# Prepare for difficult clinical news

Duration: 75.47 seconds

## 00:00:00.000 — Before the discussion

On screen: Prepare for difficult news

Difficult clinical news deserves time, privacy and a team that knows the plan. Preparation supports compassionate communication while helping everyone respond if a safety concern arises.

## 00:00:13.767 — Choose the setting

On screen: Privacy with access to support

Choose an appropriate space with a clear route to assistance. Arrange relevant colleagues or an interpreter where needed, while respecting the patient's preferences and confidentiality.

## 00:00:26.900 — Agree the roles

On screen: Know who will do what

Before you begin, agree who will explain the information and who will provide support. Confirm how the team will get additional help if the situation changes.

## 00:00:38.033 — During the conversation

On screen: Explain, pause and listen

Use plain language, allow pauses and check what the patient or family has understood. Distress does not automatically mean aggression, so respond to the person's actual behaviour.

## 00:00:51.133 — If safety changes

On screen: Keep care and safety coordinated

If behaviour becomes threatening, follow the local safety response and seek assistance. Arrange appropriate ongoing care and document the relevant clinical and safety facts.

## 00:01:03.800 — Today's action

On screen: Prepare the next difficult conversation

Before a challenging discussion, check the room, the people and the support arrangements. Compassion and preparation belong in the same conversation.

## Sources

- [HSE: Managing violence and aggression in health services](https://www.hse.gov.uk/healthservices/violence/do.htm)
- [GMC: Patients, partnership and communication](https://www.gmc-uk.org/professional-standards/the-professional-standards/good-medical-practice/domain-2-patients-partnership-and-communication)