Disabled facilities are not common in Madeira and you will probably have a hard time getting around in most places.
In general the streets and pavements have been constructed without any due regard for the disabled. Small cobbles and stones are the norm in most places. Also, cars often park on the pavements in the 'Tourist Zone', blocking access even for the non-disabled.
Those with wheelchairs or walking difficulties will face problems (this applies also to children in prams or pushcahirs). Think carefully before committing yourself to a holiday on Madeira Island!
The international airport in Madeira doesn't have many disabled facilities either. The airport in Porto Santo shouldn't be any problem as it only has one floor. But the remainder of the island will not be easy to get around by any means! Whereas the canary Island have really made an effort to provide ramps on streets and at shop entrances - Madeira gives the impression of total disregard.

Most hotels are able to comfortably accommodate disabled people and almost all have elevators and ramps. However, we do advise you to ask all the right questions before you book a hotel on the island.
There are hardly any adapted toilets and you won't find disabled friendly hire cars (perhaps an automatic) or public transport.
The recently opened cable car will stop for people with wheelchairs to get in.
The Funchal Marina also has disabled facilities with a ramp near the Beer House bar giving access to all the restaurants and snack bars available on this lovely area by the sea.

However, in complete contrast to the information above - The footpath between Pico das Pedras and Queimadas, located in the wonderful Santana council, has now facilities for visitors with disabilities. Thus some of the hidden beauty of the Laurissilva Forest can be appreciated on a course of 1980 metres length, which can be made in a wheelchair and where information is provided in Braille and SPS (language for people with cerebral palsy).