What are reasonable adjustments?

And how can I implement and promote them in my practice?

Reasonable adjustments are adjustments made to make access to healthcare easier for people with a learning disability, physical or mental health condition and or autism spectrum disorder.

Reasonable adjustments should be made in line with the equality act 2010. They are implemented to reduce distress to the individual, and to allow them to appropriately access healthcare appointments or treatment. Reasonable adjustments may be documented in an individuals hospital passport (A document which highlights they key areas of need and support) and also the ‘red flag’ alerting system may alert you to the fact that the individual requires some reasonable adjustments to have their needs met.

An example of reasonable adjustments may be:

  • Longer appointment times
  • Easy read letters, information and correspondence (this also is in line with the accessible information standards)
  • Quiet side rooms to wait in, or to be treated in if in a busy ward environment.
  • Offering items to stimulate the individual – I.E magazines, a drink.
  • Home visits
  • Extra support around medical procedures, this may include de-sensitisation work which may include the person coming to the area where the procedure will be done beforehand, or if possible for the procedure to be taken in an environment comfortable for them (I.E taking bloods at their home).

Why do reasonable adjustments matter?

Reasonable adjustments are very important, they allow us to provide accessible healthcare for all. Reasonable adjustments give us the ability to practice person centred care and give us the opportunity to make a positive impact. Taking the time to provide these adjustments, means that we can ensure we work within best practice guidance and national policy and law.