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David Cameron: The five lessons I learned as father of disabled child – and intend to put into practice

The Conservative leader reveals how his experiences have helped to shape his party's welfare policy

David Cameron with his son, Ivan, who suffered from cerebral palsy and epilepsy, died in February

ROGER TAYLOR

David Cameron with his son, Ivan, who suffered from cerebral palsy and epilepsy, died in February

When it comes to the policy decisions they make, politicians are influenced in a number of ways. You take advice from experts, you learn from history and you listen to what people tell you in your own constituency and as you travel around the country.

But a lot of the time, you go with your instincts and your values – what you believe to be right and what your experience tells you works. It's because I had the benefit of a good education that I'm so passionate about reforming our schools so that every child gets the best start in life. It's because I have such great parents who have supported me throughout my life that I am committed to strengthening families.

The same is true with my approach to disability. My son Ivan was born with a profound disability, and my experience of looking after him has changed the way I see a lot of things – not just as a father, but as a politician, too. Samantha and I went on a steep learning curve. From that I learned five big lessons that have had a direct impact on what my party wants to do in government for those with disabilities and their families.

The first lesson I learned was the importance of early intervention and help. The day you find out your child has a disability you're not just deeply shocked, worried and upset – you're also incredibly confused.

It feels like you're on the beginning of a journey you never planned to take, without a map or a clue which direction to go in. That's one of the reasons why the next Conservative government is going to increase radically the number of health visitors. I'm not suggesting it's their job to diagnose disabilities, but for decades they've been in the home with parents, spotting warning signs early and offering sound advice. I know how crucial that early help is, which is why we need more of it.

The second lesson was that life for parents of disabled children is complicated enough without having to jump through hundreds of government hoops. After the initial shock of diagnosis you're plunged into a world of bureaucratic pain. Having your child assessed and getting the help you're entitled to means answering the same questions over and over again, being buried under snow drifts of forms, spending hours on hold in the phone queue.

I am determined to make life simpler for parents. One option we're looking at is inspired by something they're doing in Austria. There a crack team of medical experts – doctor, nurse, physio – act as a one-stop-shop to assess families and get them the help they need. That would have been such a help to us and families like us, so we're looking closely at the evidence and considering how we could do something similar here.

The third lesson is that we've got to make it easier for parents to get the right education for children with disabilities. So many parents get stuck on a merry-go-round of assessments, appeals and tribunals to get a statement of special needs and the extra help their child needs. There's a structural reason for that. The people that decide who gets specialist education – the local education authorities – are also the ones who pay for it. We're seriously looking at how we can resolve that conflict of interest so that parents don't have to enter into such a huge battle for special education.

Something else that many parents have to fight tooth and nail for is a place in special school. Following the gospel of inclusion, the Government has closed dozens of special schools down in the last decade. Inclusion is great for some, but it's often the case that putting a disabled child in a mainstream classroom is a square peg-round-hole situation. So we're going to stop the closure of special schools and give parents more information and greater choice.

The fourth lesson is that like all other carers, parents need a break. One of the biggest challenges when your child is severely disabled is finding time to do normal family stuff – playing in the park with your other children, doing the weekly shop, mum and dad going out for a meal.

Respite made a massive difference to my family. Knowing that Ivan was with people who knew him, who would love and look after him gave us a huge wave of relief. Backing respite means backing the voluntary sector, giving parents and carers greater choice over the respite that suits them and looking at all ways of making sure there's a clear entitlement to respite.

The fifth and final lesson I'm going to share is this. The very painful thing about disability – whether your own or your loved one's – is the feeling that the situation is out of your control. When the system that surrounds you is very top-down, very bureaucratic, very inhuman, that can only increase your feelings of helplessness. So a really big difference we can make is to put more power and control right into the hands of parents, carers or those with disabilities – through personal budgets and direct payments. That means that instead of giving a little bit of money from health, from education, from children's services, we say to people: "Here is the total budget for you or your child, you choose how it's broken down." And instead of insisting on separate, bureaucratic bank accounts for that money, it is right people should be paid directly if they choose. This is the support, trust and respect that parents of those with disabilities deserve.

