Highlighting the contribution of visual problems

Health Care for All acknowledged that reasonable adjustments "are not particularly difficult to make," 4 and a list of such adjustments for eye clinics has been published. 5 The first step in improving elective healthcare is to ensure that healthcare providers know that the patient has a learning disability before the appointment. The proposal to recommend national flagging of learning disability on NHS information technology systems would improve this situation and should be seen as a crucial step in reducing inequalities in healthcare for people with learning disabilities.