Supporting Anxious Patients for GP Receptionists and Care Navigators

Calm first-contact communication, reassurance boundaries, clear next steps and crisis escalation

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Listening without giving false reassurance

GP receptionist speaking with anxious patient

Reassurance is appropriate when it explains the process: "I have recorded this and sent it to the right route." It becomes unsafe when it offers a clinical judgement: "I am sure it is nothing."

Separate process reassurance from clinical reassurance

Process reassurance describes what you have done and what will happen next. That is within the reception role. Clinical reassurance states a view about the likely seriousness of symptoms, test results or outcomes. That belongs to a clinician or to an agreed clinical pathway.

An anxious patient may seek reassurance to reduce uncertainty. The safest, most compassionate response is not to guess. Explain the boundary of your role, record their concern, and route it for clinical review.

Safer reassurance

  • "I have written down what you said."
  • "This will go through the practice process."
  • "I cannot assess that clinically, but I can escalate it."
  • "Here is what happens next."
  • "If things change before then, use the urgent route we have discussed." where this reflects local wording.

Wording to avoid

  • "I am sure it is nothing."
  • "You do not need to worry."
  • "That result sounds fine to me."
  • "It is probably just anxiety."
  • "You will definitely be okay to wait."

False reassurance can make later contacts harder. If a clinician gives a different message, trust may be damaged. Keep reassurance tied to the process you can safely describe.

Reassure about the process you control, not the clinical outcome you cannot assess.

Brené Brown on Empathy

Video: 2m 53s · Creator: The RSA. YouTube Standard Licence.

This RSA short animation features Brene Brown explaining empathy as connection rather than sympathy. Drawing on nursing scholar Theresa Wiseman's work, it presents empathy as perspective taking, avoiding judgement, recognising another person's emotion and communicating that recognition.

The video contrasts empathy with sympathy by showing how sympathy can create distance or attempt to fix discomfort, while empathy chooses to connect with the person's feeling. It describes empathy as a vulnerable choice because the listener must connect with something in themselves that recognises the other's experience.

The final section warns against quick silver-lining responses when someone shares something painful. Instead of trying to make the problem better immediately, the video emphasises honest presence, listening and connection as the responses that help.

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Scenario

A patient asks, "Please just tell me I am not seriously ill."

What should you avoid saying?

 

Ask Dr. Aiden


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