Everyday English for Health and Social Care and Education Support 2
Everyday English for Health and Social Care and Education Support 2

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Everyday English for Health and Social Care and Education Support 2

4.4 Markers and signposts

Described image
Figure 14 Markers and signposts

If you have a lot of information to get across in a talk, you might need to make your structure even clearer to your listeners. You can do this by using markers or signposts in the main part of your talk.

These are words that show listeners where the conversation or presentation is going.

For example, for the talk in the previous activity, you might start like this:

‘I am going to talk about being a midwife in three sections. Firstly, the history of midwifery; secondly, what midwives do; and finally, who midwives work with.’

This tells the listener what to listen out for in the main body of the talk. ‘Firstly’, ‘secondly’ and ‘finally’ become markers for them to follow.

Other marker words include:

  • on the one hand
  • on the other hand
  • whereas
  • nevertheless
  • even so
  • however
  • therefore.

Activity 18 Identifying markers and signposts

Timing: Allow about 10 minutes

Listen carefully to the audio, which is a conversation between a doctor and a patient called Lorna. Pause it when you hear either of the speakers using a marker or signpost. Make a note of the word(s) and how they help you to follow the discussion.

Download this audio clip.Audio player: track_25.mp3
Skip transcript


Hello, Lorna.
Hello, Doctor.
Right. As you know we ran a few tests after you had that funny turn.
The severe headache and numbness in my arm?
Yes. Quite. Well I have the results here and what I’d like to do is go through them with you, explain what this means, and discuss what we can do to help.
Oh. I see.
Remind me what you’d been concerned this might be.
Well, Doctor, I did wonder if it was a, erm, a stroke or a brain tumour.
Okay. I can tell you that it is neither of those.
I can see that you’re looking anxious so, er, without further ado. From the results of the tests we carried out, it looks to me as if you have been suffering from migraines.
Can you tell me what you know about migraines?
Not a lot Doctor. I mean, I’ve heard of them but I don’t – I don’t really know –
Well firstly let me say that it is something we can control.
Is it really?
Yes. We can give you drugs to prevent the attacks occurring –
So that I’ll be able to –
Secondly, you will be able to carry on –
Driving? Oh, thank goodness for that
If I could move on to explain a little about migraines.
End transcript
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Here are the markers and signposts you may have spotted.

Who said what How it helped
Doctor: ‘Right. As you know, ...’Shows the doctor is ready to start to explain things.
Doctor: ‘Quite. Well, ...’Shows the doctor is ready to move on.
Doctor: ‘I have the results here and what I’d like to do is ...’Indicates that the doctor is about to explain what he is going to do.
Lorna: ‘Oh, I see.’Lorna shows she has heard what the doctor said and is ready for him to continue.
Doctor: ‘OK.’The doctor shows he has heard what Lorna has just said and is going to respond to her concerns.
Doctor: ‘I can see that you’re looking anxious, so ...’The doctor acknowledges that his patient is anxious, so he’ll move on to address her fears.
Doctor: ‘Firstly, ... Secondly, ...’The doctor shows he is going to make a number of points; here is the first … and now the second ...
Doctor: ‘If I could move on to explain a little about migraines, ...’The doctor shows he’s moving on to talk about something else.

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