Annex A : Acute care (children’s high dependency unit)

Annexe A: Communication and relationship management skills

Communication is central to the delivery of safe, effective and person-centred care. Throughout Freddie’s admission, Alexis demonstrated a range of underpinning communication skills and approaches in line with best practice, ensuring that care was delivered in partnership with Freddie and his family.

Alexis consistently used clear, age-appropriate and non-judgemental communication when interacting with Freddie, recognising his developmental stage as a 15-year-old. She adapted her language to reduce medical terminology and checked understanding throughout interactions, enabling Freddie to actively participate in decisions about his care. Alexis used open and closed questioning techniques to gather information and support shared decision-making.

Effective communication supported the development of a therapeutic relationship, ensuring that Freddie felt listened to and involved. This aligns with the principles of person-centred and family-centred care, where both the child and their family are actively engaged in care planning and decision-making. In line with the United Nations Convention on the Rights of the Child (UNCRC, 1989), Freddie was supported to express his views and be involved in decisions affecting his care.

Alexis also demonstrated the importance of communication in promoting health and preventing further harm. For example, she discussed road safety with Freddie in a sensitive and non-judgemental way, supporting understanding and encouraging behaviour change.

Within the multidisciplinary team (MDT), Alexis used clear and professional communication to share information and contribute to care planning. She ensured that documentation was accurate, timely and comprehensive, supporting continuity of care and patient safety. Effective communication within the MDT was essential in this high dependency setting, particularly in recognising deterioration and coordinating care across services.

Alexis also recognised the importance of providing emotional support to Freddie’s parents, using active listening and reassurance to support them during a distressing time. This contributed to holistic care and supported family wellbeing.

Specific proficiencies demonstrated

1.6 check understanding and use clarification techniques
Alexis consistently checked Freddie’s and his family’s understanding by asking them to reflect back information, ensuring clarity regarding procedures, investigations and discharge planning.

1.8 write accurate, clear, legible records and documentation
Alexis maintained clear, accurate and timely electronic records, including documentation of care provided, MDT communication and clinical observations, supporting safe and effective information sharing.

2.1 share information and check understanding about the causes, implications and treatment of a range of common health conditions
Alexis provided information about road safety following Freddie’s admission, supporting understanding of the causes and implications of his injury and promoting prevention of future harm.

4.1.1 / 4.1.3 (Annexe A – working with professional teams) demonstrate effective supervision and feedback through clear communication
Alexis responded to feedback from her practice supervisor and engaged in reflective discussions, using communication to support her learning and development within the team.

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