Because we can never forget what an amazing job they do. Just consider what it would mean if the army of parents and carers in this country gave up, packed up, said they couldn't cope any more. The financial cost of looking after those children would be immense – and the emotional cost doesn't bear thinking about. We need to recognise that by staying strong and holding their families together, these parents are doing a great, unsung service to our society.

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Cameron on disabled children
[info]fabdad61 wrote:
Thursday, 16 July 2009 at 04:44 am (UTC)
Whilst it remains to be seen whether Cameron will put his money where his mouth is, this speech is likely to win the Tories a significant number of votes among parents of disabled children, for whom Labour has done so little. Tony Blair may have claimed his first three priorities were 'education, education, education', but since 1997 he, Brown and their party have failed to show any understanding of what it means to have, and care for, a disabled child. The closure of special schools needs to be halted (which would cost a new Tory government nothing), then reversed (which would cost a lot more), and decision-making MUST be taken out of the hands of local authorities, who inevitably focus on cost, not need. I, for one, am now thinking it might be time to overcome my three-decades-old hatred of the Tories, and take a chance on Cameron.
Re: Cameron on disabled children
[info]katesanderstead wrote:
Thursday, 16 July 2009 at 06:12 am (UTC)
I agree.

I voted Labour in 1997, 2001, and 2005 but am absolutely fed up with Gordon Brown. The man is just awful. He lies, he never thinks beyond the next headline, and he

Of course Cameron will disappoint us eventually. They always do.

But as someone who has had to fight and fight and fight with the local authority to get the right wheelchair, I really do trust him to do the right thing on this one.

When I read about poor Ivan I couldn't stop looking at my daughter and crying the whole day.
Re: Cameron on disabled children
[info]cronyblatcher wrote:
Thursday, 16 July 2009 at 07:32 am (UTC)
With due respect : "trust him to do the right thing on this one" - why?
Why do you think he did not vigorously support the Balls Private Members Bill to legislate disabled children's legally enforceable right (for the first time in Britain) to be law-abidingly assessed and treated 'free of charge', by NHS and town hall 'legs' of "children's services"?
Why do you think that when the Balls Bill was torpedoed in the House of Snouts he didn't use the influence of his high office to rescue it and push it through?
Do you believe that he, despite his wealth (or more accurately because of his wealth and 'influence'), was obliged like many far less wealthy and less 'influential' parents. to 'go private'?
Re: Cameron on disabled children
[info]fulkehunke wrote:
Thursday, 16 July 2009 at 02:31 pm (UTC)
This is indeed the dilemma for NHS staff, for example OT's, who provide specialist equipment. They want to give the priority severely disabled children the best equipment, however they have to meet the needs of the less needy, who shout louder and get more than they require. How do you tell an obese individual it's not the chair that's hard to push it's the 25stone of blubber sat in it. Catering for the needs of complex disabilities in children and adults requires specialist training, and an even more specialist ability to listen to parents, and carers to reach agreements on what is best for that individual case. This is why all NHS trusts should have priority individual departments to meet the needs of complex cases. They can also build up a good knowledge base to help weed out the scammers. As Mr cameron probably found out all the knowledge gained by the NHS, inevitably ends up in the private sector.
Re: Cameron on disabled children
[info]fabdad61 wrote:
Friday, 17 July 2009 at 11:41 am (UTC)
I'm not sure I trust Cameron any more than I trust Brown, but at least Cameron's (now) saying the right things, at least. We can't hope for much from Labour if they can't even SAY the right things. As for the Bill introduced by Ed Balls in 2006, (a) such 10-minute rule Bills have little if any chance of making it to the statute book, unless supported by the party in power - so where was the Government's support? With its majority, Labour could have got the Bill into law, if it had wanted to; and (b) the Bill would have left decision-making with the budget-obsessed bureaucrats in local authorities in any case. Bringing up a disabled child, and making sure he or she gets a decent enough education to have a chance in later life, is about more than getting the odd respite break. I want a decent education for my (disabled) son - my local authority just wants to spend as little money as possible. I can't blame them for that, that's what bureaucrats are supposed to do, but they shouldn't be making the decision about what my son's needs are.
Hypocrisy, hypocrisy, hypocrisy
[info]cronyblatcher wrote:
Thursday, 16 July 2009 at 05:23 am (UTC)
Where is the cast iron promise to:
1. implement fraudulently ratified UNCRC;
2. legislate for disabled children an enforceable right to be law-abidingly assessed (let alone treated on a 'free of charge' basis, as enjoyed by influential wealthy toffs like this guy, although they can afford to buy privately unlike most parents);
2.1. Balls to his credit did try to do it with a Private Members Bill (unsupported by our slippery toff Blair lookalike);
3. restore Article 13 to the HR Act bananarepublicanised version of ECHR;
4. ratify Protocol 12;

