Trauma-Informed Communication for GP Receptionists and Care Navigators

Calm, predictable and respectful first contact for patients who may have experienced trauma

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Asking necessary questions without interrogation

GP reception desk conversation with patient

Questions can feel intrusive when a patient is frightened, ashamed or has previously been disbelieved. Ask only what is needed to route the contact safely; reception is for safe triage, not investigation.

Explain before asking

People are more likely to answer when they know why information is needed. For example: "I only need a brief outline so I can send this to the right person." This makes clear the question is about routing, not judgement.

Avoid rapid-fire questions. Ask one thing at a time, use the patient's own words and stop if the concern requires urgent or safeguarding escalation.

Use careful prompts

  • "What do you need help with today?"
  • "Are you safe to be contacted on this number?"
  • "Is there anything urgent or unsafe happening now?"
  • "Would a more private route help?"

Ask what is needed for safe routing, not everything that might be interesting.

If the usual route is not working, make that visible to the clinical team. The aim is to make the next contact safer, not to ask the patient or carer repeatedly to bridge a confusing process.

Consistent wording across staff matters. If every team member gives a different explanation, patients who already feel unsafe may find the system unpredictable or dismissive.

Questions should match the task. If the information already triggers safeguarding or urgent escalation, further detail from reception is unlikely to help and may increase harm.

Explaining why a question is asked reduces the sense of interrogation. Patients often answer more readily when they know the information is for routing rather than judgement.

Scenario

A patient hints at abuse but says they cannot explain while someone is nearby.

What should staff do?

 

Ask Dr. Aiden


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