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The Code of Rights and Special Education
Presentation to the NZ Special Education Association
Conference
Wednesday 23 April 1997
1. Background
The Act
The basis of the Code of Rights and
the work of the Health and Disability Commissioner is the Health
and Disability Commissioner Act 1994. It is a key element in the
new environment of consumer-focused and consumer-accountable health
and disability services, and was supported by and owes its origins
to work done by both major political parties.
The Code
The Code is a regulation in terms of
the Act. The development of a Draft Code was the first task of the
Health and Disability Commissioner, and was completed in October
1995 after nine months of consultation and drafting. The final Code
of Health and Disability Services Consumers' Rights became law in
May 1996 and took effect from 1 July 1996.
Quality
The Code of Rights covers quality of
services throughout the health and disability sectors, whether
public or private, paid for or not. It does not cover issues of
purchasing or entitlement to any particular service.
Applicability
The applicability of the Code is
defined in the Act, and covers any person or organisation providing
or holding themselves out as providing a health care service to the
public, or a disability service. As I will discuss later, the
definition of a disability services provider is wider than a health
care provider as it is not limited to those providing services to
the public.
Purpose
The purpose of this Act is to
promote and protect the rights of health consumers and disability
services consumers, and, to that end, to facilitate the fair,
simple, speedy, and efficient resolution of complaints relating to
infringements of those rights.
2. Relevance to
Special Education
So how does the Code of Rights apply
to special education services?
For the HDC Act and the Code of
Rights to apply, three elements must be present - a consumer, a
provider and a service.
Consumer
The Act defines a disability
services consumer as follows:
any person with a disability
that
(a) Reduces that person's ability to
function independently; and
(b) Means that the person is likely to need support for an
indefinite period:
Many (but perhaps not necessarily
all) children receiving special education would meet the
description of a disability services consumer. In respect of legal
rights the law as it applies to minors and persons of diminished
competence applies to the Code and the Act. Parents and legal
guardians thus have rights which they exercise on behalf of the
consumer.
Some difficulties may arise where
the consumer's condition is the subject of conflicting opinion
within the medical community and classification as a disability is
debatable. Certain learning disorders can fall into this
category.
Provider
The definition of a disability
service provider under the Health and Disability Commissioner
legislation is very broad and extends well beyond the traditional
sources of assistance that would automatically spring to mind.
It includes anyone who provides or
holds themselves out as providing disability services, including
goods, services and facilities:
a) provided to people with
disabilities for their care or support or to promote their
independence; or
b) provided for purposes related or incidental to the care or
support of people with disabilities or to the promotion of
independence of such people.
A matter raised with our office
concerned a consumer with diagnosed learning and behavioural
difficulties who wished to attend a particular school. This school
was not offering any services for students with special needs, but
the complainant, the legal representative of a child with special
needs, wished the school to be required to provide such a service.
It is not the role of the Health and Disability Commissioner to
oblige any person or organisation to take up a role as a health or
disability service provider. Such matters are covered where
necessary by other legislation such as the Human Rights Act and the
Education Act.
Service
Clearly the provision of educational
support for students with special needs falls into the Act's
definition of a service intended to promote the independence of a
person with a disability. Schools providing such a service should
be aware that the Act and the Code of Rights applies.
Applying the
Code
The Commissioner is often asked for
practical advice about specific Code-related cases, either
hypothetical or real. The Commissioner is not able to provide
advance rulings on interpretation and application of the Code. The
complaints jurisdiction under the Health and Disability
Commissioner Act 1994 requires investigations to be undertaken
impartially and with an open mind. This would be open to challenge
if the Commissioner had already decided on the acceptability or
otherwise of a practice under investigation.
As to the question "What aspects of
the Code of Rights apply to special education services?" the answer
must be that if the there is a consumer, a provider and a service
as discussed earlier, then the whole Code applies.
Those involved in providing services
should obtain a copy and familiarise themselves with it. This is
not a big job - the Code fits comfortably onto three A4 pages and
is written in plain English.
It is probably helpful to highlight
some aspects of the Code and the Act which are of particular
relevance to special needs education.
Who is the provider - the
school or the teacher?
Both. As well as the provider having
to comply with the Code, under Section 72 of the Health and
Disability Commissioner Act, the employing authority may also be
liable for acts or omissions by its employees which breach the
Code.
Legislation which only allows for an
individual to be held responsible can result in failures to address
bigger issues within organisations. This is also in keeping with
the trend in New Zealand law to make employers responsible for
ensuring that their employees comply with legal obligations.
Communication
Communication is at the heart of
education and children with special needs should not be
disadvantaged in this respect.
Right 5, the right to effective
communication, provides for "effective communication in a form,
language, and manner that enables the consumer to understand the
information provided." Providers must take "reasonable actions in
the circumstances to give effect to the rights, and comply with the
duties" in the Code. In the context of special education, "the
circumstances" may include consumers capabilities, including their
capability of understanding.
The responsibility will be on the
provider to show that it took reasonable actions. Right 5 also
ensures "an environment that enables both consumer and provider to
communicate openly, honestly and effectively."
Standards
Under Right 4 of the Code, "every
consumer has the right to have services provided in a manner
consistent with his or her needs." The interpretation of this right
in relation to special needs would be a matter of individual
circumstances, but providers should be aware that the right
applies.
3.
Complaints
Right 10 establishes the right to complain and sets out a
minimum requirement for a complaints procedure. Right 10(6)
stipulates that:
Every provider, unless an employee
of a provider, must have a complaints procedure
The first option in the Right 10
procedure is that the consumer may make a complaint to the
individual provider. Alternatively he or she may complain to the
person authorised to receive complaints about the provider. This is
the "low level resolution" focus of the Act and Code in action. As
we saw in the video, the obligation to have a procedure and the
availability of the advocacy service ensures that complaints are
resolved as speedily and effectively as possible.
One of the purposes of the Act, as
stated earlier, is to facilitate the fair, simple, speedy, and
efficient resolution of complaints. When providers and consumers
take that approach in an attitude of partnership complaints can
produce benefits to all parties.