10_July_2019.pdf

14_November_2018.pdf

8_May_2019.pdf

KWHEALTH

shutterstock_1957958437_amended

SERVMK_0950 MK AR 13-17.indd

12_September_2018.pdf

C and NW London FT Col.eps

Foundation Trust Data Merge_OL.indd

PDF documents must be tagged to ensure accessibility and compliance with digital standards.

## What this means

Tagging in a PDF involves adding hidden metadata that outlines the structure and content of the document. These tags function similarly to HTML tags, describing elements like headings, paragraphs, lists, and tables. They are crucial for screen readers and other assistive technologies to interpret the content correctly.

## Why it matters

1. **Accessibility**: Tagging makes PDFs accessible to individuals with disabilities, allowing assistive technologies to read and navigate the document effectively.
2. **Legal Compliance**: Various laws and regulations require digital content, including PDFs, to be accessible. Failure to comply can lead to legal complications.
3. **Usability**: Tagged PDFs are more user-friendly, providing better navigation and search capabilities for all users.

## How to fix

1. **Use Tag-enabled PDF Creators**: Create or convert documents using software that supports tagging, like Adobe Acrobat or Microsoft Word.
2. **Manually Add Tags**: If your PDF isn't tagged, use a PDF editor's accessibility tools to add tags. This includes setting a logical reading order and adding alternative text for images.
3. **Consult Guidelines**: Follow best practices outlined in WCAG or similar guidelines for effective tagging.

## Testing Methodology

Silktide looks at the PDF and flags it if it doesn't contain tags.

## Further Reading

- [Adobe's Guide to PDF Accessibility](https://www.adobe.com/accessibility/pdf/pdf-accessibility-overview.html)

pdf-must-be-tagged

October 2025

September 2025

Central and North West London NHS Foundation Trust

Title / URL	Issues
10_July_2019.pdfwww.cnwl.nhs.uk/application/files/5415/8107/9706/10_July_2019.pdf	1
14_November_2018.pdfwww.cnwl.nhs.uk/application/files/9615/8107/9722/14_November_2018.pdf	1
8_May_2019.pdfwww.cnwl.nhs.uk/application/files/2015/8107/9702/8_May_2019.pdf	1
KWHEALTHwww.cnwl.nhs.uk/application/files/4015/9429/1257/CNWL_AnnualReport2019-20.pdf	1
shutterstock_1957958437_amendedwww.cnwl.nhs.uk/application/files/7516/2029/1339/may_21_public.pdf	1
SERVMK_0950 MK AR 13-17.inddwww.cnwl.nhs.uk/application/files/7215/8109/1979/MK_2016_2017.pdf	1
12_September_2018.pdfwww.cnwl.nhs.uk/application/files/4915/8107/9708/12_September_2018.pdf	1
C and NW London FT Col.epswww.cnwl.nhs.uk/application/files/1315/8109/2013/Camden_2015_2016.pdf	1
Foundation Trust Data Merge_OL.inddwww.cnwl.nhs.uk/application/files/4715/8109/1994/Annual_Report_2016_2017.pdf	1
Foundation Trust Data Merge_OL.inddwww.cnwl.nhs.uk/application/files/8515/8109/2009/Annual_Summary_2017_2019.pdf	1

Tag all PDFs

Central and North West London NHS Foundation Trust

Where this issue has occurred