Reasonable adjustments

Making a recorded need usable at the point of care

The flag makes the need visible. Staff still need a way to meet it.

The digital flag and wider information standard provide important shared infrastructure. Record systems, clinical systems, care teams, interpreters and communication partners each have a role to play.

CardMedic sits alongside those systems. It does not replace the flag, the record or professional interpreting. It helps staff act on a recorded or recognised communication need using accessible content, translation, signed information, Read Aloud support and interpreter access.

Seven connected steps

1. Identify recognise the person’s communication need
2. Record capture it in the appropriate record
3. Flag make it visible to relevant staff
4. Share carry it across approved care settings
5. Meet provide the appropriate adjustment in the interaction
6. Review check whether it worked
7. Update keep the record current

The first four steps make a need visible and shareable. The final three connect that information to what happens in practice: providing the right support, learning from the interaction and keeping the record up to date.

Recorded need, delivered support

The adjustments organisations record are the adjustments staff need to provide

These examples reflect common reasonable-adjustment categories and the communication routes that may help staff respond to them. The right option depends on the person, the conversation, the setting and the level of risk.

• A recorded or recognised need Information in Easy Read Possible support through CardMedic Easy Read content available at the point of care
• A recorded or recognised need Information read aloud or explained verbally Possible support through CardMedic Read Aloud and clear, structured content on a supported device
• A recorded or recognised need British Sign Language Possible support through CardMedic BSL video content produced with d/Deaf communities
• A recorded or recognised need Communication in another language Possible support through CardMedic Clinically assured content, Live Translate and access to approved professional interpreters
• A recorded or recognised need Difficulty processing information at normal speed Possible support through CardMedic Short, structured, one-concept prompts
• A recorded or recognised need Use of a communication app or mobile device Possible support through CardMedic CardMedic on a supported device through the organisation’s approved access model

CardMedic is one part of the wider reasonable-adjustment pathway. It does not determine which adjustment a person needs, and it does not replace professional judgement, local policy or professional interpreting where those are required.

In practice, not only in principle

More than 5,000 patient communication interactions in one setting alone

In one participating healthcare setting, CardMedic supported more than 5,000 patient communication interactions during the evaluation period. These included accessible formats, translated content, Live Translate and professional interpreter access.

Across our customers between January and September 2026, accessibility features were used as follows:

• 3,100+ Read Aloud uses Written information spoken aloud for people who do not read it comfortably.
• 850+ Easy Read uses Information presented in a format designed to be easier to understand.
• 590+ BSL video views Signed clinical content viewed during care.

These are recorded uses of accessibility features within participating deployments. They show how the platform was used in practice; they are not an audit of reasonable-adjustment compliance or proof that every individual need was met.

Our role

CardMedic works alongside the flag

Working with existing systems and partners

Reasonable adjustments work best when record systems, clinical teams, accessibility specialists, language-service providers and technology partners can work together. CardMedic is designed to fit into that wider pathway.

• Record systems identify and share relevant needs
• Clinical teams decide what support is appropriate
• CardMedic helps staff access suitable communication formats
• Language-service providers provide professional interpretation when required
• Organisations use feedback and activity data to improve delivery

The reasonable adjustment information standard published in December 2025 sets 30 September 2026 as the date for full national conformance through a phased approach. CardMedic supports the practical delivery layer; it does not replace the systems, responsibilities or partnerships that make the standard work.

• The standard Accessible Information Standard What DAPB1605 asks of organisations, and what we do and do not do against it.
• The formats Sign language: BSL and ASL Signed content produced with d/Deaf communities, and how it is used in care.
• Your material Translation services Your own leaflets and letters produced in accessible formats and other languages.