173 00:17:41,450 --> 00:17:47,700 whether ME/CFS, Long COVID or anything else can attest to. On the academic side of things. 174 00:17:47,720 --> 00:17:51,830 I was super excited to have the chance to study film-making as part of my studies, 175 00:17:52,250 --> 00:17:59,660 something I'd always wanted to do, with big, grandiose dreams of telling people stories and maybe becoming the next Spielberg. 176 00:18:00,200 --> 00:18:05,510 So I secured my place on two film courses, and excitedly rocked up to the film-making department. 177 00:18:06,170 --> 00:18:07,550 But when I arrived, 178 00:18:08,330 --> 00:18:17,540 it turned out that the standard camera equipment for us to create our films was an extraordinary heavy camera, tripod and separate mic boxes, 179 00:18:17,690 --> 00:18:22,520 which, to my horror, we'd be required to take on our own to every shoot. 180 00:18:23,570 --> 00:18:28,010 Given I could barely lift the camera to waist height, let alone carry it for hours on end, 181 00:18:28,430 --> 00:18:34,460 I quietly asked for a meeting with my professor and assistant, and requested an adjustment to use my own personal camera, 182 00:18:34,460 --> 00:18:38,600 which was compatible with all of the software but, crucially, was lightweight. 183 00:18:39,650 --> 00:18:45,080 Sadly, I was told that this just wasn't possible, as it wasn't something they'd done before and 184 00:18:45,080 --> 00:18:48,170 thought it wouldn't allow for a level playing field for other people on the course. 185 00:18:49,140 --> 00:18:53,520 So I just tried my best to make it work, but it had a real impact on my symptoms, 186 00:18:53,790 --> 00:18:59,700 took up so much of my head space trying to manage, and just sucked the enjoyment out of a course I'd been so looking forward to. 187 00:19:00,860 --> 00:19:06,620 I used to find it almost comical each week when we presented our footage in class to see how everything was getting on. 188 00:19:06,970 --> 00:19:14,330 My professor would remark on how I seemed to be relying on the tripod quite a lot, and how my handheld shots were extremely shaky. 189 00:19:14,930 --> 00:19:18,890 Funnily enough, I wasn't actually trying out a new artistic approach to cinematography. 190 00:19:19,070 --> 00:19:26,600 I literally just couldn't hold the camera to waist height. And these are just two examples where adjustments could have easily been made. 191 00:19:26,840 --> 00:19:31,330 I could have had a room with far fewer stairs up to it. The whole block was graduate accommodation. 192 00:19:31,340 --> 00:19:36,469 It wouldn't have been that difficult. And ultimately, using a lighter camera might have differed from others, 193 00:19:36,470 --> 00:19:41,420 but for relatively little impact in real terms, it would have allowed me to focus on my filmmaking, 194 00:19:42,140 --> 00:19:47,000 learn more, and develop skills using a piece of equipment I might actually be able to use in the future. 195 00:19:48,230 --> 00:19:52,039 To their credit, the Accessibility Office did try their best to help in various ways, 196 00:19:52,040 --> 00:19:56,240 as impacts on my mental and physical health became clear across the year. 197 00:19:56,600 --> 00:20:02,530 And I know it's something they've made strides on since, but both examples just needed a bit of flexibility, 198 00:20:02,540 --> 00:20:05,570 and the lack of it had a profound experience on my time there. 199 00:20:06,910 --> 00:20:11,350 Most of the people I interacted with at Harvard were trying to do what they believed was the right thing to do. 200 00:20:12,070 --> 00:20:18,460 The majority of the issues rose from a lack of awareness and understanding of the barriers different disabled people can face, 201 00:20:19,030 --> 00:20:23,680 often driven by a lack of exposure to people who had access requirements that differed from the norm. 202 00:20:24,640 --> 00:20:31,689 And I think part of the issue was that the people who I was speaking to had a very traditional view of what a disabled person was 203 00:20:31,690 --> 00:20:35,920 that I didn't fit, because my disabilities were invisible or non apparent. 204 00:20:36,880 --> 00:20:41,350 Despite all of the medical evidence and advocacy and all of the things going on with my health, 205 00:20:42,070 --> 00:20:49,390 they kept seeing a seemingly non-disabled young person in front of them, rather than the unseen realities of my chronic illness. 206 00:20:50,790 --> 00:20:54,510 They too often framed my requests as wanting some sort of special treatment, 207 00:20:54,810 --> 00:20:58,980 rather than just needing help to navigate barriers that most other students weren't having to think about. 208 00:20:59,970 --> 00:21:04,800 And just to add a quick visual description on the slide here. On the left is a picture of me smiling at the camera, 209 00:21:05,010 --> 00:21:10,650 while on the right is the same picture with a range of some of my symptoms that I mentioned earlier spelled out around me. 210 00:21:11,070 --> 00:21:17,130 I think reflecting on those different experiences really crystallised for me that you can only go 211 00:21:17,470 --> 00:21:22,349 so far relying on individuals to do the right thing, or even know what the right thing is, 212 00:21:22,350 --> 00:21:26,850 especially in the face of inaccessible and rigid processes and procedures within 213 00:21:26,850 --> 00:21:31,560 organisations or institutions, and that can throw up all sorts of unnecessary barriers. 214 00:21:32,420 --> 00:21:35,329 Ultimately, leaving disabled people to navigate adjustments 215 00:21:35,330 --> 00:21:42,170 person to person leaves them open to individual ignorance and puts a big unfair burden of self-advocacy on them. 216 00:21:43,160 --> 00:21:46,610 However, and as a hopeful point for everyone to take away, 217 00:21:47,240 --> 00:21:54,440 I also came to realise the power and impact that individuals can have for disabled people if they're willing to listen and be flexible. 218 00:21:55,310 --> 00:22:03,290 My time at Oxford showed that individual allies can genuinely transform a disabled person's experience of otherwise inaccessible situations. 219 00:22:04,410 --> 00:22:07,560 My experiences at Harvard did also do one very important thing. 220 00:22:08,160 --> 00:22:15,150 Far more so than any time previously, they made me identify as disabled and think about my disability identity. 221 00:22:16,390 --> 00:22:21,580 I was forced to advocate for myself to try to get the adjustments I needed in a way I hadn't had to before, 222 00:22:22,450 --> 00:22:27,250 and it was in facing these assumptions and ignorance and deciding to try to change things for the better 223 00:22:27,940 --> 00:22:32,200 that led me to get very involved in wider-reaching disability advocacy work in the States, 224 00:22:32,710 --> 00:22:37,690 which eventually took me to Capitol Hill in Washington, D.C. to meet with Congress and Senators. 