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Wednesday, April 8 2009

In praise of hospital chaplains

I know several hospital chaplains, and respect them not least because they work hard, and so feel I want to defend them against the campaign of the National Secular Society to abolish their NHS funding.

I recently went to the farewell do of one such friend who worked in one of London's largest hospitals. The biggest room in the place had been booked, and yet still it was packed. There were many patients present and staff, not all believers by any stretch, and yet all quite clear that this chaplain had fulfilled a role that no-one else could, and that it was a hugely valuable role in terms of the healing the institution can bring - in no small part because the role of the chaplain is often to stand outside the formal structures of care that such institutions otherwise need to function. (Incidentally, taking services is a tiny part of their work; the NSS talks as if it is the main part. One wonders whether they actually talked to any chaplains during their research.)

All this means that it is hard to quantify the benefit of having chaplains. Their work is not amenable to a cost-benefit analysis. The NSS argues that chaplains might still work in hospitals, only paid for by churches, synagogues and the like. But that misses the point: chaplains are there to aid the healing process. I've had my own experience of that. It just seems clear to me that they are a valuable part of the NHS, probably under-resourced if anything.

Moreover, the NHS spends tens of billions of pounds a year; a few million saved on chaplains would be neither here nor there, even in credit crunch times. So, it's hard not to presume that the NSS issued this press release during the week before Easter knowing that media organisations would be likely to pick it up. They may even have thought that chaplains are an easy target, though I imagine that most who've had dealings with a chaplain whilst in hospital would conclude that the campaign is misinformed.

Of course, for the NSS, removing religion from public life is a point of principle, not just a PR strategy. There is certainly a balance to be struck on that in a secular society. But to my mind, the hospital chaplain shows why such a straightforward eradication policy is just too clumsy - inhuman even, given we're talking about staff, patients and their wellbeing.

Sunday, October 7 2007

In praise of hospital chaplains

I know a couple of hospital chaplains. They are that rare thing in the contemporary NHS: professionals paid to spend time with people. Except that because they are so rare, the pressures on their most precious commodity are immense.

It is also quite clear that spending time with people is crucial in the healing process. There's been a lot in the press recently about alternative medicine like homeopathy. Whatever you make of the science behinds these treatments, or lack of it, everyone seems to agree that inasmuch as they work, they offer patients quality time - or as Ben Goldacre puts it: 'it’s about the cultural meaning of the treatment'; and that is beneficial.

An anecdote. Knowing these hospital chaplains, when my partner went in for open heart surgery, we asked one to annoint him the evening before the operation. It stilled us - so much so that when we later spoke with the anesthetist, my partner having agree to take part in a trial of some new delivery mechanism, he commented how physically still he had been on the operating table. Apparently, many thrash about all over the place; they have to be more heavily sedated and they tend to take longer to recover.

Which is why I am quite prepared to go along with the Theos research published today, that charts the cuts in funding of hospital chaplains, by up to half over two years in one NHS Trust. Apart from anything else, this is just bad for health.

The National Secular Society doesn't see it like that. According to the Theos website, the president Terry Sanderson argues that the taxpayer should pay for doctors and nurses alone, not chaplains. Bring on the cuts!

But that is an ideological comment and one that orientates the care of human beings exclusively towards the care of their bodies. That is crucial, of course! When my partner had his surgury, we wanted someone with great skill at doing heart value replacements, not someone with good bedside manner (though as it happened he had enough of that too). But then, as we learnt, there was more to his recovery than the success of the physical procedure alone.

Apart from the spiritually-based care hospital chaplains offer, they are also a clear reminder within the NHS that patients are made of mind and spirit too. As individuals, doctors and nurses know that. But they don't have much time. And the worry is that at an institutional level, the NHS is in danger of forgetting it.