diff --git a/app/helpers/govuk_link_helper.rb b/app/helpers/govuk_link_helper.rb
index 9b0e06db..f8e393e2 100644
--- a/app/helpers/govuk_link_helper.rb
+++ b/app/helpers/govuk_link_helper.rb
@@ -3,44 +3,32 @@
 module GovukLinkHelper
   using HTMLAttributesUtils
 
-  def govuk_link_to(name, href = nil, new_tab: false, inverse: false, muted: false, no_underline: false, no_visited_state: false, text_colour: false, **kwargs, &block)
+  def govuk_link_to(name, href = nil, new_tab: false, inverse: false, muted: false, no_underline: false, no_visited_state: false, text_colour: false, visually_hidden_prefix: nil, visually_hidden_suffix: nil, **kwargs, &block)
     link_args = extract_link_args(new_tab: new_tab, inverse: inverse, muted: muted, no_underline: no_underline, no_visited_state: no_visited_state, text_colour: text_colour, **kwargs)
+    link_text = build_text(name, visually_hidden_prefix: visually_hidden_prefix, visually_hidden_suffix: visually_hidden_suffix, &block)
 
-    if block_given?
-      link_to(block.call, href, **link_args)
-    else
-      link_to(name, href, **link_args)
-    end
+    link_to(link_text, href, **link_args)
   end
 
-  def govuk_mail_to(email_address, name = nil, new_tab: false, inverse: false, muted: false, no_underline: false, no_visited_state: false, text_colour: false, **kwargs, &block)
+  def govuk_mail_to(email_address, name = nil, new_tab: false, inverse: false, muted: false, no_underline: false, no_visited_state: false, text_colour: false, visually_hidden_prefix: nil, visually_hidden_suffix: nil, **kwargs, &block)
     link_args = extract_link_args(new_tab: new_tab, inverse: inverse, muted: muted, no_underline: no_underline, no_visited_state: no_visited_state, text_colour: text_colour, **kwargs)
+    link_text = build_text(name, visually_hidden_prefix: visually_hidden_prefix, visually_hidden_suffix: visually_hidden_suffix, &block)
 
-    if block_given?
-      mail_to(email_address, block.call, **link_args)
-    else
-      mail_to(email_address, name, **link_args)
-    end
+    mail_to(email_address, link_text, **link_args)
   end
 
-  def govuk_button_to(name, href = nil, disabled: false, inverse: false, secondary: false, warning: false, **kwargs, &block)
+  def govuk_button_to(name, href = nil, disabled: false, inverse: false, secondary: false, warning: false, visually_hidden_prefix: nil, visually_hidden_suffix: nil, **kwargs, &block)
     button_args = extract_button_args(new_tab: false, disabled: disabled, inverse: inverse, secondary: secondary, warning: warning, **kwargs)
+    button_text = build_text(name, visually_hidden_prefix: visually_hidden_prefix, visually_hidden_suffix: visually_hidden_suffix, &block)
 
-    if block_given?
-      button_to(block.call, href, **button_args)
-    else
-      button_to(name, href, **button_args)
-    end
+    button_to(button_text, href, **button_args)
   end
 
-  def govuk_button_link_to(name, href = nil, new_tab: false, disabled: false, inverse: false, secondary: false, warning: false, **kwargs, &block)
-    button_args = extract_button_args(new_tab: new_tab, disabled: disabled, inverse: inverse, secondary: secondary, warning: warning, **kwargs)
+  def govuk_button_link_to(name, href = nil, new_tab: false, disabled: false, inverse: false, secondary: false, warning: false, visually_hidden_prefix: nil, visually_hidden_suffix: nil, **kwargs, &block)
+    button_args = extract_button_link_args(new_tab: new_tab, disabled: disabled, inverse: inverse, secondary: secondary, warning: warning, **kwargs)
+    button_text = build_text(name, visually_hidden_prefix: visually_hidden_prefix, visually_hidden_suffix: visually_hidden_suffix, &block)
 
