Healthcare provision relies on effective communication, since this can enable information to be shared, develop therapeutic relationships and improve health outcomes. However, many people with learning disabilities experience significant issues with expressive and receptive communication, and these issues are likely to be compounded by the growing use of digital technology. This article outlines factors that affect communication for people with learning disabilities during healthcare encounters, including communication challenges they may experience in relation to accessing health information and using digital technology. The article also explores strategies and tools nurses can implement to address these challenges and ensure effective communication with individuals.