Sunday 1 October 2017

Whilst we Plough the Field and Scatter, the NHS still Belongs to the People

Yesterday I had lunch with my youngest son, along with his wife Louise and their gorgeous daughter Carys. The food was superb, and hugely authentic – we ate at the Hispi (Didsbury) restaurant. If you are in Manchester for any reason, give it a go. Food has been on my mind this past week. Last Sunday I went to a Harvest Festival service in a small church known as ‘Ashworth Chapel’. It’s a church with a long history, originally built in 1514, and it stands on top of a hill amid the rolling moors surrounding Rochdale. I like it, partly for the history each stone represents, but also for the quiet and calm feeling sitting inside brings. The services are mainly from the Book of Common Prayer, which, in an age of digital everything, may not be to every ones taste. The church was decorated with flowers and symbols of the harvest, very much as I remember from my childhood. Some wag had even hung a bunch of grapes from the eagle lectern. 

I think it must have been in my childhood that I last sang the rousing hymn ‘We Plough the Fields and Scatter’. Apparently, it is one of the most performed hymns in the UK. One week later, and I am still singing the first verse and chorus. It’s a very infectious tune and I dare you to click on this link and see if the music and words don’t also stay with you for a while. The Harvest Festival service is primarily about taking the opportunity to say ‘thank you’, for the food we enjoy, for those that farm, produce, prepare and make available the results of their labour to the rest of us.

The service is also an opportunity to remember and respond to those who don’t have enough food or other basic necessities. Gifts of food were brought to the chapel and then distributed to those in need during the week. For me seeing the children and families bring their boxes and carry bags of food to the front of the church was a poignant glimpse back to my childhood when my parents encouraged my brothers and sisters and I to do the same thing. And last week I was privileged to enjoy a glimpse back to the work of my friend and colleague Professor Maxine Power. Maxine is currently the CEO of the fabulous innovation and improvement science centre known as HAELO – an organisation that the University of Salford has been proud to be a partner with. Last week, I joined many others who have been part of Maxine’s journey of discovery and achievement, to say thank you and to wish her well in her new role.

Maxine is leaving HAELO to join the North West Ambulance Service as their Director of Quality Improvement. Although she will be greatly missed by many working in health and social care services across Greater Manchester, this is an opportunity for her talents to be brought to bear across the whole of the North West of England. The emergency services in the UK, including the ambulance service, are having to change to meet the increasingly complex world of health and social care. They need to do so in a way that uses the advantages new technologies, might bring to improving the services individuals receive when they most need them. Maxine reminded us all of the opening words of the NHS Constitution:

The NHS belongs to the people

It is there to improve our health and wellbeing, supporting us to keep mentally and physical well, to get better when we are ill and, when we cannot fully recover, to stay as well as we can to the end of our lives. It works at the limits of science – bringing the highest levels of human knowledge and skill to save lives and improve health. It touches our lives at times of basic human need, when care and compassion are what matter most. 

Regular readers of this blog will know that I am a big fan of the NHS and of what collectively, we have been able to achieve in tackling disease, treating illness and responding to trauma. It was great to read last week that the UK has joined other countries within the European Region in eliminating Measles. Measles is a highly contagious, serious disease caused by a virus. The disease remains one of the leading causes of death among young children globally, despite there being a safe and cost-effective vaccine available. It’s estimated that during 2000 – 2015, measles vacation prevented up to 20.3 million deaths. That the UK has eliminated this disease demonstrates the effectiveness of such a vaccination programme. I have grown to like and appreciate the value of tradition, but increasingly I also see the need to embrace change where this is appropriate to do so. And Joe, think about this for the next time we go to Hisbis for a meal and the bill comes. 

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