Tag Archives: patient experience

A Promise is a Promise

wedding rings

One Thursday 3rd November I celebrated my Silver Wedding Anniversary and consider myself lucky to be someone who has found his soul mate. So my mind went back to the promises we had made on that day which, in my own imperfect and flawed ways, I have kept. But my mind also went back to a few days before my anniversary, when I was called out to Critical Care. Here was another couple who had been together 25 years – first meeting whilst working for the Government under the Official Secrets Act – both with risky jobs. But now his wife was critically ill and about to die. When I met Ron [not his real name] he hugged me and wept profusely on my shoulder. “I love her so much!” he said. “We’ve been through so much together; I don’t know how I will live without her.” He told me about their life together; their love; and his heartbreak now- and then he asked me to do something: “Will you baptise me?” he asked. Ron explained that he had always promised his wife that he would get baptised but had put it off and off. He believed but there had always been something more pressing which prevented him from doing it. “Please will you baptise me in the presence of my wife while she is still alive.” So in a congregation of four, with the nurse from the Unit joining us at Ron’s request because she had been so kind, I baptised this man, on his profession of faith, in the name of the Father, Son and Holy Spirit. And then we prayed that God might welcome his wife as she embarked on the next stage of her journey. “See, I’ve kept my promise to you Darling. I’ve been baptised and you’ve been part of it.And with that, she slipped away. Heartbroken would be an understatement to describe Ron’s emotions, but he took some comfort that he had fulfilled the vow which he made to his wife in her lifetime and had kept his promise ‘til death did them part.

PHEW! Robin Walker MP Praises Cancer Care in South Worcestershire

Honorary Good News Champion Robin Walker MP speaks about Cancer Care

Honorary Good News Champion Robin Walker MP speaks about Cancer Care

We had a scare last week. I’m not saying who or what but it involved a lump, a lot of worry and thoughts of cancer. Visions and pictures of unending months flashed across our eyes and then, in a flash, they were gone thanks to a speedy consultation and an all clear! PHEW! But, of course, we are well aware of others for whom the PHEW didn’t come. And who needed treatment. So it is with relief and pride that I received the post below from a local politician.

Now I know it’s a risky business publishing politicians’ words. Some with think I’m acting as a political mouthpiece! Some, naively that I’m being used; some that the words can’t be trusted.

And, of course, this blog is apolitical! But I can only speak as I find. And, irrespective of politics, I have found Robin Walker MP a friend of this blog, and a friend and supporter of Worcestershire Acute Trust and particularly of my hospital, The Royal, which is in his constituency.

In fact he was one of those who supported the blog when it was in its infancy and championed it- even becoming my first MP Guest Blogger. So here are some words and stats below from Mr. Walker. They show the amazing cancer care in South Worcestershire; care which I see day in day out at my hospital as well as elsewhere. It’s a good news story. This is a good news blog! Nuff Said!!


Worcester’s MP Robin Walker met Macmillan earlier this week to discuss the new £24 million Worcestershire Oncology Centre at the Worcestershire Royal Hospital and the direction in which the local Clinical Commissioning Group has embraced the Worcestershire Cancer Strategy it inherited from the PCT.


Robin has welcomed public figures that demonstrate South Worcestershire Clinical Commissioning Group is performing better on cancer care compared to the improving English average performance on cancer care.
The Figures are publicly available from the Local Cancer Intelligence Toolkit which can be found via http://lci.cancertoolkit.co.uk/ – 9,600 people in South Worcestershire were living with and beyond cancer up to 20 years after diagnosis. This could rise to an estimated 18,700 by 2030. They show that the rate of diagnosis in the area is similar to the English average with 593 diagnoses of cancer per 100,000 people, but the mortality rate is lower with 264 cancer deaths each year, lower than the English average of 290. More detailed figures also show that the CCG is outperforming on breast cancer, lung cancer and urology.

Patient experience is also outperforming with 89% of people in South Worcestershire rating their cancer care as excellent or very good.

Robin campaigned as Parliamentary Candidate to keep head and neck cancer surgery at the Worcestershire Royal Hospital and as MP has spoken up for both bringing radiotherapy to the hospital and in support of the Worcestershire Breast Unit campaign. He has supported the Government’s cancer drugs fund, which has delivered extra support to 55,000 people a year. He is a member of the APPG for Cancer and of the APPG for hospices and palliative care.



“It is remarkable how cancer survival rates have been improving in recent years. It is an enormous credit to our NHS and in particular; to the dedicated doctors and nurses who deliver care in our County that these figures have continued to improve and continue to beat an ever improving set of national statistics for England. Although these figures appear as bare numbers; they are in fact a representation of lives saved or made bearable, families supported and people cared for.”

