Hiranmayi Madabhushi Hari, one of our Research Assistants working with Dr Anna Robinson-Barella and Prof Andy Husband, recently attended training about D/deaf awareness. In this reflective blog, Hiranmayi shares a call to action for inclusive research approaches for people who are Deaf and/or Hard of Hearing.

Behind every statistic on deafness (1,2) lies a painful truth: people who are Deaf and Hard of Hearing (HoH) continue to be sidelined in healthcare, research, and everyday life. Deafness is a hidden disability, one you cannot always “see”, yet misconceptions endure. Too often, society clings to inappropriate labels like “deaf & mute/dumb” or “hearing impaired”, “handicapped” terms rooted in stigma. The distinctions between Deaf, deaf, Hard of hearing and Deafblind remain poorly understood, while assumptions that cochlear implants or hearing aids “fix” hearing only deepen isoloaton.

Language matters. Labels must respect individual identity, not reinforce exclusion and a lack of awareness can have very real consequences. Many people cannot lipread, nor do they necessarily know British Sign Language (BSL). Without interpreters, functional hearing loops, or accessible systems, they are left excluded from basic services, including healthcare. For many BSL users and D/deaf people, poor mental health outcomes are a direct consequence of systemic barriers, worsened when communication needs are ignored, interpreters are absent, and accessible systems simply don’t exist. The recent Still Ignores: The fight for Accessible Healthcare report (3) describes this neglect as a “damning indictment”: Deaf patients left without understanding diagnoses, unable to contact their GP, and excluded from safe, equitable care.

These failures spill into research, where D/deaf people are often excluded from clinical trials or overlooked in inclusion criteria. D/deaf awareness, culture, and communication must be embedded in both research design and service delivery. As researchers, we must ask ourselves: are our services and research strategies truly accessible? Do we respect preferred communications? Do we prioritise D/deaf culture in research? Change requires not pity but patience, awareness and urgent action.

References:

1. Prevalence of British Sign Language [Internet]. RNID. [cited 2025 Sep 17]. Available from: https://rnid.org.uk/get-involved/research-and-policy/facts-and-figures/prevalence-of-british-sign-language/
3. GOV.UK [Internet]. [cited 2025 Sep 17]. The British Sign Language (BSL) report 2022. Available from: https://www.gov.uk/government/publications/the-british-sign-language-bsl-report-2022/the-british-sign-language-bsl-report-2022
5. Still ignored: the fight for accessible healthcare. Available from: https://rnid.org.uk/wp-content/uploads/2025/05/Still-ignored-the-fight-for-accessible-healthcare.pdf