A person with learning disabilities may need extra consideration and support from the NHS, as a patient, visitor or employee. Adapting information, communication and other aspects of care for them will help ensure services are also friendly to anyone who has difficulties with written or spoken English. This is a guide to support the NHS to include people with learning disabilities in their equality schemes, with practical examples of reasonable adjustments to achieve equality of access. The guide contains 4 major sections: Information for people with learning disabilities and family carers; Reasonable adjustments in service delivery; Information about people with learning disabilities; Patient and public involvement.