Official Report 288KB pdf
Our main business this morning is a round-table discussion on age. First, I invite members and participants to introduce themselves. I will start: I am Margaret Mitchell and I am convener of the Equal Opportunities Committee.
I am a member for Central Scotland.
I am the director of research, policy and practice development at Children in Scotland.
I am an MSP for North East Scotland.
I am the research manager at LGBT Youth Scotland.
I am an MSP for the West of Scotland.
Good morning. I am from the older LGBT forum.
I am a Scottish National Party MSP for Glasgow.
I am from the Scottish Pensioners Forum executive and the Scottish Council for Voluntary Organisations.
I am an MSP for Glasgow.
I am deputy convener of the Equal Opportunities Committee and MSP for Coatbridge and Chryston.
Thank you all for that.
Hi. I am chairman of the Scottish Youth Parliament.
We are pleased to have you here.
Good morning everyone. Public services are falling down on the care of older people. A great many unfair charges are being levied. Although people are assessed to determine whether they can afford their care, £11 per hour is being charged for care in the home, £7 is being charged for a weekly shop and £1 per week is being charged for alarm systems. Under the previous Government, those were all free of charge, or the charge was small—it was only £4 for a week's care services, and the other services were free. Elderly people are now being discriminated against. If someone does not have any money, their care is free, but a lot of people have savings that go just over the limit, so they have to pay.
Does that apply across the board, or are you talking about a particular local authority? Does the situation vary between local authorities?
I am talking about Fife, but other places are following its example. I have heard that in Edinburgh, care costs £22 per hour.
So there is a bit of a postcode lottery; it depends where people live.
Yes, it does.
I suppose that I will speak mainly about lesbian, gay, bisexual and transgender young people, because I work for an LGBT organisation, but LGBT young people primarily are young people, so the issues that I bring up will probably apply to a wider group.
Is there an issue about how information on services is made available, how services are advertised and how people tap into that information in the first instance? It would be helpful if you gave examples of something that is not working.
My information comes from research that we conducted recently under the social inclusion division of the multiple and complex needs initiative. We explored LGBT young people's use of mainstream, non LGBT-specific services and specialist LGBT-specific services. With sexual health services, we found that young people feel unable to come out, even though that information is hugely relevant to the support or resources that people receive in those services. With other services, the links between sexual orientation or gender identity and need are perhaps not explicit. For example, housing is a big issue for LGBT young people, as they may be thrown out of their houses by parents and then need to access housing services.
Where would people get information if they needed to find out about housing services? Is there an issue about people getting information confidentially?
I think so. There may be a feeling in some services that LGBT identity does not necessarily matter, because it is a private issue that does not influence someone's service use.
That is helpful.
I will qualify what Sara O'Loan said by pointing out that the situation is the same for older people. Confidentiality is important. Speaking as an older LGBT person, I start from the basis that we suffer from the onset of homophobia at an early stage. My anxiety as an older LGBT person is about how I would access any service. I would feel rather nervous about that and would need to overcome that feeling. Age Concern Scotland has stepped in and has become more inclusive with regard to putting people in the direction of services. However, as I have no experience of accessing services, I cannot say any more than that—I am going on what people have told me.
Is the approach to signposting services in the voluntary sector different from that in the public sector?
Yes. It would probably help if local authorities could say that they were much more inclusive.
As there are two guests here from youth organisations, I will limit my remarks primarily to services involving children. It is clear that, in Scotland, there is no single answer to the question of children's access to public services: the picture is complex. Scotland does some things exceedingly well in relation to public services for children, and we should be proud of them, but there are gaps. Some of those gaps are not specifically about age; they are about the postcode lottery in providing services in rural and remote communities.
It is always good to outline what is working as well as what is not working before moving on. Sandra White is next.
I do not know whether John Loughton wants to come in first.
I will come in after you.
I want to raise the issue of health services for older and younger people. Is there a perception that young people do not get proper public services because they are younger? The perception of younger people is that they go to the doctor only for a certain thing. The perception of older people is that they go to the doctor because they are getting older and sometimes do not get the services that they deserve. What is the panel's view on the health services that younger and older people get? Do they get the same services as the majority of those in the middle age range?
