How trauma cards could improve access to care

Healthwatch England called on the NHS to adopt pocket-sized trauma cards for patients to show during appointments
Two people holding hands for support

The new research has found trauma can be a major barrier to seeking medical care. 

People who have experienced a traumatic event can be reluctant to engage with health and care services, seek medical attention when they get unwell, and avoid vital check-ups. 

Key findings 

According to a nationally representative poll of 3,571 adults living in England, nearly a fifth, 18%, of respondents who have experienced trauma said they ‘very often’ or ‘fairly often’ avoid services because of their trauma. This figure is much higher for autistic people and people who have Attention deficit hyperactivity disorder (ADHD)/Attention deficit disorder (ADD): 41% and 37%, respectively. 

People who have experienced trauma don’t feel comfortable disclosing the information to medical professionals: 

  • Over a third, 37%, of respondents who have experienced trauma, have never told a medical professional about it. 
  • Over a third, 35%, of those who have told a medical professional about their trauma found it uncomfortable. 
  • The main barrier to disclosing experiences of trauma was people not feeling comfortable talking about it to a medical professional. 
  • However, other issues are also apparent, such as a lack of confidence in explaining trauma, a lack of confidence in medical professionals handling it sensitively, and previous negative experiences of disclosing trauma. 

The need for trauma cards

Healthwatch England called for tangible solutions to help people who have experienced trauma engage with healthcare, including piloting trauma cards.

The research follows a pilot project run by Healthwatch Essex in 2022, which made trauma cards available to local people to use during their NHS appointments. The pocket-sized card explains that the holder has experience of trauma and links to further resources to help provide sensitive, appropriate care. 

The pilot was hugely successful, showing that a simple intervention can make it easier for people who have been through trauma to get the care they need.