A specialist English language learning course book for nurses who are non-native speakers of English. The book is intended for self study but would serve as a major resource for a taught course. The book describes the current crisis in the British NHS to explain why overseas nurses are being recruited. However this is by way of an introduction & is a minor part. Otherwise it focuses on two things; the English used in clinical documentation & spoken English in the context of hospitals illnesses & treatment. The book presents examples of formal medical English colloquialisms idioms & clinical notes. The user practices reading & writing through exercises & the language is introduced through the medium of a series of simulated clinical cases The book will consist of two parts the first part containing text & exercises which are about nursing in the NHS the crisis what nurses say about the crisis the hospital hierarchy pay & conditions applying for jobs etc. The second part is about communication in a simulated hospital setting. At its core are clinical forms relating to admission patient care & hospital discharge. These forms & clinical documents generate exercises which practice parts of language (idiomatic phrases etc.) The book will be highly illustrated assisting with the clarity & understanding of situations/scenarios.