Friday 30 December 2011

NHS Spiritual Care In The Community!


On 30th  March Maureen and I joined 113 other delegates from the NHS and Voluntary sectors at a stimulating conference in Perth entitled Building Resilience, Enhancing Community Wellbeing.  Five pilot sites throughout Scotland placed either a Chaplain or a chaplain-trained volunteer in a GP surgery to provide a simple, reflective listening service to patients who might otherwise inappropriately be labelled “depressive”, and would leave the surgery with a prescription for antidepressants.  Another project in Dundee involved the concept “Social Prescribing” whereby similar patients were assessed for referral to various self-help groups, including the prescription of exercise through walking or a local health and fitness club.

We learnt that resilient communities “.....demonstrate love, peace, kindness, joy and goodness, accepting that people do suffer, are able to remain hopeful in adversity, and yet are able to recover meaning in their lives.”  These are spiritual concepts which NHS Healthcare Chaplains are now interested in supporting within the community.  Evidence suggests such communities stay healthier, and make better recoveries from ill health.
How exciting that the NHS is now recognising the value of enhancing community wellbeing by supporting spiritual need.  Could this be an opportunity for Faith groups, who are part of the community already, to work alongside the NHS professionals?

Why Spiritual Care Should Matter in the NHS


If, as Teilhard de Chardin has said, “We are all spiritual beings trying to express our humanity,” then the holistic definition of health as “a complete sense of physical, mental, social, and spiritual wellbeing” is crucial. For spirituality involves finding  meaning, purpose, and hope in life. Whilst belief in organised religion may have declined belief in a non-material part of life is still prevalent.

Recent developments in quantum physics tend to support the importance of non-material factors in our lives. Through the “interconnectivity of all matter” actions can have an effect at a distance (the “non-local effect”). It has been observed that electrical conductivity in the DNA of isolated human cells can be affected at a distance of 350 miles by the triggering of different emotions in their original donors. Also, studies show human cells grow more quickly in a culture dish when “touched” by positive and empathetic thoughts regularly, even though the cells are not derived from the person “touching.” Thus empathy can influence human DNA.

More significantly the empathetic intentions of spiritual healers have been shown to have a detectable effect on the MRI scans of the brains of recipients at a distance – another “non-local effect.”  The part of the brain affected is also associated with the placebo response, which is now known to be our powerful inner healing drive and not just a positive psychological response towards the doctor’s treatment. So whilst we do not yet have hard scientific evidence that prayer does work for physical and mental healing, the recent study above of healers sending prayers for healing to recipients demonstrates a clear pathway for a healing effect to happen.

Psycho-neuro-immunology is the science of understanding how psycho-social factors in our lives (are we loved? do we suffer discrimination? does our life have meaning, purpose, and hope, etc.) affect the functioning of our immune system through connections with the brain. So factors that affect our spirituality/spiritual wellbeing can influence our immune systems. In this way mind (and all its internal and external influences) and body are not separated, and we should speak of the mindbody.

The evidence base for supporting the positive link between spirituality and health is mushrooming and no longer confined to the palliative care situation with the terminally ill. HIV/Aids patients with positive spiritual wellbeing have been shown to have maintained better functioning immune systems than those without. If patients are struggling spiritually, with life having lost meaning and hope prior to significant cardiac surgery, they will not experience such a good surgical recovery and outcome. Coronary artery stenting (keyhole opening up of blocked/narrowed arteries) does not work so well in patients suffering from a sense of hopelessness.

Even today most disease cannot be cured, so “Health-Related Quality of Life” (HR-QoL) is becoming an important measure of the effectiveness of treatment. Spiritual wellbeing has now been shown to be strongly positively associated with HR-QoL, particularly with chronic long-term conditions such as arthritis, and most cancers.

The Scottish Government has stated that “...spiritual care is integral to the holistic care it provides.” With 60% of patients who use the NHS being over the age of 60 years Faith in Older People has an important role to play in influencing the NHS to care for their spiritual needs.  As the current financial restrictions impact on the NHS it is imperative that we strive for spiritual care not to be neglected.









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Community Chaplaincy Listening Services



In the past financial year, the Scottish Government and NES have funded the development of pilot Community Chaplaincy Listening (CCL) Services within GP surgeries in several health boards across Scotland as part of a single action research project. CCL is part of a shift towards developing spiritual care services in community settings in line with Scottish Government spiritual care guidelines, the person -centred agenda of the Quality Strategy and Shifting the Balance of Care.

In most health boards chaplains have been providing CCL services although a few specially recruited, trained and supervised volunteers have also been involved. CCL tries to enable patients to explore existential questions and (re)discover their inner resources to help deal with times of adjustment and loss in their lives.

The research aims to:
·         assess patient wellbeing following involvement with the service
·         perform a cost benefit analysis in relation to savings which the services may make in relation to prescribing, GP time and hospitalisation.

In the coming year a continuation of CCL activity will enable pilot projects to be embedded further and will enable more GP surgeries to be involved in a wider range of health boards to provide this service.

A DVD is available from NES which includes feedback from the stakeholders involved in the initial pilots - service users, GPs, a health board medical director and chaplains.

This received very positive feedback when showcased at a national conference held recently in Perth Concert Hall

Further information from: Ewan Kelly, Programme Director for Healthcare Chaplaincy and Spiritual Care  email:  ewan.kelly@nes.scot.nhs.uk

Handwritten Bible Project


To celebrate the 400th anniversary of the publication of the King James Version of the Bible, MHA encouragedits residents to produce a new testament written entirely by hand.

Each home was invited to pen a few chapters, either individually or as a group.  As Auchlochan has more residents than any other MHA development, I suggested that we could complete 60 chapters. 

A large group of willing residents gathered in Auchlochan’s Douglas Suite on the afternoon of March 7th2011, bringing their favourite pens, and by the end of the allotted time the bulk of the work was completed.  Individuals spoke warmly of the scriptures coming alive as they concentrated on forming each sentence and spelling each word. 

Only when the sheets of writing were gathered in were we able to witness the miracle that had taken place.  Each hand was so very different from the next, but every page fitted into the whole, in just the same way in which the bible itself was formed.  Rarely is such evidence of diversity within community so clearly expressed during a group activity in which every member is working towards the same goal.

We look forward to seeing the finished article and giving thanks to God for the gift of the bible.


The Revd. Cliff G. Jackson
Chaplaincy Team Leader
MHA Auchlochan Garden Village,
Lesmahagow


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