all denied because, wait for it... in the opinion of rat-brains like Harperson and Straw, British children don't need them because governed and judged by jolly good chaps, not quisling snouts and cerebral prostitutes
The establishment plumbs the deepest depth of
[info]shakras wrote:
Thursday, 16 July 2009 at 05:37 am (UTC)
hypocrisy. Where was this wealthy gentleman's support for the Balls bill, torpedoed in a disreputable Parliament populated by what BNP literature appropriately refers to as "pigs", all too busy fighting for the best places at the trough to bother about such matters
Re: The establishment plumbs the deepest depth of vote earning hypocrisy
[info]cronyblatcher wrote:
Thursday, 16 July 2009 at 05:57 am (UTC)
...It is high time for me to put an end to your sitting in this place, which you have dishonoured by your contempt of all virtue, and defiled by your practice of every vice; ye are a factious crew, and enemies to all good government; ye are a pack of mercenary wretches, and would like Esau sell your country for a mess of pottage, and like Judas betray your God for a few pieces of money.
Is there a single virtue now remaining amongst you? Is there one vice you do not possess? Ye have no more religion than my horse; gold is your God; which of you have not barter'd your conscience for bribes? Is there a man amongst you that has the least care for the good of the Commonwealth?
Ye sordid prostitutes, have you not defil'd this sacred place, and turn'd the Lord's temple into a den of thieves by your immoral principles and wicked practices? Ye are grown intolerably odious to the whole nation; you were deputed here by the people to get grievances redress'd; your country therefore calls upon me to cleanse the Augean Stable, by putting a final period to your iniquitous proceedings, and which by God's help and the strength He has given me, I now come to do.
I command ye, therefore, upon the peril of your lives, to depart immediately out of this place! Take away that shining bauble there, and lock up the doors. You have sat here too long for the good you do.
The more things change, the more they stay the same
[info]nilcarbarundum wrote:
Thursday, 16 July 2009 at 10:07 am (UTC)
Ah, Oliver Cromwell, we could do with another like him right now (without the war in Ireland and the execution of the crowned head).

[info]barbarossaviii wrote:
Thursday, 16 July 2009 at 08:30 am (UTC)
I agree, but I still won't vote Tory.
Welcome Approach
[info]disorganised1 wrote:
Thursday, 16 July 2009 at 10:03 am (UTC)
This would be a welcome approach, but as ever there are two sides to this, and the other side needs to be looked at.

Parents are seeking labels for their children to avoid admitting their poor parenting. He's not un-disciplined he's ADHD and can I have extra benefits please ? The medical profession is then prescribing drugs to match the mother's desribed symptoms ~ which are not matched by behaviour seen by teachers and social workers.

