Rethinking Workplace Adjustments: Gatekeepers, Power Trips, and the Subjectivity of ‘Reasonable’

By Daniel Morgan-Williams, Founding Director of Visualise Training and Consultancy

Working in the workplace adjustment space, we see this quite often. An employee requests an adjustment to remove a barrier, and instead of a constructive conversation, the request is blocked. The justification usually sounds familiar: “It’s not reasonable,” or “If we do it for you, we’ll have to do it for everyone.” But too often, what’s really happening isn’t about reasonableness at all — it’s about control. Line managers, HR teams, and senior leaders act as gatekeepers, making subjective calls on what counts as ‘reasonable.’ And yet, under the Equality Act, it isn’t ultimately their decision to define what’s reasonable — it’s the courts’.

This article explores two essential but often overlooked aspects of workplace adjustments: the gatekeeping behaviours that can turn adjustments into a power struggle, and the subjectivity trap of defining what “reasonable” really means. Along the way, we will consider examples from sensory loss — particularly visual impairment, tinnitus and hearing loss — to highlight how seemingly simple requests are frequently blocked, and why workplace assessments are a practical, objective way to resolve disputes and remove barriers.

The gatekeeper problem

Many disabled employees describe the process of requesting adjustments as daunting and exhausting. Rather than feeling supported, they feel they must convince a panel of sceptics. In too many cases, the people deciding — often line managers or HR staff — are not experts in disability or workplace barriers. Instead, they rely on personal judgement, assumptions, or organisational culture.

The result is gatekeeping. Adjustments are seen not as legal rights but as optional benefits that must be justified, rationed, or resisted. Phrases like “if we let you, everyone will want it” or “we’ve never done that before” become shields against change. While often presented as protecting fairness, the reality is these decisions can be about maintaining control, avoiding change, or simply not wanting to engage with the complexity of disability.

When control outweighs inclusion

In practice, this gatekeeping can feel like a power trip. An employee discloses their condition, explains the barrier they face, and requests a change, and instead of collaboration, they are met with suspicion or resistance. For example:

  • A member of staff with tinnitus asks to work from home two days a week to avoid a noisy open-plan office. The request is refused because “it wouldn’t be fair to the rest of the team.”
  • An employee with visual impairment asks for screen magnification software. The manager says, “It’s too expensive,” without checking the actual cost (often less than £100).
  • A worker with hearing loss requests captioning software for online meetings, but HR claims “we don’t support that platform.”
    In each case, the employee is left feeling dismissed, while the manager maintains their authority. The adjustment itself may have been low-cost, simple, and entirely reasonable. But the refusal becomes a statement of power: “I decide what you get.”

What the law says

The Equality Act 2010 is clear: employers have a duty to make reasonable adjustments where a disabled worker would otherwise be placed at a substantial disadvantage compared to non-disabled colleagues. These adjustments are not perks or privileges; they are legal entitlements.

The Act deliberately uses the term “reasonable” to allow flexibility across different organisations and circumstances. What is reasonable for a small employer may differ from what is reasonable for a multinational corporation. Factors include cost, practicality, and the effectiveness of the adjustment in removing disadvantage.

However, the law also makes it clear that it is not the line manager’s subjective opinion that decides reasonableness. If challenged, it is ultimately for an Employment Tribunal or court to determine whether an employer has complied with their duty. Too often, employers act as though they alone define what is reasonable, forgetting that their decisions can and will be scrutinised externally.

The subjectivity trap

The word “reasonable” is deceptively simple. In reality, it is one of the most contested aspects of workplace adjustments. Employers often hide behind this term, claiming that a request is “not reasonable” without providing evidence or exploring alternatives.

For example, some organisations still argue that home working is not reasonable, even when the pandemic proved otherwise. Others dismiss requests for specialist software or equipment as too costly without researching prices or considering funding support. Subjectivity leads to inconsistency: one employee might receive adjustments easily, while another in the same organisation is denied.

Tribunals repeatedly show how subjective employer decisions can be overturned. Recent cases have found that denying home working for employees with health conditions amounted to a failure to make reasonable adjustments. These rulings highlight the risk of leaving such decisions solely in the hands of internal gatekeepers.

