Physical Disability in 1986 and Beyond: A Response to Simon Brisenden

The report of the Royal College of Physicians Physical Disability in 1986 and Beyond has been criticised by some disabled people because it deals exclusively with medical aspects of disability and not with the whole range of services and resources that disabled people require. This criticism is unfair since it would be totally inappropriate for a committee composed only of doctors to make recommendations other than of a medical or N.H.S. managerial nature. There are many deficiencies in the medical support of disabled people, particularly those with complex impairments and those with brain damage. Correcting these deficiencies needs a change in medical practice and in the N.H.S. resources devoted to rehabilitation medicine. The College report has defined very clearly the scale of this problem, suggested specific practical solutions and how they should be audited, and provides guidelines which all those concerned with disabled people can use to check on the medical services that should be available and to identify those who are responsible for providing them.