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Learning Disability Basics

• Learning disability can reduce understanding, affect communication and make everyday tasks harder.
• Do not assume either incapacity or full independence - assess the person’s needs and preferences.
• People with learning disabilities may require reasonable adjustments to access care and services.

Communication and Adjustments

• Use plain language. Ask one question at a time and give a clear short summary of what you have agreed.
• Record accessible information and any adjustment needs in the patient record where the team can see them.
• Check whether appointment booking, reminders and waiting arrangements are usable for the patient and arrange alternatives where needed.

Health Checks and Safety

• People aged 14 or over on the GP learning disability register are eligible for an annual health check.
• Do not let a learning disability mask new symptoms or other health concerns; report changes promptly.
• Escalate repeated missed checks or ongoing access barriers so they can be addressed.

Carers, Consent and Safeguarding

• Keep the patient central when carers or supporters are involved and involve them only as the patient wants.
• Confirm authority before sharing confidential information with carers or family members.
• Raise safeguarding concerns promptly if you suspect abuse or neglect - you do not need proof to report.