Category: Individual Health

4 Things to Do If You Are ‘Isolated’ at Home Because of Corona Virus

I’ve been thinking about how people can best use their time, if they are stuck at home during this Corona Virus, Covid-19 Pandemic. Some people will be asked to ‘self-isolate’, along with their household for 14 days because they have symptoms of a high temperature and/or a persistent and troubling cough. Others will be asked to do the same for 12 weeks if they are pregnant, over 70, or usually receive a flu-jab on the NHS (due to having an underlying health condition or on medication that suppresses their immune system). The reason for all of this is to try and suppress the spread of this virus, and maintain health in the wider community until we are sure we have better treatments and a vaccine that we can use across the population. Obviously, if you’re unwell, the first priority is to give your body time to recuperate by taking plenty of fluids (2-3 litres of water per day), eating well, sleeping and letting your immune system do it’s job, whilst you take paracetamol (at the recommended dose) to control your temperature and levels of pain. For many people, however, this time may feel frustrating, because symptoms will be mild or absent and some will be wondering what to do with the time they have been ‘gifted’.

 

There are 4 things, which I believe we can all do during this time, if we find ourselves in the situation of being in isolation, but not actually feeling too unwell.

 

  1. REST
  2. REFLECT
  3. RE-IMAGINE
  4. RESET

 

REST

This is something which we tend to not be very good at. However, we have been given the opportunity to step back from the fast-paced, consumerist-approach that we have adopted in society and take some time to just BE. Learning to accept that we are where we are and deliberately slowing down will enable us to find new strength and reconnect with that which is most important. Deliberately slowing down our breathing, our pace of walking and learning to calm our racing thoughts allows us to enter into a different mindset. Choosing to turn off our screens and disconnect from social media for good portions of the day allows us to create space in our heads and our hearts for another way of being. I know that social media can be a really important and safe space for many people to continue to connect and feel part of community, breaking down a sense of isolation and loneliness, but if we’re on there all the time, it can really fill our heads with unhelpful traffic and noise, which stops us being able to enter rest. As we rest, we are invited to spend our time differently – to do things that are good for the soul. You could take time to create, write, read, sing, dance, pray, go for a gentle walk, cook, sit round a table and build Lego or do jigsaws with others or on your own. There is no need to accumulate new things, what can you make do with or mend? What old or new hobbies might you rediscover or pick up? How about deliberately choosing not to get a thousand and one jobs done around the house or not rushing into a new decorating project. Just stop for a while, slow-down and rest.

 

REFLECT

When we consider the far reaching potential effects of a global pandemic, like the one we find ourselves in, it causes us to pause, notice more the interconnectedness of human life across the world and the utter fragility of our systems. It should cause us to notice more deeply the injustices upon which we build our society, the insecurity of work and the implications of global capitalism on the poorest in our communities and indeed our environment. During this time, we do well to reflect on what we are learning together. Birds are heard singing for the first time in years in Wuhan – a city usually thick with smog. Destructive air pollution has reduced by over 25% in China and Italy. The canals are cleaner than ever in Venice and global air travel has decreased significantly. Of course, we notice some of the worst bits of our humanity – driven by fear – and some selfishness. But we also see the indomitable human spirit at work – huge acts of love, courage, kindness and generosity. There are amazing offers to help and support with home schooling and teachers are going above and beyond their usual brilliance, thinking creatively about how best to enable their students to thrive. Healthcare workers continue to put themselves at risk and pour themselves into the work of healing. Voluntary food clubs to feed the hungry, delivery services for shopping and medication, community support schemes and the ongoing service of the most vulnerable in our society – it’s amazing. This ability to re-organise ourselves, to connect together differently, to make wider political and economic decisions and find a way to be that feels more wholesome should give us plenty not only to be grateful for but to reflect on about why we put so much energy into maintaining the usual status quo. What good things are we noticing and learning?