On the health side, I will use one illustration to make a general point. Children and adults perceive time differently. We all remember waiting for Christmas. If it was a month away, that seemed close to forever. I raise that illustration because waiting times for health services, in particular mental health services, are simply too long. Waiting times for children are too long, even if in statistical terms the waiting period is exactly the same for a child as it is for an adult, because telling a child who has serious emotional or mental health needs that they will be seen in six months' time is tantamount to telling them that they will not be seen at all. In organising and planning public services it is important to understand the reality from the point of view of the patient or client. Time is critical.
I have a few points. There must be effective information for children and young people. Sometimes a single word can present a barrier. Jargon can turn off a young person who wants to access a service or get involved. Public service providers must think carefully about their target audiences and whether they are providing youth-friendly information. If a universal service is being provided, separate literature could be produced for young people.
You have given us much useful information. When you talked about using new technology, did you have in mind, for example, that a young person would be much more likely to respond to a text message than to a letter?
I think so. Limited steps have been taken—for example, there is limited scope to text the Parliament. Even a three-page document can present a barrier to some young people. A young person will not say, "I'm dyslexic," or explain that there is an issue about their filling in a form; they will say, "I'm not doing that," or they will just rebel. The internet can be a less intimidating environment, because it enables young people to do things in their own time, without face-to-face contact, which can help.
John Loughton and Jonathan Sher talked about the need to hear the voices of young service users. Are you aware of instances in which the Government has done more than a box-ticking exercise when designing policy? For example, to what extent are young people involved in the design of the curriculum for excellence?
There are examples. I will cite two with which I am personally familiar. As you will know, Her Majesty's Inspectorate of Education recently inspected the implementation of the Education (Additional Support for Learning) (Scotland) Act 2004. That inspection raised some questions and concerns, and one local authority—North Ayrshire Council, which anticipated the HMIE results—decided that it wanted to know more, so it commissioned Children in Scotland to consult children, young people and parents who were eligible to receive additional support for learning services, even if they were not currently receiving them. With the support of that local authority, we undertook an extensive consultation and ended up talking to more than 1,000 children, young people and parents in North Ayrshire to find out what worked, what did not work and their perceptions of what could be improved.
They had concrete results, too.
The responsibility for delivering education belongs to local government, but is there a case for saying that, on service design, national Government should engage in a process like that in the two examples that you cited?
Oh, absolutely. The fundamental principle is that it is not enough to proclaim a right. Under article 12 of the United Nations Convention on the Rights of the Child, children have a right to be heard and heeded. It is one thing to proclaim that, but it is another thing to take it seriously and implement it well. We have examples of what it means to do it right, but they are the happy illustrations, not the norm. By working with the Government and, particularly, the inspection agencies, Parliament can establish an inspection standard that says that doing something to consult children and young people is not sufficient in itself—the consultation must be meaningful enough, systematic enough and serious enough for the public authority to get a good score when it is inspected. That is one example of how to translate good intentions into good legislation and good practice.
Thanks for that.
Elaine Smith will come in briefly. Margaret Murdoch is waiting patiently, but I promise that she will be next.
The UN Convention on the Rights of the Child has been mentioned. Away back in time, my first members' business debate was about the rights of the child, particularly the child's right to play. During that debate, members asked for a children and young people's commissioner to be established, which has now happened. How does the Commissioner for Children and Young People in Scotland fit into the discussion that we are having? Is the role being used effectively?
We will park that issue just now; Margaret Murdoch wants to contribute.
My point relates to older people. There is still a postcode lottery when it comes to people getting operations. I have been speaking to a gentleman who has been in great distress because he has waited two years for a hip operation. When he got in touch with the hospital after a year, he discovered that the staff had lost all his records, so he had to go to the end of the queue. After another year he has been reassessed, and it has been discovered that his health is not good enough for him to undergo the hip operation. In effect, he has been shelved.
Was there an issue with the gentleman's representation? Did he have relatives who could speak up for him?
He did not seem to have any relatives.
So there might be an issue there.
Yes. I tried to advise him. I told him to get in touch with the hospital straight away and to find out what it could offer him. His mobility is very impaired now.
