What this means for your practice
Provide a useful text equivalent matched to the image's purpose and complexity. Decorative artwork and meaningful diagrams need different treatment.
An example to discuss with your team
Read the page without viewing the image and check whether the essential explanation remains.


A practical example
For example, a diagram showing three booking stages can be accompanied by the same stages in clear text. Ask someone to read the page without looking at the image: can they still understand what happens next? Also check that labels in the picture remain readable at the intended size. A good result lets the visual support comprehension without making it the only source of essential instructions. The explanation should stay connected when the image is reused elsewhere.
Keep the written explanation updated when the picture changes. If the diagram gains another step but the accompanying text does not, different readers receive different accounts. Treat the visual and its equivalent explanation as one piece of information during review and reuse.
Make the design useful in everyday work
Identify whether the image is decorative, conveys a simple fact or explains a more complex process. The written alternative should serve that purpose rather than mechanically describe every visible detail. Ask the supplier to show the page without the image and assess whether the essential information remains understandable. For a process diagram, that may require a clear accompanying explanation of the steps. Keep the visual and text under the same update routine so they do not give different accounts after an edit. Review reused copies as well, because moving a diagram without its explanation can remove the meaning some readers depend on.
How to check the result
Count informative visuals lacking an equivalent explanation.
Turn reading into a next step
Your action checklist
Work through these checks with your team or supplier. Tick the ones you have resolved and leave unknowns open.
Record what you know, what is still missing and the answer you need from your team or supplier.
Use project decisions only, without personal, patient or confidential details. Entries stay in this page and are not submitted to Kay & Co. Copy or download before leaving; this page does not save your notes.
Further reading
These sources provide background for the topic. The practice examples and checklist are illustrative planning suggestions from Kay & Co.
Related guides
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