So many health workers seem to be so ‘hard wired’ to provide a quick solution they have lost the ability to first ‘hear’ what the problem is. Over and over solutions create the communication barriers between health workers and patients. The art of attentive and sensitive listening seems to be suffocated by the desire of the health provider, to ‘fix’ and feel good about problem solving. How is it so many fall into this trap? Advising and informing almost before the patient has said a word. When does this behaviour begin, in training, before, or as we become absorbed by the ‘sinking sand’ culture of the NHS?