225 00:22:38,020 --> 00:22:45,670 And it was actually during one of these trips in 2019, where I was sitting around the table listening to the stories of incredible, 226 00:22:45,700 --> 00:22:50,020 highly skilled individuals who'd been forced to stop work because of barriers they were facing 227 00:22:50,380 --> 00:22:58,770 that I had the initial idea for Patchwork Hub. Across my advocacy efforts, I met so many people like me who were wanting and able to work, 228 00:22:59,100 --> 00:23:03,780 but who just faced so many barriers due to inaccessible conventional work practices and cultures. 229 00:23:04,880 --> 00:23:12,080 I began thinking about the potential of creating an accessible employment platform, through which users could connect with inclusive employers, 230 00:23:12,350 --> 00:23:16,430 access training and support, and facilitate a different way of working 231 00:23:16,460 --> 00:23:20,120 that broke down some of the unnecessary barriers they were facing in the world of work. 232 00:23:21,450 --> 00:23:26,180 It should be noted, of course, that for many people living with moderate to severe conditions like ME, 233 00:23:26,220 --> 00:23:29,220 Long Covid or others, work often isn't an option. 234 00:23:29,370 --> 00:23:33,689 So I think we need to be really careful when talking about removing barriers that we do recognise 235 00:23:33,690 --> 00:23:37,620 the fact that some people are too unwell to work, and it really is as simple as that. 236 00:23:38,770 --> 00:23:45,820 In support, however, of those who were able to work, the more I thought about this founding idea, the more convinced I became of its potential. 237 00:23:46,810 --> 00:23:52,990 So when I returned to the UK, I started work on Patchwork Hub, and I've been pushing things forward ever since. 238 00:23:54,050 --> 00:23:57,730 Through my work at Patchwork Hub I've met so many amazing people, 239 00:23:57,790 --> 00:24:01,870 whether it's the job seekers who we connect with inclusive work opportunities; 240 00:24:02,290 --> 00:24:07,300 people driving the change around disability inclusion within organisations across the country; 241 00:24:08,200 --> 00:24:12,640 or other disabled founders and entrepreneurs who are doing amazing things across so many sectors. 242 00:24:13,840 --> 00:24:21,190 But in my work with employers and jobseekers, I've also really come to appreciate the extent to which unnecessary barriers in the way things are done 243 00:24:21,580 --> 00:24:26,110 are holding back so many talented people, either excluding them from the workplace, 244 00:24:26,590 --> 00:24:33,800 pushing them into less secure employment, or halting their career progression and their ability to thrive and work in a sustainable way. 245 00:24:34,930 --> 00:24:42,370 And whilst the business I built is trying to tackle the persistent barriers within workplaces and society, I still hadn't quite expected, 246 00:24:42,370 --> 00:24:49,330 when I broke away to embark on my own vision, the extent to which I would come up against those same barriers in the world of entrepreneurship. 247 00:24:51,190 --> 00:25:02,590 First of all, even in 2024, there's still a real macho tech-bro culture around innovation and the startup space, both from entrepreneurs and investors. 248 00:25:03,670 --> 00:25:10,960 There's really quite an ingrained sense that to be a successful entrepreneur, you have to be hustling or burning the candle at both ends – 249 00:25:11,470 --> 00:25:19,030 almost to the extent of glorifying concepts like burnout. Now, for someone like me with fluctuating health conditions and chronic fatigue, 250 00:25:19,630 --> 00:25:25,480 This can often make me feel like I'm falling behind, or there's pressure to push myself in really detrimental ways. 251 00:25:26,740 --> 00:25:32,470 There are, of course, some really amazing inclusive accelerators, investors and funds that are starting to disrupt that a bit. 252 00:25:33,040 --> 00:25:37,510 But I think it's worth flagging how exclusionary the current mainstream startup culture as a whole can be. 253 00:25:38,560 --> 00:25:43,029 And that's not just for disabled entrepreneurs. In many spaces I find myself in, 254 00:25:43,030 --> 00:25:45,370 I'm not just the only disabled person, 255 00:25:45,370 --> 00:25:51,160 but the only woman in the room, with an equally notable exclusion of people of colour and other marginalised groups. 256 00:25:52,470 --> 00:25:56,850 Very much linked to this are attitudinal barriers that get in the way of disabled entrepreneurship: 257 00:25:57,940 --> 00:26:05,260 the assumptions that people make about disabled people and the lives they can lead, the skills they can have and the things they can achieve. 258 00:26:06,310 --> 00:26:10,270 For example, far too often people have assumed that because I'm disabled, 259 00:26:10,510 --> 00:26:15,160 my business would naturally be some charity style, small-scale lifestyle business, 260 00:26:15,610 --> 00:26:21,370 or that because I'm working in disability inclusion that my services and expertise should be provided to them for free. 261 00:26:22,670 --> 00:26:28,820 Often when I explain that I run my own business to new people, I'm met with a well-meaning but somewhat patronising 262 00:26:29,000 --> 00:26:35,930 'Oh, good for you, keeping yourself occupied, despite everything', rather than just taking me seriously as an entrepreneur and a business leader. 263 00:26:37,210 --> 00:26:39,190 And for many of my disabled peers, 264 00:26:39,460 --> 00:26:45,640 there's also a really ingrained assumption that the only thing disabled people can be leaders in is disability inclusion, 265 00:26:46,180 --> 00:26:50,140 and that the disabled entrepreneur must be doing something disability related. 266 00:26:51,120 --> 00:26:56,850 We need to normalise the idea of disabled people being experts in areas that aren't just disability. 267 00:26:58,440 --> 00:26:59,710 In fundraising as well, 268 00:26:59,730 --> 00:27:06,660 I can guarantee that I'll have a completely different level of conversations with investors when they don't realise I'm disabled, 269 00:27:07,050 --> 00:27:10,320 compared to if I walk into the room with my stick or in my power chair. 270 00:27:11,070 --> 00:27:17,420 And I don't mean in a good way. In the past, potential investors have literally dialled down the amounts we're talking about 271 00:27:17,430 --> 00:27:21,420 once they realise I'm personally disabled or the nature of the conditions that I live with. 272 00:27:22,710 --> 00:27:29,610 A lot of this is down to ignorance and a lack of awareness, driven by a lack of representation, which can fuel so many stereotypes. 273 00:27:30,240 --> 00:27:32,099 But I did just want to highlight these barriers, 274 00:27:32,100 --> 00:27:39,300 as I think they're really relevant to thinking about the broader underlying cultural and systemic barriers that pervade all institutions, 275 00:27:39,540 --> 00:27:43,800 workplaces, and the general narrative we have around disability in this country. 