That tutors provide reading lists to learning support workers responsible for transcription of material well in advance of a student’s arrival at university;
Transcription officers start work on the material well in advance of a student’s arrival;
Learning support workers are given time, and if necessary money, to train themselves in the latest technology relevant to their work;
Learning support workers are trained on how to deal with publishers when asking for an electronic file of a book and are aware of TechDis’s publisher lookup service http://www.publisherlookup.org.uk;
Support workers have clearly laid down procedures for knowledge transfer, so that if one leaves a new person can cary on without any drop in the quality of work.

My research indicates that all too often no such system is in place in universities. Tutors are poor at supplying reading lists in advance; transcription officers are often poorly trained and aren’t given the time or the money to upgrade skills. Print-disabled students experience delays in obtaining key materials, particularly when it comes to material from books. There is a university postcode lottery in effect in this matter, with a few universities having the matter relatively under control, quite a few universities doing at best averagely and some being hopelessly unprepared.