Council of Governors - May 2023

Council of Governors - May 2025

Council of Governors - November 2025

PowerPoint Presentation

Council of Governors - August 2024

Research and Innovation Strategy

Council of Governors - July 2023

The Ponseti Method

Council of Governors - May 2024

Green Plan 2025-2028

Ensure the first heading in PDF documents is marked as Heading Level 1 (H1) for accessibility.

## What this means

In a well-structured PDF, the very first heading should be a Heading 1 (H1), which typically represents the main title or the most important heading in the document. This is similar to the primary heading on a webpage, setting the context for the content that follows.

## Why it matters

1. **Accessibility**: For screen reader users, an H1 heading is the primary entry point to understand what the document is about. It's crucial for navigating and comprehending the content.
2. **Document Structure**: The H1 heading sets the stage for the document's structure, much like a book's title. It helps in organizing the content logically.
3. **Search Engine Optimization**: For documents available online, having a clear H1 heading can aid in search engine recognition and ranking.

## How to fix

1. **Review Your Document**: Open your PDF and check the first heading. It should be marked as H1, clearly indicating the main topic or title of the document.
2. **Edit if Necessary**: If the first heading is not H1, use a PDF editing tool to change the heading level. Ensure that it is prominently styled and stands out as the main title.
3. **Maintain Hierarchy**: After setting the H1, ensure that subsequent headings follow in a logical hierarchical order (H2, H3, etc.).

## Testing Methodology

Silktide's identifies the first heading (if any) and verifies 
if it is correctly marked as H1.

### Limitations
- **Styling vs. Tagging**: Silktide detects headings based on tagging, not styling. A visually prominent heading might not be detected as H1 if not tagged correctly.
- **Document Variations**: In some documents, like research papers, the first heading might not be the main title. Silktide's check assumes standard document formatting.

## Further Reading

- [PDF9: Providing headings by marking content with heading tags in PDF documents](https://www.w3.org/TR/WCAG20-TECHS/pdf.html#PDF9)
- [PDF Accessibility - Headings](https://www.adobe.com/accessibility/pdf/pdf-accessibility-overview.html)
- [WCAG Guidelines on Headings](https://www.w3.org/TR/WCAG21/#headings-and-labels)

pdf-headings-h1-first

February 2026

January 2026

Sherwood Forest Hospitals NHS Foundation Trust

	Title / URL	Issues
	Council of Governors - May 2023www.sfh-tr.nhs.uk/media/ubbn0ed1/council-of-governors-may-2023.pdf	1
	Council of Governors - May 2025www.sfh-tr.nhs.uk/media/cwfh5pae/council-of-governors-may-2025.pdf	1
	Council of Governors - November 2025www.sfh-tr.nhs.uk/media/glwgpkjh/council-of-governors-november-2025.pdf	1
	PowerPoint Presentationwww.sfh-tr.nhs.uk/media/ftphgnq3/agm-2025-slides-copy.pdf	1
	Council of Governors - August 2024www.sfh-tr.nhs.uk/media/fhkag3sx/council-of-governors-august-2024.pdf	1
	Research and Innovation Strategywww.sfh-tr.nhs.uk/media/bozjdwed/research-and-innovation-strategy.pdf	1
	Council of Governors - July 2023www.sfh-tr.nhs.uk/media/4rtff4ug/council-of-governors-july-2023.pdf	1
	The Ponseti Methodwww.sfh-tr.nhs.uk/media/vfofthse/clubfoot-ponseti-method.pdf	1
	Council of Governors - May 2024www.sfh-tr.nhs.uk/media/1mzbwgbx/council-of-governors-may-2024.pdf	1
	Green Plan 2025-2028www.sfh-tr.nhs.uk/media/og1hnjzv/climate-action-green-plan.pdf	1

Ensure the first heading in a PDF is a H1

Sherwood Forest Hospitals NHS Foundation Trust

Where this issue has occurred