276 00:27:45,230 --> 00:27:50,150 What I've gone through so far is very much my own story and some of the barriers I've experienced and witnessed. 277 00:27:50,660 --> 00:27:58,040 But something I really want to stress – perhaps obvious, but still something worth saying – is the diversity within the disabled community. 278 00:27:58,880 --> 00:28:07,160 The story I know most about is my own, but disability is such a broad umbrella that encompasses a wide variety of lived experiences, 279 00:28:07,790 --> 00:28:11,690 all the while intersecting in complex ways with other parts of our identity. 280 00:28:12,680 --> 00:28:19,670 So I now want to broaden things out and look at disability in the round: who we mean when we talk about disabled people and what ways we 281 00:28:19,670 --> 00:28:26,960 can start to understand and conceptualise the array of barriers that different disabled people may have to navigate in their daily lives. 282 00:28:28,010 --> 00:28:31,730 So when we talk about disabled people, who are we actually talking about? 283 00:28:32,860 --> 00:28:39,130 So the definition of disability according to the 2010 Equality Act is somebody has a physical or mental 284 00:28:39,130 --> 00:28:45,040 impairment which has a substantial and long term negative effect on their ability to do normal daily activities. 285 00:28:46,210 --> 00:28:49,270 Now, just because it's interesting to see what people's perceptions are, 286 00:28:49,630 --> 00:28:57,430 and also just to check it also with me, can I ask you what percentage of the UK population you think has a disability? 287 00:28:57,640 --> 00:29:02,740 So there's three options on the slide. 15%. 21% or 24%. 288 00:29:03,490 --> 00:29:09,490 Not to bring it back to school too much, but if I can ask those in the room to raise your hands or otherwise indicate in whatever way you're able 289 00:29:09,820 --> 00:29:14,760 A: 15%. B: 21%. 290 00:29:16,230 --> 00:29:20,080 ... or C: 24%. Interesting. 291 00:29:20,290 --> 00:29:23,350 I put this before I realised I can't see the zoom chat to see the responses, 292 00:29:23,380 --> 00:29:31,119 but in the room we've got some Bs and some Cs. And actually C: 24% of the British population are disabled, 293 00:29:31,120 --> 00:29:36,550 according to the latest government data published earlier this year, which is over 16 million people. 294 00:29:37,720 --> 00:29:43,570 And it's actually a bit of a sneaky trick question for anybody that said B, because it was 21% until a couple of years ago with the census. 295 00:29:44,200 --> 00:29:51,160 So now I'd like to ask you to guess what proportion of disabled people you think are wheelchair users. 296 00:29:51,400 --> 00:29:54,820 So we have 7, 14% or 35%. 297 00:29:55,030 --> 00:29:59,590 So who thinks it's A: 7%? OK, quite a lot. 298 00:29:59,980 --> 00:30:05,320 B: 14%. OK, and C: 35%. 299 00:30:06,750 --> 00:30:11,160 More of a mixed bag. So correct answer is in fact just 7%. 300 00:30:12,420 --> 00:30:18,930 And actually, recent studies have shown that fewer than 3% of disabled people are full-time wheelchair users. 301 00:30:19,350 --> 00:30:26,550 The remaining 4% are ambulatory wheelchair users like me, meaning they can walk but use a wheelchair some of the time for certain purposes. 302 00:30:27,570 --> 00:30:34,530 Now, I think this is really interesting because if I ask you to close your eyes and imagine a disabled person, 303 00:30:35,070 --> 00:30:40,350 I think more often that not, your mind might immediately think of somebody with a visible impairment, such as a wheelchair user. 304 00:30:41,040 --> 00:30:45,570 And in fact, the icon of somebody in a wheelchair is the universally recognised symbol of disability. 305 00:30:46,110 --> 00:30:55,110 But in fact, as we've just seen, 93% of disabled people are not wheelchair users. According to the WHO's World Report on Disability, 306 00:30:55,440 --> 00:31:01,080 over 1.85 billion people globally are living with a disability, and of these, 307 00:31:01,080 --> 00:31:07,800 over 80% of disabilities are non-visible, with 450 million living with a mental or neurological condition. 308 00:31:08,700 --> 00:31:14,130 So a lot of disabled people might not conform to society's stereotypical view of disabled. 309 00:31:14,490 --> 00:31:18,990 And I think this is something to watch out for in your own thinking around approaching disability and access. 310 00:31:20,010 --> 00:31:24,540 It's also important to note that many people with disabilities might not seek medical help. 311 00:31:24,930 --> 00:31:29,340 For example, around two thirds of those with a mental or neurological condition are thought not to have done. 312 00:31:30,240 --> 00:31:37,289 And this number of people living with a disability is rising as we battle global trends such as an ageing population and most recently, 313 00:31:37,290 --> 00:31:38,730 the Covid 19 pandemic. 314 00:31:39,750 --> 00:31:46,230 Something I'd like to do in today's lecture is to highlight that disability might be affecting us all in ways you might not necessarily realise. 315 00:31:47,390 --> 00:31:51,140 So nearly 1 in 4 of the British population now live with a disability. 316 00:31:52,010 --> 00:31:58,220 And yet repeatedly, results in studies have shown that almost half the population say they don't know a disabled person. 317 00:31:59,370 --> 00:32:05,220 There's many systemic reasons for this, with ongoing challenges around disability, poverty and isolation. 318 00:32:06,230 --> 00:32:13,760 But another reason for this disconnect is people not necessarily realising or recognising impairments and health conditions as disabilities, 319 00:32:13,760 --> 00:32:22,079 or identifying as disabled. And I'm very aware that whilst I now proudly self-identify as disabled, early in my 20s, 320 00:32:22,080 --> 00:32:25,320 this was something I had an incredibly complex and personal journey with. 321 00:32:26,130 --> 00:32:30,390 Like I said, it was only really after my experiences at Harvard where I came to realise 322 00:32:30,390 --> 00:32:35,250 that as a really cool part of my identity. And young me is not alone in this: 323 00:32:35,880 --> 00:32:42,990 studies have shown that the number of people who meet the Equality Act definition of disabled, but don't self-identify as such, is really sizeable. 324 00:32:43,590 --> 00:32:50,250 It's actually a good reason why now surveys often ask about disability tend to ask about disability or long term health conditions. 325 00:32:51,380 --> 00:32:57,860 Because although the world is changing and adapting its awareness of disability, neurodiversity and mental health, 326 00:32:58,370 --> 00:33:03,410 awareness and representation is still low, even among many people with various health conditions. 327 00:33:04,490 --> 00:33:11,480 The vast majority, 83% of people with disabilities, weren't born with them, but acquired them during their working life. 328 00:33:12,110 --> 00:33:20,850 And most of us grow up knowing very little about disability. Sadly, a disabled person's path to becoming disabled is not as simple as being diagnosed. 