 

RE-IMAGINE

What might be possible together? Can we imagine a world with less commutes and more digital connection? Doesn’t it seem more possible to cut global emissions a great deal more quickly, when we’re forced to focus our attention? Could we work and earn differently and be more generous with wages and leave, so that we don’t see so many people left in such a vulnerable state. If we can find the ability to be so kind to each other at such a time as this – why not more so all the time? As we’ve recognised the fragility of our lives and existence, are the grudges we hold worthwhile? Are we able to forgive and reconnect? Might we adopt a way of life that is more about sharing and regenerating than grabbing all we can? Isn’t community one of the most delicious and richest of experiences? How can we build more of it? Can you sniff an economics that is more about wellbeing than profit and a politics that is more about connection and participation in our life together than centralised sovereignty? How about an education system that doesn’t treat our children like fodder for the machine, but invests in their ability to build a beautiful future. Have you seen how relationship really could be the foundation of our public services? So how might we think differently about our governance structures and the way we organise ourselves – think ‘Radical Help’ (Hilary Cottam), ‘Doughnut Economics’ (Kate Raworth) and ‘All Our Welfare’ (Peter Beresford) – plus many more. Can you imagine a society in which we really put the wellbeing of all people and the planet at the heart of what we do? If so….why would we continue with a way of being together which is so detrimental to both?

 

RESET

Our invitation, therefore, is to reset. This invitation comes from the earth itself, from our deepest longings, and from the source of all love and life itself. We don’t have to continue living in the story of selfishness and scarcity. We have shown ourselves that there is a more ancient and wonderful story of connectedness, restoration and hope, to which we all belong. We don’t have to go back to how it has been. Step by step, we can use this ‘kairos’ moment to walk into a new future together. A future in which we heal our divides and regenerate our planet, forgive our deep, historical wrongdoings, rebuild our ruins and restore our relationships; do away with injustice and create reconciliation. It’s time to reset. Are you ready to press the button?

 

Here is a beautiful poem, by Kitty O’Meara, to help us rest, reflect, re-imagine and rest.

 

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Facing Death

My friend, Lucy Watts, is dying. She knows that her beautiful life will be cut short by the condition which she lives with. Death is something we often find hard to talk about, but it is one thing we can be certain of. How do you feel about death? What are your hopes and fears? Have you thought about what would happen to those around you if you died quite suddenly and unexpectedly? Or if you are facing death yourself, in a very real way, have you thought about your wishes, in terms of care, where you might like to die, and what would be important to you about your funeral? Have you instructed a Power of Attorney? Do they know what you would and wouldn’t want? These are certainly not easy conversations to have, but I am so grateful to Lucy for telling her story and how it has given her the determination to really live:

 

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Living with Trauma – The Realities of PTSD

I’ve written a number of times on this blog about the impact of Adverse Childhood Experiences. However, trauma can happen to us at any stage of our lives and its impact can be absolutely terrifying and profound. Here, my friend Charlie Webster (who some of you will recognise from various sports commentary with the BBC) tells her story to shed light on the realities of PTSD and what can help. I’m grateful for her bravery:

 

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Do We Believe in Rehabilitation?

The NHS spends a huge amount of money every year, along with local government to help people who have struggled in addiction to find rehabilitation and recovery. Much of it is ineffective (but that is a conversation for another time). However, what’s worse is that once people do recover, and find a new life, we don’t actually let them make a clean start – here my friend, Kate Morrissey bravely tells her story:

 

 

 

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The Resilience Myth

My friend, Dr Sammy Batt-Rawden knows only too well the dangers of just keeping her chin up and carrying on. In this beautiful, but heart-wrenching TEDx talk, she tells her story.

 

Staff in the NHS (and indeed all our public services) are working against a tide of a huge rise in public demand, funding constraints and dangerously low staffing levels for what is required. The old edict to ‘keep calm and carry on’ simply misses the point. There isn’t a culture of shirking responsibility in the NHS. People are going way above and beyond every day, and it is taking it’s very real toll. Yes, we need to increasingly develop cultures of joy and kindness in how we work, but there must be determined change by leaders in the Government to ensure that the buck is not passed when it comes to who is responsible for ensuring the wellbeing of our clinical teams across the UK. Teams are already doing much to take care of each other and themselves, and yet staff surveys across the UK show that absenteeism is increasing, along with burnout and morale continues to decline. Do the maths!

