Doctors told to avoid phrases such as ‘raining cats and dogs’ and ‘the early bird catches the worm’ to avoid offending foreign patients

Doctors and nurses have been ordered not to say ‘the early bird catches the worm’ and ‘it’s raining cats and dogs’, to avoid offending foreign patients.

Lancashire Teaching Hospitals NHS Foundation Trust demanded staff stop using the phrases in its diversity and inclusion training, claiming they are not culturally sensitive.

It warns the terms ‘may not translate well across other cultures’ and may need to be explained to international colleagues or patients.

The guidance, which was created

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