So there are perhaps issues around putting people in touch with older people who are isolated.
Yes, that is right.
Let us have some feedback in response to Elaine Smith's important question about the Commissioner for Children and Young People in Scotland.
To have a society and a Government that does not include a children's commissioner seems unimaginable now. During the relatively short time that the commissioner's office has been in existence here, it has made a real difference and has made its mark. That says something important. There are things that people like more or less about the work that has been undertaken, but the office itself has become a fixture in Scottish life, and it ought to remain one.
Have you had direct contact with the office? Can you give examples of the commissioner helping with your work?
There are numerous examples. We work closely with the commissioner—in fact, she writes a column in our monthly magazine. In the past couple of weeks, the commissioner's office has issued two important reports. One is on the moving and handling of physically disabled children. That important work had not been handled—pardon the pun—as well as it should have been over the years. Secondly, the commissioner brought out a groundbreaking report on the children of prisoners, which helps us to understand that they have particular needs and are often overlooked. Those two examples, just from the past couple of weeks, are concrete illustrations of how having a children's commissioner makes a difference for the better. Sometimes there is a follow-through, but at the very minimum the commissioner's work brings strong awareness and understanding of issues that are too often overlooked.
My point fits in neatly with that. The Commissioner for Children and Young People does an excellent job—Kathleen Marshall is wonderful. I live for the day when we have an older people's commissioner, too. I was talking about it to Margaret Murdoch, who raised the issue. You, too, convener, spoke about people who are not able to get operations having relatives. Call me cynical, but I sometimes think that things are done deliberately because the people concerned are of a certain age. I am not pointing the finger at anyone, but we must be open to the fact that there are discriminatory practices against older and younger people. There are examples involving policing, concessionary fares for students and so on. Do people have any examples of, or thoughts on, age discrimination?
Does anyone have any specific examples?
I keep butting in—I am sorry. The Scottish Pensioners Forum has done a great deal of work on travel and the state of the buses. As members know, pensioners have bus passes now, but the state of the buses leaves much to be desired. FirstBus seems to be much more sympathetic towards us. It expects that, by 2010, all the buses on its routes will be low-liner buses. However, Stagecoach is a different kettle of fish. At the moment, it has a few buses that have only one disabled access place. The steps on long-distance Stagecoach buses are so high and steep that it is difficult even for a person who is quite able to get up them.
That is a good point to raise today of all days. After this session, we will take evidence in our disability inquiry from the Cabinet Secretary for Finance and Sustainable Growth, on progress on public transport, including buses. We will ensure that we ask him about the point that you have raised.
Okay. Thanks.
I am interested in what you are saying, as I visited FirstBus recently and spoke to it about accessibility for pensioners and disabled people. It seems to be addressing the matter, although it will take time to do so. It is a well-off company and I pointed out that perhaps it should not take quite as much time to address the matter as it suggested.
That is a general question for people to muse over.
I have a question on transport for Margaret Murdoch that is relevant to the discussion that we will have after this session. Some disabled groups think that information is missing, is not accessible or is accessible only to some groups. Do you have any comments to make on the availability and usefulness of information?
Yes. Until we went to see the Transport Scotland person in Glasgow—the person is head of Scotland's transport planning—there were many things that we did not have access to. We were told that an attempt would be made to get any buses that were more than 10 years old off the road, but that that would not happen until 2015. It is shockingly difficult for elderly people to get on and off some of the older buses. They start jerkily and throw people backwards, causing them to lose their footing, but the drivers just drive on. In England, buses are not allowed to move off until everyone is seated, and people are not allowed to get up until the bus has stopped. There are big notices to that effect in buses down south. I do not see why such notices cannot also be put up in Scottish buses. Drivers will say that they will not be able to keep on time if they wait until everyone is seated before moving off, but I have seen some nasty accidents on buses, which could have had serious consequences. I have seen people flung off their feet, which is dreadful.
It is useful for elderly people with mobility problems to know that buses on certain routes are not accessible because they have steep stairs, for example. Is specific information missing? If such information is available, are there certain groups that cannot access it? For example, it may not be accessible to people with poor sight, because it is in a small font size. If information is not accessible, how can it be made more accessible? What routes of information access that could be used are we not using?
