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Thamesmead Medical Associates Providing NHS services
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Home > Reasonable Adjustments

Reasonable Adjustments

At Thamesmead Medical Associates, we want everyone to be able to access our services safely, fairly and comfortably.

Some patients may need extra help or a different approach when booking appointments, communicating with us, or attending consultations. These are called reasonable adjustments, and they are part of our legal duty under the Equality Act 2010, as well as NHS guidance.

What are reasonable adjustments?

Reasonable adjustments are small changes we can make to help patients access care more easily. These adjustments are personalised and based on individual need.

Examples include:

  • Extra time for appointments.
  • Help with communication, for example written information, interpreters or a hearing loop.
  • Support for patients with learning disabilities, autism, memory problems or mental health conditions.
  • Adjustments for patients with hearing or visual impairment.
  • Involving a carer or advocate where appropriate.
  • Alternative ways of contacting or communicating with us.

This list is not exhaustive. Adjustments are based on what works best for you.

How do we identify reasonable adjustments?

We may ask about communication or access needs when you register with the practice, when you book appointments, during consultations, or through messages or questionnaires we send to patients.

We may also contact patients by text to check whether any reasonable adjustments would be helpful. This allows us to provide more personalised care and reduce barriers to access.

Any adjustments agreed are recorded securely in your medical record so that our staff know how best to support you in future.

What should you do if you need an adjustment?

If you feel you would benefit from any reasonable adjustment, please speak to Reception or let your GP, nurse or clinician know. You can tell us at any time.

Confidentiality and choice

We respect your privacy. Information about reasonable adjustments is handled confidentially and shared only with staff involved in your care.

Our commitment

We are committed to treating patients with dignity and respect, reducing barriers to accessing care, making our services as accessible as possible, and following NHS guidance and the Equality Act 2010.

Last Updated 26 Feb 2026

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Gallions Reach Health Centre

Bentham Road, London, SE28 8BE

  • 020 8333 5000

Heronsgate Medical Centre

1A Goosander Way, London, SE28 0ER

  • 020 8333 5050
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