Good bye 2013 - Hello 2014

Over the last few months I have been thinking about leadership and especially leadership at a time of struggle.

Leading an organisation in a time of growth and development is hard work but fantastically rewarding. Seeing ideas come to fruition and the resources necessary being available and successfully accessing those resources is fabulous. Even when there are small glitches; the occasional unhappy member of staff; the odd volunteer who does not do what they said they would; the family who fail to pay their contribution towards the cost of a service- all that pales in the glow of success and growth.

But is feels very different in a time of austerity and constriction. Can I lead the organisation safely without getting us into financial difficulty, where should I cut services and how can I be fair, who will hurt least? Not so much fun but also not a moment to consider giving up.

Christmas week has seen amazing leadership from those running play schemes. We have faced unprecedented levels of staff sickness and yet no child was turned away. Over and again I was told – it is OK the leaders are going to make it happen and make sure it is safe . And they did. Parents have been emailing saying how much fun their children had and new staff have been saying how inspired they felt working alongside those with experience.

We are going to have to change what we offer. Despite Nick Hurd saying that charities ‘whinge’ I am going to make it very clear to anyone who will listen that these are not changes being made because we think they are right but because we have been forced into an untenable position due to lack of funding and chaos in local authorities. However I am also going to work with my fabulous leadership team, those responsible for the West Midlands services, for play, reach out, therapies, one to one support, adult services, volunteering, fundraising and administration on a day to day basis, to find new ways of doing things and if those ways don’t work then we will have to look for newer new ways!

It is unthinkable that RfA might cease to exist, not because of me or my team but because our families and our users tell us everyday how much we mean to them. They will not let us fail.

Today some of my play workers had money stolen by someone who took advantage of their commitment to work. Horrible! Then, one of our Trustees on hearing the story came unbidden to the office to bring in his own money to cover their loss. That is great leadership and it illustrates beautifully what is so special about RfA.

We may have grown over the years from a small North London family to a big extended family but a family we remain and as we move into 2014 we may end up with some family members leaving us for a while, some experiencing us differently and some finding us better than ever but whatever happens I hope that with the ‘can do’ attitude of all RfA leaders at all levels, working together and with the level of care they constantly show we will end 2014 as strong and committed to high quality practical and responsive services as we have always been.

Happy New Year

What we pay, how we provide, social media and proving our worth!

There has been some debate in the media and in the voluntary sector press about how much CEO’s of voluntary organisations and charities are paid. Huge 6 figure sums have been mentioned. Ratio’s between highest paid and lowest paid scrutinised and talk of replacing paid staff with volunteers. I have a personal view about highly paid CEO's and not just because I am not one of them as I believe I am paid adequately for the job I do and that 6 figure sums are unnessessary for anyone, let alone those in the voluntary sector.

However, I think that the discussion should be at the other end. RfA provides front line, autism specialist services and I have been very proud that we have had no need to mention the London living wage, also much in the news, as we have always paid our lowest paid staff more than this for the amazing work they do. We have nearly 300 staff, most very part time and I am under pressure to cut the wages of our hourly paid staff to the minimum wage. Local authorities who buy our services say that we pay our frontline staff too much. The minimum wage used to be something people were slightly ashamed to be paying. Minimum is not the same as average and yet now it seems to be the bench mark for wages in the care sector.

If we believe that our service users deserve to get the very best in care then we must be prepared to pay for that and to pay the cost of good training to support our staff and to offer promotion prospects to help encourage the best staff to stay with us. We must also be prepared to get rid of staff who do not come up to the mark, good conditions of employment come with responsibility and expectations. Our values should permeate everything we do including how we treat our staff.

The best care is not cheap care and talking of money, we have managed to remain pretty unscathed by the huge cuts that many other organisations have experienced but that is not likely to continue. The 6% cut in our Birmingham income, for example, has been managed without any reduction in service but the talk of a 25% cut in the coming year will not leave services undented unless we really up our game in new and innovative fundraising. Personalisation has hit us hard with many families unable to meet the full cost of services from the money they are given. It will fall to ‘unrestricted’ funding to help us keep things going and even better help us to continue to grow and manage our waiting lists.. We are hoping to access more corporate support, more individual donors and more externally organised fundraising events. We have little capacity to organise in house events, which are costly and often do not bring in the money to cover those costs but events organised by individuals to benefit us such as marathon running, coffee mornings, cake and skills sales can be supported and are hugely welcome. It is a competitive world out there and everyone is feeling the pinch (well almost everyone!) so we have to be more imaginative, more fun and more willing to just go ahead and ask.