Improvements could definitely be made. If operators do not have sufficient low-liner buses to cater for all routes, they must ensure that such buses are used on particular routes at specific times. If it is made clear on timetables that low-liner buses will be available at particular times, people in wheelchairs, elderly people and needier children, both older and younger, who have difficulty walking will be prepared and will be able to access those buses without difficulties.
Are the present sources of information entirely adequate?
They are not at all adequate. Anything can turn up. When people expect a low-liner bus to be on a route, an old double-decker will come along. When that happens, people in wheelchairs are left at the side of the road. Information could definitely be improved. I use public services at all times.
That makes you well qualified to comment on the issue.
We were asked to give some specific examples of discrimination on the ground of age. In housing services, there is discrimination against young people. An external housing association consulted one of our LGBT youth groups. The person who carried out the consultation was coming from an equalities perspective and wanted to know what the barriers to housing for LGBT young people might be, so she asked questions along those lines. She was interested to hear from the young people in the group that although there were sometimes issues relating to their sexual orientation or gender identity, the basic reason why they could not get houses was that they were 16 or 17. They had to sleep on their friends' sofas.
Sara O'Loan mentioned 16 and 17-year-olds and discrimination. I do not know whether you are aware of it, but does that mean that those 16 and 17-year-olds are not deemed eligible for tenancies? I ask because there was a test case in Monklands more than 20 years ago in which a 16-year-old went to court. I thought that that set the precedent that they would be allowed tenancies.
Much of our day-to-day work is focused on housing—although not officially—because it is an important issue for LGBT young people. I am not entirely certain whether, in the specific example that I used, the young people who identified those difficulties had declared themselves homeless or were at that in-between stage of sleeping on a friend's sofa or just looking into finding a house. We tell young people that they have a right to access housing at that age and we support them.
I am trying to get to the bottom of whether you think that we should be considering whether 16 and 17-year-olds should be allowed to apply for tenancies, if indeed they are not allowed to.
I would say so. All that I have to go on are the experiences of the young people who access our services. Their issues with housing are quite important.
Are there any hard data on whether 16 and 17-year-olds are discriminated against? Can anyone here tell us that?
Could everyone talk through the chair, otherwise those who are waiting will not get their fair share? Jonathan Sher has been waiting for quite some time and he will be followed by John Thompson.
I am conscious of the time but I did not want to leave the issue of public services without first commending the committee for raising the issue of age discrimination for younger and older people. One of the things that Children in Scotland has been adamant about is not getting involved in the politics of pitting one age group against the other, and I am glad to see that that is not the point of today's session. We need to live in a society in which discrimination against people at either end of the age spectrum is intolerable, and where co-operation between the generations is the norm rather than the exception.
I am glad that you picked up on parenting because you mentioned it earlier as a possible service gap—there are insufficient services for parents and children working together in an intergenerational way. That is hugely important and something that the committee will want to note.
The idea that comes to me is independence. I refer to the comment that Bill Kidd made about advocacy. I would like advocacy to be more integrated with the community rather than its being separate. It is important for LGBT people across the board to be part of that and to be accepted.
I return to the point about access to housing for young people. Technically, a young person of 16 or 17 can go along to their local housing office and say that they want a house or whatever and that is fine—I did that, for various reasons. However, workers in such offices sometimes make an automatic presumption about what is right for young people. They might say, "You are 16. How can you possibly think that your own independent living space is the best thing for you?" I was told in a patronising way to skip home to mum until I was old enough to think for myself. We have to consider what seems to be an invisible barrier: people's attitudes. Just because you are young does not mean that you cannot be independent or know what is best for you.
You will probably be heartened to know that the committee is to hold a similar round-table discussion to today's session, on carers, when the plight of young and older carers will be examined in depth. Your contribution to that is helpful.
I will try to be brief, because time is moving on. There is lawful and unlawful discrimination—John Loughton picked up on a couple of forms of that. In my mind, dispersal orders are lawful discrimination against young people, because they are geared towards young people. To a lesser degree, Mosquitos are part of that—they are not against the law yet. The Government subscribes to such lawful measures. Lawful discrimination against older people happens in insurance—older people pay higher insurance premiums—and in employment, although that is outwith the Parliament's scope.
