People with a learning disability are not getting equal access to preventive healthcare. These inequalities can lead to women who haven’t been screened being at a greater risk of developing cervical cancer. The existing research shows that barriers are not just individual. They are also linked to healthcare systems, communication, attitudes and assumptions.

Healthcare professionals sometimes struggle to explain the procedure of cervical screening to women with a learning disability and many people do not get clear consent . Some health professionals and carers wrongly believe people with a learning disability are not sexually active. Because of this attitude, they do not offer screening and exclude people with a learning disability from these services. 

This subject is very important to me as I have lost family relations to cancer. The youngest relative I lost to cancer was only 48 years old and it made me very sad. That is why I became a volunteer ambassador for 2 gynaecological cancer awareness charities called Grace Women and The Eve Appeal to help raise important awareness of the importance of cervical cancer screening and about gynae health.

- Ciara Lawrence

Healthcare services for people with a learning disability need to be more inclusive. They need to allow more time for appointments and train staff to support people with a learning disability to go for screening like cervical screening tests.
Information about cervical cancer screening should also be clear and easy to understand and made available in accessible formats like easy language. 

Health campaigns should also include people with a learning disability as screening is important for them and support them to make decisions. 

Future work on this should include people with a learning disability directly and design services with them from the start as that is more inclusive and powerful. 

The research shows that improving access to cervical screening requires change so that healthcare for people with a learning disability is fair and accessible for everyone.

"I went for my first cervical screening test after my relatives passed away and I got good support to go for mine and I made a video about it online to help share my experience ."

Information and support

There is information and support out there to help people with a learning disability go for their cervical screening. 

If anyone feels anything that isn’t normal, they should go to their doctor and get checked. Early diagnosis could help to save their life!

This blog was written with support from The Eve Appeal

The Eve Appeal logo

The Eve Appeal is a charity that works to stop gynaecological cancers from happening. These are cancers that can affect parts of the body such as the womb, ovaries, cervix, vulva and vagina. The charity also helps people find cancer early, when it can be easier to treat.

Mencap would like to thank the Eve Appeal for their support in reviewing the blog and ongoing collaboration.