Commentary on “Does he have sugar in his tea?”

Purpose – This paper seeks to provide a commentary on the previous paper in this issue “Does he have sugar in his tea? Communication between people with learning disabilities, their carers and hospital staff”. Design/methodology/approach – This commentary outlines some “reasonable adjustments” for people with learning disabilities in primary and secondary care. Findings – The paper finds that there is a potential for Hospital Passport-type documents to provide a better link between individuals and primary and secondary healthcare services. Originality/value – The paper suggests that one way of helping to improve outcomes for people with learning disabilities would be to work more creatively across traditional boundaries.