It would be good at this point for Marlyn Glen to introduce the other aspect that we want to cover.
I will move the discussion on. We have heard some evidence on bullying. Is the bullying that older people suffer similar to that which younger people suffer? Do common solutions exist?
Bullying is an important issue for LGBT Youth Scotland. Young people tell us that their experiences in schools as LGBT young people are important to them. Homophobic and transphobic bullying can happen in schools, which has consequences such as mental health problems, early school leaving and truancy.
Is bullying a general issue for young people, as well as for LGBT young people?
Absolutely, yes. As I said, I am speaking from the LGBT perspective. LGBT Youth Scotland is a founding partner of respectme, Scotland's anti-bullying service, which deals with bullying in school, outwith school and across the board and supports professionals to enable them to tackle it and support young people. There is a lot of focus on prejudice-based bullying within that, but bullying is an enormous issue for all young people.
Bullying exists throughout society, and it probably needs to be tackled at an early age because people who are bullies when they are young are likely to be much the same as they get older. People think that everybody grows out of such behaviour patterns, but that is not necessarily the case.
Has that been tackled in your intergenerational studies, Jonathan?
It is not a focal point, because there is not much evidence of bullying by the older generation of the younger generation and vice versa. The intergenerational bit is particularly helpful in diminishing the lack of understanding, respect and empathy. To the extent that that contributes to bad behaviour on either side, the intergenerational work has a major role to play in creating empathy, understanding and a sense of commonality. That is good, but bullying is an enormous problem. My understanding is that it is still the case that the number 1 reason for children calling ChildLine is to report bullying behaviour and to ask for help with it.
Older and younger people can be brought together, but that probably has to centre around a particular issue. I can chat about the couple of examples of intergenerational work between older and younger LGBT people that I gave in the written submission. That sort of work is new. It was possible because there was a particular issue on which to focus. There are common roots of prejudice and discrimination towards older and younger LGBT people. It might be experienced differently and have different effects at different points during people's lives, but there are common issues to address.
With the breakdown of families these days, many parents have to go out to work and their children are looked after by their grandparents or even great-grandparents. Older people have a lot to give younger people. My grandchildren have all been brought up around me and I have tried to encourage them in baking and all sorts of things around the house. Some children grow up without even knowing how to boil an egg. Grandparents or great-grandparents have a great deal to offer their grandchildren by keeping in touch all the time. My grandchildren know that they can always come to me if their parents are late home from work. Grandparents can act as an anchor. So many parents have to work long hours because of financial strain. Parents can be held up for many reasons. My daughter was held up last week and could not collect her son, so I had to go to the school and pick him up. We can help in all sorts of ways. I am sure that lots of people could help if they wanted to.
I was going to draw attention to the website that Jonathan Sher mentioned. We are talking about bullying, but the organisation is called elderabuse.org.uk. Do the witnesses think that we are talking about abuse rather than bullying? Quite often, the elderly experience abuse by their own family, but it does not get reported—there is pressure, which is similar to peer pressure. Abuse happens in care homes, too.
Perhaps there is an issue to do with dominance, which develops into something more sinister.
It is always thought that people become more like children as they get older, which might or might not be true, but the abuse that is meted out to younger people is not necessarily the same as the abuse that is meted out to older people, although older people can be just as helpless. We do not have evidence of what is happening.
It might be useful to recap and ascertain whether there are matters that we have not covered. I think that Hugh O'Donnell wanted to ask about a different issue. After we have heard from him, I will use the final five minutes of the discussion to invite people to raise issues that they have not had an opportunity to mention.
We talked in general terms about the two ends of the spectrum. Given Scotland's cultural diversity, are there groups of people whose requirements are less likely to be catered for by public services?
I suppose that the question is whether there is a gap in services. Does anything immediately come to mind?
Perhaps I can prompt the witnesses. For example, how easy is it for older members of the Asian community to access services? Such people might have different cultural and linguistic backgrounds and different expectations to do with the extended family. For younger people in the gay community, are there generational or cultural pressures that make it hard to access services?
There might also be language issues.
