Tuesday, 17 February 2026

Accessible Communication Care Plan Learning Disabilities & Health Settings

 



1. Personal Details

Name:
Date of Birth:
NHS / Patient ID:
Preferred Name:
Date Care Plan Started:
Reviewed By:


2. Communication Overview (Easy Read)

This person may have communication differences linked to their learning disability.

They may need:

  • Extra time to process information

  • Simplified language

  • Visual support

  • Repetition

  • Familiar staff

Communication support is essential for safe care and consent.


3. Communication Strengths

(What the person CAN do)

☐ Speaks verbally
☐ Uses short phrases
☐ Uses gestures
☐ Uses facial expression
☐ Understands pictures
☐ Uses communication aid/device
☐ Can make choices

Notes:
………………………………………………………………


4. Communication Needs / Difficulties

Expressive Communication

(Making themselves understood)

May include:

  • Difficulty finding words

  • Uses simple language

  • Incorrect words or grammar

  • Becomes frustrated


Receptive Communication

(Understanding others)

May include:

  • Difficulty following instructions

  • Struggles with long sentences

  • Needs repetition

  • Difficulty remembering information


Social Communication

Some individuals may find it difficult to understand:

  • Tone of voice

  • Body language

  • Sarcasm or humour

  • Social rules

This is common in:

  • Autism Spectrum Disorder


5. Diagnoses / Associated Conditions

Tick if relevant:

☐ Learning Disability
☐ Intellectual Disability
Developmental Language Disorder
Dyslexia
Dysgraphia
Dyscalculia
☐ Autism
☐ ADHD
☐ Genetic syndrome

Other:
………………………………………………………………


6. Preferred Communication Methods

This person communicates best using:

☐ Speech
☐ Makaton / Sign
☐ PECS
☐ Communication book
☐ Tablet / AAC device
☐ Pictures / symbols
☐ Objects of reference
☐ Writing
☐ Gestures

Device / system used:
………………………………………………………………


7. Support Strategies for Staff

Use Clear Language

✔ Short sentences
✔ One instruction at a time
✔ Concrete words
✔ Avoid jargon

Example:

Say: “Time for lunch.”
Not: “We are going to the dining facility shortly.”


Visual Support

Use:

  • Picture cards

  • Easy Read leaflets

  • Visual timetables

  • Choice boards


Processing Time

Staff must:

  • Pause after speaking

  • Allow response time

  • Avoid rushing

  • Repeat if needed


Checking Understanding

Do NOT ask:

“Do you understand?”

Instead ask:

“Can you show me?”
“Can you tell me what we are doing?”


8. Communication Passport

Does the person have one?

☐ Yes ☐ No

If yes, location:

………………………………………………………………

Passport may include:

  • How I communicate

  • My likes/dislikes

  • My health needs

  • How to support me


9. Environmental Adjustments

To support communication:

☐ Quiet space
☐ Low lighting
☐ Reduced noise
☐ Familiar staff
☐ Calm approach
☐ Sensory adjustments


10. Distress & Communication Breakdown

Signs of frustration may include:

  • Withdrawal

  • Repeating words

  • Shouting

  • Self-injury

  • Refusing care

Staff Response:

  • Stay calm

  • Use fewer words

  • Offer visuals

  • Give space

  • Reassure


11. Consent & Capacity

Accessible communication must be used to support:

  • Informed consent

  • Mental capacity assessments

  • Medical decisions

This includes:

  • Easy Read forms

  • Visual explanations

  • Best-interest processes (if required)


12. Health & Safety Link

Communication impacts:

  • Pain reporting

  • Swallowing safety

  • Medication understanding

  • Symptom reporting

Poor communication support = clinical risk.


13. Professional Involvement

Tick involved professionals:

☐ Learning Disability Nurse
☐ Speech & Language Therapist
☐ Psychologist
☐ Occupational Therapist
☐ GP / Physician
☐ Dietitian


14. Review Section

Review Date:
Changes Needed:

………………………………………………………………

Staff Signature:
Service User Involvement: Yes / No


Trainer / Clinical Use Notes

This accessible care plan supports:

  • Person-centred care

  • Reasonable adjustments

  • Hospital passports

  • Dysphagia safety coordination

  • Mental capacity compliance

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