This invaluable guide for nurses improves the skills and knowledge required to consult effectively with patients. it is highly practical, easy to read and comprehend, and is designed for use in daily practice, and as an aid for professional development. the 'consultation assessment and improvement instrument for nurses' (caiin) concept is introduced, and sample forms, suggested strategies and tables containing key information are also provided. the recent substantial changes that have taken place in health service structures, staffing arrangements and nursing practice have led to more nurses working in first contact roles and within nurse-led services. nurses at all levels in primary and secondary care, including those in pre-registration training will find this guide vital, as will nurses considering taking on autonomous roles such as independent prescribing. it is also highly suitable for nurse lecturers, nurse managers, learning and health service managers, and undergraduate and postgraduate nursing students.