The loop needs to be tied, and all sides need a coherant approach.
What other side? This is about children not pseudo ('retired') disabled work-shy white collar adults
[info]shakras wrote:
Thursday, 16 July 2009 at 03:58 pm (UTC)
Without an enforceable legal right, disabled children are and always will be third class citizens in a sick society and this slippery toff Blair opportunist lookalike knows it better than most. he also knows better than must that the most effective remedy is implementation of fraudulently ratified UNCRC and other legal measures enjoyed by children in more civilised societies.
Being able to bring a suit before a court is far more effective than dribble about 'crack teams' to do this that or the other - if they feel so inclined and don't instead extort fifty pound notes from parents, as I have seen happen as brown envelopes "for the doctor/therapist".
Don't believe me? Ask Great Ormond Street for example how many of their staff are on a privately circulated 'moonlight' list. If they say none, then I'll consider publishing a copy of the one before me now.
No response? Ok, let's put on public record the other side of reality
[info]shakras wrote:
Thursday, 16 July 2009 at 04:39 pm (UTC)
If the parent doesn't agree to 'go private' (not with BUPA or similar) but with NHS gatekeepers, then they concoct falsified records of 'no need' - with impunity, in practice without a framework of law such as would exist if fraudulently ratified UNCRC was legislated into practice, by people like Cameron
About impunity
[info]cronyblatcher wrote:
Thursday, 16 July 2009 at 05:18 pm (UTC)
It is true that police don't have statutory duty to investigate misfeasance in public office; and that researchers such as Dr. Hocking et al agree with a Law Commission (Chatham House rule enabled) research report, that condemned the law of tort as toothless for defending children against such wrongdoing by public office holders; and that the GMC are an unscrupulous trade union (unless as in the Meadow / Southall instances the police are closing in on alleged criminal activities, when they suddenly adopt a conscience and professional standards different from those that obtain in sub Saharan Africa)
5 lessons - 1 answer!
[info]ccnuk wrote:
Friday, 17 July 2009 at 03:12 pm (UTC)
Early intervention = key working!
Simple assessment process, 'crack team' of prefessionals = key working!
The right choice for education = key working!
Short breaks = key working!
Greater family input and control, family-centred approach = key working!

Care Co-ordination Network UK (CCNUK) is the networking organisation funded by the governments in England, Scotland and Wales to promote the concept of key working/care co-ordination for families with disabled children. Key working/care co-ordination is the essential service required and should be integral in the implementation of the Aiming High programme. The government endorsed Key Worker Standards must be adopted across the UK to ensure a multi agency approach to service delivery for disabled children and their families. A named key worker for every family with a disabled child would prevent other fathers, and families, reaching crisis point and having to learn these hard lessons for themselves.

If anyone at David Cameron's office is monitoring these responses, please contact CCNUK:
t: 01904 567303
e: info@ccnuk.org.uk
Cameron, disabled children and Labour
[info]facts1 wrote:
Friday, 17 July 2009 at 05:28 pm (UTC)
It is great the Tories are going to help disabled children and don't shoot me down but it remains the fact that no government in British history has done as much to help families with disabled children as the current one. They have an entire programme called Every Disabled Child Matters (see http://www.dcsf.gov.uk/everychildmatters/healthandwellbeing/ahdc/AHDC/) and have put in £780m in funding.

This is still not enough and it will take time for all the new plans to work their way through. Parents will doubtless still have to battle to get their local authorities and primary care trusts to spend the new money and give families the improved services they need.

But PLEASE don't let anyone think that change isn't on its way. If the Tories get elected, they won't need to start afresh. Instead, we will we have to insist that what is now in place for disabled children doesn't get lost.

