Unheard and underserved: Improving communication for Deaf and hard of hearing people in hospitals

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Summary of report content

Healthwatch Wolverhampton decided to undertake research on deaf and hard of hearing people's experience of hospital services. They worked on this project between April 2024 and August 2025, gathering feedback from people at community events and professional meetings, through an online survey, in-depth one-to-one conversations, and structured interviews.

The key themes that emerged from what people told Healthwatch centre around the need for accessible information, better communication, and greater Deaf awareness training for NHS staff. 

People would like to see more tailored communication methods to accommodate Deaf and hard of hearing patients when navigating all areas of hospital services. For example, letters with QR codes to access the Video Relay System (VRS). 

There is not enough accessible and inclusive information provided to Deaf and hard of hearing patients. For example, leaflets and website layouts do not accommodate British Sign Language (BSL). 

There is an apparent lack of Deaf awareness and training among NHS hospital staff. People noted that hospital staff should listen to Deaf and hard of hearing patients’ needs and follow and understand the Accessible Information standard. 

Interpreters sometimes do not attend appointments for Deaf and hard of hearing patients. Several reasons are cited for this, such as receptionists not booking interpreters and the national shortage of interpreters. People mentioned relying on family members or using alternative methods to communicate with NHS staff.

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General details

Local Healthwatch
Healthwatch Wolverhampton
Publication date
Date evidence capture began
Date evidence capture finished
Key themes
Access to services
Accessibility and reasonable adjustments
Booking appointments
Communication with patients; treatment explanation; verbal advice
Health inequality
Remote appointments and digital services
Written information, guidance and publicity

Methodology and approach

Was the work undertaken in partnership with another organisation?
No
Primary research method used
Engagement event
Interviews
Survey
If an Enter and View methodology was applied, was the visit announced or unannounced?
N/A

Details of health and care services included in the report

Details of health and care services included in the report
Hospital services- not stated

Details of people who shared their views

Number of people who shared their views
23
Types of long term conditions
Deafness or severe hearing impairment
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