chaps.pdf

acu_leaflet_draft.pdf

norovirus-nov21.pdf

Anxiety.pdf

autismbooklet.pdf

pals-leaflet-march2016.pdf

VRE-apr22.pdf

esbl-nov21.pdf

amended-children.pdf

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

March 2026

February 2026

Countess of Chester Hospital NHS Foundation Trust

Title / URL	Issues
chaps.pdfwww.coch.nhs.uk/media/203410/chaps.pdf	1
acu_leaflet_draft.pdfwww.coch.nhs.uk/media/78549/acu_leaflet_draft.pdf	1
norovirus-nov21.pdfwww.coch.nhs.uk/media/188729/norovirus-nov21.pdf	1
Anxiety.pdfwww.coch.nhs.uk/media/203446/Anxiety.pdf	1
autismbooklet.pdfwww.coch.nhs.uk/media/203413/autismbooklet.pdf	1
pals-leaflet-march2016.pdfwww.coch.nhs.uk/media/137873/pals-leaflet-march2016.pdf	1
VRE-apr22.pdfwww.coch.nhs.uk/media/190042/VRE-apr22.pdf	1
esbl-nov21.pdfwww.coch.nhs.uk/media/188714/esbl-nov21.pdf	1
amended-children.pdfwww.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