329 00:33:21,360 --> 00:33:29,620 It's not like you're handed a booklet that says you're disabled now. And then you've got the fact that it can take a long time before that. 330 00:33:30,540 --> 00:33:34,850 And I think never has the sentiment had more light shone on it than during the pandemic. 331 00:33:35,540 --> 00:33:40,429 Awareness of underlying health conditions and the notion of adapting behaviour to protect your 332 00:33:40,430 --> 00:33:45,770 health and the health of loved ones and strangers was introduced in an unprecedented way. 333 00:33:46,830 --> 00:33:52,230 Terms like immunocompromised suddenly became a part of commonly understood language, 334 00:33:52,710 --> 00:33:56,400 and people became acutely aware of being clinically vulnerable from their conditions. 335 00:33:57,300 --> 00:34:01,710 And then, of course, there's Long Covid, impacting an estimated 2 million people in the UK. 336 00:34:02,610 --> 00:34:08,490 This has resulted in individuals becoming in some cases severely unwell and disabled almost overnight, 337 00:34:09,840 --> 00:34:13,020 and now having to come to terms with a wholly new identity. 338 00:34:14,730 --> 00:34:19,290 And then you've got the fact you can take a long time to receive a diagnosis for many chronic health conditions. 339 00:34:20,410 --> 00:34:26,590 The average diagnosis time for Ehlers-Danlos Syndrome and POTS, two of my own conditions, is around 14 years, 340 00:34:27,070 --> 00:34:30,370 with the number being even higher for under-represented demographics. 341 00:34:31,430 --> 00:34:38,720 And unfortunately, diagnosis doesn't equal treatment, with waiting lists for treatment of critical conditions still incredibly long. 342 00:34:39,590 --> 00:34:41,570 So again, for me as a disabled person, 343 00:34:41,720 --> 00:34:48,380 wanting to take advice and positive steps to at least ease symptoms and improve my situation with things I know would help, 344 00:34:48,920 --> 00:34:55,610 I'm still on waiting lists six years on from my original diagnosis, which makes it quite hard to make those sorts of improvements. 345 00:34:57,120 --> 00:35:05,280 Ultimately, awareness of disability remains very low and few people identifying as disabled, combined with a lack of authentic representation, 346 00:35:05,640 --> 00:35:11,220 helps to fuel misconceptions around what disabled looks like and how we should work to accommodate people. 347 00:35:13,370 --> 00:35:17,900 So far, many of the stats I've quoted have talked about disabled people as one community. 348 00:35:18,470 --> 00:35:22,700 But I really want to stress there's very much no one-size-fits-all view of disability. 349 00:35:23,420 --> 00:35:28,070 Different health conditions and disabilities can require radically different accommodations, 350 00:35:28,640 --> 00:35:33,380 while even people with similar conditions and impairments can have different needs and experiences. 351 00:35:34,100 --> 00:35:40,490 My lived experience of my disability is my own, and every disabled person will have a different experience with their disability. 352 00:35:41,960 --> 00:35:43,640 And as with all marginalisations, 353 00:35:43,670 --> 00:35:50,510 it's also really important to consider intersectionality and how different parts of people's identities will impact their experience. 354 00:35:51,200 --> 00:35:58,520 For example, as a female disabled entrepreneur from a lower socioeconomic background, I'll experience different barriers than others, 355 00:35:58,970 --> 00:36:02,870 whilst being a white woman affords me privileges that people from other backgrounds would not have. 356 00:36:04,060 --> 00:36:08,410 Looking at disability without this intersectional lens is a non-starter. 357 00:36:09,520 --> 00:36:16,060 But even in 2024, the disability space in the UK is still incredibly white and heteronormative. 358 00:36:16,750 --> 00:36:23,829 We need to work as a movement to listen to, platform, and learn about the experiences of ethnic minority 359 00:36:23,830 --> 00:36:30,100 disabled people, LGBTQ+ disabled people, and other minorities within the disabled community. 360 00:36:31,570 --> 00:36:38,410 So what does this all mean? Well, it means that when we're trying to be inclusive and provide an accessible environment for people with disabilities, 361 00:36:38,770 --> 00:36:42,100 we always have to start with the individual and their specific needs. 362 00:36:43,260 --> 00:36:47,640 We need to set up ways to listen to them and ask them, as experts in their own experience. 363 00:36:48,210 --> 00:36:51,870 And considering the different aspects of their identity is of paramount importance here. 364 00:36:52,590 --> 00:36:55,740 So while there's good general practice you can learn and we'll be discussing, 365 00:36:56,280 --> 00:37:01,740 when approaching disability, it's always vital to remember to listen to individuals when they tell you the barriers 366 00:37:01,740 --> 00:37:06,570 they're facing and what they need, to capture the complexity of individual circumstances. 367 00:37:07,580 --> 00:37:11,779 And I think one useful way to do this is making sure you and your peers understand 368 00:37:11,780 --> 00:37:16,400 and utilise a very key principle and approach: the social model of disability. 369 00:37:17,330 --> 00:37:19,310 So what is the social model of disability? 370 00:37:20,150 --> 00:37:26,540 So traditionally when people used to think about disability, they would often think in terms of what's called the medical model. 371 00:37:27,350 --> 00:37:34,700 The medical model focuses on what's wrong with a person and says that people are disabled by their impairments or differences. 372 00:37:35,420 --> 00:37:42,800 In contrast, the social model of disability is a way of viewing the world which has people disabled by barriers in society, 373 00:37:42,830 --> 00:37:44,720 not by their impairment or difference. 374 00:37:45,820 --> 00:37:51,100 So, for example, a barrier could be being in a wheelchair and unable to get up the stairs because there's no lift. 375 00:37:51,900 --> 00:37:58,020 In the traditional medical model, this would focus on there being something wrong with the individual in the wheelchair who can't climb the stairs. 376 00:37:58,530 --> 00:38:01,860 But in the social model, the person is disabled by a lack of access, 377 00:38:01,890 --> 00:38:06,420 not their condition. When there's a lift put in place, that barrier's removed. 378 00:38:07,350 --> 00:38:11,250 Barriers can be physical, but they can also be things like digital accessibility – 379 00:38:11,880 --> 00:38:13,920 a real problem across so much of the internet. 380 00:38:14,730 --> 00:38:22,559 Or they could be processes and procedures in organisations or cultures and the way of doing things or just simply people's attitudes 381 00:38:22,560 --> 00:38:27,390 to difference: like assuming there are certain lives disabled people can't lead or things they can't achieve. 