Speech and Language Therapist | Include.org

Breaking Down Barriers – there’s an app for that!

When healthcare information is accessible and understandable for all, it can literally save lives.

Alix Lewer, Founder and CEO of Include and The Include Champions helped to develop an accessible version of the CardMedic app…a tool that breaks down barriers to good communication in healthcare.

It’s a partnership that we are really honoured to be part of. We wanted to know a bit more about what the people at CardMedic thought, so we asked!


Rachael Grimaldi – Co-Founder and CEO of CardMedic

What is CardMedic’s mission? 

At the point of care, the inability to communicate is the largest single contributor to health inequalities, and patients with additional communication needs make up nearly 50% of the population.

CardMedic’s mission is to break down communication barriers between healthcare staff and patients by making healthcare information accessible and understandable for all.  

We’re committed to inclusive communication and believe in acknowledging and accommodating everybody, regardless of their communication needs. Our aim is to provide intuitive and cost-effective technology that empowers clinicians and patients to communicate quickly and efficiently across any barrier, enabling more effective delivery of care, reducing health inequalities, and improving patient outcomes.  

Why did CardMedic want to work with Include?  

We were really keen to work with Include because we share their mission to break down barriers and create a more inclusive world. At CardMedic, we recognise that accessible information is vital for ensuring equitable care delivery, so we couldn’t imagine a better partner.

Alix Lewer’s expertise as a Speech and Language Therapist, as well as Founder and CEO of Include, made it a no-brainer. She and her amazing team have been invaluable in helping us improve communication in healthcare and increase our understanding of the challenges people can face.  

Together, we’ve been able to develop innovative solutions and resources that empower us to think differently about how we communicate. Particularly in a healthcare setting, we’ve learnt how to effectively communicate with patients with diverse communication needs and improve health outcomes for underserved populations.

Our shared vision of inclusivity and accessibility made us confident that partnering with Include would help us work towards a more equitable healthcare system for all. 

How did the partnership help your project? 

Alix is incredibly knowledgeable in the accessible information space and about the Mental Capacity Act (2005). She understands that inclusive communication means recognising and respecting all forms of communication–not just the written and spoken word.

Drawing on her knowledge of inclusive practice in health and social care, having worked as a Speech and Language Therapist in the NHS, Alix contributed to the initial development of an accessible version of the CardMedic app. Include’s lived experience Champions Group also continues to work with us to review our content regularly and provide feedback about accessibility.  

Our partnership with Include has helped us refine our content to ensure that it’s as accessible as possible to individuals with diverse needs, including those with learning differences, visual and hearing impairments, and language barriers.

Alix’s expertise has helped us convert our library of scripts covering a vast array of clinical specialties and sub-specialties into Easy Read, at a reading age of 6 or under.  This essentially means it is accessible to many more people than traditional information would be, both children and adults.

What would you say to others thinking of partnering with Include? 

For anyone working in the accessibility, language, and communication space, they would be remiss not to reach out to Include! Include promotes inclusion and wellbeing, empowers people with additional communication needs, and ensures that they have equal access to services, facilities, and opportunities. They do a fantastic job of collaborating with businesses, educational institutions, and other organisations to help raise awareness of accessibility and provide practical solutions for inclusivity.  

Include also offers brilliant training and consultancy services to help organisations improve their practices by making them more accessible. By partnering with Include, you’ll gain valuable insights, guidance, and resources to enable you to create a more inclusive environment.

The team are so friendly, and their expertise will help you address communication barriers and send out a powerful message about your commitment to inclusivity. All in all, we’d highly recommend partnering with Include! 

Get in touch with Include, please email : info@include.org

More information : https://www.cardmedic.com/

(She won’t tell you herself, but while we are here and talking about healthcare…Alix won a Royal College of Speech & Language Therapists’ Giving Voice Award for voluntary work with The Mental Capacity Act Clinical Excellence Network – Raising Awareness of Supported Decision Making at End of Life.)

Penny Sims
Penny Sims
Communications and Partnerships Manager

Claudia and the Easy Read Christmas Quiz

At about the same time shops started selling Christmas items, Claudia joined the Include staff team.

Here she introduces herself and our free Easy Read Christmas Quiz.

“I’ve joined Include as a Speech Therapy Assistant.

Having Attention deficit and Hyperactivity disorder (ADHD), means that my brain is wired differently from what is considered normal. In other words, I am neurodivergent just like most Include members. I only found out I had ADHD at the end of my Master’s degree in speech and language therapy, when multiple social barriers made life very difficult.

The challenges of being a highly functional young neurodivergent adult, made me realise that much needs to be done to implement the social model of disability in our society. In other words, much needs to be done for society to start seeing that impairments are most often caused by social barriers. With this in mind, I knew I had to somehow be part of Include when I saw their new speech therapist job opportunity. So, I applied even though I only fully qualify as a speech therapist next January and I live 90 miles away.

Joining Include

From day one, I felt welcomed and comfortable enough to share my neurodivergence with senior members of staff. Not only I felt incredibly supported, but also felt that my neurodivergence was seen as a strength.





It is really amazing to find organisations such as include! Indeed, seeing difference as a valuable asset is at the core of the organisation culture and this was clear from the day I interviewed for the job. To my great surprise, an include member who has a learning disability, was part of the interview panel. If our society was as inclusive as Include, experiencing this would not have been a surprise for me. Nevertheless, I was thrilled to see small changes towards a more inclusive world and certain that I had made the right decision by applying to Include!

Working with The Champions Group on the Christmas Quiz

The Include Champions Group sessions do more than just collaboratively produce content with people that have communication difficulties. From the first session, I felt a sense of union and friendship between all members of the group. Just like when friends meet, these sessions start with members spontaneously sharing how their week was and things they are looking forward to.

You will find the free audio format when you click here: SoundCloud

Alongside the collaborative work, group members also discuss various topics of their interest. This was no different at the last champions group session, where we jointly worked on the Christmas quiz.

Within this session we not only worked on the quiz but discussed different Christmas traditions.

Having in mind that I am Portuguese and Christmas traditions are quite different from England, this was such an interesting conversation!

I was very surprised to learn that traditionally some people in England set their Christmas pudding on fire and the champions were surprised to learn most Portuguese people eat salted cod with their Christmas dinner.

I suppose what made this conversation intriguing was that our differing perspectives on what constitutes a “traditional” Christmas were acknowledged as part of our world’s diversity. To put it simply, Christmas traditions are just forms of Christmas celebrations. Just like gestures, signs and body language are just forms of communication. If all forms of communication are equally embraced, people with communication difficulties have fewer barriers and fewer difficulties. This is what the social model of disability theorises and what Include.org believes!

If you are reading this blog, you are probably already contributing to this. Include is here to help if not!

We wish you all a merry Christmas and a more inclusive happy new year too.”

Penny Sims
Penny Sims
Communications and Partnerships Manager