Reasonable Adjustments

Making sure health services are accessible for everyone

Reasonable adjustments are a legal requirement to make sure health services are accessible to all people with a disability or impairment (Equality Act 2010). This includes people with a physical disability, sensory disability, learning disability or a long term condition such as dementia.

The NHS must make it as easy for disabled people to use health services as it is for people who are not disabled. This is called making reasonable adjustments. A reasonable adjustment is when someone changes how they do things to make it better for you.

Reasonable adjustments are small adjustments that can make a big difference for people who require support when they attend hospital or any other health appointments.

Examples of reasonable adjustments which can be made include:

    • making sure there is good access for people who use a wheelchair in the surgery
    • providing plain English or easy read appointment letters.
    • giving someone a priority appointment if they find it difficult waiting in their GP surgery or hospital.
    • offering a longer appointment if someone needs more time with a doctor or nurse to make sure they understand the information they are given.
    • having a quiet space available for people waiting for their appointment.
    • making sure there is a hearing loop system in consultation rooms
    • using a communication chart to support a person with dementia during an appointment.

Important: If you need a reasonable adjustment

Please let your GP practice know if you, or someone you care for, require any type of adjustment to access services, so they can record this information and add it to your record.  You can do this by telling the reception team, Practice Manager or your doctor or nurse about the adjustments you need. It is best you do this prior to needing an appointment, so the practice can make the necessary adjustments in advance.

Reasonable Adjustments Digital Flag

The NHS has introduced the Reasonable Adjustments Digital Flag (RADF) tool.  This enables practices to record patients’ reasonable adjustments using an approved NHS template with an option to share with other healthcare providers upon consent from the patient to do so.  Your consent will enable other healthcare providers to offer the agreed reasonable adjustment when you attend other health related appointments, for example at the hospital.

Benefits of having a RADF include:

  • Immediately and visibly shows your reasonable adjustments to healthcare staff
  • Optionally details other significant impairments and underlying conditions that should be considered during care
  • Can reduce stress for the patient and their carers by having information available wherever they need treatment

Page last reviewed: 11 June 2026
Page created: 10 June 2026