Reasonable Adjustment Digital Flag - elearning for healthcare
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Available on the Learning Hub

This programme is available on the NHS Learning Hub. We recommend you read the information on this webpage to find out more about the programme before you access the learning (

More information about the Learning Hub and the migration of elfh programmes can be found here.

About the Reasonable Adjustment Digital Flag programme

The aim of this learning session is to introduce the Reasonable Adjustment Digital Flag and how this can be used to address some of the significant health inequalities experienced by people living with a disability or impairment.

By law (the Equality Act 2010) all people who have a disability or impairment are entitled to reasonable adjustments. Without these adjustments, people with disabilities may have equal access to care and services, but without specific adjustments being made, that access might not be equitable or fair.

Reasonable adjustments are the responsibility of everyone in the health and social care sector and this session will help you understand that these adjustments are not just the right thing to do, but may be the difference between someone receiving essential care or not. It will explain how the Reasonable Adjustment Digital Flag can help you and your organisation meet your obligations under the Equality Act and how you could make a real difference to the estimated 28% of the population in England that this affects.

This is separate to the Oliver McGowan mandatory training.

The aims of this elearning are:

  • to improve understanding of the ethical needs and legal requirements of anticipating and implementing person centred reasonable adjustments for all those people who have a disability or significant impairment
  • to lead to all staff identifying, recording, flagging, sharing and meeting people’s reasonable adjustment needs, so that this becomes business as usual
  • to explain how the Reasonable Adjustment Digital Flag can help you make a real difference to the lives of disabled people

The anticipated length of the session is 30 to 60 minutes.

More information

The Reasonable Adjustments Digital Flag (RADF) is a national record that is held on the Spine (National Care Records Service) which indicates that reasonable adjustments are required for an individual, and optionally includes details of their significant impairments, key adjustments that should be considered and underlying conditions.

NHS England has built the Digital Flag in the NHS Spine to enable health and care professionals to record, share and view details of reasonable adjustments across the NHS and social care, wherever the person is treated.

An Information Standard was published in September 2023 under the Health and Social Care Act and this training will help all those working in Health and Social Care understand and be able to deliver their obligations under both this Act and the Equality Act (2010).

It may be helpful to consider undertaking this learning alongside The Oliver McGowan Mandatory Training on Learning Disability and Autism, and sessions on the Accessible Information Standard and Mental Capacity Act.

Primary and secondary audiences

All staff in health and social care.


Many thanks to the following people who have supported and advised in the production of this elearning session.

Paul James – Lived Experience Advisor – NHSE

Zahra Naseem – Project Support – NHSE

Stephanie White – Programme Manager – NHSE

Ailsa Watson – Expert by Experience Co-Worker – NHSE

Katrina Dickinson – Clinical & Admin Team Leader – Leeds PCN

Alison Stewart – Practice Business Manager – Hillfoot Surgery

Jemima Beaven – Project Co-ordinator – Hillfoot Surgery

Daniella Simpson – Service Improvement Lead – City Healthcare Partnership

Suzanne Nichols – Learning Disability Primary Care Liaison Nurse – City Healthcare Partnership

Hilary Gardener – Strategic Liaison Nurse – Hertfordshire

Rebecca Tempest – QOF & Recalls Lead/Learning Disability Admin Lead – Lister House Surgery – NHS Derby and Derbyshire CCG

Richard Keble – Programme Director – NHS Herefordshire and Worcestershire CCG

Amy George – Learning Disabilities Strategic Health Facilitator – Southern Health

Paula Jewes – Patient Experience & Involvement Lead – Kingston Hospital

Judith Reep – Consultant AHP – Guys and St Thomas



Meet the team

  • Dr Hannah Brown

    General Practice, Northumbria Primary Care and Subject Matter Expert, NHS England
  • Katie Frankland

    Contract Manager, Learning Disability and Autism, NHS England
  • Fazilla Amide

    Strategic Advisor, Change and Co-production, NHS England

NHSE TEL team members

  • Harry Weber-Brown

    Programme Manager - Technology Enhanced Learning, NHS England
  • Chris Wood

    Senior Project Manager - Technology Enhanced Learning, NHS England
  • Karen Walker - ID

    Karen Walker

    Lead Learning Designer - Technology Enhanced Learning, NHS England
  • Evelyn

    Evelyn Lindsay

    Graphic Designer - Technology Enhanced Learning, NHS England
  • Kieron Bradshaw

    Kieron Bradshaw

    Marketing and Communications Officer - Technology Enhanced Learning, NHS England

How to access

To access this elfh programme, you will require a Learning Hub account. If you do not have one, then you can register by selecting the Register button below. Note that if you hold a full elfh account, you can sign into the Learning Hub using your existing login credentials.

Register >

To view the Reasonable Adjustment Digital Flag programme, select the View button below.  If you already have a Learning Hub account, you will also be able to login and access the resources within the programme .

View >

NHS healthcare staff in England – ESR

The Reasonable Adjustment Digital Flag programme is also available to NHS healthcare staff via the Electronic Staff Record (ESR). Accessing this e-learning via ESR means that your completions will transfer with you throughout your NHS career.

Not an NHS organisation?

If you are not an NHS health or care organisation and therefore do not qualify for free access to the Learning Hub, you may be able to access the service if you have an existing OpenAthens account. Please go to Learning Hub and sign in with your existing credentials.

If you do not have an existing OpenAthens account, please contact elfh directly to check whether you may be eligible for access.

Registering large numbers of users

If you are a HR, IT or Practice Manager and would like to register and enrol large numbers of staff within your organisation for access onto the Reasonable Adjustment Digital Flag programme, please contact elfh directly.

Organisations wishing to use their own LMS

For HR departments wanting to know more about gaining access to courses using an existing Learning Management System please contact elfh directly to express interest.

More information

Please select the following link for more information on how to use the Learning Hub


elfh is a NHS England programme in partnership with the NHS and professional bodies