Category: Thoughts

I am totally behind more accessible housing and support any move that will increase accessible housing stock in this country. But one size does not fit all. I was a finalist in the Habinteg Essay Writing Competition 2020 and my essay explained that what is needed, as we look into the next 50 years of accessible housing, is variety. I argued for communities that cater for varying needs.

A point has been made that 1 new accessible home is planned for every 15 people over 65 by 2030 and that this is not enough. I would say this, surely the point is not about people over 65 but disabled people. Not everyone over 65 has mobility issues. Shouldn’t the real question be ‘how many people are there now in need of accessible houses and how many will there be by 2030?’ Then a further question is ‘what type of accessible housing is needed?’

One size doesn’t fit all. When I wrote this blog, we were staying at what was once an RNIB training centre and is now a hotel. So, the corridors are laid out to help blind and partially sighted people. This means there are white, raised strips at regular intervals along the corridor and on corners, the bottoms of stairs and by doorways. Obviously, these are really needed and helpful for blind and visually impaired people. The same is true for raised bumps on pathways by crossings generally that you will all have seen. But these kinds of bumps are very uncomfortable in a wheelchair. I would not suggest that they are removed as they are needed for other disabilities. But what benefits or is needed for one disability can be a limitation to another. I am sure that there are disability aids which are a problem to able bodied people too. I am merely pointing out that ‘one size doesn’t fit all.’

My point is this: we cannot say that we need more ‘accessible’ housing, nor that there are more disabled people needing accessible housing. What we can and must say is that there are a variety of needs in our society, among those needs is a pressing need for ‘accessible’ types of housing. Many types to meet many needs. Wheelchair accessible, accessible for blind and partially sighted, accessible for limited mobility, deaf, and various other needs. One size does not fit all. A ramp and a wet room are only really needed for mobility issues. Visual doorbells for hearing problems. Having raised floor markers would be a great boon in a house for visually impaired but a big problem to the comfort of a wheelchair user. That’s before you even look at the heights of units needed if you are in a wheelchair to those not in one. One size does not fit all. The problem is that often these issues are championed and put forward by people without a lived experience of disability. The designers often lack that lived experience, even if they have a second-hand knowledge from a family member or loved one.

The point I argued in my essay was that communities were the way forward. Communities of varying types of housing. When a new housing development is planned it should include all types of housing. Housing to suit families, single, couples, older generation, disabilities of various types including wheelchair users, people of all social backgrounds. If you mix people together rather than ghettoizing by need or age, then you create a supportive environment where people naturally form social networks. We have lost that sense of community and yet the recent pandemic demonstrates that we miss it and naturally want to re-create it.

In 2021 we moved to a new build house on an estate in Hartlepool. Our house was already accessible. It was M4 (wheelchair visitable). After a DFG grant and various other adaptations, it is now fully accessible for my power wheelchair. The community we live in is amazing. It has its own Facebook page. We have found people here to be the most friendly and helpful neighbours you can imagine. In Storm Arwen people turned up to help us. When we had Covid, neighbours have offered and done our shopping. People on the estate have helped us in more ways than I can count. It is a community, not just a group of houses. I feel as if we have moved to a living embodiment of the kind of place I wrote about in my essay. A group of people of all ages and backgrounds who care about and support each other. Ever day I read on the Facebook page about examples of that care and support in action between people on the estate.

Such communities as the one we now live in, don’t replace professional care services. They add to them. Because much of the care provided by professional agencies today is what was once done by friends and neighbours. I am not referring to washing and dressing people. That is a care agency or personal care role. But a world where you need to pay someone to visit you, or go shopping with or for you, seems very messed up. We have a massive care bill; I wonder how much of that bill is for services that most of us would have once seen as being neighbourly and friendly?

Community is at the very heart of care. I started by saying that one size does not fit all. Accessible housing and care needs vary by need. Many things we need are normal human interaction. Other things are more specialist. Each person’s needs are different. Because we are all different.

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A repeat of a post I did a while back:

Is quality a thing of the past? That seems a stupid question, after all everywhere you look things are advertised as luxury, professional or pro for short. Advertising tells us that things are built better, stronger, more durable… yeah right, we all believe that don’t we? In fact we have become the quality control department for most products. Instead of manufacturers checking them, they are sent as is and fail in our home. We then send them back or bin them. Built in obsolescence. Never mind the lack of quality feel the short product life.


I have an NHS power wheelchair it’s a Quickie Salsa M2 and I am really grateful to have such an amazing tilt and tip wheelchair supplied. It’s transforms my life. But I cannot ignore that it seems to be very poorly made. I have had it for three years and well within the first year the frame started to move alarmingly, what I mean by that is it’s become loose and rickety. Add to that the paint peeled so badly that rust was the main colour visible on the frame.

I wonder if the NHS commissioners request poorly built? Obviously not, and when you consider that this chair is available privately and cost about £7000  for the setup I have, I do wonder at the excuse Quickie would have for what appears to be poor quality manufacture. I know the NHS get them for more nearer £4000 so do you think Quickie USA have two production lines? One that only applies one coat of poor quality paint and uses low quality parts that go to the NHS and a better line for private? I am of course joking, well half joking, they will make only one version. I can’t see how the NHS who are paying companies like Quickie a lot of money, can get such seemingly poor products from them. What is happening with the people who select these companies? Do they check on quality? Don’t tell me they are NHS products and I should just be grateful for any old tat. I told you these same chairs are available privately. They are merely bought by the NHS.


Don’t give me the argument about it being better if a private company is involved either, because I got my wheelchair through a private Company used by the NHS, Milbrook. So if private companies are really the way forward to drive up quality through competition and quality control I would be saying how wonderfully built my chair was. No, in reality all that privatisation does is add a profit layer into the mix. So that someone has to make profit out of the transaction. Ergo the end product has to be of a lesser quality because the amount of money being spent is the same, the product needed is the same, but someone in the middle is making a profit. Corners are therefore cut.


In case your wondering. I have part of the answer. The NHS and/or the private companies they use send out part reconditioned chairs. You might think that makes good economic sense. Have you heard the term ‘Life Cycle Cost?’ LLC. It is where a company assesses the total cost of a product over its life, not just its up front, capital cost. You include servicing and spares. Servicing includes the engineers and service admin. Spares are much more expensive than original parts. Even if you clean up and recycle a part that costs money. So LLC is high where a poor quality product is chosen. If you buy a good quality product, its capital cost can be higher, but its LLC lower. The NHS is short sighted. It only looks at capital spending. Why? Because LLC is spread out and seems better. In reality its not. More money is spent over a longer time.


Cars used to rust almost as soon as they left the showroom. Now cars are sold which boast of 7 and 10 year rust free warranties. Car parts used to fail within months, now they last much longer. The car manufacturers want people to keep buying new cars, but they do that by making new cars attractive and second hand cars hold value for re sale. Wheelchair manufacturer’s seem to have a very short term vision, sell their chairs to the NHS or desperate people who need them. Longevity of the chairs do not seem a factor, that is how it appears to me. Prove me wrong manufactures, show me how well you build your chairs.


That will not change until wheelchair users make a hue and cry and the NHS start to complain that they are not happy with the high failure rates. CCG’s (clinical commissioning groups) do you even track the failure rates of wheelchairs?


My fellow wheelies (wheelchair users for those who don’t know) take note of this. If you are an employee of the NHS and have any say in this process take note of this. If you are reading this in another country and have similar issues, take note. It takes a massive backlash to companies before they sit up and take notice.


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