 

Listen to Sammy’s story and let’s change the tone of the conversation so that we can work on practical solutions together. Those solutions will include everyone. Part of the solution lies with learning to work radically differently with our communities. Some of it lies within our choices of how we use the health service. There is of course work to do in how we care for people who work across the NHS and set good working patterns. But there is still much work to be done by those in power to think more carefully about where and how budgets are spent. The new spending plan for the NHS pays very little attention to safe staffing levels or staff development – it needs much more care and attention.

 

I’m so grateful to Sammy for changing the nature of this increasingly important conversation:

 

 

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My TEDxNHS Talk

Last year, I was invited to submit a proposal for a TEDxNHS talk. TEDx are independently organised TED events, and it turns out that TEDxNHS is the biggest of these in the world. I submitted two ideas – one around how we can work radically differently with our communities and one around how we create great working cultures in the NHS – both huge passions of mine. I was well excited to get through the process of selection, but was not at all prepared for the work ahead of me!

 

I do quite a bit of public speaking and really feel alive when I get to communicate things that I’m passionate about. I had no idea how different it is to prepare for a TED talk though! I read Chris Anderson’s book over the summer, and had several anxiety-related dreams . I genuinely thought I was never going to be ready! I couldn’t even really decide what I was going to talk about, let alone get it into an engaging piece of prose, whilst sticking to the all important 18 minute timeframe. Thanks to my amazing coach, Zara Brookes (can’t tell you how grateful I am!) and the kindness of Charlotte Hall and Shane Costigan, with hours of patience and encouragement from my lovely wife, Kat, I finally got it ready – an amalgamation of my passions. I hugely enjoyed the discipline and the focus involved in preparation, and when I got onto the stage at Indigo at the O2 Arena in London, this is what happened – hope you enjoy it:

 

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Love Ecology – Part 3 – Gabriella Gilkes

The final speaker at our ‘Love Ecology’ was the wonderful Gabriella (Gabi) Gilkes, Head of Ecology and Health and Wellbeing at Eden North. Gabi talked to us about the real nature of ecology, connectivity, community and friendship. She also took us on an amazing tour of how the Eden Project will help the people of Morecambe Bay and all those who visit, reconnect with our Ecology and get involved in falling in love with and taking care of our environment, with a strong emphasis on the creative arts, story telling and beautiful experiences. Having been involved with various members of the team from the Eden Project over recent months, I am seriously impressed with their ethos, their kindness and their genuine sense of partnership with our communities, here in the bay. It really is a wonderful world! This talk is really worth 30 minutes of your time:

 

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The Art of Connecting Communities – Day 3

 

So….as has become our custom in Morecambe Bay, we tend to deliver the ‘Art of Hosting/Art of Connecting’ trainings over 3 days, but we have a bit of a break after the 2nd day and then invite people back a few weeks later, partly to let us know what they’ve tried out in the mean time, but also so we can invite our wider community of practice back into the fray!

 

Or 3rd day of ‘The Art of Connecting Communities’ focussed in on how our connections create new possibilities. As a team we felt like we needed to ground a bit more of the undergirding theory that gives depth to this way of working, as well as remembering some of the great practices involved. We checked in, this time using triads, to help us get a bit deeper straight away and then we headed into a 90 minute immersive and reflective piece of learning on the four-fold practice. We drew out a quadrant on the floor to represent the four different ways of thinking about ‘hosting’ and then used circle practice in each quadrant to really reflect together on what it means to: host yourself, be hosted, host others and host together.

 

In each of the quadrants we put a question for the circle to explore. Learning to host and host well is a shift in practice for many of us. But it is a leadership style that is open to all and gives each person a deep sense of value and confidence.

In the ‘host yourself’ quadrant we asked: How do you host yourself well in the midst of chaos? There were some really creative insights. Some which stood out were: Breathe! Be Patient. Just be. Take care of yourself. Accept Chaos.

