I went to a fascinating presentation on 16th September sponsored by the Primary Care Society for Gastroenterology where, as part of an Update on IBD, Professor Alistair Forbes from UCL raised the question of how GPs should deal with non-adherence issues if they suspected a relapse in IBD was due to this. He advised against asking, "Do you always take your medication?" as this could be seen as confrontational and counter-productive; instead he advocated, "What happens if you miss your tablets for a few days?" as a more effective way of opening communication that could lead to compliance in the future.