
Little Bushey Surgery is proud to be accredited the Purple Star Award in December 2025.
Purple star Accreditation Certificate
We can offer our patients with Learning Disabilities a range of reasonable adjustments to ensure that they get the support they need from us. Such adjustments can include:
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Longer appointment times
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Use of a quiet room instead of the normal waiting areas
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Appointments times during the surgeries 'quiet times'
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Easy read documents
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Appointing a preferred person for us to contact
A learning disability affects the way a person learns new things throughout their life.
A learning disability is different for everyone. No two people are the same.
A person with a learning disability might have some difficulty:
- understanding complicated information
- learning some skills
- looking after themselves or living alone
Please do take a look at all the links below to help support you
Learning Disabilities Support: www.nhs.uk/conditions/learning-disabilities
LD My Health webpage link www.hertfordshire.gov.uk/LDmyhealth

Purple Star:
The Purple Folder is available to adults with learning disabilities.
It is a place to record your health information and what is important to you.
It also helps medical professionals give you the healthcare and treatment that are best for you.
We encourage all of our patients with learning disabilities to bring their Purple Folder along to all of their appointments.
If you would like more information on the Purple Folder and how to get one, you can speak to one of the Care Co-Ordinators, follow the link below or email purplefolder@hertfordshire.gov.uk
The Purple Folder | Hertfordshire County Council
Reasonable adjustments:
We can add information to your record, so we understand the best ways to talk to you and to help you get the health care you need. This is called reasonable adjustments.
Use of reasonable adjustments to reduce health inequalities for people with a learning disability - YouTube
Complete this reasonable adjustments and accessible information form (DOC, 1.72mb)
Annual Health Check & Vaccinations:
Have you had your annual health check?
If you are 14 years or over and have a diagnosed learning disability, you are eligible for an annual health check. If you are unsure if you have had this, please contact the surgery and we can check for you.
Before your annual health check, we will ask you to complete a health check questionnaire. If you prefer, you can ask a family, friend or Carer to help you with this. Alternatively, one of our Care Co-ordinators can also help you with this.
Your annual health check includes a review of your blood pressure check, height, weight and an overall review of your physical and mental health. We will also review any medication you take to check if you still need it and if it is the right amount.
Please let us know if you have any questions or concerns about these checks as we may be able to help make you feel more comfortable. Take a look at what the questionnaire looks like for your annual health check.Annual Health Check
Cervical screening: Accessing cervical screening with the right support for people with a learning disability - YouTube
AHC and Health Action Plan: Charlotte's annual health check and health action plan - YouTube
Easy Read Flu Info With Nasal Spray
www.hertfordshire.gov.uk/AHCHelp
Stay Healthy at Home Checklist www.hertfordshire.gov.uk/LDstayhealthy
Ask for support:
Herts County Council also offer a wide range of support. More information can be found using the link below.
Asking for support | Hertfordshire County Council
Help with your health | Learning disabilities | Hertfordshire County Council
Under 18s:
Preparing for a Healthy Adulthood (hertfordshire.gov.uk)
Online Feedback Form:
Easy Read Feedback Form - Online feedback form
Hertfordshire County Council Carer contingency plan
Carers - how to get help and assistance | Hertfordshire County Council
Carer’s In Case of Emergency leaflet (PDF 668kb) more about the plan.