For patients
& visitors

Hospital passport

The hospital passport is a document to support the care of adults with learning disabilities and autism when going to hospital.

The aim of the hospital passport is to provide our staff with information about you and your parent/carer during a hospital visit. This information will help us work in partnership with you and your parent/carer in meeting your needs when using our hospital services.  

You can click here to open a blank copy of a hospital passport which you can download and fill in. 

If you are having difficulty completing the hospital passport, please seek the support of your parent or carer.

The hospital passport uses a traffic light system

  • The red section is for all essential information about you. This will alert staff to any important information or specific requirements you might have or that your parent/carer may need. 
  • The amber section is for important information about your day-to-day activities.
  • The green section is for information about your likes and dislikes.

We ask that you keep your hospital passport up to date. As a guide we recommend:

  • a review every six months
  • at your annual health check

The hospital passport can be completed and kept at home in case of an emergency admission or deterioration in health, or it can be completed prior to a planned admission when it may also be used to aid assessment and planning.

For further information about the hospital passport please contact Sarah Haines, our Specialist Nurse for Learning Disability. Her telephone number is 01702 435555 extension 6448.