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The first edition of this book was published at a time when the health service was less sensitive to its reputation and the effect this had on public confidence. Since then, health service reform, accountability and market forces have meant that all directors, managers, doctors and health professionals must communicate effectively, both internally and externally. This book, revised in the light of these changes, is a guide to the practical skills needed when communicating with patients, staff, the general public, opinion leaders, press, radio and television.