Physical Health
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Parents & carers

Hospital appointments

Hospital passports and reducing distress.

6 min read

Last updated June 2026

Overview

Hospitals are sensory hotspots — bright lights, noise, smells, waiting, strangers in uniform. Preparation reduces distress and improves outcomes.

Key points to understand

  • Every NHS hospital should accept a hospital passport.
  • Pre-visits, photos and 'getting to know you' meetings reduce anxiety.
  • Adjustments: first appointment of the day, quiet waiting area, named contact, longer slot.
  • PALS (Patient Advice and Liaison Service) can help arrange adjustments.

Practical strategies that help

  • Contact PALS or the autism liaison nurse in advance.
  • Bring sensory tools (ear defenders, sunglasses, fidgets, weighted blanket).
  • Take a supporter who knows you well.
  • Bring written summary of medications, allergies and key information.

Common challenges to be aware of

  • Diagnostic overshadowing is common — insist on full investigation.
  • If sedation is needed (e.g. dental), discuss it openly and early.

How Bright Steps can help

Bright Steps brings together autistic people, families, carers and professionals across the UK. You can use the Community to talk to others who get it, save articles and activities to your Library, and explore Resources built for everyday life. Our Routines and Reward Charts turn ideas from this article into things you can try today.

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References & further reading


✏️ This article will be expanded with rich, UK-specific content, case studies, video explainers and downloadable resources. If you'd like to contribute a story or suggest a correction, contact the Bright Steps editors via the Community page.

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