Enter & View Report - Look and Listen

Tackling barriers to healthcare and improving GP access and quality of care for people with a learning disability in Bexley.
Group of volunteers with learning disabilities taking part in a training session


We learnt through working with Bexley Mencap and the Advocacy for All, Speaking Up group; that they had tried to access GP practices in the past to highlight the common issues that people with a learning disability face, e.g. not having information displayed in easy read.

They had not been able to access a single GP practice to raise their concerns or make the practices aware that they offer and provide learning disability awareness training for health and social care health professionals. We visited the Big Health Check Day, an event for people with a learning disability and their carers; to find out more about what it is like to visit the GP and have a health check. Many carers expressed concerns about the quality and regularity of local health checks and visits to the GP. We discovered from Bexley CCG that health check, uptake rates locally, needed to be improved.

‘The Healthwatch team were very friendly, helpful and understanding about our learning disability. We had to do training with Healthwatch to become a volunteer and sign a do’s and don’ts list’
— Mencap Bexley Member

We worked in partnership with both Bexley Mencap and the Speaking up group, to offer specially adapted Enter and View training to 15 of their members and volunteers who all have a learning disability. Training was delivered wholly in an easy read format, based on the formal Enter & View training and renamed ‘Look and Listen’, to ensure the Enter and View concept made sense to our new volunteers, who are now subsequently known as Look and Listen volunteers.  We supported our ‘Look and Listen volunteers’ to visit all 26 GP practices in the borough to view the practices from the perspective of someone with a learning disability. They also spoke to over 450 patients visiting the GP practices and asked them to complete a generic questionnaire. We produced a short report of our findings for each of the 26 GP practices we visited and these were collated to form our overall ’Look and Listen’ report. 

"The Healthwatch report investigated the uptake of annual health checks and registration of people with learning disabilities and has raised awareness of concerns in this area. Health checks are vital in keeping people with learning disabilities well and supporting them with any health needs that they have. The report has resulted in us focussing on health checks and how to engage people and GP surgeries, working in partnership with the local Learning Disability Partnership Board and CCG."
— Jane Menzies, Self Advocacy Worker Bexley Mencap


  • GP practices across the Borough are not working closely enough with the Learning Disability teams at Oxleas to ensure they offer a good health check. 
  • There is a lack of Learning Disability Awareness training for GP pactice staff.
  • Information sent out to patients with a learning disability is not being produced in ‘easy read’ format.
  • Learning disability patients are finding it difficult to access their appointments.
  • Learning disability patients are not receiving sufficient time for their appointment.  It needs to be longer. 

Read the full report

If you need this report in a different format, please get in touch:

0208 304 9344


Look & Listen report

Do health and social care services know what you really think?

Share your ideas and experiences and help services hear what works, what doesn’t, and what you want from care in the future. 

Share your views