We are clarifying our priorities and making sure that we can measure our impact so we can prove that as an organisation we are both helpful and necessary. That may seem obvious but the onus is on us to prove our worth and goes hand in hand with the competitive nature of fundraising. It is also useful for us internally to continue to monitor how effective we are. Our goal is to improve the quality of life for individuals, families and carers and the services we provide along the way to that goal have to be shown to genuinely help lead to an improvement in quality of life. To say that a 2 hour group once a week leads to an improvement is not enough as that is full of assumptions. We have to be able to show what the effect of not having that group would be and why life is better with it. This may be obvious to us but not necessarily to those requesting evidence of impact before agreeing to fund us or when considering extending funding.

Communicating what we do is a tool in showing impact and RfA are now using social media more including Facebook and Twitter and we are just developing our YouTube presence. All this is a challenge to an old lady like me but I am enjoying it and very much appreciate the help provided by Kavita from Pimp My Cause and Gideon one of our Autism to Autism volunteers in dragging me into the 21^st century. Please do engage with our public face and help spread the word about what we are up to.

So, my tasks for this autumn are to maintain and improve all our services, defend our employment practices and prove to the outside world that we really are the very best provider and what we do makes a real difference to people’s lives. Your help in all this is greatly appreciated! Please do let me know your thoughts, reactions and ideas.

Autism and the question of gender, or can our girls have a good time too please!

Early this week I was a guest at a meeting of parents of girls with a diagnosis of autism. As the mum of a wonderful 24 year old daughter who has Global Developmental Delay I felt very much part of the event. Most of the families represented had girls in mainstream who would generally be described as Aspergers or 'high functioning' . What struck me was the predominance of mums over dads, with some brave exceptions. This got me thinking about gender in relation to autism and what we know or think we know.

When I started at Resources I was categorically told Autism is a 'male disorder'; it is 'at least 90% male'; that 'although there are some girls these are probably misdiagnosed'.....I took all those statements with a pinch of salt. It has always been clear to me that girls with a condition that manifests itself in 'different' behaviours are often viewed differently to boys. It is more acceptable for girls to be withdrawn and quiet, to be happy in a 'world of their own', to cry easily and become anxious. To diagnose girls seemed trickier. As the years have gone by the figures and the interest have changed. Slowly the statistics are becoming less stark. 90% has moved to 75% or even 60% depending on which bit of research you read but it is still the case that most of our girls find themselves in groups which are predominated by boys. That is particularly true for those girls attending special schools where a class may well consist of 8 or 9 boys and 1 girl.

Does this matter? Where we are trying to help our young people develop friendships then it probably does. Interests are different however hard we try to stop thinking in a gender stereotypical way. That does not mean they can't and shouldn't cross over but in reality they often don't. Being with someone who is 'like you' is reassuring and can help build confidence. At Resources we had a wonderful girls group a couple of years ago. It was very successful and the girls had a great time. However, it was an add on and we did not have the capacity to repeat it. This summer we are looking to do it again for some of our girls based in North London. It will be interesting to compare the groups and see how those girls in our mixed groups feel compared to those in a girls group and to get the staff to think about confidence and friendships in particular.

As autism is a lifelong condition this conundrum applies to our adults too. Women with autism face the same struggles as men but there is the added vulnerability of exploitation and abuse. At Resources we have seen several of our young adult women exploited by predatory older men and we are working on a social story book to help them think about appropriate behaviour and keeping safe but they also need to be independent and have a right to a sexual and emotional life as we all do. This is much more difficult for women to navigate and to get right as the risks are greater. Many of our young women desperately want to have children and there is a fear from some professionals that their autism means they will not make 'good' mothers. Can empathy be learned when it comes to your own child?