382 00:38:28,660 --> 00:38:33,950 Now, I'm not going to stand up here and tell you I think that the social model is perfect. Like all advocacy tools, 383 00:38:33,970 --> 00:38:39,080 I personally think it can oversimplify disability a bit. Just in terms of my lived experience, 384 00:38:39,100 --> 00:38:45,940 it's true that an awful lot of the impacts of my disability could be lessened or mitigated in a society built with disabled people in mind. 385 00:38:46,630 --> 00:38:54,610 But even in a world where you removed all of society's barriers, I still have chronic pain, daily dislocations and fatigue. 386 00:38:55,360 --> 00:39:03,640 However, I do think the social model can be and is a very powerful tool for advocacy and for organisational understanding of disability inclusion. 387 00:39:04,510 --> 00:39:10,350 And frankly, my life would be an awful lot nicer if all of society's barriers for disabled people were removed, 388 00:39:10,390 --> 00:39:11,950 even with my symptoms intact. 389 00:39:13,260 --> 00:39:21,210 We can still see the persistent negative impact of the social model of disability in so many aspects of our society and institutions, 390 00:39:21,890 --> 00:39:27,450 most obviously in the media or government framing of disabled people as a problem to be solved, 391 00:39:27,990 --> 00:39:31,710 rather than as a community living in a society not built with them in mind, 392 00:39:31,830 --> 00:39:36,110 and who should be engaged with. What's always really interesting 393 00:39:36,140 --> 00:39:45,949 in all of this is looking back at March 2020. Society in just a few weeks was able to make the adjustments and remove barriers to remote 394 00:39:45,950 --> 00:39:50,660 and flexible working that disabled people had been asking for and denied for decades, 395 00:39:51,290 --> 00:39:55,610 demonstrating the art of what's possible when the will and desire is there to implement it. 396 00:39:58,240 --> 00:40:05,710 So the social model's strength is in placing responsibility on all of us in society, in the workplace or institutions we're part of, 397 00:40:05,950 --> 00:40:11,230 to remove these barriers rather than wrongly writing off disabled people as a problem, or broken. 398 00:40:12,310 --> 00:40:16,929 And for me it's quite empowering for everyone. Because if the problem is society, 399 00:40:16,930 --> 00:40:23,050 it means every one of us can play our role in making things better and pushing for a more equitable and inclusive future. 400 00:40:24,310 --> 00:40:28,630 But - and actually, this is a question that gets put to me far more often than you would like or hope. 401 00:40:28,930 --> 00:40:33,190 While we can all play our part to drive change. Why is this change actually needed? 402 00:40:33,520 --> 00:40:40,570 Why is disability inclusion important? Well, first and foremost, this is a basic fairness issue. 403 00:40:41,080 --> 00:40:49,039 Like so many other marginalised communities, disabled people are living in a society not built with us in mind, which holds them back, 404 00:40:49,040 --> 00:40:57,870 and which stops them from thriving and contributing in a way they could. And I find it sad that this moral argument is so often sidelined and deprioritised. 405 00:40:58,530 --> 00:41:04,410 It often feels like we need to make the case that disability inclusion would be economically beneficial for the majority, 406 00:41:04,920 --> 00:41:09,389 or we need to link it to the personal interests of non-disabled people by reminding 407 00:41:09,390 --> 00:41:13,410 them that disability is a category that any of us can join at a moment's notice. 408 00:41:14,530 --> 00:41:21,040 Fundamentally, I feel really strongly that disability inclusion is a good in and of itself without any of these other justifications. 409 00:41:22,440 --> 00:41:27,060 But having said that, there is a massive cost to society from being so inaccessible. 410 00:41:28,050 --> 00:41:32,190 Every day, I'm blown away by the talent in the disabled community. 411 00:41:33,190 --> 00:41:39,070 And every day, I'm equally frustrated by the way that that talent is blocked, derailed and marginalised. 412 00:41:39,760 --> 00:41:46,360 In other words, there's a massive opportunity cost to our current inaccessible society and inaccessible workplaces. 413 00:41:47,250 --> 00:41:51,029 And that's all the amazing things that disabled people would have gone on 414 00:41:51,030 --> 00:41:55,530 to be able to do, if they'd just been able to get on and do it in a setup that works for them, 415 00:41:55,950 --> 00:42:01,650 rather than having to spend all their time, effort and money navigating a needlessly inaccessible world. 416 00:42:02,930 --> 00:42:06,980 And I think this is something that we can recognise and extend across marginalised communities. 417 00:42:07,460 --> 00:42:13,160 Inclusivity and accessibility is not just nice to have, as it feels far too often it's framed as. 418 00:42:14,030 --> 00:42:19,280 There's an immense cost to all of us for our lack of inclusivity, and that's all of the insights, 419 00:42:19,280 --> 00:42:26,990 creativity and progress we're missing out on because people aren't given the same chances and opportunities as others in our society. 420 00:42:28,190 --> 00:42:30,980 And it's the same in organisations and institutions. 421 00:42:31,850 --> 00:42:39,020 If you've got barriers that are stopping you from recruiting disabled people or cutting potential disabled students off for application processes, 422 00:42:39,530 --> 00:42:46,820 or disrupting their efforts once they're at university, that's a sizeable portion of the population you're missing out on or marginalising. 423 00:42:47,720 --> 00:42:51,830 And you're missing out on people that are great problem solvers, compassionate leaders, 424 00:42:52,160 --> 00:42:55,489 and innovators who likely bring different and fresh perspectives, 425 00:42:55,490 --> 00:43:02,510 tasks, and topics alongside many additional skills honed from navigating an often inaccessible world. 426 00:43:03,740 --> 00:43:08,000 However, in almost all countries there's a large disability employment gap, 427 00:43:08,810 --> 00:43:12,380 with the employment rates for disabled people much lower than non-disabled people. 428 00:43:13,380 --> 00:43:20,100 In the UK, it's remained relatively stagnant, moving from low 30 percents to high 20 percents over the last decade or so. 429 00:43:21,110 --> 00:43:24,950 And that's before we get onto career progression and the disability pay gap, 430 00:43:25,820 --> 00:43:30,410 which we can't even measure properly because the data just isn't being collected in the way it needs to be. 431 00:43:31,670 --> 00:43:39,410 Yet, it's been repeatedly proven by research and studies that disability-inclusive companies outperform their peers in terms of revenue, 432 00:43:39,440 --> 00:43:43,370 retention rates, productivity, and reduced sickness absence. 433 00:43:44,060 --> 00:43:48,440 So society as a whole is missing out on excluded disabled talent. 