Exam Pass Notes

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Use the memory spine: Ask, Face, Adjust, Check, Record, Escalate.

Ask: Do not assume a Deaf or hard-of-hearing person's preferred method of communication. Ask politely and follow their stated preference when possible.

Face: Gain attention before speaking. Face the person, keep your mouth visible where possible, speak clearly and avoid shouting, mumbling or talking while looking at a screen.

Adjust: Offer practical adjustments such as written or typed notes, captions, text contact, quieter appointment spaces, visual prompts, hearing loops, longer appointment times or arranging a BSL interpreter.

Check: Confirm the person understands appointment details, costs, consent, aftercare and next steps. Where appropriate, ask them to summarise the plan in their own words.

Record: Note communication needs and any adjustments in the approved place. Use factual, respectful wording focused on what helps the person access the service.

Escalate: Escalate unresolved communication barriers, uncertainty about consent, urgent symptoms, safeguarding concerns, interpreter problems, equipment faults or repeated service failures.

Deaf awareness does not require perfection. It requires respect, flexibility and making reasonable adjustments so the person can access care safely.