“I am incredibly proud of our NHS in Worcestershire and in addition, proud to keep fighting as Worcester’s MP for more investment and funding for it and proud of the amazing people who make it work.”


“I recall meeting with the head and neck cancer team at our hospital a few months ago and some of the patients in their support group whose lives have been saved. Their stories are an inspiration and demonstrate the incredible truth behind these statistics. Of course I appreciate that not everyone survives cancer and I am only too aware from bitter family experience that cancer still kills people before their time. However, it is an enormous credit to our NHS that the mortality rate both nationally and in Worcestershire continues to fall each year. Where people need end of life care we are incredibly lucky to have the amazing residential and outpatient facilities of St Richard’s Hospice and I will keep campaigning to support palliative care and the hospice movement.”


“With the new radiotherapy unit due to open next year at the Worcestershire Royal Hospital and the Breast Unit campaign making headway, there are exciting developments ahead for our local NHS and its visionary cancer strategy.

It is a credit to the South Worcestershire Clinical Commissioning Group that they have maintained their focus on delivering this and kept the strong vision which was set out by their predecessors. It is positive that Macmillan have worked together with Public Health England and I would recommend that constituents look at these figures for themselves to see what a difference it is already making.”


So it seems again, that Worcestershire NHS is in good spirits. And lump or no lump, I for one am grateful!

Faith, hope and dementia: ‘Why did God give me Dementia?’

Lucy Frost Guest Blogs about #Dementia

Lucy Frost, Guest Blogger, speaks about #Dementia and Spirituality

Sometimes I invite guest bloggers, from other specialities, to post on the Blog. The only trouble is that they do it so much better than me. Lucy Frost and Peter Wells are no exception. In a thought provoking, inspiring and moving blog they help us to think about spiritual care. And if you want any more stories by Lucy you can visit her blog at http://t.co/7hkpKRG4x5.

Read on….

A Strategy for equality and diversity? Tick. Meeting of ‘Spiritual need’? Tick. Of course, we seek to holistically meet the needs of those we care for. It’s a tough ask in a very busy hospital. What is spiritual need anyway? Ah, of course, it’s the essence of who we are. Sharon Janis in Spirituality for Dummies helpfully talks of the great divine light that shines in us all. Of course, the word ‘spirit’ can be whatever gives ‘meaning’ as an individual.

I can tell you plenty of stories of clumsy attempts to meet spiritual need, but you’ve probably heard them before. You know, the wheeling across to the chapel on a Sunday a handful of patients, fit enough to make the trip. Probably because *Mrs Jones daughter said mum went to church once in 1953. The setting up of a table in a corner with a selection panpipe CD’s and a sign saying ‘Spiritual Space’ (Yes – I have actually seen this). Easy to feel disheartened then.
So it feels quite hard to meaningfully give spiritual care for a person with dementia: How can we bring comfort to those we care for? A quick fire search of ‘religion and dementia’ finds articles and web sites lauding the ‘comfort’ faith can bring. This is surely true if the opportunity to embrace one’s own faith is given truly and holistically.

A divine light? Spirituality for Dummies can’t surely have it nailed so simply? Is that really what exists within us? That can’t surely be the definition of what lies within ourselves? So many questions, and not really a right or wrong answer.

So, how do we, as nurses, doctors, health care staff, reach out to that light and meaning that’s there inside all of the people we care for? Of course!! We call the hospital chaplain/ Imam / faith leader, because he/she will have all the answers. Alas they are not always available instantly. Trouble is, for those of us who help people with dementia – they often are living for the moment. ‘Sorry, could you just wait while I contact the hospital chaplain now I’ve assessed your spiritual need’ – It’s just not going to cut it.

‘Why did God give me dementia?’ This is a question I was faced with not so very long ago. A person with a recent diagnosis of alzheimer’s disease asked me this. This person had a strong Christian faith. They said: ‘I must have done something really bad for this to happen’. Patricia Higgins, writing in the Catholic Medical Quarterly, reminds us of the need not to confuse spirituality as being the same as religion. A common mistake it seems.

So, what did I say to this person who asked me possibly the very hardest question I have ever had to answer? To be honest, its times like this, when you could use an hour or two to think about the right answer. Well, I didn’t have two hours – I had that one precious moment to help this person in their time of need. I said ‘I don’t know. I don’t think it was God that gave it to you, it seems like it’s your body that has given you dementia. Maybe your faith in God will give you the strength to live with dementia’ ‘I hope so’ was the reply.

