Post by Dr Jennifer Mindell
Mobility is very important for health and well-being. Being able to access education, jobs, services, shops, leisure, friends and family is essential for a good quality of life. However, people with disabilities[1] regularly encounter barriers to travelling. Consequences include less independence, more unemployment, and missed appointments, including healthcare.
The three common types of disability[2] affecting travel are mobility (e.g. difficult walking), sensory (problems with sight and/or hearing), and cognitive (including neurodevelopmental disorders, such as Autism Spectrum Disorder (ASD) and Attention Deficit/ Hyperactivity Disorder (ADHD), learning difficulties and cognitive decline, including dementia). Individuals may have more than one type of disability, such as some stroke survivors. The barriers to travel that people experience varies. These depend on the type and severity of the disabilities, people’s socio-economic position, and what transport infrastructure is available in their area.
People with disabilities travel less often, making 10-30% fewer trips than people without disabilities, and are more likely than others to use buses, taxis, and be car passengers. They make fewer journeys by walking, cycling or driving, although many do use these travel modes. Specially adapted cycles, including tricycles, can work well for some. Although people with disabilities often travel to nearer destinations, their trips often take more time, are more complicated, and cost more.
Public transport needs to be available, accessible, acceptable, affordable, and adaptable. Common obstacles to using public transport include: difficulties travelling to/from public transport stops/stations; difficulties waiting; public transport unreliability; boarding and alighting; and moving within the vehicle to a seat or space. For people with some disabilities, public transport can be the simplest mode but many wheelchair users, needing ramps to board trains, prefer cars and taxis to save waiting for assistance and not be the focus of curious glances.
Environmental barriers faced by all travellers are often worse for people with disabilities. These include the weather, especially snow, ice, rain, and wind. Built environment barriers include maintenance and infrastructure e.g. whether or not there is sidewalk [UK ‘pavement’], and its width, surface and maintenance; street clutter; pavement parking, dropped kerbs [curbs]; and visual contrast. The time allowed at signalised crossings is often too low for people’s walking/wheeling speed. Long waiting times prolong the duration of a journey and is particularly troublesome when there are insufficient seats and/or toilets.
Planning the journey is another obstacle, along with buying tickets. For people whose condition varies day-to-day, buying tickets in advance is risky, so expensive ‘on-the-day’ tickets are needed. Automatic ticket machines are not readily used by people with short height or in a wheelchair, or with visual or cognitive problems. Similar access problems occur for information boards and crossing controls. Poor access to technology and information is also common. People with disabilities often use only familiar routes, due to wayfinding difficulties, so cannot access new destinations easily.
In addition to these problems, there are also behavioural barriers. People may be unsure where they can ride electric mobility scooters. Sensory overload is common when travelling. Some people cannot cope with strangers talking to them and find it difficult to address transport staff. Other people want staff to interact and help. Training for people with disabilities and for transport staff is beneficial. Staff can make or break a journey by their attitude and behaviour.
A particular problem is affordability. People with disabilities are more likely to be unemployed and have low incomes yet their costs are typically higher, whether requiring specially adapted vehicles or needing taxis instead of public transport. Cost is exacerbated for those needing a travel companion, in addition to the unwanted reliance on others and favours.
The United Nations Convention on the Rights of Persons with Disabilities points out that people with disabilities need the same access to services, goods, and people as others do. It highlights the importance of transport in facilitating this – or being a barrier. Needs of people with disabilities are heterogeneous. Many people without disabilities also have travel difficulties sometimes, such as luggage or shopping, or escorting young children. A universal design approach benefits everyone. Accessibility policies must become integral to transport planning.
[1] In the UK, the preferred term is generally ‘Disabled people’, as people with impairments are disabled by the environment. In much of the world, the term ‘People with disabilities’ is preferred. THSG is a global organisation so uses the latter term.
[2] According to the World Health Organization (WHO), disability is “an umbrella term for impairments, activity limitations and participation restrictions, denoting the negative aspects of the interaction between an individual (with a health condition) and that individual’s contextual (environmental and personal) factors”.