434 00:43:49,250 --> 00:43:54,560 But so are organisations and institutions up and down the country. It's costing us all. 435 00:43:56,490 --> 00:44:03,450 And my next point around Why? Well, accessibility and disability inclusion is vital for disabled people. 436 00:44:04,140 --> 00:44:08,730 Environments set up in an inclusive and accessible way ultimately benefit everyone. 437 00:44:09,910 --> 00:44:14,229 There are so many cohorts beyond disabled people that can benefit from a strong 438 00:44:14,230 --> 00:44:19,420 foundation in disability inclusion and accessibility across all parts of society. 439 00:44:20,480 --> 00:44:21,590 As a simple start, 440 00:44:21,920 --> 00:44:29,360 businesses that know how to support disabled employees effectively will likely be better placed to support people with shorter term illnesses. 441 00:44:30,320 --> 00:44:37,039 I'm currently a Commissioner for the Commission for Healthy Working Lives, and I was actually really shocked by the work that the Health Foundation, 442 00:44:37,040 --> 00:44:43,640 Resolution Foundation and others feeding into that commission found around the rising ill health across the working age of the UK, 443 00:44:43,820 --> 00:44:46,940 but especially among the younger cohorts of the workforce. 444 00:44:48,330 --> 00:44:54,150 To me, a really necessary requirement is to get disability inclusion right, with the right systems in place, 445 00:44:54,390 --> 00:45:00,810 and use that as a fundamental basis and template for creating a healthy way of working that benefits everyone. 446 00:45:02,370 --> 00:45:08,190 It's an issue that's been getting a lot of coverage over the last few weeks, even this week and today. 447 00:45:08,640 --> 00:45:12,230 And I probably don't need to clarify that for me, 448 00:45:12,240 --> 00:45:20,160 it's clearly really damaging and wrong to continually frame disabled people, and those out of work due to sickness, as the problem, 449 00:45:20,670 --> 00:45:27,570 or question the validity of the health and accessibility challenges people face, as the current government narrative seems intent on doing. 450 00:45:28,620 --> 00:45:35,040 The problem is the barriers, the inaccessibility, and the practices that amplify ill health, not the people, 451 00:45:35,040 --> 00:45:39,359 and I think any serious solutions would address that. Overall 452 00:45:39,360 --> 00:45:44,580 for me, workplaces that are truly disability-inclusive are going to understand how to flex 453 00:45:44,580 --> 00:45:49,110 around people's needs and circumstances to help them put their best selves forward. 454 00:45:49,860 --> 00:45:53,520 And if harnessed, this ultimately unlocks benefits for everyone, 455 00:45:54,300 --> 00:46:02,910 whether it's the 5 million unpaid and often unrecognised carers in the UK, parents who need that flexibility for childcare, 456 00:46:04,020 --> 00:46:07,140 people who thrive with different communication styles and ways of learning, 457 00:46:07,800 --> 00:46:11,850 or just the natural variation of lives that people are balancing outside of the workplace. 458 00:46:12,690 --> 00:46:16,470 Disability inclusion, accessibility, and the lessons they teach 459 00:46:16,470 --> 00:46:19,740 are vital for disabled people and neurodivergent people. 460 00:46:20,190 --> 00:46:24,720 But I truly believe they benefit everyone. So this means 461 00:46:24,720 --> 00:46:30,870 that I really have to bite my tongue sometimes when I speak to employers and organisations around diversity and inclusion, 462 00:46:31,200 --> 00:46:37,020 and they tell me they're focusing on addressing other areas such as gender or ethnicity, before getting to disability. 463 00:46:37,530 --> 00:46:39,000 And yes, they do say this a lot. 464 00:46:40,020 --> 00:46:47,880 The reason for my frustration is because these things are all linked in a way such a siloed view of diversity and inclusion pillars misses. 465 00:46:48,830 --> 00:46:55,040 And one key thing to remember is that for all types of demographics, disabled people are part of them all. 466 00:46:55,340 --> 00:46:58,310 And it's why intersectionality is so absolutely crucial. 467 00:46:59,500 --> 00:47:05,920 Ultimately, disability inclusion is a basic fairness issue, and that alone should be enough to make us care. 468 00:47:06,960 --> 00:47:11,010 But it's also a massive benefit for us all across society and organisations. 469 00:47:11,730 --> 00:47:17,520 We benefit from harnessing disabled talent and diversity of thought it brings, rather than putting barriers in the way. 470 00:47:18,180 --> 00:47:25,230 And we all directly benefit from some of the lessons of accessibility and flexibility that disability inclusion has at its core. 471 00:47:26,900 --> 00:47:30,229 So I've talked a lot about the issues and why they're important. 472 00:47:30,230 --> 00:47:34,580 But for me, it's vital when you engage people on issues like disability inclusion, 473 00:47:34,760 --> 00:47:38,060 you don't just flag the problems, but you actually start to broach solutions. 474 00:47:39,050 --> 00:47:43,790 And I don't just mean long term, complex societal and organisational changes. 475 00:47:44,300 --> 00:47:50,870 I mean things that every one of us, across our different walks of life, can start to think about and take action around immediately. 476 00:47:51,920 --> 00:47:57,140 Because while I think that ultimately a lot of the change needed does need to happen at that macro level, 477 00:47:57,680 --> 00:48:04,010 as I said earlier, I know from my own experiences the power of individuals in lowering barriers for those they manage, 478 00:48:04,280 --> 00:48:11,510 those they tutor and educate, and those they interact with. So I'm going to go through a mix of small and slightly larger actions that can really 479 00:48:11,510 --> 00:48:15,650 make a difference in creating more disability inclusive and accessible environments. 480 00:48:17,140 --> 00:48:25,420 My first suggestion is perhaps the simplest. Take the burden of raising adjustments and access requirements off of the disabled individual. 481 00:48:26,750 --> 00:48:32,990 Too often, the burden is currently on the disabled person themselves to raise the issue of adjustments or accommodations, 482 00:48:33,440 --> 00:48:39,350 which relies on their confidence and personality, and impacts the process for them in getting what they need to thrive. 483 00:48:40,250 --> 00:48:46,760 It can take a lot of energy to constantly advocate for and proactively bring up access requirements or adjustments. 484 00:48:47,570 --> 00:48:50,270 Disclosing your disability can be a really scary thing. 485 00:48:51,020 --> 00:48:57,500 A study by BUPA found that over 2/5 of those with less visible disabilities hadn't disclosed them to their employers. 486 00:48:58,470 --> 00:49:07,080 So it's about creating a culture for disclosure. And not only this, but it's also important that, especially in university settings or early careers, 487 00:49:07,710 --> 00:49:12,120 often for many students living with undiagnosed or newly diagnosed conditions, 488 00:49:12,690 --> 00:49:17,820 this may well be the first time they've gone through the process and concept of reasonable adjustments. 