Why blocking adjustments backfires

Blocking reasonable adjustments has significant consequences:

  • Legal risk: Employees can and do challenge refusals at tribunal, with employers facing damages, costs, and reputational harm.
  • Business impact: Skilled employees leave organisations that do not support them, leading to recruitment costs and loss of talent.
  • Workplace culture: Staff lose trust in leaders who dismiss or belittle adjustments, creating a culture of fear and disengagement.
    Perhaps most importantly, blocking adjustments undermines inclusion. It tells disabled staff that their needs are secondary, their barriers unimportant, and their contributions undervalued.
    Examples from sensory loss

Sensory loss provides clear illustrations of how adjustments can be misjudged:

  • Tinnitus: Dismissed as “just ringing in the ears,” yet it can severely affect concentration, sleep, and mental health. Reasonable adjustments may include quiet workspaces, home working, or sound-masking devices.
  • Hearing loss: In noisy offices, communication becomes exhausting. Adjustments such as captioning software, hearing loops, or quiet rooms can transform accessibility.
  • Visual impairment: Lighting, screen glare, and inaccessible technology create daily barriers. Adjustments include magnification software, screen readers, lighting control, and accessible documents.
    In all these cases, adjustments are often low-cost and practical. The real barrier is not financial but attitudinal — the reluctance of gatekeepers to act.

The role of workplace assessments

One of the most effective ways to avoid disputes and ensure compliance is through workplace assessments. These assessments provide an independent, expert view of what adjustments are appropriate. Rather than relying on subjective judgement, employers receive a clear report outlining barriers, solutions, and costs.

At Visualise Training and Consultancy, we carry out workplace assessments for people with visual impairment, hearing loss, and tinnitus every week. What we see, time and again, is that minor, simple adjustments make a huge difference — and prevent disputes before they arise. Assessments bring objectivity to a process that is too often clouded by subjectivity and power dynamics.

From gatekeepers to enablers

The fundamental shift required is cultural. Employers must move away from seeing adjustments as optional benefits controlled by gatekeepers, and towards recognising them as rights that enable inclusion. HR professionals and line managers should position themselves as enablers, working collaboratively with employees to remove barriers to success.

This means listening without judgement, seeking expert advice, and being open to change. It also means recognising that adjustments are not about giving someone an advantage, but about levelling the playing field. Fairness is not sameness — it is equity.

Conclusion

Reasonable adjustments are too often blocked by gatekeepers who see themselves as the final arbiters of what is reasonable. In reality, this power trip undermines inclusion, creates legal risk, and drives talent away. The subjectivity of “reasonable” makes it all the more important to approach adjustments with openness, evidence, and expert guidance.

Employers do not have the last word on what is reasonable — the law does. By embracing workplace assessments, listening to employees, and shifting from gatekeepers to enablers, organisations can create environments where disabled staff are supported, barriers are removed, and talent can thrive.

The question is not whether adjustments are reasonable, but whether employers are willing to step beyond subjectivity and power dynamics to build truly inclusive workplaces.

To find out more about making your organisation more accessible and inclusive for colleagues with hearing or sight loss, visit https://visualisetrainingandconsultancy.com/workplace-assessments/

Research update 3 shows promising results

If you have been following our previous posts; Engineers to develop spectacle lenses for keratoconus patients, Research update and Spectacles for KC Research update 2, you will be aware of Dr Ahmed’s work to address the problem of non-orthogonal astigmatism.

At our AGM and Speaker meeting both Dr Abass and optometrist Lynn White, carefully explained the progress of their work to find a solution for those of us who have to cope with not wearing contact lenses for a period of time; yet still need better vision for dealing with basic tasks. Both Ahmed and Lynn are convinced that with the advance of technology, spectacles can be manufactured to take account of a non-orthogonal angle of astigmatism. Indeed, some who have worn the spectacles in laboratory conditions, do not want to give them back.

In this clip, Dr Abass explained how he was able to interpret the high-resolution results without relying on the software provided by modern topography machines. He noticed that astigmatism is not always orthogonal, which led to his research project to find a better solution for keratoconus.

Here Lynn White explains the wider implications of Dr Abass’ research beyond keratoconus.

More details will follow in the next newsletter. To see a fuller summary of the talk click here 

There is still a long way to go but results to date are promising.

Here is the press release from Liverpool University.

