Screening, testing and monitoring are crucial elements of the care of people with learning disabilities, who therefore often have to undergo blood tests. Having blood taken can induce anxiety and distress in people with learning disabilities, notably if they have a fear of needles. Preparing the person and identifying and addressing their needs is crucial to enable the person to give informed consent and ensure the procedure is conducted successfully and without causing distress to anyone involved. However, tailored support and reasonable adjustments are not always provided, as shown here by the story of Sam told by his mother. This article reflects on the challenges posed to people with learning disabilities and their families or carers by procedures involving needless and explores how these challenges can be addressed.