The breaking of really bad news in the paediatric setting is comparatively uncommon except in a few subspecialties such as oncology and neonatology. As a consequence even our junior staff do not have a chance to develop a skill in this important area. Over the last five years we have developed a perinatal death symposium which explores, with each group of undergraduates, some important areas from both the theoretical and in particular the practical management of both the patient and the relatives at this time. The symposium utilizes junior and senior staff of several departments and also members of the public to draw attention to important aspects. The feedback from both junior staff and undergraduates is very positive and the contact with public groups has ensured that practical management continues at the clinical level.