-    if block_given?
-      link_to(block.call, href, **button_args)
-    else
-      link_to(name, href, **button_args)
-    end
+    link_to(button_text, href, **button_args)
   end
 
   def govuk_breadcrumb_link_to(name, href = nil, **kwargs, &block)
@@ -92,33 +80,56 @@ def button_attributes(disabled)
   end
 
   def extract_link_args(new_tab: false, inverse: false, muted: false, no_underline: false, no_visited_state: false, text_colour: false, **kwargs)
+    link_classes = extract_link_classes(inverse: inverse, muted: muted, no_underline: no_underline, no_visited_state: no_visited_state, text_colour: text_colour)
+
+    { **link_classes, **new_tab_args(new_tab) }.deep_merge_html_attributes(kwargs)
+  end
+
+  def extract_button_link_args(new_tab: false, disabled: false, inverse: false, secondary: false, warning: false, **kwargs)
+    button_classes = extract_button_classes(inverse: inverse, secondary: secondary, warning: warning)
+
+    { **button_classes, **button_attributes(disabled), **new_tab_args(new_tab) }.deep_merge_html_attributes(kwargs)
+  end
+
+  def extract_button_args(disabled: false, inverse: false, secondary: false, warning: false, **kwargs)
+    button_classes = extract_button_classes(inverse: inverse, secondary: secondary, warning: warning)
+
+    { **button_classes, **button_attributes(disabled) }.deep_merge_html_attributes(kwargs)
+  end
+
+  def extract_link_classes(inverse: false, muted: false, no_underline: false, no_visited_state: false, text_colour: false)
     {
       class: govuk_link_classes(
         inverse: inverse,
         muted: muted,
         no_underline: no_underline,
         no_visited_state: no_visited_state,
-        text_colour: text_colour
-      ),
-      **new_tab_args(new_tab)
-    }.deep_merge_html_attributes(kwargs)
+        text_colour: text_colour,
+      )
+    }
   end
 
-  def extract_button_args(new_tab: false, disabled: false, inverse: false, secondary: false, warning: false, **kwargs)
+  def extract_button_classes(inverse: false, secondary: false, warning: false)
     {
       class: govuk_button_classes(
         inverse: inverse,
         secondary: secondary,
         warning: warning
-      ),
-      **button_attributes(disabled),
-      **new_tab_args(new_tab)
-    }.deep_merge_html_attributes(kwargs)
+      )
+    }
   end
 
   def brand
     Govuk::Components.brand
   end
+
+  def build_text(original, visually_hidden_prefix:, visually_hidden_suffix:, &block)
+    prefix = (visually_hidden_prefix.present?) ? visually_hidden_prefix + " " : nil
+    text = (block_given?) ? block.call : original
+    suffix = (visually_hidden_suffix.present?) ? " " + visually_hidden_suffix : nil
+
+    safe_join([govuk_visually_hidden(prefix), text, govuk_visually_hidden(suffix)].compact)
+  end
 end
 
 ActiveSupport.on_load(:action_view) { include GovukLinkHelper }
diff --git a/app/helpers/govuk_visually_hidden_helper.rb b/app/helpers/govuk_visually_hidden_helper.rb
new file mode 100644
index 00000000..b2b4381c
--- /dev/null
+++ b/app/helpers/govuk_visually_hidden_helper.rb
@@ -0,0 +1,13 @@
+module GovukVisuallyHiddenHelper
+  def govuk_visually_hidden(text = nil, focusable: false, &block)
+    content = (block_given?) ? block.call : text
+
+    return if content.blank?
+
+    visually_hidden_class = focusable ? "govuk-visually-hidden-focusable" : "govuk-visually-hidden"
+
+    tag.span(content, class: visually_hidden_class)
+  end
+end
+
+ActiveSupport.on_load(:action_view) { include GovukSkipLinkHelper }
diff --git a/guide/content/helpers/link.slim b/guide/content/helpers/link.slim
index 30df0038..8a079cdb 100644
--- a/guide/content/helpers/link.slim
+++ b/guide/content/helpers/link.slim
@@ -28,6 +28,23 @@ markdown:
   caption: "Other link styles",
   code: govuk_link_other_styles)
 
+== render('/partials/example.*',
+  caption: "Links with visually hidden text",
+  code: govuk_link_with_visually_hidden_text) do
+
+  markdown:
+    When space is limited we sometimes rely on the link's position to provide
+    context about its target. An example of this is in admin interfaces where rows
+    in a table often have a 'View' link, or a 'Delete' button.
+
+    Omitting the extra text entirely leaves users of assistive technologies like
+    screen readers at a disadvantage, as they can't infer that context. We can
+    solve this problem using visually hidden text that isn't visible on the screen
+    but will be read out by screen readers.
+
+    The keyword arguments automatically add a space between the visually
+    hidden and regular text.
+
 hr.govuk-section-break.govuk-section-break--xl.govuk-section-break--visible
 
