Profound intellectual

Profound intellectual
and multiple disabilities

mean that a person has a complex range
of difficulties and disabilities.

They will include
a significant learning disability,

they may include
a range of physical impairments,

they may very well include epilepsy,
some sensory disturbance,

and that person has major challenges
in getting a good quality of life.

She has to cling to life

because the complexity
of the medical conditions,

two life-threatening conditions,
the epilepsy and the kidneys...

..affects her totally.

Of course the biggest effect,
apart from those two medical things,

is that she has
profound learning disabilities.

She can only communicate
with her eyes and eyebrows.

Because she has difficulty in
communicating what she needs and wishes

she often gets very angry.

If somebody has very complex needs
there are big issues for the family

about how they can continue to cope,

about who will care for and support
their child if they are no longer around

and also whether they themselves will be

fit and well
and able to carry on caring,

assuming hopefully that their son or
daughter lives into middle or old age.

When she was diagnosed
as having this very rare condition

and that she would be seriously disabled
for the rest of her life,

I couldn't believe it.

I couldn't understand it,
I didn't want it

and I went through all the normal things
that you do as a mum.

The other overwhelming feeling is loss.

You have lost the much-wished-for child
that you thought you were going to have

and your expectations are smashed.

So you're in bereavement and loss
and you're in that for life.

It does get better, you work through it,

but the milestones are pretty hard.

My friends' children growing up
and watching them,

watching them fly the nest,
go to university, get married.

We'll never be grandparents.

That's another bereavement.

We've just had the birthday, 40,

for somebody
who was given a week to live,

and here she is, 40, and celebrating.

Person-centred planning
around the individual

and personal budgets
is making a difference.

Families may, for example,

benefit from all the developments
in new technology,

assistive technology,
communication aids.

Having the right wheelchair,
the right hoist,

the right adaptation to your housing, if
necessary, makes a huge difference.

Quite early on
both my husband and I decided

we wanted to give our daughter
the gift of independence.

Tremendously difficult
when they have disabilities.

She'd lived in local authority provision
for a while and it wasn't working,

so we wanted to give her
true independence.

Somebody said to us, "Why don't you
set her up in a home of her own?"

And we thought, "Why not? Why not?"

Victoria became the first tenant,
along with her flatmate,

the first perhaps in the country
to have a tenancy in her own name.

She owns everything in this house

and she is the employer of the people
who support her 24 hours.

Everybody can express choice,

they can express happiness,
they can express unhappiness.

Many people with profound and multiple
learning disabilities have good lives.

They have positive relationships,
they enjoy going out,

they have activities
that give them pleasure,

and a package of care and support

ought to reinforce the abilities
as well as the care needs

of the person concerned.

Very often I think we under-expect

what people with the most complex needs
can actually enjoy

and from what they can benefit
in their everyday life.

Sometimes she can be extremely happy

and give you the most wonderful smile,
which brightens up a room,

and other times she can be quite sad

and I think it's because of all
the things that are going on in her body

and she feels quite low.

But by and large
she is a very positive person

and I think a lot of the time
she is happy

and she likes her own home,
she likes being here.

We don't find our children a burden,

but the lack of appropriate support
can be burdensome.

The staff here are very skilled
in picking up her mood

and her health, really, of the day.

If she's up for it, then she'll be out
and about doing her shopping at Tesco

or she might go out for lunch
to the pub,

which is very good.

She might go swimming in the afternoon

or she might go for a walk
down the canal.

It depends very much on how she is.

So every day is different.

The difference is
they'll go at Victoria's pace

and they'll interpret
what they think she wants and needs.

What families value most of all
are positive attitudes.

Respect, dignity,
choice, maximum control.

You realise that you are in it for life,

so you need to be good to yourself
and your family

to carry on being a lifelong carer.

There isn't a job description,
there isn't a pension at the end of it,

you can't opt out,

but it does go on for their life.

So you do need another life out there
other than disability

and I highly recommend yoga,
Argentine tango and fun.

You do need a lot of fun.

We're positive
and when we can we really enjoy life.

That's how you cope.