Erk! Apparently many A&E departments are requiring people to go via 111 first.

This is a MAJOR barrier for deaf & some other people.

"Relay UK" (TypeTalk) doesn't prioritise 111 like 999, so it's treated like a regular call. Deaf people report a lot of call issues. /1 https://twitter.com/DrNeenaJha/status/1335262616571277313
On a non-999 call, you can have to wait ages for connection, lose your operator, have your call disconnected in a weird state and I think on 999 (18000) you are guaranteed a competent not trainee operator too.

That's before I raise issues of accuracy/coherency of relaying. /2
I REFUSE to use text-relay for medical calls after BAD experiences. Especially not 111 style, multiple 'specifically worded questions'.

Relay ops need speakers to slow down & repeat A LOT. Ops only have to have 40-60wpm typing speed, at best 100, slow speech speed is 150+. /3
A text-relay call can take 3 to 6 times longer than a regular voice call which is EXHAUSTING. I usually end up having panic attacks during text-relay calls cos I have to manage the call to minimise garbling & can't disengage.

I can't do relay calls at all when I'm unwell. /4
For those of us who can understand British Sign Language, there is the fab @Interpreter_Now service at https://interpreternow.co.uk/nhs111 .

If you can't produce BSL you can voice your part and tell their interpreter your needs e.g. SSE, sign slowly etc. /5
I would love to see the Equality Impact Assessment of that decision.

I had to go to A&E in Oct, 8 days after a traumatic experience around communication. If I had been told 'have to phone' or turned away; I am not sure, despite my medical knowledge if I'd have managed. /7
Because when entities say "you have to phone", they're telling me "you're not welcome" and warning me that structurally they're not safe for a deaf person and my communication needs. Which is a barrier as well as a disservice to many frontline staff who are brilliant. /8
My local hospital's A&E webpage doesn't say anything about phoning in advance, but they do have an adjoined minors unit (which is where I think I got sent in Oct).

I'm going to email and find out more & feedback. I encourage others to prepare and do the same. /end
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