title: 'Recommendations may be impractical and unnecessary'.
abstract: Cavette Castillo, children's surgical ward manager, King's College Hospital NHS Foundation Trust, London 'It is not practical to give family members a summary sheet of information discussed in every ward round. Some patients may be in hospital for some time and their conditions are not changing every day. You do not always need to have a senior nurse on a ward round. A lower band nurse may be appropriate if she or he knows the patient well.'