In a recent KC patient group meeting, Dr Ahmed Abass from the University of Liverpool unveiled exciting research into a new type of spectacle lens designed to help those living with keratoconus; a progressive eye condition that causes thinning and irregular shaping of the cornea.

Traditional glasses often fall short in correcting vision for keratoconus patients due to a phenomenon called non-orthogonal astigmatism. However, Dr Abass and his team, supported by Fight for Sight and the UK Keratoconus Self-Help and Support Association, have been exploring an innovative lens design that targets this issue directly.

The results are encouraging. In this pilot study, many participants experienced clearer vision, reduced ghosting, and sharper letter recognition with these specially designed lenses.

“This is the first study of its kind,” Dr Abass said. “We’ve shown that the idea works. Now we need to focus on scaling it up, finding ways to mass produce these lenses and test them on a larger group.”

As the project looks towards the next stage, development and commercialisation, there may be exciting opportunities for those in the optical or medical device industries to get involved. Anyone interested in collaborating with the University of Liverpool or learning more is welcome to contact Dr Abass at a.abass@liverpool.ac.uk. or connect via linkedin

It is a small but meaningful step forward, offering new possibilities for those seeking alternatives to contact lenses or invasive procedures.

https://www.liverpool.ac.uk/people/ahmed-abass

Spectacles for KC Research update 2

If you have been following this topic, you would have seen our earlier posts here and here

We are pleased to report that Dr Ahmed Abass has published his paper which we are proud to have co-sponsored with Fight for Sight.

Dr Abass has kindly provided the following simplified abstract. The full paper can be read here. You can also view his other papers on his University Page here

Purpose

The study aimed to investigate whether non-orthogonal correction in spectacles would improve the visual acuity of people with keratoconus. Non-orthogonal correction is where the angle between the cylinder powers of a spectacle lens for astigmatism is less than or greater than 90 degrees. Typically, keratoconus patients have this type of astigmatism, which is why standard glasses do not work well.

Methods

The study involved 18 patients with keratoconus from an eye clinic in Liverpool. After evaluating their eye condition, 23 eyes were selected for testing, while others were excluded due to the eye having little or no keratoconus or severe dryness. Each eye was tested first with standard lenses, and then with non-orthogonal lenses. The lenses were tested with different angles until the best one was found for each person. Participants were asked to rate their vision, specifically how clear letters appeared and how much “ghosting” (double vision) they experienced with each lens type.

Results

Of the eyes tested, 61% showed improved vision with non-orthogonal lenses, 30% saw no change, and 9% saw a slight decrease in vision. Regardless of vision improvement, 87% of participants noticed clearer letters, and 79% reported less ghosting. Most of the preferred angles for the non-orthogonal lenses were between 80° and 85°. The study also showed that for many people, the non-orthogonal lenses could provide a more accurate prescription compared to regular lenses. Nearly all participants said they would be interested in trying non-orthogonal glasses.

Conclusions

The study suggests that non-orthogonal lenses could improve vision and reduce issues like ghosting for people with keratoconus. While this is a promising step toward developing better glasses for these patients, more work is needed before these lenses can be made for everyday use. 

We are hoping to arrange for Dr Abass to speak at one of our future events.

Redesigning contact lenses for keratoconus

At our AGM we were treated to a talk by Emma McVeigh about a new project led by Dan Ehrlich (retired Head of Optometry at Moorfields). Moorfields is funding an innovation grant harnessing advanced imaging technology and clinical data to improve the fitting of contact lenses for patients with keratoconus.

You can read the full update published on Moorfields website – here

DVLA publishes revised list of notifiable conditions list for drivers following AOP advice

As you can see from the Government website (Eye conditions and driving), Keratoconus has been removed from the list of notifiable conditons.

This change was made after consultation with the Association of Optometrists. You can read their announcement – Here

However, it remains sensible for drivers with KC to let their insurance company know they have keratoconus or risk a legitimate claim being disallowed.

For further background, this issue was featured on page 10 of our Spring 2023 Newsletter.

Contact lens tolerance

Recently a number of our members have experienced problems when supplied with new scleral contact lenses. Such was the concern that we asked members for feedback in our Spring 2022 Newsletter.

