Flag visible alongside patient details

Reasonable Adjustment

1
 Basic Reasonable Adjustment for “John”

Patient Details Name: John Smith NHS Number 999 999 9997
Date of Birth 21st February 1959 Age: 58 years old

Patient Reasonable Adjustment Flag

Please consider this patient for reasonable adjustments*

Adjustment Dr Emma Jones,
Flag updated Hillbrow GP Surgery,
by; Some Town,
Some County,
S76 8YP
Tel: 0191 121121
Fax: 0191 21212
Email: HillbrowSurgery@nhs.net
Updated on; 1st March 2016

*The Equality Act (2010) states that public organisations must take steps to remove the barriers individuals face because of their
disability. The Act labels this as the duty to make anticipatory reasonable adjustments.
 Detailed Reasonable Adjustment for “John”
Patient Name: John Smith NHS Number 999 999 9997
Details Date of Birth 21st February 1959 Age: 58 years old

Patient Reasonable Adjustment Flag

Please consider this patient for reasonable adjustments*

Adjustment Clinical Code Category Supporting Text Updated Created

10th May 2017 at 1st June 2015 at

Provide additional Adjustment in John needs significant 11 AM by James 11 AM by John
Smith (GP), Rudd (Nurse),
time for decision service delivery additional time for assessment Hillbrow Surgery, Leeds LGI, Some
Some Town, Some Town, Some
making or and any treatment due to his County, S76 8YP County, S76 8YP

processing autism and learning disability

10th May 2017 at 1st June 2015 at
Uses Personal Adjustment to John uses a communications 11 AM by James 11 AM by John

Communication Communication passport – please ask his carer Smith (GP),

Hillbrow Surgery,
Rudd (Nurse),
Leeds LGI,
Some Town, Some Surgery, Some
Passport for the latest version and read it County, S76 8YP Town, Some
County, S76 8YP

Main reason(s) Autism – John has autism

for adjustment(s) Learning Disability – John has a severe learning disability
Sensory Disability – John has a severe visual impairment
Updated 10th May 2017 at 11 AM by James Smith (GO), Hillbrow GP Surgery, Some Town, Some County, S76 8YP Tel: 0191 121121

Created 1st June 2015 at 11 AM by John Rudd (Nurse), Leeds LGI, Surgery, Some Town, Some County, S76 8YP Tel: 0191 21212

Consent provided by The RA Flag was created in the patient’s best interests.