Communication & senses · England
Contacting a service
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This guide is for people in England.
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Say what is difficult
You might find phone calls, reading or online forms difficult.
Tell the service what helps you.
Ask for another way
You can ask about text, email, webchat or meeting someone.
Check when the service will reply.
Prepare your message
Write, draw or record what you want to ask.
You can practise with someone you trust.
Relay UK may help
A relay assistant can turn speech into text and text into speech.
Check if this method works for you.
Try the setup first
Use the official instructions for your device.
Practise a normal call before you need urgent help.
Ask for the right support
You may need a BSL interpreter or other communication help.
Explain the method you use.
Choose a helper’s role
Say what you want your supporter to help with.
They should not pretend to be you.
Keep passwords and security codes private.
Get a clear reply
Ask what will happen next and when.
Ask for the answer in a format you understand.
Emergencies use different routes
Call 999 for immediate danger or a life-threatening emergency.
Emergency text relay uses 18000.
Ordinary emails and webchats are not emergency services.
If the service is inaccessible
Ask a manager for a workable change.
Keep a record and ask for help to complain if needed.
What you can do next
Use the links below for more information.
You can use the worksheet to prepare questions and plan support.
Read Ofcom’s text relay guide Web pageThis link opens another website.
It may use harder words.
More useful links
- Ofcom: text relay Web page
How relay works, costs, receiving calls and businesses accepting relay contact.
- Relay UK: using the app Web page
Official setup and step-by-step instructions for making and answering calls.
- NHS England: accessible information requirements Web page
Detailed NHS and adult social care duties; professional language.
- Relay UK: emergency contact Web page
Read in advance about emergency text relay and emergencySMS. Routine calls use a different prefix.
- Ofcom: 999 BSL Web page
Emergency video relay for Deaf BSL users; separate from routine service interpreting.
These links open other websites.
They may use harder words.
Contacting services in a way that works for you — Easy Read
Ask for accessible telephone, text, online or face-to-face contact, use relay services where suitable and agree help without losing your own voice.
England · Everyday service contact · Separate routes for emergencies
Start with the contact barrier
You may find speech, hearing, reading, holding a phone, waiting in a queue or answering quickly difficult. Say what would help: a booked call, extra time, text, email, webchat, a face-to-face appointment or a communication professional. A diagnosis alone does not show which method works. Ask how to make the first request if the service’s usual contact route is itself inaccessible.
Prepare your own message
Make a short list, picture plan, voice recording or communication-aid message about what you need. Keep the relevant reference number ready, without putting passwords or security codes in a worksheet. Decide what information you want to share and the outcome you are asking for. You can practise with a trusted person. Ask the service to use one question at a time and to wait for your reply.
Ask about Relay UK
Relay UK helps people with hearing or speech difficulties use telephone calls. A relay assistant can type what is said, read typed replies aloud, or support a combination. You can use a compatible app or textphone. It does not automatically explain difficult language, so ask the organisation for plain language too. If reading or typing is difficult, explore another method or appropriate support rather than assuming relay will meet every need.
Set up and practise ordinary relay calls
Follow the official Relay UK instructions to link your phone number and practise a non-urgent call. With the smartphone app, the ordinary-call prefix is included automatically; other linked-phone arrangements may need 18001 before the full number. Check the instructions for your device. Relay UK itself is free and calls cost no more than a standard telephone call, but normal call or data costs may apply. Ask about receiving calls and keeping any saved conversation private.
BSL and other communication support
If you use British Sign Language, ask whether the service offers a suitable video relay route or can book an interpreter. Check hours, how to connect and whether the format is accessible to you. A BSL interpreter, text relay assistant and advocate have different roles. If you use deafblind communication, personal signs or AAC, explain the actual method and ask for appropriately skilled support. A relative should not routinely substitute for necessary professional interpreting.
Use a chosen supporter with clear permission
You can ask someone to help prepare, sit with you or speak for an agreed part of a conversation. Tell the service who they are and what help you want. It may need to check your permission and identity; ask for an accessible, proportionate way to do this. A supporter should not impersonate you or assume permission to manage every matter. Where you cannot make a particular decision, the organisation must consider the relevant legal authority and safeguards.
Ask services to record and meet your needs
Ask NHS and adult social care services to record, flag and meet your disability-related information and communication needs, and review them when they change. The Accessible Information Standard applies to relevant NHS and adult social care organisations, not every business. Other services may have Equality Act adjustment duties. Explain why a route excludes you and ask for an effective alternative; the exact method requested is not always the only suitable solution.
Finish with a clear record
Ask the person to explain the decision, next action, responsible person and date. Request confirmation in a format you can use, rather than an inaccessible standard letter. Ask what to do if a promised callback does not happen or a form times out. Keep a dated record of attempts and replies. Check that a routine inbox or webchat is actually monitored within the time you need.
Use the right emergency route
Call 999 for a life-threatening emergency or immediate danger. Text relay uses 18000 for emergency calls, not the ordinary 18001 prefix; follow the official app instructions. Deaf BSL users can use 999 BSL emergency video relay. EmergencySMS requires prior registration, so use the official guidance to prepare before it is needed. Ordinary email, a service contact form or routine webchat is not a substitute. Keep a usable backup if your device or internet fails.
If a service refuses or the route fails
Explain the barrier and ask a manager for a workable adjustment. Record refusals, missed appointments or delay caused by inaccessible contact. Use the organisation’s complaint route and seek advice about discrimination where relevant. For important deadlines, explain the access problem promptly and ask what can be done; do not assume a complaint extends the deadline. If health or safety becomes urgent, use the appropriate urgent route rather than waiting for the complaint.
Words you could use
“I cannot use your usual contact method because … I need … Please record this, explain an accessible way to verify my identity and confirm how you will reply.”
More useful links
- Ofcom: text relay Web page
How relay works, costs, receiving calls and businesses accepting relay contact.
- Relay UK: using the app Web page
Official setup and step-by-step instructions for making and answering calls.
- NHS England: accessible information requirements Web page
Detailed NHS and adult social care duties; professional language.
- Relay UK: emergency contact Web page
Read in advance about emergency text relay and emergencySMS. Routine calls use a different prefix.
- Ofcom: 999 BSL Web page
Emergency video relay for Deaf BSL users; separate from routine service interpreting.
These links open other websites.
They may use harder words.
Where the information comes from
Links checked 7 November 2026.
These links open other websites.
They may use harder words.
- Ofcom: text relay guide Web page
Updated August 2026; relay methods, costs and acceptance.
- Relay UK: app instructions Web page
Device setup and ordinary calls.
- Relay UK: emergency contact Web page
18000, app emergency calling and emergencySMS.
- Ofcom: emergency video relay Video
999 BSL access and purpose.
- NHS England: Accessible Information Standard requirements Web page
Identify, record, flag, share, meet and review needs.
- NHS England: implementation guidance Web page
Practical first-contact access and recording individual communication needs.
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