Sorry to be so emphatic but it is really important that what politicians do gets recognised because that's the only way to get them to keep on doing it.
Universal Common Sense
[info]clayboattexas wrote:
Saturday, 18 July 2009 at 03:59 am (UTC)
The great thing about practical experience and common sense is that it transcends borders and oceans. As an American with identical twin daughters with very severe intellectual disabilities, I don't know much about British politics. However, I hope Mr. Cameron's empathy for families with disabilities rubs off on the Conservatives and Liberals on this side of the pond.
David Cameron's learned lessons.
[info]jillox wrote:
Sunday, 19 July 2009 at 06:40 pm (UTC)
Firstly, if David Cameron had truly learned any lessons, he should have realised that negative language is a real handicap! Dis-abled smacks of negativity and inability. Ivan was his son, first and foremost who happened to have impairments. It is all very well saying that people with impairments will be given control through direct payments, fine, until budgets need balancing and the direct payments are sudddenly cut! There are eleven million people, with impairments, in this country and Mr. Cameron and his Neulabour cloned M.P's seem only to concern themselves with Section 28 and the 'gay' community! What would he do about mass immigration? Allowing so many people into an already over-crowded island, putting immense strain on all services is having a detrimental effect for people who need and rely on those services. Will he follow Neulabour's lead and allow his business head, with all that cheap, foreign labour, to take precedence?
[info]babbinswood wrote:
Monday, 20 July 2009 at 09:35 am (UTC)
Why have we had to wait for an MP to have a disabled child for someone to give a damn about what we have to go through as carers? our daughter has had severe learning disabilities for 23 years. we have indeed had to fight 'tooth & nail' for every penny, every school & every college placement most recently for our daughter to carry on attending a special college for another measly 2 years simply because there are no jobs for her & we will not have her sit out the rest of her days with people up to age of 70 in a day care centre losing the abilities & independence that she has learned. Learning for life is what our children need & deserve.
The hours of filling in forms (not to mention how harrowing it is spelling out the every day things that your child is unable to do (tears are shed every 3 years filling in DLA forms when nothing has changed.) we were offered respite care some years ago when we felt we needed it most. The offer was a placement in what can only be described as a 'victorian orphanage'. When the director of social services was defending this service my husband asked him outright if he would put his child there, he eventually admitted that 'he wouldn't but what he thought was irrelevant' - actually I think it was very relevant!
Bureacracy, being treated like we are trying to fiddle the system to get the best for our child, brick walls, poor & non existant services - this is not going to change & Cameron is a fool if he thinks he can make us believe that he has a magic wand to make the DWP/social services or local authorities treat our children as individual people & not benefit fiddlers, & stop them labelling parents/carers as bolshy troublemakers when we ask for what is our childs right.
Whilst I absolutely agree with his sentiments he left out point 6 World Peace! because let's face it if he can do what he promises he surely is a god! I won't be conned into voting tory based on a myth.
Special education
[info]tats2 wrote:
Tuesday, 21 July 2009 at 12:47 pm (UTC)
His sentiments are noble...Iwill vote Tory at the next election to give him the chance to put these ideas into practice. I have 2 disabled sons and to be fair in these early years can't fault the early intervention we've received, however we have already come up against a brick wall as regards their future education - the mainstream school has said they won't be able to cope in a couple of years, but then after the ed authority got involved and realised the only viable alternative was a place at a special residential school they did a complete u-turn and said the local school would meet their needs, thinking of their funding before the school best able to provide the most effective education. If David Cameron can promise me that we won't have to fight tooth and nail for 2 places at this special school, then he wins my vote.
He has my vote!
[info]specialist29 wrote:
Wednesday, 29 July 2009 at 02:09 pm (UTC)
Finally we have an ambassador fighting for children with learning difficulties and disabilities. An experienced candidate who will empathize with theneeds and requirements of families directly affected by SEN/disabilities but more than this, someone who won't just listen but will take action.
I believe him and am more than willing to support him whilst he endeavours to implement what will benefit these families most.
I've been a great believer in Cameron for some time now. This reaffirms the support he might deserve from others.
Short breaks
[info]scnetwork wrote:
Thursday, 30 July 2009 at 01:10 pm (UTC)
Shared Care Network – The Short Breaks Charity supports David Cameron’s suggestion that like all other carers, parents need a break. Short Breaks are the service most requested by families of disabled children. Short breaks give the child a chance to enjoy new experiences and develop a sense of independence. At the same time their families get a well earned break and a chance to give much needed attention to their other non disabled children.

However, our research suggests that while 10,500 disabled children are currently enjoying short breaks, another 3,500 are currently waiting for a short break carer and we estimate that another 10,000 could benefit if enough carers are recruited.

Over the next two years, Shared Care Network hopes to recruit an additional 2,500 carers as part of our BIG recruitment challenge. We have also just established a national carers’ network to support our existing short break carers.

For more information about short breaks or about becoming a short break carer please see www.sharedcarenetwork.org.uk or call 0117 9415361.
The five lessons I learned as father of disabled child
[info]pthurgood wrote:
Tuesday, 18 August 2009 at 01:42 pm (UTC)
Now let anyone say there is no such thing as caring Conservatism.

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