489 00:49:18,060 --> 00:49:19,620 And it may be completely new to them. 490 00:49:20,670 --> 00:49:26,100 Yet, I can tell you from personal experience and from speaking to countless disabled candidates and job seekers, 491 00:49:26,670 --> 00:49:32,490 there's nothing quite like the feeling of relief when someone asks first if there's any adjustments you need, 492 00:49:32,850 --> 00:49:38,800 and comes across as just genuinely wanting to help. So how can we implement this in practice? 493 00:49:39,310 --> 00:49:44,740 Well, if you manage people, it's as simple as proactively asking everyone when they start working for you, 494 00:49:45,190 --> 00:49:51,880 and at checkpoints throughout your work with them, if they have any access requirements and how you can set them up for success. 495 00:49:52,770 --> 00:49:57,540 If you're tutoring students, bringing it up at the start of each term can be really powerful. 496 00:49:58,410 --> 00:50:03,030 And if you manage recruitment or even within the interview process for entry to Oxford, 497 00:50:03,660 --> 00:50:07,619 proactively asking whether adjustments can be made, and then returning to the question 498 00:50:07,620 --> 00:50:10,950 as a standard part of any communication with them throughout the process. 499 00:50:12,200 --> 00:50:15,440 Making this part of mainstream communication to all students, 500 00:50:16,160 --> 00:50:23,330 applicants, and staff can take a huge burden off of people and will benefit you in turn if you're providing support. 501 00:50:24,380 --> 00:50:28,939 Flagging how adjustments can be raised at every stage and signalling clearly that 502 00:50:28,940 --> 00:50:32,780 your priority is helping people put their best selves forward isn't costly, 503 00:50:33,260 --> 00:50:38,750 but it's a powerful message that your team, organisation, or institution cares about its talent. 504 00:50:40,450 --> 00:50:45,310 My second suggestion is a more organisational one: mandatory disability awareness 505 00:50:45,310 --> 00:50:49,150 training for those in positions of management or pastoral responsibility. 506 00:50:50,120 --> 00:50:52,520 From my work in organisations across the UK, 507 00:50:53,240 --> 00:50:58,130 I've seen the importance of line managers as the people that have the most direct contact with the individual. 508 00:50:58,970 --> 00:51:05,570 You can have the most amazing policies and procedures in place, but if someone's line manager just doesn't get it, 509 00:51:05,960 --> 00:51:09,570 that's often going to be the biggest problem and can make or break the outcomes 510 00:51:09,570 --> 00:51:14,260 for the disabled person. And at educational institutions like Oxford, 511 00:51:14,500 --> 00:51:21,790 I'd extend the concept of line manager to include tutors and those in pastoral positions of responsibility across colleges, alongside others. 512 00:51:23,170 --> 00:51:26,950 And while I fully acknowledge that training is only one part of the solution, 513 00:51:27,460 --> 00:51:32,199 what it does do is set that baseline of awareness that makes it just that little bit easier to 514 00:51:32,200 --> 00:51:37,810 hold people accountable and question unhelpful or even unacceptable attitudes and behaviours. 515 00:51:39,730 --> 00:51:44,890 My third suggestion is something we can all improve on and practice around different aspects of our life: 516 00:51:45,040 --> 00:51:50,410 accessible communications. Another one of these things that's essential for some, but useful for all. 517 00:51:51,580 --> 00:51:55,060 Whilst this is vital for company, university, or college comms, 518 00:51:55,450 --> 00:51:59,740 it's equally important for all of us, even if it's just our social media. 519 00:52:00,790 --> 00:52:03,940 Accessible communications could take up a whole discussion of its own. 520 00:52:04,210 --> 00:52:11,500 But I thought I'd just leave you with a few priority quick wins that anybody who uses social media can ensure they're implementing from now on. 521 00:52:12,670 --> 00:52:18,160 The first of these is for anything you or your company or society puts out on social media: 522 00:52:18,610 --> 00:52:25,300 Please ensure that every image has both alt-text and image descriptions. Alt-text, for anyone unfamiliar, 523 00:52:25,300 --> 00:52:30,250 is a simple description of an image and allows users who may be blind or living with low 524 00:52:30,250 --> 00:52:34,690 vision to consume your content as it is read aloud by users of screen reader software. 525 00:52:35,590 --> 00:52:40,600 However, not everyone who benefits from having an image read aloud to them has access to a screen reader, 526 00:52:40,990 --> 00:52:42,790 and this is where image descriptions come in. 527 00:52:43,810 --> 00:52:49,630 Rather than just being read just by screen reading users, they're added in the body of text and can be read by anyone, 528 00:52:50,020 --> 00:52:54,610 normally containing slightly more information around nuances like moods or emotions. 529 00:52:55,450 --> 00:53:01,210 They are added to social media captions, comments, or as the caption to a photo on a web page. 530 00:53:02,340 --> 00:53:05,790 Image descriptions aren't just beneficial for those with visual impairments. 531 00:53:06,150 --> 00:53:10,470 They benefit people with visual processing differences or different learning styles. 532 00:53:11,190 --> 00:53:17,520 For example, autistic or dyslexic people might benefit from having something written in text rather than the image of a text. 533 00:53:18,560 --> 00:53:25,640 People with sensory processing differences, like a chronic pain condition or chronic illness or fatigue can also greatly appreciate them. 534 00:53:27,080 --> 00:53:31,370 Next, please ensure that every piece of video content has closed captions. 535 00:53:32,240 --> 00:53:36,860 Not only is this essential to allowing deaf and hard of hearing users to consume your content, 536 00:53:37,460 --> 00:53:43,490 it can also help people with cognitive dysfunction like me, where I benefit from being able to read and listen at the same time. 537 00:53:44,530 --> 00:53:46,830 There's countless other benefits to captioning, too, 538 00:53:46,840 --> 00:53:53,350 especially as studies are showing that up to 80% of people now listen or watch their videos with their sound off. 539 00:53:54,820 --> 00:53:58,570 And a final quick point for anyone using hashtags on social media. 540 00:53:59,230 --> 00:54:05,470 Make sure you CamelCase them. By this I mean capitalise the first letter of each word, 541 00:54:05,650 --> 00:54:11,590 rather than having everything lowercase so that screen readers or those with cognitive disabilities can enjoy your content. 