 == render('/partials/example.*',
diff --git a/guide/content/helpers/visually-hidden-text.slim b/guide/content/helpers/visually-hidden-text.slim
new file mode 100644
index 00000000..d936a870
--- /dev/null
+++ b/guide/content/helpers/visually-hidden-text.slim
@@ -0,0 +1,25 @@
+---
+title: Visually hidden text
+---
+
+markdown:
+  Most of the time content should be both visible on the screen and availble to
+  screen readers. However, somtimes when space is at a premium, we may want
+  to hide text that would clutter the screen. This puts users of assistive
+  technology like screen readers at a disadvantage.
+
+  We can hide content but make it available to users of assistive technology
+  using the `govuk-visually-hidden` class. This library provides a helper method
+  which makes hiding content easier.
+
+== render('/partials/example.*',
+  caption: "Setting visually hidden text with an argument",
+  code: visually_hidden_text_via_argument)
+
+== render('/partials/example.*',
+  caption: "Setting visually hidden text with a block",
+  code: visually_hidden_text_via_block)
+
+== render('/partials/example.*',
+  caption: "Focusable visually hidden text",
+  code: focusable_visually_hidden_text)
diff --git a/guide/layouts/partials/links.slim b/guide/layouts/partials/links.slim
index faceb8d3..c3d8eeda 100644
--- a/guide/layouts/partials/links.slim
+++ b/guide/layouts/partials/links.slim
@@ -19,6 +19,7 @@ section#links.govuk-width-container
         li== govuk_link_to('Skip link', '/helpers/skip-link')
         li== govuk_link_to('Back to top link', '/helpers/back-to-top-link')
         li== govuk_link_to('Title with error prefix', '/helpers/title-with-error-prefix')
+        li== govuk_link_to('Visually hidden text', '/helpers/visually-hidden-text')
 
     .govuk-grid-column-two-thirds
       h2.govuk-heading-m Components
diff --git a/guide/lib/examples/link_helpers.rb b/guide/lib/examples/link_helpers.rb
index 98a1a394..33436345 100644
--- a/guide/lib/examples/link_helpers.rb
+++ b/guide/lib/examples/link_helpers.rb
@@ -50,6 +50,12 @@ def govuk_button_inverse
       BUTTON
     end
 
+    def govuk_link_with_visually_hidden_text
+      <<~VISUALLY_HIDDEN_LINK
+        = govuk_link_to('View', '#', visually_hidden_suffix: 'account')
+      VISUALLY_HIDDEN_LINK
+    end
+
     def govuk_button_other_styles
       <<~BUTTONS
         .govuk-button-group
diff --git a/guide/lib/examples/visually_hidden_helpers.rb b/guide/lib/examples/visually_hidden_helpers.rb
new file mode 100644
index 00000000..8d33de17
--- /dev/null
+++ b/guide/lib/examples/visually_hidden_helpers.rb
@@ -0,0 +1,37 @@
+module Examples
+  module VisuallyHiddenHelpers
+    def visually_hidden_text_via_argument
+      <<~SNIPPET
+        p Regular text
+
+        = govuk_visually_hidden("This content is visually hidden")
+
+        p More regular text
+      SNIPPET
+    end
+
+    def visually_hidden_text_via_block
+      <<~SNIPPET
+        p Regular text
+
+        = govuk_visually_hidden do
+          p This paragraph is visually hidden
+
+        p More regular text
+      SNIPPET
+    end
+
+    def focusable_visually_hidden_text
+      <<~SNIPPET
+        p Regular text
+
+        p
+          a href="#"
+            | Some link
+            = govuk_visually_hidden("Focus on me", focusable: true)
+
+        p More regular text
+      SNIPPET
+    end
+  end
+end
diff --git a/guide/lib/helpers.rb b/guide/lib/helpers.rb
index 4f0d21ea..68bad78b 100644
--- a/guide/lib/helpers.rb
+++ b/guide/lib/helpers.rb
@@ -87,7 +87,9 @@ class Application < Rails::Application; end
 require 'components/govuk_component/warning_text_component'
 
 require 'helpers/govuk_link_helper'
+require 'helpers/govuk_visually_hidden_helper'
 
