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This website was last tested on 19th October 2020.  We use the Web Content Accessibility Guidelines V2.1 level A and level AA to test how accessible www.this.nhs.uk is. We used this approach to deciding on a sample of pages to test:


  • Looked at all mediums used on the site for example text, images, maps, videos, forms etc
  • Added at least one page per item to our sample list
  • Always include the homepage


How we checked


The test was carried out by The Health Informatics Service Web Department. Automated tests were used to check the accessibility of the site but they do not show most accessibility issues. We used Lighthouse to audit each page in the sample for accessibility issues. We used Wave to automatically test for accessibility issues on pages that do not need users to sign in. Errors found were correlated and checked manually. A keyboard, tab through and zoom check was done. These tests were completed using a Google Chrome browser on Windows 10 with a 14 inch screen.


Pages we checked


Home page:


www.this.nhs.ukContact page:


www.this.nhs.uk/contact/  Accessibility statement:


www.this.nhs.uk/accessibility/  IT Solutions:


www.this.nhs.uk/it-solutions/Web and Design Service:


www.this.nhs.uk/it-solutions/web-and-design-services/design-services/  About Us:


www.this.nhs.uk/about-us/  Publications:




The issues we found


1.2.2 Captions (Pre recorded)


For video content with audio, captioning should be available. While YouTube can auto-generate captions using voice recognition, these are typically not of sufficient quality to be considered equivalent.


Not all video content on the site has been optimised to include accurate captions.


1.2.3 Audio Description or Media Alternative (Pre recorded)


Videos present on the site do not make use of audio descriptions.  This technique adds the additional audio information to synchronized media by providing an option which allows users to replace the soundtrack with a new copy of the original soundtrack that has the additional audio description added. This added information focuses on actions, characters, scene changes and on-screen text (not captions) that are important to understanding the content.


Not all video content has secondary audio description available


2.1.1 Keyboard


Users should be able to use a keyboard to access all content and functionality of a web page. This means the page can be used by people with no vision as well as people who use alternative keyboards or input devices that act as a keyboard.


This is because the cookies pop up cannot be closed by keyboard.




PDF documents often have accessibility issues. Additionally, PDF documents are typically viewed using a separate application or plug-in, and can thus cause confusion and navigation difficulties.


There are multiple PDFs in use, not signposted as PDF with the content not in HTML format or saved as PDF/A


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