NHS Blood and Transplant
Neurodiversity Global
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Scenario 04

The learner who knows the process but needs repetition to build the physical sequence

Motor planning, sequencing, and what "to standard" really means

Persona

Name
Sophie Williams
Age
35
Role
Learner in practical simulation training
Disclosure
Sophie has disclosed dyspraxia. She has explained that she sometimes needs more repetition to build physical confidence and can struggle with coordination when rushed.
Context
Understands the process well and is careful about safety. In practical simulation she can appear slower and less smooth than other learners, and becomes more error-prone when she feels watched or hurried.
Record
Has passed knowledge checks. Explains the process clearly. Slower during practical set-up tasks. One trainer described her as "careful but hesitant". No final decision has been made on progression.

Scenario

Sophie is completing a practical simulation where learners must prepare the required materials, follow the sequence and reset the station correctly before the next stage. She explains the order and the reason for each step clearly. During the physical sequence, she takes longer than the other learners and has to reset the layout twice. On the final attempt, she completes the process accurately, but slowly. The trainer is concerned about how long it took and whether she will be reliable under pressure. The trainer tells the manager: "She understands it, but I'm not sure she can physically do it to the standard." Sophie says:

"I know what I need to do. I just need the movement to become automatic. When I feel rushed, my hands stop doing what my brain knows."

What happened after

The manager has to decide what "to standard" actually means in this role — and separate safety, accuracy, reliability, smoothness and speed.

Now, in your groups

Discuss in your group

  1. 01

    What is the actual performance concern — safety, speed, smoothness or reliability?

  2. 02

    What might dyspraxia be affecting?

  3. 03

    What does "to standard" mean in this role, in writing?

  4. 04

    What support could help Sophie practise safely without removing the standard?

  5. 05

    How should the manager measure progress fairly over the next 2 to 4 weeks?

Stretch the discussion

What if there was no disclosure?

If Sophie had not disclosed, what would you still notice? Strong verbal understanding, accurate completion, slower physical execution, more errors when rushed, improvement with repetition. How would you define what is genuinely required for this role before judging her against it?

Capture your thinking

Group output

Use this to note what your group lands on. One person can capture for the share-back, then save to send it to the facilitator review.