Equality, accessibility and digital inclusion

Care navigation must meet the needs of people with different communication styles, languages, disabilities, confidence levels, caring responsibilities, digital access, work patterns, health literacy and trust in services. Fair access does not mean everyone must use the same route.
Patients may need an interpreter, British Sign Language support, hearing assistance, Easy Read information, longer appointments, a carer present, a safe contact method, help with online forms or a face-to-face option. Make reasonable adjustments, record them, and act on them.
Common access barriers
- Limited English or need for British Sign Language support.
- Hearing loss, speech difficulty, learning disability, autism or cognitive impairment.
- No smartphone, no internet, low digital confidence or shared device concerns.
- Work, caring responsibilities, poverty, transport barriers or homelessness.
- Fear, trauma, domestic abuse, stigma or previous poor experiences with services.
Equitable care navigation adapts the route so the patient can access care safely.

