Designing a Reasonable Adjustments Log That Works

A reliable reasonable adjustments log shows how the practice meets duties under the Equality Act and the Accessible Information Standard. When every adjustment is recorded, owned, and reviewed, staff can act quickly and inspectors see a confident process.

Show the compliance story

• Demonstrate that adjustments are identified, implemented, and reviewed with clear dates and outcomes.
• Provide one source of truth for CQC visits and integrated care partners without sharing patient detail widely.
• Surface outstanding actions early so patients receive consistent support before issues escalate.

Capture the right data points

• Patient identifier, preferred contact method, and communication needs.
• Description of the adjustment, reason for the request, and any supporting notes.
• Named owner responsible for arranging the adjustment and confirming completion.
• Dates for agreement, implementation, and next review, plus outcome status.
• Third parties notified, such as community services, hospitals, or interpreters.

Keep the log up to date

• Hold a monthly access review meeting to check outstanding actions and agree next steps.
• Update entries whenever complaints, incidents, or safeguarding concerns relate to access issues.
• Use a simple dashboard to show total adjustments, overdue reviews, and closed items so trends are visible.

Evidence without oversharing

• Store supporting correspondence, booking confirmations, and consent forms securely with consistent naming conventions.
• Record decision rationale in short notes that explain why the adjustment is proportionate without quoting full policy text.
• Track training and communication activity separately, referencing it in the log where relevant.

Put it into practice

Review your current log this week, identify missing owners or review dates, and assign quick fixes. Use the exercise to discuss how premium templates, reporting dashboards, and training packs can raise consistency across the wider organisation.

Disclaimer

This guidance is for general information. It is not a substitute for legal, clinical, or specialist advice. Always seek professional support tailored to your practice.