+use_helper GovukVisuallyHiddenHelper
 use_helper GovukLinkHelper
 use_helper GovukComponentsHelper
 use_helper Examples::LinkHelpers
@@ -115,5 +117,7 @@ class Application < Rails::Application; end
 use_helper Examples::CommonOptionsHelpers
 use_helper Examples::BackToTopLinkHelpers
 use_helper Examples::TitleWithErrorPrefixHelpers
+use_helper Examples::VisuallyHiddenHelpers
 
+ActiveSupport.on_load(:action_view) { include GovukVisuallyHiddenHelper }
 ActiveSupport.on_load(:action_view) { include GovukLinkHelper }
diff --git a/spec/helpers/govuk_link_helper_spec.rb b/spec/helpers/govuk_link_helper_spec.rb
index 86e776c9..2dd27176 100644
--- a/spec/helpers/govuk_link_helper_spec.rb
+++ b/spec/helpers/govuk_link_helper_spec.rb
@@ -86,6 +86,38 @@
       end
     end
 
+    context "when visually_hidden_prefix: 'some text'" do
+      let(:visually_hidden_prefix) { "some prefix" }
+      let(:visually_hidden_prefix_with_trailing_space) { "some prefix " }
+      let(:kwargs) { { visually_hidden_prefix: visually_hidden_prefix } }
+
+      specify "the prefix is present and visually hidden" do
+        expect(subject).to have_tag("a", text: /hello/, with: { href: "/world", class: "govuk-link" }) do
+          with_tag("span", text: visually_hidden_prefix_with_trailing_space)
+        end
+      end
+
+      specify "the prefix is before the text" do
+        expect(subject).to match(%(#{visually_hidden_prefix_with_trailing_space}.*hello))
+      end
+    end
+
+    context "when visually_hidden_suffix: 'some text'" do
+      let(:visually_hidden_suffix) { "some suffix" }
+      let(:visually_hidden_suffix_with_leading_space) { " some suffix" }
+      let(:kwargs) { { visually_hidden_suffix: visually_hidden_suffix } }
+
+      specify "the suffix is present and visually hidden" do
+        expect(subject).to have_tag("a", text: /hello/, with: { href: "/world", class: "govuk-link" }) do
+          with_tag("span", text: visually_hidden_suffix_with_leading_space, class: "govuk-visually-hidden")
+        end
+      end
+
+      specify "the suffix is after the text" do
+        expect(subject).to match(%(hello.*#{visually_hidden_suffix_with_leading_space}))
+      end
+    end
+
     # the link modifiers text_colour, inverse, muted all change the link's text colour
     # and shouldn't be used together
     describe "invalid combinations" do
@@ -173,6 +205,38 @@
       end
     end
 
+    context "when visually_hidden_prefix: 'some text'" do
+      let(:visually_hidden_prefix) { "some prefix" }
+      let(:visually_hidden_prefix_with_trailing_space) { "some prefix " }
+      let(:kwargs) { { visually_hidden_prefix: visually_hidden_prefix } }
+
+      specify "the prefix is present and visually hidden" do
+        expect(subject).to have_tag("a", text: /hello/, with: { href: "mailto:world@solar.system", class: "govuk-link" }) do
+          with_tag("span", text: visually_hidden_prefix_with_trailing_space)
+        end
+      end
+
+      specify "the prefix is before the text" do
+        expect(subject).to match(%(#{visually_hidden_prefix_with_trailing_space}.*hello))
+      end
+    end
+
+    context "when visually_hidden_suffix: 'some text'" do
+      let(:visually_hidden_suffix) { "some suffix" }
+      let(:visually_hidden_suffix_with_leading_space) { " some suffix" }
+      let(:kwargs) { { visually_hidden_suffix: visually_hidden_suffix } }
+
+      specify "the suffix is present and visually hidden" do
+        expect(subject).to have_tag("a", text: /hello/, with: { href: "mailto:world@solar.system", class: "govuk-link" }) do
+          with_tag("span", text: visually_hidden_suffix_with_leading_space, class: "govuk-visually-hidden")
+        end
+      end
+
+      specify "the suffix is after the text" do
+        expect(subject).to match(%(hello.*#{visually_hidden_suffix_with_leading_space}))
+      end
+    end
+
     # the link modifiers text_colour, inverse, muted all change the link's text colour
     # and shouldn't be used together
     describe "invalid combinations" do
@@ -274,6 +338,38 @@
       end
     end
 
