People with learning disabilities living in residential care regularly experience separation and loss when their keyworkers move away. Clinical experience suggests that these transitions are critical for the emotional well-being of clients, for whom supportive relationships with staff are essential. In “Saying Goodbye” the authors, Victoria Mattison and Nancy Pistrang aim to raise awareness of some of the processes that occur when keyworker relationships end, in the hope that such endings can become less painful for both staff and clients. Specific recommendations of how to plan the end of staff-client relationships are included. The book draws upon a qualitative research study which involved in-depth interviews with both clients and staff in residential settings for people with learning disabilities. It draws extensively on the words of the participants themselves, looking at parallel accounts of loss and change. People with learning disabilities are rarely asked about their experience of care and this is the first study to examine how these clients, as well as staff, experience the end of keyworking relationships.