We recently hosted one of our occasional KC Coffee mornings and were fortunately joined by one of the leading optometrists in the Moorfields Contact Lens Department namely, Aneel Suri. He informed us of a new coating that can be bonded to some (but not all) hard contact lens materials. Its availability is increasing and hopefully by the year end it will be available for the majority of RGP and scleral lens materials in use in the UK.

The coating is called “Hydra-peg” and was developed by a company called Tangible Science. You may want to draw your optician’s attention to it if you are experiencing problems with lens wettability which can cause poor vision and comfort primarily in scleral lenses. It will not address any discomfort caused by ill-fitting lenses. You can read about it – here

Update – 14th April 2025

In response to a question from one of our members, we received the following answer from Martin Conway of Contamac:

As to Hydrapeg, this coating has been widely accepted by the scleral lens laboratory network, across the US and Europe.

In answer to the question  “ Can lenses be re-coated?” – well in fact it is possible to strip and recoat a lens but the risk of a contaminated lens coming contact with new lenses being prepared in the laboratory make it impractical.

Labs conform to extremely tight protocols which govern how lenses and raw materials are controlled within the laboratory environment and to introduce a worn lens into that system would breach those regulations. The coating is applied in a bath which will is normally used to treat multiple lenses at a time leading to a possible contamination risk and to have separate rooms or protocol to treat or modify individual lenses is not financially viable, it would be cheaper to make a new pair of lenses! Laboratories used to offer repolishing or even power modification for GP lens wearers – they do not allow that these days for similar reasons. Worn lenses coming into a laboratory present an unacceptable contamination risk. 

The Hydrapeg coating is just 35 nanometres thick and formed from a hydrophilic molecule. If it is allowed to dry out, or is mishandled in any way, then the coating will be disrupted. 

Tangible Sciences have a product called Boost, which is available in the US and is designed to repair the coating and replenish the coating with regular soaking however because of the current regulatory framework in Europe, it is not available here.

I’m sorry I can’t be of more help for your member but despite the fragility of the coating, most patients who have had the coated lenses request them again when it is time for renewal.

Cornea Donation

At our November Coffee Morning, we were treated to a very thought-provoking talk from Tracy Long-Sutehall. Tracy has been very concerned by the shortage of available corneas for transplant surgery. She realised a major opportunity is being missed in hospice care due to the lack of consultation with family members.

The talk was recorded and we intend to add the video to this post as soon as it is available.

Unlike other hospital environments, patients in hospices are usually unsuitable candidates for organ donation. However, with corneas, it is a different story. In many cases, the cornea could be used to benefit someone facing the prospect of losing their sight.

Tracy has undertaken a research project to see how this situation could be rectified.

If you want to know more, you can follow the links below:

Summary of the Research
Details of the Research Project
Tracy’s Biography

Other Links:

Cornea donation myths dispelled

A personal testament from one of our members, the late Andrew MacLean

One of our members is an Ambassador for NHS Blood and Transplant and has made this video for them about his recent cornea transplant.

Prof. Roger John Buckley

Sadly, our president passed away on Wednesday 12th October 2022

Mr Buckley has been a keen supporter of our charity. His involvement started in the first year of our inception and his encouragement and involvement have helped us grow to where we are today.

For many years he led the corneal service at Moorfields. His surgical skills and ability to communicate with patients were second to none. Prof. Roger Buckly will be sadly missed.

You can read a fitting tribute to the much loved Honory President of our charity – Here

Moorfields team develop ‘prediction calculator’ for keratoconus

A Moorfields and UCL Institute of Ophthalmology team led by Daniel Gore have developed a ‘prediction calculator’ to give keratoconus patients a personalised risk calculation to make informed decisions about treatment.

Keratoconus is a condition that causes the cornea to thin and impair vision. It is one of the most common reasons for corneal transplants in younger patients, and usually presents itself in their early teens. While milder cases can be managed by contact lenses or glasses, in more advanced cases a corneal transplant may be required to restore vision. A treatment called corneal cross-linking (CXL) is able to effectively stop disease progression, but is not always suitable.

The calculator creates a unique graph for each eye of each patient based on their individual risk factors to assess their likely prognosis, helping both clinicians and patients to decide when and if to proceed with CXL. This calculator is part of a wider project to offer more personalised management plans to patients to improve outcomes.

Read the full article on the Moorfields website