It’s good to talk. Communicating effectively with our patients and their families is a key part of our jobs as primary care nurses and we have a major new communication job on our hands over the next few months. The new guideline from the National Institute for Health and Clinical Excellence makes ambulatory monitoring part of routine practice for diagnosing high blood pressure (BP), so we are going to need to explain to patients why we are sending them home with monitors rather than just taking BP readings in the practice.