Autistic-Girls-Network-min.pdf

Microsoft Word - Document11

Foundation Trust Data Merge_OL.indd

Anxiety.pdf

chaps.pdf

CHESTER11 MAP NORTH 20_06

Bereavement-2023-Part-A.pdf

Ensure that PDF documents specifies headings for accessibility.

## What this means

Specifying headings in a PDF involves clearly defining tagged heading elements within 
the document. These headings are used to structure the content, similar to how headings 
are used in web content (like HTML). 

## Why it matters

1. **Accessibility**: Headings are crucial for screen readers and other assistive technologies. They allow users with visual impairments to navigate the document more easily.
2. **Document Structure**: Clearly defined headings help in organizing the content, making it more understandable and navigable for all users.
3. **Search Efficiency**: Proper headings improve the document's searchability, enabling users to find information more quickly.

## How to fix

1. **Use Styles in Document Creation**: When creating a document, use heading styles (like Heading 1, Heading 2, etc.) in your word processor before converting it to a PDF.
2. **Edit Existing PDFs**: If your PDF is already created, use a PDF editor to add or modify heading tags. Ensure that the headings are in a logical hierarchical order.

## Testing Methodology

Silktide flags PDFs that don't contain a single tagged heading.

## Further Reading

- [WCAG PDF9](https://www.w3.org/TR/WCAG20-TECHS/pdf.html#PDF9)
- [Creating Accessible PDFs](https://www.adobe.com/accessibility/pdf/pdf-accessibility-overview.html)
- [PDF Accessibility - Defining PDF Accessibility](https://www.webaim.org/techniques/acrobat/)

pdf-missing-headings

January 2026

December 2025

Countess of Chester Hospital NHS Foundation Trust

	Title / URL	Issues
	Autistic-Girls-Network-min.pdfwww.coch.nhs.uk/media/203464/Autistic-Girls-Network-min.pdf	1
	Microsoft Word - Document11www.coch.nhs.uk/media/78549/acu_leaflet_draft.pdf	1
	Foundation Trust Data Merge_OL.inddwww.coch.nhs.uk/media/188729/norovirus-nov21.pdf	1
	Anxiety.pdfwww.coch.nhs.uk/media/203446/Anxiety.pdf	1
	Microsoft Word - Document11www.coch.nhs.uk/media/137873/pals-leaflet-march2016.pdf	1
	chaps.pdfwww.coch.nhs.uk/media/203410/chaps.pdf	1
	Foundation Trust Data Merge_OL.inddwww.coch.nhs.uk/media/190042/VRE-apr22.pdf	1
	Foundation Trust Data Merge_OL.inddwww.coch.nhs.uk/media/188714/esbl-nov21.pdf	1
	CHESTER11 MAP NORTH 20_06www.coch.nhs.uk/media/127703/amended-children.pdf	1
	Bereavement-2023-Part-A.pdfwww.coch.nhs.uk/media/197884/Bereavement-2023-Part-A.pdf	1

Specify headings for every PDF

Countess of Chester Hospital NHS Foundation Trust

Where this issue has occurred