The question is interesting, and I do not know the answer. I made the point that there are many facets to the identity of a young LGBT person, one of which might be a black and minority ethnic background. Such groups are hugely underrepresented among the people who access our youth services, which suggests that there are barriers to accessing LGBT-specific services. We do not know enough about whether there are issues to do with access to other services.
That was helpful.
It is pretty well known that, for some groups, the problem is not receiving services but providing services. Gay men are prevented from giving blood, even though there is no proof whatever that the blood is contaminated. I have written to the Scottish National Blood Transfusion Service about that.
Elaine Smith, do you want to raise an issue that we have not covered?
No, thank you. We have had a wide-ranging discussion.
I want to reiterate the overarching issue. We can tackle many of the problems that we have discussed by empowering young people as designers as well as users of services.
There is not a great difference between young people and older people, in that both are discriminated against in certain ways. You talk about access to services and being able to design services. Community planning partnerships envisage that older people and younger people would be able to have a say in the planning of housing estates and so on. It is important that the whole spectrum of ages has such an opportunity. Older people go back into education as well, so I hope that it can be as accessible for them as it is for younger people. It is all about involving people. I agree with everything that has been said, but we need more evidence of how discrimination is practised.
Yes. Solid examples make a difference.
Dental services, which were touched on briefly, are important for older and younger people. It is becoming impossible for parents to get their children's teeth properly looked after because of all the private practice. I speak as an older person who requires dental services. I once tried to get treatment privately, when it was going to be a few months before I could get an appointment with my national health service dentist. The work that needed done was going to cost £1,000. Older people are in great need of more NHS dentists. I do not see why dentists—because of all the money that has gone into their training—should not do some NHS work at the beginning of their career. It is now almost impossible to get an NHS dentist.
That is well on the record now—thank you.
This has been a tremendous, interesting session that points to the fact that the Equal Opportunities Committee has a real role to play in the Parliament. We are emphasising the requirement for people of different backgrounds, cultures and lifestyles to be integrated into the same society. We need to mainstream as much as possible so that, rather than our having to point out issues such as this all the time, people have respect for others as a matter of course. That is important.
I thank Bill Kidd for that. There is a very good energy around the table, and there are opportunities for many further discussions. I acknowledge what Sara O'Loan is saying about younger and older people—we need to build bridges around the issue, and to be in touch with one another and learn from one another more.
Sandra White made a point about evidence. It would be useful if there was hard evidence of the discrimination in housing for young people that John Loughton and Sara O'Loan described.
That is a good point.
It has been useful to talk about these issues together. Other participants are from groups that, to be honest, would not be likely partners, even when we are talking about the same issues. There is not a great deal of contact. I reiterate my hope that there will be a lot of further work and discussion in this area. I highlight a conference that is taking place in Edinburgh on 29 March, called "Equality of Age: The LGBT Way". The conference is organised by Age Concern Scotland, the Equality Network and LGBT Youth Scotland, and it will consider age across the spectrum, from an LGBT perspective.
We will allow you that official plug.
I like the fact that the conference is taking in so many different areas. This has been an interesting and useful session, but I have nothing else to add.
I thank the committee for its invitation. My concluding comment is that so much of what I see in Scotland—you might have noticed that I do not have a Scottish accent—
We did notice.
It is getting there.
Aye, right.
It has been interesting to hear at some length input from people who are probably much more expert in their fields than we are. I note in particular the lack of solid evidence, to which various contributors have referred. Those organisations that feel that there is a gap in the research that is required to allow us to make informed decisions about the development of policy and practice should be knocking at the doors of St Andrews house and Victoria Quay very loudly in seek of support. Any approaches that are made to back up that claim could perhaps be supported by the committee.
I thank all the participants for their contributions, which I and the committee found immensely worth while. I offer you the opportunity to make further submissions to the clerks if you have any concrete examples or wish to tell us about anything else that you did not manage to say today but think of later, or about anything else that you wish to follow up. We will pore over the evidence in the Official Report and discuss the round-table discussion, which is a superb way to discuss a spectrum of issues concerning age. We can take into account any follow-up information and practical examples.
Meeting suspended.
On resuming—
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Disability Inquiry