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The learning-disability annual health check and hospital passport (adults and young people 14+)

Anyone aged 14 or over with a learning disability can have a free NHS annual health check every year. This guide explains how to get on your GP's learning disability register, what happens at the check, how to get a health action plan, and how a hospital passport helps you get the right care if you go into hospital.

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Who it's for: Adults, Families

Not yet verified Last checked 7 Jul 2026. Review due 6 Aug 2026. Always confirm details with the service before relying on them.

Visual explanations

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Comparison guide · full text built in

Health documents: what each one does

A comparison of an annual health check, health action plan, hospital passport and individual healthcare or clinical care plan. The headings and lists that follow are the complete text equivalent of this visual.

  1. Annual health check

    • Information
      A yearly primary-care check

      For eligible people with a learning disability, this reviews health, medicines, screening and unmet needs. It is an appointment, not the emergency information document.

  2. Health action plan

    • Outcome
      Actions after a health review

      Records health priorities, agreed actions, responsible people and follow-up. Ask for an accessible copy.

  3. Hospital passport

    • Support
      How to support the person in hospital

      Summarises communication, reasonable adjustments, health risks, distress signs, medication and what helps. Keep it current and bring it to hospital.

  4. Healthcare or clinical care plan

    • Decision
      Condition-specific management

      Sets out treatment, monitoring, medication, emergency actions and responsibilities in a setting such as school, home or a health service.

Printable and zoomable: this is structured text, not an image.

Step by step

  1. Check you are on your GP's learning disability register

    The free annual health check is for anyone aged 14 or over with a learning disability. Your GP practice can only invite you if they know you have a learning disability and have added you to their learning disability register. Phone your GP practice (you, a family member or a carer can do this) and ask to be added to the learning disability register so you can have an annual health check.

  2. Wait for your invite, then book the appointment

    Once you are on the register, your GP practice should invite you for a health check once a year. If you have not been invited, phone the practice and ask to book your annual health check. Ask for any reasonable adjustments you need, for example a longer appointment, a quiet waiting area, the first or last appointment of the day, or an easy-read letter.

  3. Prepare for the check

    Think about anything worrying you about your health, any medicines you take, and how you have been feeling. It can help to write things down or bring someone who knows you well. If you already have a health action plan or hospital passport, take it with you.

  4. Have the health check with a GP or nurse

    At the appointment the GP or nurse will usually check things like your weight, heart rate and blood pressure, and may take blood or urine samples. They will review your medicines, check your vaccinations, screen for conditions that are more common in people with a learning disability (such as epilepsy, or problems with hearing or sight), and talk with you about how you are feeling, relationships and staying healthy.

  5. Agree and get a copy of your health action plan

    Together you agree any actions and next steps and these are written down in your health action plan (sometimes called a health profile). It may include referrals to an optician, dentist or hearing service. Ask for your own copy. If you are a young person with an Education, Health and Care (EHC) plan, the health action plan can be discussed at your annual review.

  6. Fill in a hospital passport and keep it handy

    A hospital passport tells hospital staff about you: your learning disability, how you like to communicate, what helps you and what to avoid. Download a free template from Mencap or NHS England, or ask your GP or the hospital's learning disability liaison team for one. Fill it in with someone who knows you well and keep it where you can grab it quickly if you need to go to hospital.

  7. Use your passport and ask for reasonable adjustments in hospital

    If you go to Northampton General Hospital or Kettering General Hospital, give your hospital passport to the staff and ask them to contact the hospital's learning disability (and autism) liaison team. You have a right to reasonable adjustments, for example easy-read information, extra time, or a quiet space. The liaison team can help make sure these happen.

Source: https://www.nhs.uk/conditions/learning-disabilities/annual-health-checks/

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