Jeannette goes to her dentist for a routine appointment. She experiences panic attacks as one symptom of her long-term mental health condition. She suddenly runs out of the dental surgery in the middle of her treatment. The dentist says she is not prepared to treat her anymore because of her behaviour.

The dentist is refusing Jeannette a service because of behaviour related to her disability. This may be discrimination arising from disability.

But her dentist can justify that the decision if she can show that:

• she treated Jeannette that way for a good reason, and it was appropriate and necessary in the circumstances, or
• she did not know or could not reasonably have known that Jeannette had a disability.

An outdoor centre provides a variety of activities from walks on gravelled areas to ones involving strenuous physical activities. Their policy says they will only let people do the activities if they have a medical certificate of good health.

Ensuring health and safety is reasonable, but applying a policy like this to every activity is likely to be indirect discrimination. This is because customers who had mental health problems would not be able to join any activities and so would be treated worse than other customers.

People with mental health problems might be quite capable of:

• doing any of the activities on offer as their mental health conditions would not affect their ability to take up exercise, or
• taking up the less strenuous activities.

But it will not be indirect discrimination if the outdoor centre is able to justify this policy by showing that it is:

• for a good reason, and
• appropriate and necessary.

• A social worker plans a social care assessment for Fatima who finds it is difficult to concentrate or to participate meetings to discuss her needs. This is because she has been experiencing acute anxiety and agitation from her underlying anxiety disorder. To help support her, the social worker arranges an independent advocate for Fatima.
  
  Providing the advocate in this case can be a reasonable adjustment when providing the social care assessment process.

• Leroy has agoraphobia. He has been told he has to go to a meeting about his benefit claim in the Job Centre. He explains he can’t leave home because of his mental health problem and provides a doctor’s report to confirm this. The benefit adviser agrees to meet Leroy at home.

  Changing the meeting place is a reasonable adjustment to the normal practice.