Accessing TDWS support

You do not need a formal diagnosis. Support is based on individual need and the impact on training, in line with national COPMeD guidance

Many doctors:

• Do not have a diagnosis

• Have not considered whether they might be neurodivergent

• Are waiting for, or unable to access diagnostic assessment

Doctors who already have a formal diagnosis may still need training‑specific support, as postgraduate medical training presents unique challenges.

What TDWS can offer:

• Workplace needs assessments

• Workplace strategy coaching

• Guidance on reasonable adjustments (workplace and training)

• Guidance on reasonable adjustments for Royal College examinations

• External support and signposting, including Access to Work

• Formal dyslexia assessment (where screening indicates this)

TDWS does not:

• Make diagnoses

• Refer for diagnostic assessments (except dyslexia if progress in training is being affected)

• Provide NHS referrals

• Advise on, or organise medication

Support pathways

Reasonable adjustments at work

Reasonable adjustments are changes that reduce or remove workplace disadvantage related to a disability.  This is a legal duty under the Equality Act 2010

Who can access reasonable adjustments

You may be entitled to seek reasonable adjustments if you have a physical or mental impairment with a substantial and long-term effect on daily activities.  This includes:

• Long-term physical or mental health conditions

• Neurodivergent conditions (e.g. dyslexia, ADHD, autism)

• Fluctuating or hidden conditions

You can seek confidential advice if you are unsure.

 How adjustments can help

Adjustments can apply to clinical work, training and exams, helping doctors work and learn on an equal footing.  Common examples include:

• LTFT training or adjusted hours

• Extra exam time

• Quiet workspaces

• Assistive technology

• Written instructions or checklists

• Alternative learning formats

• Regular check-ins or mentoring

• Adjusted workload( where reasonable)

Further Guidance:  NHS Scotland Guide to Reasonable Adjustments

Reasonable adjustments in Royal College examinations