Breast cancer screening can facilitate earlier diagnosis and improved outcomes. However, women with learning disabilities are less likely to attend breast cancer screening than the general population. This article reports the findings of a literature review that aimed to identify the barriers that prevent women with learning disabilities from accessing breast cancer screening and, through synthesis of the findings, identify solutions to improve attendance rates. The article discusses two themes identified from analysis of the studies reviewed – ‘a person-centred approach to screening is pivotal’ and ‘supporting breast cancer screening decision-making’. The authors conclude that a person-centred approach to care, support for women in decision-making and implementing reasonable adjustments can support access to breast cancer screening for this population. The authors also recommend the development of a breast cancer screening passport to support this process.