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MDPAG's approach to improving access
Using the Social Model of Disability with access standards The Medical Model of Disability & the Social Model of Disability

Using the Social Model of disability with better access standards

We believe that access to buildings, transport, the environment, services and information is the right of all people in society but at the moment, most places and services are not designed to include disabled people.

Architects and designers
Although there are increasing numbers of technical and professional people promoting better access, we constantly come across situations where even the minimum access standards are not implemented correctly or to best practice. Often architects, designers, engineers and other professionals do not take into account the experience of disabled people or do not understand the reasons for implementing best practice standards. There is also a great deal of confusion about the relationship between Part M of the Building Regulations and the Disability Discrimination Act and how they affect the design of new buildings or material alterations.

We can advise on minimum standards and what should be considered to meet the requirements of the Disability Discrimination Act, Building Regulations and Planning guidance.

Medical model approach
Similarly, in the provision of services, there are still too many people who take decisions on behalf of disabled people and do not consult disabled people about their experience, preferences or needs. Many of the government regulations and codes of practice are inconsistent, are based on a medical model and do not meet disabled people's requirements.

Social model approach
We work within the social model of disability, which was developed as a way of understanding and promoting more inclusive ways for disabled people to participate in society.

MDPAG promotes the development of good access standards which maximise independence.

Cross-impairment approach
We take into account physical, sensory, cognitive and other impairments, but operate on a cross-impairment basis. It is not usually necessary to know about the detailed medical or impairment issues faced by individuals to provide good access.

Using best practice standards
It is more practical and more inclusive to work to best practice standards around issues which are inclusive for everyone such as standards for door entry systems, doors, lighting, obstacles, toilets and showers, steps, stairs and ramps, fixtures and fittings, interior design, signage and wayfinding etc. A sample checklist of issues is available for use in our section on writing Design and Access Statements and information is also available in the Design for Access 2 manual.

Use of space and facilities
Our standards are based upon legislation, experience, the social model of disability, current technology and best practice from existing codes of practice. We aim to ensure that people can effectively use services and buildings for the purpose they were developed.

For example, we would not consider a restaurant or coffee bar accessible, if a disabled person had to sit at a different table from their friends, colleagues or family, or if the tables and chairs were so high that a disabled person could not participate in any conversation at the same level. We would expect a place, such as a bar, using high tables and chairs, also to provide alternative seating and tables for others to use.

We do not consider shops that have split levels and no lift, with many items upstairs or downstairs, to be accessible, as a disabled person does not have the opportunity to browse and choose as others can.

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The Medical Model of Disability and the Social Model of Disability

The Individual or Medical Model of Disability
This explains ways in which disabled people are stereotyped or judged, when a person is placed at the centre as the "problem". The person is considered "defective", "different" or "not normal" and is often described or believed to be:
  • "housebound" and/or
  • "confined" to a wheelchair and/or
  • unable to make decisions and/or
  • can't use hands, feet, other parts of the body and/or
  • can't see or hear and/or
  • can't cope and/or
  • having an ungrateful or "bitter" attitude and/or
  • having "special needs" and/or
  • in need of a doctor or a cure and/or
  • needing charity and/or
  • needing sympathyand/or
  • always needing help.
Much of this language is very negative and does not really describe the experience of disabled people. All of us in society need a doctor and all kinds of help at different times throughout our lives but many people, especially many professionals believe that they "know best", do not always treat disabled people with respect, don't listen to their views and experience and don't consider discussing options and decisions directly with them.

For more information, training, and discussions around these issues, contact your local disabled people's group or contact us at admin@mdpag.org.uk

The Social Model of Disability
This is an alternative way of understanding access issues and social exclusion and sees the problem as a "disabling world". All the following issues are examples of situations which can be changed and allow disabled people to participate in mainstream society.
  • badly designed buildingsand/or
  • no accessible transport or parking spaces and/or
  • poor job prospects and/or
  • small print format and/or
  • little or no recognition or or use of sign languages, Braille or use of raised lettersand/or
  • segregated education and/or
  • academic and physical achievements which are considered to be most important in judging people's contributions to work and society and/or
  • negative attitudes and negative media images of disabled people and/or
  • poverty and low income and/or
  • isolation and exclusion from activities, work and social events that friends, family, neighbours and work colleagues choose to do and/or
  • lack of knowledge about or commitment to improving access to equality and/or
  • lack of commitment to supporting disabled people in fighting discrimination and equality
Some of these issues can be resolved by consulting with disabled people, changing attitudes, policies and practices, rethinking budget priorities and expenditure, challenging barriers and exploring why our society doesn't treat all its members as equal. Other issues may need radical political decisions.

Acknowledgements: These versions of the social and medical models of disability have been developed from models developed by Unison NW and Pam Thomas.

See also the information in "Guidelines for Accessible Meetings and Events"
published by the Disabled People's Network, Community Network for Manchester, and available in different formats from the Disabled People's Network or MDPAG.

More information, articles and academic papers on the social model of disability and other disability issues are available at:
The British Council of Disabled People (BCODP), and

"Social Model or Unsociable Muddle?" from Disability Awareness in Action

and from the Centre for Disability Studies, University of Leeds.

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last updated 4.2.2008