Ensuring Accessible Premises for People with Disabilities in General Practice

https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517637/lessons/2707688

Accessibility is about more than ramps and doorways — it is about ensuring that every patient, regardless of disability, can enter, move around, and receive care in your practice with dignity, safety, and independence.

For many people with physical, sensory, or cognitive needs, barriers in the environment can prevent them from accessing timely care. Whether it’s a heavy door, a lack of visual signage, or waiting areas that cause distress for patients with autism or dementia, these obstacles can significantly impact a person’s experience, confidence, and health outcomes.

🔍 Why This Audit Was Created

This week’s audit has been developed in line with the CQC “We” statement on Responding to people’s immediate needs (Caring) and Equity in access (Responsive).

“We listen to and understand people’s needs, views and wishes. We respond to these in that moment and will act to minimise any discomfort, concern or distress.”

By focusing on accessibility of premises, the audit helps practices ensure that patients with disabilities can receive care without unnecessary barriers or distress — particularly when immediate needs arise.

Why It Matters

  • Patient safety and dignity: Lack of accessibility can delay urgent care and cause unnecessary discomfort or embarrassment.
  • Equity of access: People with disabilities often face disproportionate barriers in healthcare. Addressing these is key to reducing inequalities.
  • Patient confidence: When patients know they can enter, move freely, and communicate effectively in the practice, they are more likely to seek timely care.
  • CQC compliance: Accessibility links directly to Regulation 9 (Person-Centred Care), Regulation 10 (Dignity and Respect), and Regulation 12 (Safe Care and Treatment).

Building Inclusive and Accessible Environments

Good practice in accessibility is about anticipating needs, not waiting for patients to raise difficulties. Examples include:

  • Maintaining safe step-free access, ramps, and lifts so patients can move independently.
  • Providing clear signage, large print, braille, and easy-read materials for patients with sensory or cognitive impairments.
  • Creating calm and supportive waiting areas, with consideration for patients with autism, dementia, or anxiety.
  • Offering reasonable adjustments, such as longer appointments, quiet waiting times, or flexible booking options.
  • Engaging with patients and carers to understand their experiences and co-design improvements.

Final Thoughts

Ensuring accessibility is not just about meeting a legal requirement — it is about showing patients they matter, in every sense. By auditing the accessibility of practice premises and processes, teams can identify barriers, make meaningful changes, and create an environment where all patients feel welcomed, safe, and respected.

This audit provides a structured way for practices to evidence their commitment to equity, dignity, and responsive care, while also strengthening preparedness for CQC inspections. Most importantly, it helps ensure that when a patient needs care — especially urgently — nothing about their environment prevents them from receiving it.

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