Value based care: attitudes and values and respect of the person.Identifying and appraising evidence: policy, legislation, research, clinical guidelines and care pathway approachesCommunication skills: enhance communication skills, self awareness, building relationships and alternative modes of communication to promote access to healthcareAwareness: of the role of gatekeepers, range of learning disability, identification of need, legal issues and consent.Facilitating access: supportive environments, quality of care enhancement, individual care pathways, communication passports, protocols and patient information. Partnership working: multidisciplinary working, leadership, acting on information, listening to individuals and carers and adjusting work practices to accommodate diversity and make reasonable adjustments to care.