542 00:54:12,670 --> 00:54:19,990 And again, it's so much easier for everyone to understand. For all of you avid watchers of Love Island, I'm sure there's many in the room, 543 00:54:20,530 --> 00:54:27,190 you all know what a revolution it was when, a couple of series ago, they finally started using, 544 00:54:27,220 --> 00:54:30,790 CamelCasing their hashtags – ridiculously long – on their text. 545 00:54:31,910 --> 00:54:36,500 But the point is that whether it's CamelCasing your hashtags or including image descriptions in your images, 546 00:54:36,830 --> 00:54:41,930 these steps might be essential for some disabled people, but they make your content more accessible for everyone. 547 00:54:43,040 --> 00:54:48,500 Now, these are by no means comprehensive suggestions, but hopefully they also don't come across as that complex. 548 00:54:49,190 --> 00:54:52,940 From my perspective, these are the sorts of things that should be commonplace everywhere. 549 00:54:53,420 --> 00:54:55,940 They're completely free and so easy to implement. 550 00:54:56,300 --> 00:55:01,700 And yet it's really, really frustrating the number of people, societies and institutions that just don't. 551 00:55:02,680 --> 00:55:06,370 Digital accessibility is just as important as physical accessibility. 552 00:55:06,850 --> 00:55:11,440 And yet, sadly, 97% of the internet is still inaccessible for assistive technology. 553 00:55:12,520 --> 00:55:17,740 And while I don't expect you to be able to solve that on your own, I think we can all do our bit to improve things. 554 00:55:18,940 --> 00:55:25,630 So my fourth and final suggestion is at the individual level and organisational level, 555 00:55:26,140 --> 00:55:30,520 is to think about how you can build flexibility into your ways of working with others. 556 00:55:31,660 --> 00:55:32,790 As I said throughout, 557 00:55:32,800 --> 00:55:39,820 it's so important to listen to disabled individuals about the specific barriers they face and the adjustments that might be helpful to them. 558 00:55:40,840 --> 00:55:45,430 But it can also be really helpful if you've thought in advance through some basic ways that you could be flexible. 559 00:55:46,490 --> 00:55:49,309 I've already said what a difference it made to me during my time at Oxford, 560 00:55:49,310 --> 00:55:55,610 to have a tutor that was pragmatic and flexible around my essay deadlines and studies while struggling with my health. 561 00:55:56,420 --> 00:55:59,660 But there's more to flexibility than just flexing on timelines. 562 00:56:00,080 --> 00:56:06,200 There's communication styles. Colleagues, students, or others may have different ways that they process information. 563 00:56:06,800 --> 00:56:10,460 Some might thrive in person, while others will do better virtually. 564 00:56:11,180 --> 00:56:14,990 Some might find it beneficial for you to verbally explain written instructions, 565 00:56:15,410 --> 00:56:19,940 while others might find it easier for you to follow up on any verbal discussions with a written summary. 566 00:56:20,810 --> 00:56:26,539 For everyone here, that just requires us to be aware in our own working practices and thinking through 567 00:56:26,540 --> 00:56:30,140 how we can adapt and flex them to get the best out of those we're working with. 568 00:56:30,890 --> 00:56:38,930 Just like the flexibility you would show for child pick up or post-pandemic return to work when underlying health conditions came to the fore, 569 00:56:39,620 --> 00:56:42,890 it should be no different for supporting disabled staff and students. 570 00:56:44,050 --> 00:56:47,530 And then at the level of things like university courses, 571 00:56:47,800 --> 00:56:53,860 just to make things slightly more controversial, flexibility might be around being aware that for some people, 572 00:56:53,890 --> 00:57:01,780 particularly those with fluctuating conditions, who need to be able to accommodate a bad day health-wise, time-bound short bursts of exams 573 00:57:02,140 --> 00:57:07,929 may be a poor way to assess their progress and competency versus things like coursework; or that 574 00:57:07,930 --> 00:57:13,630 spoken word vivas or back and forth verbal entrance interviews might present real hurdles 575 00:57:13,720 --> 00:57:22,140 for some disabled people. Or that numerical, spatial, and other reasoning tests could be a really poor proxy 576 00:57:22,160 --> 00:57:24,680 for whether some disabled people will thrive on the course. 577 00:57:26,110 --> 00:57:33,220 I'm not saying that these things all have super easy fixes, but I do think it's worth any of us involved in process and decision making 578 00:57:33,490 --> 00:57:37,359 taking a step back to think about the potential barriers and possible ways 579 00:57:37,360 --> 00:57:42,470 that flexibility and accommodations can be built in, separate and in advance 580 00:57:42,470 --> 00:57:49,880 of it being raised as an issue by the individual. Asking ourselves every day, are we really doing everything we can? 581 00:57:50,510 --> 00:57:54,080 Are we really being as aware and therefore flexible as we can be? 582 00:57:56,460 --> 00:57:57,689 For the last five years, 583 00:57:57,690 --> 00:58:05,340 I've set a personal goal each day to take an action, however big or small, to make the world and the places I work with more accessible and aware 584 00:58:05,370 --> 00:58:10,440 than when I found them. And I'd like to wrap up this final section by inviting you to do the same. 585 00:58:11,340 --> 00:58:14,970 Accessibility is a journey. You won't always get it right, 586 00:58:15,210 --> 00:58:21,390 but what you can do is challenge yourself to keep learning, and do one thing today to make it better for others tomorrow. 587 00:58:22,740 --> 00:58:27,090 Now I think I've said quite enough, and I'm really keen to hear thoughts from the audience and answer any questions. 588 00:58:27,630 --> 00:58:32,310 But I did just want to end by reiterating a really key point that I hope's been clear across what I said. 589 00:58:33,420 --> 00:58:38,130 It's true that a lot of the barriers that need to be addressed for disabled people are at a societal, 590 00:58:38,160 --> 00:58:43,470 organisational or institutional level, baked into processes, procedures and structures. 591 00:58:44,310 --> 00:58:49,619 However, I can really attest to the fact that individual allies and support can make a huge 592 00:58:49,620 --> 00:58:53,790 difference for disabled people, making a world of difference to our experiences. 593 00:58:54,900 --> 00:58:59,700 And it's vital that we all do more on this because it's simply the right thing to do; 594 00:59:00,690 --> 00:59:05,100 because we're currently missing out on and excluding an extraordinary wealth of talent; 595 00:59:05,730 --> 00:59:13,470 and because ultimately, a more disability-inclusive and accessible society and world is a better one for everyone. 596 00:59:14,820 --> 00:59:18,750 So, all that's left for me to do now is thank you very much for having me here tonight. 597 00:59:18,990 --> 00:59:40,810 It's been a real privilege to talk to you all. Thank you. (Applause)