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Segment 9Role PlayWith Dhruv Sharma

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1How role-play stations work

2Breaking bad news

3The angry patient or relative

4The upset or anxious person

5Explaining something clearly

6Apologising when something has gone wrong

7Confronting a friend or colleague

8Persuading someone, and respecting a refusal

9Lifestyle advice: smoking, alcohol and weight

10Confused or vulnerable people

11Speaking up to a senior

12Interpreters and accessibility

13Everyday role plays with no medicine in them

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ReadingLesson 11 of 13

Speaking up to a senior

What this lesson covers

The station and the actor's brief
SBAR: say it so it is heard
Challenge language: climb the ladder
If you are brushed off: routes
What not to do
How this comes up on the day

The words to use

SBAR: Situation, background, assessment, recommendation: a structured way to pass on information that needs action, used in the NHS for escalation and handover.
CUS words: "I'm concerned", "I'm uncomfortable", "This is a safety issue": assertive phrases from healthcare team training, used in rising order.
Two-challenge rule: Voice a safety concern at least twice so you know it has been heard. If it is still not resolved, take stronger action, such as going to someone else.
Freedom to Speak Up guardian: A person in an NHS organisation who supports staff to raise concerns when they feel unable to use the usual routes. NHS England has led national support since July 2026.

This lesson opens on 29 November

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The words to use

SBAR

Situation, background, assessment, recommendation: a structured way to pass on information that needs action, used in the NHS for escalation and handover.

CUS words

"I'm concerned", "I'm uncomfortable", "This is a safety issue": assertive phrases from healthcare team training, used in rising order.

Two-challenge rule

Voice a safety concern at least twice so you know it has been heard. If it is still not resolved, take stronger action, such as going to someone else.

Freedom to Speak Up guardian

A person in an NHS organisation who supports staff to raise concerns when they feel unable to use the usual routes. NHS England has led national support since July 2026.