Reasonable Adjustment Digital Flag

• Arranging the first or last appointment of the day to reduce waiting times.
• Offering double appointments for patients who need more time to understand information or communicate their needs

• Access to British Sign Language (BSL) interpreters or using video-link BSL interpretation
• Signposting to information in accessible formats such as Easy Read, Braille, or large print

• A requirement for wheelchair access
• Hearing loop systems in consultation rooms

• Offering a quiet space for patients who may find waiting areas overwhelming

• Using communication aids such as tablets, telephones, or digital pens
• Implementing speech-to-text software for patients with hearing impairments

• Allowing flexible visiting hours if appropriate
• Providing priority appointments for patients who find it difficult to wait

Identify people’s reasonable adjustment needs.

Suggested actions

• consultation/ conversations with the person.
• questionnaires
• easy read questionnaire
• hospital passports or similar recorded patient needs documents

Suggested actions

• record on digital records systems, consider standardised templates on IT systems
• paper form in paper-based systems (but must then be recorded using digital coding to comply with phase 2)
  • record identified needs in SNOMED code if applicable code available
  • consider ‘bespoke reasonable adjustments code’ if needed (this may include, for example, has hospital passport).

Ideal is no more than 10 specific adjustments per person.

Essential codes (must be added):

1. impairment with substantial and long-term adverse effect on normal day to day activity (Equality Act (2010) 1326341000000105
2. requires reasonable adjustment for health and care access (Equality Act 2010) 1108111000000107
3. consent code:
   • consent given to upload data to Reasonable Adjustment Digital Flag (finding) 1853771000000105
     or
   • declined consent to upload data to Reasonable Adjustment Digital Flag (finding) 1853781000000107.

• obvious and overtly apparent and;
• highly visible on the cover, title and/or front page of a document, file, or electronic record and/or;
• highly visible on every page of an electronic record (for example as an alert, flag, or banner)
  • the use of the SNOMED code: “requires reasonable adjustment for health and care access (Equality Act 2010) 1108111000000107” may be used to create local systems for identification of identified reasonable adjustments (a local digital flag).

Suggested actions

• add to standard referral letter templates (on IT compliant systems this may be achieved by pulling coded data from patient record)
• dedicated section on other referral formats (e.g., forms).

Suggested actions

Depending on adjustment needed: e.g., longer or shorter appointment, information in easy read format.

Suggested actions

Code to be displayed to indicate reasonable adjustments have been reviewed in suitable timeframe (e.g., 12 months). Consider adding to standard digital templates.

review of reasonable adjustments needs (procedure); 1833271000000103.