Reasonable Adjustments and Inclusive Communication

A reasonable adjustment removes or reduces a disadvantage experienced by a disabled person. In dental practice, adjustments can include changes to appointment length, physical access, communication methods, anxiety management, sensory needs, written information, provision of interpreters or carers, appointment reminders, waiting area arrangements and how treatment is explained.

Inclusive communication helps many patients, not only those with a recorded disability. Patients may need plain language, clear written instructions, translation or interpreting support, British Sign Language, easy-read materials, a quiet waiting option, extra appointment time, or assistance to understand costs and treatment choices.

Dental nurse actions

• Ask respectfully how the patient prefers to communicate.
• Check whether an adjustment is recorded and still appropriate.
• Use plain language and avoid jargon where possible.
• Provide accessible written or aftercare information when needed.
• Inform the right person if the practice cannot meet an agreed adjustment.

Adjustments must be reliable. One staff member remembering is not enough. If an adjustment affects future care, it should be visible to relevant staff while maintaining confidentiality.

Accessible information and interpreters

Reasonable adjustments should be practical, recorded, implemented and reviewed when they no longer meet the patient's needs.