Health

Going through cancer treatment with a learning disability is tough. Here's how doctors can help

Nigel Smith got help from Mencap and Midland Mencap when he was diagnosed with cancer during the pandemic. He doesn’t know what he’d have done otherwise

Nigel Smith. Image: India Whiley-Morton

I am a person with a learning disability. I am a person who needs support. Support, for me, is that you need everything checked. “Are you doing cooking correctly? You need to practice that,” or, “Have you been to the right appointment?” That kind of thing. 

I had pancreatic cancer, but at first I didn’t know because I had no pain, and you can’t see inside the body. I was told I had to see a cancer doctor every two weeks and have a blood test, and every other week after that I had chemo. It was hard for me to understand.

Get the latest news and insight into how the Big Issue magazine is made by signing up for the Inside Big Issue newsletter

When I went through treatment, I had someone from Midland Mencap there. For seven months – from the start of the treatment until the very end – I had support. This was during the pandemic, and I was living with three friends – but they moved me out so I couldn’t get Covid and make the cancer worse, so I was living on my own. It was nice and calm and relaxing, but I couldn’t have visitors, except for Midland Mencap.

A member of staff, Leslie, would come for an hour to make sure I’d taken my meds, that I was OK with cooking, and if there were any issues, I could give them a call. I had an appointment board and Leslie wrote down the days I had to come in for my treatment and the times I had to take my meds. She also made it easier for me to stay calm and relaxed by making sure I understood what was happening. 

I was getting stressed and panicking, and at first, the doctors said Leslie couldn’t come in. There were no reasonable adjustments to help keep you calm. They also didn’t always explain things. 

I would’ve liked a good decent chat, a one-to-one, and to be shown what was happening on a model – how big the cancer was, if it was getting better. 

I think people who have a learning disability should get more ongoing support. I think, for a person with a learning disability, emotional support can be as important as the treatment. 

Mencap asks people to: ask, listen, do. Ask what people need, listen to what people are saying, and then do the things that we’re asking you to do, within reason. 

I think everyone who’s got a learning disability should have a dummy, so the doctors can explain to you what is wrong with your body and what they are doing and how big or small the cancer is. Then you can pick the information up because you can see it. Student doctors should speak to people with learning disabilities right from the start. And I think everyone should have a full annual health check, without it being rushed. Then I think people would be less anxious. 

I have a hospital passport. It explains how to communicate in my style, the names of my meds, the times I take them and my doctor’s name and address. I think it’s absolutely brilliant to have. 

Do you have a story to tell or opinions to share about this? Get in touch and tell us more. Big Issue exists to give homeless and marginalised people the opportunity to earn an income. To support our work buy a copy of the magazine or get the app from the App Store or Google Play.

Support the Big Issue

For over 30 years, the Big Issue has been committed to ending poverty in the UK. In 2024, our work is needed more than ever. Find out how you can support the Big Issue today.
Vendor martin Hawes

Recommended for you

View all
I have terminal cancer and a learning disability. Life would be miserable without my social care worker
Learning Disability Week 2024

I have terminal cancer and a learning disability. Life would be miserable without my social care worker

Big Issue partners with Mencap for special edition put together by people with learning disabilities
Learning disability week 2024

Big Issue partners with Mencap for special edition put together by people with learning disabilities

Covid destroyed my mental health and I lost everything – but discovering boxing turned my life around
Craig McLundie benefitted from social prescribing, so could the NHS
Health

Covid destroyed my mental health and I lost everything – but discovering boxing turned my life around

We must 'tackle poverty to save the NHS and improve the nation's health', next government told
Health

We must 'tackle poverty to save the NHS and improve the nation's health', next government told

Most Popular

Read All
Renters pay their landlords' buy-to-let mortgages, so they should get a share of the profits
Renters: A mortgage lender's window advertising buy-to-let products
1.

Renters pay their landlords' buy-to-let mortgages, so they should get a share of the profits

Exclusive: Disabled people are 'set up to fail' by the DWP in target-driven disability benefits system, whistleblowers reveal
Pound coins on a piece of paper with disability living allowancve
2.

Exclusive: Disabled people are 'set up to fail' by the DWP in target-driven disability benefits system, whistleblowers reveal

Cost of living payment 2024: Where to get help now the scheme is over
next dwp cost of living payment 2023
3.

Cost of living payment 2024: Where to get help now the scheme is over

Strike dates 2023: From train drivers to NHS doctors, here are the dates to know
4.

Strike dates 2023: From train drivers to NHS doctors, here are the dates to know

The Big Issue

Sign up to get your FREE Dr Who Archive Special

Celebrate the 14th series with your FREE edition of the Dr Who Special Archives