<p> Aims and intended learning outcomes </p> <p>The aim of this article is to provide an overview of the barriers that may exist for the person with learning disabilities receiving comprehensive primary healthcare in the community. The delivery of primary healthcare to people with learning disabilities has come under increasing scrutiny. Concerns have been raised about the current quality of care and how it may be organised in the future. Nurses in primary healthcare settings and their colleagues appear ill equipped to meet the primary healthcare needs of people with learning disabilities because of a lack of confidence, previous experience and knowledge. Solutions to some of these problems will be set out in the article. After reading the article, you should be able to:</p> ■ <p>Define primary healthcare</p> ■ <p>Understand the key changes in primary healthcare currently taking place.</p> ■ <p>Identify the barriers that may exist for people with learning disabilities accessing primary healthcare.</p> ■ <p>Propose realistic solutions to overcome these barriers to ensure that the person with learning disabilities can receive an optimum level of primary healthcare.</p>