+    context "when visually_hidden_prefix: 'some text'" do
+      let(:visually_hidden_prefix) { "some prefix" }
+      let(:visually_hidden_prefix_with_trailing_space) { "some prefix " }
+      let(:kwargs) { { visually_hidden_prefix: visually_hidden_prefix } }
+
+      specify "the prefix is present and visually hidden" do
+        expect(subject).to have_tag("a", text: /hello/, with: { href: "/world", class: "govuk-button" }) do
+          with_tag("span", text: visually_hidden_prefix_with_trailing_space)
+        end
+      end
+
+      specify "the prefix is before the text" do
+        expect(subject).to match(%(#{visually_hidden_prefix_with_trailing_space}.*hello))
+      end
+    end
+
+    context "when visually_hidden_suffix: 'some text'" do
+      let(:visually_hidden_suffix) { "some suffix" }
+      let(:visually_hidden_suffix_with_leading_space) { " some suffix" }
+      let(:kwargs) { { visually_hidden_suffix: visually_hidden_suffix } }
+
+      specify "the suffix is present and visually hidden" do
+        expect(subject).to have_tag("a", text: /hello/, with: { href: "/world", class: "govuk-button" }) do
+          with_tag("span", text: visually_hidden_suffix_with_leading_space, class: "govuk-visually-hidden")
+        end
+      end
+
+      specify "the suffix is after the text" do
+        expect(subject).to match(%(hello.*#{visually_hidden_suffix_with_leading_space}))
+      end
+    end
+
     # a button can be disabled in combination with other styles but cannot
     # be called with more than one of eitehr warning, inverse or secondary
     describe "invalid combinations" do
@@ -377,6 +473,42 @@
       end
     end
 
+    context "when visually_hidden_prefix: 'some text'" do
+      let(:visually_hidden_prefix) { "some prefix" }
+      let(:visually_hidden_prefix_with_trailing_space) { "some prefix " }
+      let(:kwargs) { { visually_hidden_prefix: visually_hidden_prefix } }
+
+      specify "the prefix is present and visually hidden" do
+        expect(subject).to have_tag("form", with: { method: "post", action: "/world" }) do
+          with_tag("button", text: /hello/, with: { class: %w[govuk-button] }) do
+            with_tag("span", text: visually_hidden_prefix_with_trailing_space)
+          end
+        end
+      end
+
+      specify "the prefix is before the text" do
+        expect(subject).to match(%(#{visually_hidden_prefix_with_trailing_space}.*hello))
+      end
+    end
+
+    context "when visually_hidden_suffix: 'some text'" do
+      let(:visually_hidden_suffix) { "some suffix" }
+      let(:visually_hidden_suffix_with_leading_space) { " some suffix" }
+      let(:kwargs) { { visually_hidden_suffix: visually_hidden_suffix } }
+
+      specify "the suffix is present and visually hidden" do
+        expect(subject).to have_tag("form", with: { method: "post", action: "/world" }) do
+          with_tag("button", text: /hello/, with: { class: %w[govuk-button] }) do
+            with_tag("span", text: visually_hidden_suffix_with_leading_space, class: "govuk-visually-hidden")
+          end
+        end
+      end
+
+      specify "the suffix is after the text" do
+        expect(subject).to match(%(hello.*#{visually_hidden_suffix_with_leading_space}))
+      end
+    end
+
     # a button can be disabled in combination with other styles but cannot
     # be called with more than one of eitehr warning, inverse or secondary
     describe "invalid combinations" do
diff --git a/spec/spec_helper.rb b/spec/spec_helper.rb
index 34f8faf9..f01e02bf 100644
--- a/spec/spec_helper.rb
+++ b/spec/spec_helper.rb
@@ -12,6 +12,7 @@
   SimpleCov.start
 end
 
+include GovukVisuallyHiddenHelper
 include GovukLinkHelper
 include GovukBackToTopLinkHelper
 include GovukSkipLinkHelper