Hope! I realised that in hope lies a possible answer to this conundrum. What always amazes me, and inspires me is this: The people with dementia I am so privileged to help, still have hope. They have lots of hopes. Yes: People with dementia have hopes, fears, dreams and aspirations as we all do. Why shouldn’t they?

A hospital is where people come in a time of crisis. I see a lot of people living with dementia, for who life is throwing a lot of challenges their way. For this person, their reply of ‘I hope so’, came with a smile. As we held hands – I felt I had helped to connect them with their feelings of hope. Hope through faith in this person’s case. Wow: What a moment. What an utter privilege for me as a nurse.

A person with dementia might be hoping they will not need to move to a care home, they may hope friends will still visit, still care even. They may hope for their physical health to remain robust. The point is, there does always seem to be something to hope for. We must help the people we care for reach for that hope. Maybe that comes from ‘recognising that light within’, but it definitely comes from seeing the person and not the illness.

Faith might be religious, it might be a faith in a way of living, it might be a faith in one’s own beliefs and values. It’s deeply personal and unique to each human being. Dementia can tap away at your cognition, it can take away your physical ability to do many many things. Dementia can’t touch that light within. It can’t erase feelings.

We often talk of inspiring and amazing people. Well here is someone who really does fit that billing. Christine Bryden, a lady living with dementia, has written about spirituality in her book ‘Dancing with dementia’. It’s a bold statement, but I agree with her. “Dementia cannot touch your very soul, existing at the heart of many layers of self. If we, in our efforts to reach out to a person with dementia remember this, and we see inside beyond the disease: then there can indeed be ‘Faith, hope and dementia’.”

Lucy Frost: Dementia Champion and Nurse Specialist, Brighton and Sussex University Hospitals NHS Trust.
Reverend Peter Wells: Lead Chaplain, Brighton and Sussex University Hospitals NHS Trust kindly proof read and assisted the author with this blog.

A Woman’s Courage: Patient’s Teach Lessons about the 6C’s Too!

Courage comes in many guises

Courage comes in many guises

Courage comes in many guises. Immediately one thinks of the courage of our armed services in the theatre of battle. Or indeed the courage of those who face victimisation or oppression because of what they believe. In fact, in nursing at the moment, COURAGE is one of the 6C’s which combine to make outstanding care. But it’s easy to miss the attributes and virtues that relatives bring into our hospitals and which are inspirational.

Recently,I have seen COURAGE face to face in my Hospital.

So I was called to a ward and walked into the dimly lit side room and in the gloom made out two figures. A poorly and frail man in the hospital bed, and a woman sitting at his side holding his hand. She was his wife of 40 years, had been his carer for the last decade due to a stroke; and now, when his time was drawing near to leave this earth, was there at his side.

For hours on end, day after day, she would sit with him. When he slept, she rested. When he woke, she reassured him- bringing comfort and peace that no one else could.

And as we chatted, she told me about their life together: of the dogs and holidays; the good times and the bad; and all of it was infused with pragmatism and love. I visited that room a number of times; each time she was there doing what she could, not because it was expected, but because it was the right thing for them.

Now to have an illness yourself is often bearable. But to watch someone you love and are linked to go through something is, well at times, agonising. I did my best for this lady and man. I made her cups of tea; purloined some biscuits; gave her time to tell her story. But I couldn’t walk her journey; merely tread a few steps with her along the way.
She was, I believe, with him when he passed away; but if not- then he still would have known of the love which surrounded him.

We can learn a lot from books; a lot from colleagues; a lot from the internet.
But for me, if I want to know what courage is, I need look no further than this woman.

Now that’s courage.

Treading in the Footsteps of Others: A Chaplain’s Compassion

Others will follow your footsteps easier than they will your advice.

Others will follow your footsteps easier than they will your advice.

I used to play a game on the beach with my daughter when she was younger.
I would walk along the shoreline, barefooted in the wet sand, and she would follow me, trying her best to walk in my footprints and not leave a mark of her own.

It’s easy to think that we are IT isn’t it? Well it is for me at least!
The fact that we are here NOW is obvious. But many have trodden these paths before us, doing the job that we do, making a difference.
We really do stand on the shoulders of giants.

This was brought home to me by a recent email from a retired Chaplain who was a perdecessor of mine: Canon Lisle Ryder.

Lisle had seen mention of my blog somewhere and wrote to express his appreciation. He worked at Castle Street and Ronkswood before the new site and was instrumental in the spiritual care provision (including our lovely Prayer Room) at the present site of Worcestershire Royal Hospital until 2003.

