Argues in favour of utilizing qualitative methods to assess the effectiveness of internal communications in the National Health Service (NHS), as a supplement to the more standard quantitative measures normally employed. Presents a case study from an NHS Trust, demonstrating the type of data which is generated. Compares these data to findings derived by quantitative methods. Argues that the quantitative findings both confirm and supplement those derived by quantitative methods, and that both can identify the types of major problems prevalent within the NHS at present. Suggests that the further study of these issues should become an important part of efforts to create national standards for communication effectiveness in the future.