Sunday, 21 November 2021

These are the hands that care

I have written in previous blogs, and in many papers and conference presentations, of the importance of touch in therapeutic relationships. It can be a difficult subject to talk about against the Me Too context. However, last week I saw some brilliant examples of how touch was being used effectively and appropriately in therapeutic relationships. These relationships were very brief, and could be measured in minutes, not sessions, days or weeks. I was with our School Nurses, who were running Covid-19 vaccination clinics in schools for 12 -15 year olds.

The programme was highly ambitious, a potential logistical nightmare to organise, but a great example of how to do collaborative partnership working well. Thanks go to Jen Connolly (Director of Public Health, Stockport), Ben Fryer (Consultant in Public Health) and Anita Rolfe (Stockport CCG) who worked with Fran Jackson, our Service Lead for School Nursing at Stockport NHS Foundation Trust, to help make the programme a success. There were 17,000 eligible 12-15 year old's across the area and over the 7 weeks of the programme, some 6,612 children have received their Covid jab.  There was a ‘day on day’ increase of children and young people taking the opportunity to get vaccinated, and all those who did so, were informed and eager to get protected. Of course, when I spoke with the children after they had been jabbed, any anxiety had melted away and they were mainly nonchalant, said it was no big deal, and they were just glad they were now protected.

These important vaccinations contributed to over 500,000 Covid jabs being given in Stockport over the past 12 months – a tremendous achievement.

The vaccination hub I visited was in the school hall of Marple Hall School; a school whose ambition is to become ‘the most successful School in the country’. I think they are likely to succeed too. Joe Barker, the Head Teacher seemed to be remarkably buoyant and enthusiastic, which given the school has some 5,500 pupils, is probably testament to his professionalism and approach. He also writes a weekly blog, which is something in others I greatly admire.

The school is situated behind a high fence, and like many others, had a locked electronic gate to get through. A kind receptionist rescued me, and after signing in, I was able to join the session. Given there were 30 or so children in the room, there wasn’t as much noise as I thought there might be. Everything was ordered and well thought through. I was able to first meet some of the team, and it was quite a large and assorted one too. There were a group of very cheerful folk from the local authority Covid Advice and Testing Team, who were busy inputting all the immunisations onto the national system; there was a lady from Everest Pharmacy, who drew up the vaccines used during each session; two lead nurses, (Fran being one of these); two colleagues who supported the programme logistics, planning each session and then managing each session’s administration, and then there were the immunisers themselves.

What a team! I was able to speak with them all, both about what they did in their day job and how they had experienced the vaccination programme. I have to say I was amazed at the scope of their professional practice. They all ran community clinics and school-based clinics for the HPV vaccination programme, undertook health assessments, were part of safeguarding committees and ran health clinics offering support and advice to young people regarding lifestyle choices, self-harm, depression, relationships, weight issues, sexual health, and a couple which I thought were a sign of the times, smoking cessation and gender identity. Each School Nurse had a case load of about 2,500 children and young people, and the scope of their clinical practice was enormous.

I did like the description they gave of the sessions they ran on relationships and sex education, which again covered very contemporary issues around consent, sexual abuse, sexting, contraception, all of which the children preferred hearing from the School Nurses rather than their teachers! In the vaccination session, it was clear that the children and young people were very relaxed and accepting of the School Nurses. I watched a number of the children getting their vaccinations. I was struck by the gentleness and kindness of the nurses. Each child was treated like they were only one that mattered in that moment. Some children were obviously anxious and I saw hands been held, a hug being given, a pause for a word or two of encouragement. It was compassionate care at its finest.

As I have reflected upon this experience, I was reminded of the fabulous book, published last year, called ‘These are the Hands’ – if you have not had a chance to read it, please take a look. It contains the poem Michael Rosen wrote to celebrate the 60th birthday of the NHS. I sure all those readers who have children, grandchildren, or younger siblings will have read his work. Most of my grandchildren still love his book, ‘We’re going on a bear hunt’. Thinking about the School Nurses, I thought it appropriate to reproduce his poem here (albeit it takes me over my self-imposed word limit) as for me it captures more eloquently than I could ever aspire to, the work of so many who continue to make our NHS a place of great care.

These are the Hands

These are the hands
That touch us first
Feel your head
Find the pulse
And make your bed
 
These are the hands
That tap your back
Test the skin
Hold your arm
Wheel the bin
Change the bulb
Fix the drip
Pour the jug
Replace your hip
 
These are the hands
That fill the bath
Mop the floor
Flick the switch
Soothe the sore
Burn the swabs
Give us a jab
Throw out sharps
Design the lab
 
And these are the hands
That stop the leaks
Empty the pan
Wipe the pipes
Carry the can
Clamp the veins
Make the cast
Log the dose
And touch us last

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