Telephone Skills for GP Receptionists and Care Navigators

Safe, clear telephone communication for identity checks, listening, call-backs, confidentiality and records

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Asking for information without clinical advice

Three reception staff at desk using phones and computers

Callers may question why you need certain information or ask for clinical advice. Keep the boundary clear: collect the agreed information and follow the practice process, but do not diagnose or give clinical advice.

Explain why information is needed

Some patients worry reception staff are blocking access or making clinical judgements. Use clear, direct wording: the information helps route the request correctly rather than assessing clinical severity.

Follow the practice script or care navigation protocol. Ask only what the route requires. If the caller reports deterioration, medication risk, a mental health crisis or a safeguarding concern, escalate according to local procedures.

Useful wording

  • "I need a brief outline so I can put this through the right process."
  • "I am not clinically assessing you."
  • "I can record your words and follow the practice route."
  • "If this sounds urgent or unclear, I will escalate it."
  • "I cannot advise on that medicine, but I can send the question through the correct route."

Where the boundary sits

Factual information-gathering records what the caller reports, what they want, and how to contact them. Clinical advice involves interpreting symptoms, medication or risk and deciding what is safe. Gathering facts supports telephone handling; interpretation belongs to the clinical route.

Ask enough for the agreed process, but do not turn a telephone script into clinical triage.

Care Navigation with Dr Nick Hayward

Video: 1m 37s · Creator: Bradford District & Craven Healthcare Partnership. YouTube Standard Licence.

This Bradford District and Craven Healthcare Partnership video features GP Dr Nick Hayward explaining care navigation as a way for patients to reach the right service. He explains that the process starts when a patient first contacts the practice and may involve a few questions about the reason for the appointment request.

The video states these questions are to direct the patient, not to gather intimate details for reception staff. The description notes that information will be kept confidential, patients can choose what to share, and a GP appointment will not be refused on that basis.

It lists possible routes, including a GP appointment, nurse appointment, direct access to mental health services or other local services, aiming to make care quicker and more appropriate.

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A patient asks, "Should I stop taking this tablet until the doctor calls?"

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