Article

Employing deaf and hard of hearing staff in the NHS

Access guidance and resources to help support deaf and hard of hearing staff working in the NHS.

4 November 2024

According to research from the Royal National Institute for Deaf People (RNID), one in three adults in the UK are deaf, have hearing loss or tinnitus, and over half the population aged 55 or more have hearing loss. 

Deaf people and people with hearing loss are less likely to be employed than the general population, and over two thirds of deaf people and people with hearing loss have experienced negative attitudes or behaviours in the workplace. Deaf and hard of hearing staff can often feel isolated at work due to the barriers they experience, which prevents them from fulfilling their potential. This can impact productivity, and employers can lose skilled staff and incur the costs of recruiting and training new staff. 

Due to discrimination and a lack of understanding, deaf and hard of hearing staff can often face additional challenges in gaining roles and progressing in their careers. Many deaf and hard of hearing people subscribe to the social model of deafness, which posits that the challenges they face are due to societal structures and attitudes. 

The deaf and hard of hearing population is a huge pool of talent that employers can tap into. With the right adjustments and employer support, deaf and hard of hearing staff can not only thrive but also bring immense value to teams. As with any disability, is important to not assume that all deaf or hard of hearing colleagues have the same needs and to talk to staff about what they may need, treating everyone on an individual basis.

Some of the challenges facing deaf and hard of hearing staff in the workplace

The National Deaf and Hard of Hearing NHS Staff Network tell us that there are particular challenges faced by deaf and hard of hearing NHS staff:

  • Most people who are deaf or have hearing loss have felt stressed at work because of the barriers they experience due to their hearing loss.
  • People worry they will be treated unfairly at work if they disclose their hearing loss. 
  • Hearing loss and deafness contribute to some people deciding to retire early.
  • Communication can be difficult if colleagues are wearing masks and visors, as many deaf and hard of hearing staff rely on lip-reading and facial cues to aid understanding. There can also be challenges in booking communication support, such as British Sign Language (BSL) or lip-speakers. This can result in colleagues being left out of team meetings or events.
  • Background noise can be distracting and tiring, and some people may struggle to tell different sounds apart.
  • Video calls can be challenging for people who lip-read or use captions, transcripts, and for BSL users. Factors such as network quality, lighting, and distance from the camera can also affect the quality of communication.
  • The location of workstations can cause challenges, for example not being able to see colleagues or sitting in a busy hotdesking area.
  • Over half of people who are deaf or have hearing loss report that people tell them ‘It doesn’t matter’ and change the topic when they are struggling to understand what is being said. This can be excluding and confusing for the deaf/ hard of hearing individual (RNID).

Top tips for employing and supporting deaf and hard of hearing staff 

Employers have a duty to make reasonable adjustments in the workplace for disabled people, including deaf and hard or hearing people, as set out in the Equality Act 2010. 

NHS organisations can take the following actions to improve staff experience:

    •  Ensure job adverts say that applications are welcomed from diverse candidates and that your organisation will support people with disabilities to fulfil their potential. 
    • Offer communication support, such as BSL, and other workplace adjustments during interviews.
    • Enable lip-reading during interviews by ensuring good lighting, especially for online interviews, and giving candidates the interview questions in advance.  
    • Enable subtitles on any online interviews via platforms such as Teams or Zoom.
    • If a BSL or lip speaker is required, ensure this is arranged prior to the interview. Access to Work may be able to help, but this can take time. 
  • Train your staff to interact effectively with people who have differing communication needs and challenge unhelpful assumptions about deaf and hard of hearing people. Ensure support from leaders to add weight to these sessions. Consider providing BSL training to enable colleagues to communicate with their deaf and hard of hearing peers.

  • Having a coach or mentor can give deaf and hard of hearing staff the chance to explore potential issues and challenges they face. If the coach or mentor has a disability, they may have experienced similar challenges and developed strategies to overcome them, which can provide confidence and motivation. 

  • Check regularly whether staff need any workplace adjustments, for example, during one-to-ones and during the onboarding and induction process. Some examples include: 

    • Modifying a job to accommodate the needs of a deaf or hard of hearing person. 
    • Ensure meetings are only booked if the correct communication support is in place. Installing equipment for deaf and hard of hearing employees as required, such as amplified telephones and flashing-light fire alarms. 
    • Providing a portable hearing loop or other listening devices for employees with hearing loss to use during training courses or site visits away from their main place of work. 
    • Consider the position of desks and noise volume in an office environment to support those with hearing loss and allow the deaf and hard of hearing staff member to choose the best place for them to sit. 
    • Providing BSL support and training for staff.
    • Ask staff what they need to hear, understand, and contribute to meetings.
    • Adjust the layout of a meeting room and using good lighting to help the person with hearing loss see everybody clearly and include the deaf and hard of hearing person in planning the layout.
    • Microsoft Teams offers accessibility features such as live transcription and subtitles, as well as the ability to spotlight the speaker. However, some staff may prefer face-to-face meetings, so it is best to ask colleagues about their communication preferences.
    • Use plain English, speak calmly, clearly, and one at a time. Explain any acronyms you use, be patient, and listen. 
    • If holding online meetings, avoid sitting in shadow or where there is a lot of glare on screens, to make lip-reading easier. 
    • Make promotion opportunities fair and accessible.  
    • Make sure achievements are recognised and rewarded. 
    • Provide training and ensure events are accessible to deaf and hard of hearing staff.
    • During one-to-ones, ask staff if they are experiencing any barriers and what support they need to overcome these. 
    • Signpost deaf and hard of hearing staff to career opportunities and useful development programmes, especially those aimed at supporting disabled staff in their progression.
  • Support these networks and seek input from them to understand how you can improve the experiences of deaf and hard of hearing staff. Executive sponsorship is important and can make a significant difference. You can also find support and signpost staff to the National Deaf and Hard of Hearing NHS Staff Network by contacting england.dhohstaffnetwork@nhs.net  

  • Be aware that material masks create difficulties for those who lipread, consider using a clear visor or removing your mask.

  • NHS England has set up a national staff network for deaf and hard of hearing staff. NHS Employers is involved in supporting this network where possible.

    The founding objectives of the network are:

    • Supporting NHS organisations to improve the experience of deaf and hard of hearing staff and patients.
    • Reducing stigma and advocating for deaf and hard of hearing equality and inclusion.
    • Building a social movement of deaf and hard of hearing leaders and changemakers.
    • Diversifying the workforce by increasing the numbers and visibility of deaf and hard of hearing staff.
    • Developing effective and confident allies for deaf and hard of hearing staff and patients through ongoing education and engagement.
    • Transforming the culture of the NHS so that the deaf and hard of hearing workforce can develop and thrive.

    The network meets regularly, both online and face-to-face. You can find out more and sign up to the network by contacting england.dhohstaffnetwork@nhs.net

  • Watch our webinar recording below on supporting deaf and hard of hearing colleagues in the workplace. This includes a BSL interpreter. To access the captions please click the toolbar at the bottom and select 'subtitles/closed captions' to activate them.