If you are collaborating with NHS services and want to help them to make the content of letters and other written text more accessible, the NHS Document Readability Tool can help with improving the text. When draft text is entered into the readability tool, it provides scorings and options to reduce the reading age needed to understand the text. User involvement to design and test information is the best indicator to improve access. If a provider is developing new content, then you may wish to refer them to the Patient Information Forum’s quality assurance process and resources.