And in amongst all that he went about his business of caregiving and compassionate actions.

Lisle sent me a beautiful poem with a short explanation, which for me sums up what the business of Chaplaincy and care in the NHS are about. It moved me; and I hope it does the same for you.He says:

“This is about Jim (I’ve used his real name). I had been with when his wife had a stroke and he was a wonderful support through her recovery. Later he was admitted himself as a patient and in the meantime his wife Isabel had died. He so much appreciated seeing someone who remembered her.


You look so pleased to see me
from far along the ward – Jim:
I recognised you after several years and,
returning after analgesia relieved the pain,
shared Communion. Christ’s love
which reminded you of the struggle
of Isabel. Memories re-enacting
that stroke which took so much.
I recalled her first words, that revealed her
Scottish – the long commitment you made
to her recovery. You took her home – risen.
Her life I remember vivid, but her death
is absence.
I left you sorrowful, but
somehow thankful for what we’d known, and shared
and treasured of Isabel – her courage, our faith
made new there at the bedside. Bread
and wine hallowed again and again – risen.

I Just Can’t Imagine It…On the Loss of a Baby

No footprint is to small to leave its impact on the world

No footprint is to small to leave its impact on the world


I have three teenage children and life is often chaotic, but I wouldn’t be without them – even on the worst of days. And whilst, like many of us, we have had our fair share of tragedy, we are all still here.

But really I can’t begin to imagine what it is like for the mother, carrying her baby for so long, to lose this little one. And what it must be like for dad, or grandparents, or family and friends.

To be confronted with the loss of a fragile little life seems cruel; no, it is cruel. And as much as I try, I can’t put myself in that place.

But I can imagine the treatment I would want from the health professionals around me in a situation like this. I want medical competence, of course. But I want understanding and compassion and sensitivity and care.

This is a big ask anywhere. Who is up to such a task?

Well, I received a most moving letter from someone whose daughter had just lost a baby and was care for on Lavender Unit at Worcestershire Royal Hospital. Did they receive such treatment? READ ON:

“I am writing to you as I note you wish to hear of the wonderful work done at the hospital.

My daughter was cared for over six days whilst she sadly suffered a late miscarriage on Lavender Ward recently.

Every single member of staff we encountered was outstanding in their dedication to their very difficult work. Not only do such circumstances demand the highest level of medical care, but also a clear understand of very complex emotions.

Firstly, the cleaners. They were just so lovely as they unobtrusively appeared and kept [N’s] room beautiful- their level of attention to detail and kindness was wonderful.
Then the Health Care Assistants- so discreet and careful as they made sure my daughter was comfortable and was eating enough to keep her energy up.

And the doctors and consultants, of whom there were many, and yet the consistency of approach and continuity of care was outstanding. Their skills and compassion created an atmosphere of confidence and most certainly diminished my daughter’s most extreme fears.

And, of course, the nurses. I lost count of how often I saw them work beyond their designated shift times to ensure [N’s] wellbeing. Their clear knowledge and understanding of her circumstances, and their swift action at the most difficult times exemplified the very best of human endeavour.

Not only that, but everyone working on the ward showed such care and concern for me and for my daughter’s partner.

Since her discharge, I would also like to pay tribute to the Bereavement Services from the Hospital who visited [N] and her partner at home. Their visit coincided with a very hard period for her – one of those days when it is easy to be overwhelmed by sadness and loss. The visit visibly lifted both of them, allowing them to express their deepest thoughts and to receive exactly the right comfort to sustain them as they adjust to their lives.

I have written to the ward, but saw your request on the website. It’s so important, especially in our negative media-led times not to overlook the everyday work of the highest levels of professionalism which goes on in our Hospitals.”

[Name and Address Supplied]

If I’m ever ill, it’s the Alex for Me!

I'd Choose the Alex!

I’d Choose the Alex!

Recommendation is the highest praise.

And I was delighted to get this comment from Mr. Haywood prioritising the Alexandra Hospital in Redditch over another place.

No need for exhaustive comments, just read what he has to say!

“Dear Ms D Narburgh (Matron)

Please could you convey to all the staff on ward 6 (Cardiac), my sincere Thanks for the treatment I received during my stay. Sister Kat and her staff at all times were caring and attended to all my needs and nothing was too much trouble.

All staff were courteous and respectful of my privacy, my stay at your hospital, although I was seriously ill the care I received was second to none. I work at the Queen Elizabeth hospital, and if ever I’m ill in the future my choice of hospital to be cared for would be the Alex.

Once again

Thank You keep up the good work.

Mr Mark Haywood”