As with everything I look at in this area it appears that the answer is the very unhelpful 'it depends'. Just like those of us who are not on the spectrum every girl and every woman is different. Blanket statements are wrong and may lead to a great deal of unhappiness. We must give our girls and women as much choice as we can and as much information as they can absorb and allow them to make the same mistakes as our boys and men but we also need to make sure they are safe.

That most carers are female is not a new revelation but that too is a factor in this debate. I am regularly asked for male carers for our boys because their caring environment (mums, teachers and so on) are female and it is felt a male role model is important. Most of our befrienders are female and we struggle to get male volunteers. Caring and volunteering remain in the female domain, if a little less than a few years ago. My male staff are wonderful and we have worked hard to attract them and keep them but should we celebrate them more than my equally wonderful female staff?  Mums still take the brunt of caring and I have mums in their 80's caring for men in their 40's and 50's. The world remains unfairly balanced and we need to find ways to redress and compensate for this.

I will leave the last word on this to Jean who is an adult with autism who volunteers with us. She says that when she was growing up she always felt like an outsider, she had no one to talk to about being a girl or a woman it was all about her 'problems'. She is now in a  relationship and feels like she is  an insider working at Resources but it took a long time to get there. 'Give us time and we can make the right decisions and get on with our lives' is her message. I hope that by giving some of our girls just a little time and space that is theirs we can help them understand themselves and gain in confidence to walk alongside our boys into an adult life that is fulfilling and hopefully accepting of them as they are.

If you expected to find a definitive answer to the gender question I am sorry to disappoint. I hope though it gives some food for thought and is a discussion that we can continue to have over time.

Please do feel free to comment, or share your views. It would be great to hear from you.

March 2013

There are a great deal of unknowns for Resources for Autism in the year ahead and like many small and medium voluntary organisations we are treading tentatively into the brave new world of framework agreements, individual budgets, joint commissioning and all kinds of new ways for local authorities to use the limited funds they have.


The impact on us is huge as we have a tiny infrastructure in comparison to our service base. Despite this it is hard for us to compete in what is now described as a ‘market place’. I have real difficulty in using the language of commerce to describe services that I believe are essential to those with autism. For me, day to day support, activities that enhance life and enable independence, support for fragile families, tackling acute loneliness and isolation and enabling communication and social networks are not the same as choosing which computer to buy or where to go on holiday or if you can afford that new dress. They are a fundamental right for all of us and to describe them as products moves them from a ‘need’ to a ‘want’. Something that is necessary is quite different to something we can choose to have.


Choice is another buzz word and at risk of upsetting a lot of people I am most unhappy with it. If we were talking about a world of real choice where individuals had an infinite amount of options and an infinite amount of money to buy those options then there is choice. Choice is limited first and foremost by what is available and how much money families have. People need local, accessible services with qualified, experienced and consistent staff. They need that at a price that is affordable. We provide small, local and expert but the problem is that that can never be cheap. So how can I make the equation work? The dilemma is do I reduce quality to bring price down? Reduce the amount we do so we only serve those with money to fund it themselves? Or take the line that we will battle on for as long as we can but may have to close if we cannot do the right thing as a charity and provide for those most in need at a price they can afford and in the way that we believe best serves our community? These are questions without answers at the moment. Austerity really is very austere!


On a completely different note, April 2^nd is World Autism Awareness Day. As stated by Ban Ki-mood Secretary-General of the United Nations:

"Autism is not limited to a single region or a country; it is a worldwide challenge that requires global action."

It appears likely that the 1% level of autism in the population is reflected world-wide with no difference in race or geography. That is an enormous challenge to World Leaders but perhaps one that they are nearer at least having the will to tackle as information and knowledge is shared.

 We are doing our bit on April the 2^nd and would encourage you to join us. Please take a minute on the day to use your social media to highlight the day and to wish everyone a happy World Autism Awareness Day. Tell them about us and perhaps about your connection with us. Remember the #resourcesforautism if you use Twitter or our Facebook address which is facebook.com/pages/Resources-for-Autism/309322822458491 and give us a ‘like’. Perhaps your actions will encourage one of your friends or acquaintances to volunteer with us or make a donation or even both, helping to make every day a Happy Day for someone with autism and their families.