Being effective in the way we communicate can be taught like any other skill – of course we all begin to communicate in some way from the moment we are born. A crying baby cannot be ignored by a new mother who will respond quickly and tend to the needs of her newborn. As we grow, our communication becomes more sophisticated, with spoken and written language and gestures. We learn from those around us, mimicking what we see and hear to get our needs met. In many ways this is how we go through life. We just do it, communicate in our own way, hoping we get our message or needs across to the receiver. Some people rely heavily on effective communication to be professionally successful. Think about diplomates and politicians for example. Health care professionals need to be effective in the way they communicate with their patients, if they are to make headway and meet their needs. All too often time patients report feeling let down. Daily it seems, the papers, TV and radio are reporting another story of failings related to poor and inadequate communication. Attitude and culture is changing, albeit slowly. Can we expect health workers to be effective communicators without quality training which is refreshed and updated regularly?