In the ‘be hosted’ quadrant we asked: When were you last hosted well? Our key agreements were that humour really helps, along with knowing the space is safe, there is no hierarchy, lots of voices are recognised and given space and lived experience is given space to come to the fore.

In the ‘host others’ quadrant we asked: What are your strengths in hosting others? It would be fair to say that this is the question that people struggled the most at. we are so used to knowing what we don’t do well, that we felt a bit of ‘Appreciative Inquiry’ was needed. We all realised that we have strengths to bring to hosting and it’s ok to play to our strengths. It allows us to use empathy and bee aware of the needs of others as well as using humility.

In the ‘host with others’ quadrant we asked: Why host with others? There are, of course, tonnes of reasons, but the ones which stood out for us were: it’s more fun, we learn from each other’s, we support each other, we play to each other’s strengths, we value our diversity and we make better connections.

 

We then had a ‘knowledge cafe’, which enables some quick space for learning about things people might want to go a bit deeper on. It’s adult-led learning! We had 3 rounds of 15 minutes in which people could choose to go to 3 of 4 options around core theory for the ‘art of hosting’:

Theory U

Working with Powerful Questions

The 8 Breaths

Harvesting

 

After lunch we then had an OPERA! No – we did not all start singing (although much more the shame in my view!). Opera is an excellent way of helping to converge a conversation around consensus and decision making. It’s a beautifully relational and democratic process in which a group of people can make collective sense of the options available to them and what they feel really need to be the priorities.

 

We used OPERA to explore a question around saving money in the NHS locally. Basically what happens is this:

 

First you have to ask a good question! Ours was “What ideas do you have about how the NHS can save £120million pounds over the next 3-5 years (with some context given of the issues involved)?

Then everyone works silently on their own to come up with the OWN ideas. After this, they work in PAIRS to agree on their top four ideas. Then they EXPLAIN their ideas to the rest of the group. The group, having heard all the ideas, then RANK them in order before ARRANGING them into groups for action planning. It is quite remarkable to watch this process in action and to see participatory democracy really work in practice! I LOVE IT! There were some really great ideas and it was amazing to see what the group had appetite for and what they resisted or didn’t think would make enough difference. It’s a hugely helpful process that we will use again and again!

 

To finish our day, we had a ‘dream world cafe’. George Monbiot states that the only way to replace the current narrative we are living in, is not through more data, or compelling facts and figures. The only way ahead for us is to tell a better story – one that we want to live in together – one that awakens our imagination. The problem is that we have forgotten how to tell each other good stories. So, we spent some time doing just that – telling a better story of Morecambe Bay and awakening our imaginations to future possibilities. We asked ourselves: Imagine we are better connected? What new possibilities can we now envision for Morecambe Bay?

 

Imagine if we kept on doing this – what kind of stories might we tell and begin to live in? Here is a summary of what we came up with (not bad for 45 minutes!) – the last sketch is particularly moving:

 

 

 

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Love Economics – Part 4

 

We were thrilled to welcome Prof Katherine Trebeck of the ‘Wellbeing Economy’ to Morecambe Bay for our ‘Love Economics’ event. Katherine is a brilliant economist and has recently released this excellent book, ‘The Economics of Arrival’. You will be blown away by the hope of what Katherine has to say. Please make some time and let’s build a coalition of hope that things can and must change for good!

 

 

 

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An Open Letter to NHS Staff – This ‘crisis’ is not your fault – you’re doing a great job!

If you work in the NHS, in any capacity, this letter is for you, no matter what your role.

 

Dear NHS Staff Member,

 

I write this to you as a GP, who cares for many people who work in the NHS and sees the huge stress many of us feel under. I write it as a ‘system leader’ in my role as Director of Population Health and as someone who has been a patient myself, twice in the last 12 months.

 

We are constantly told that the NHS is in crisis (I’ve even written blogs about it myself!), that we’re not meeting targets, that we’re getting things wrong, that we’re struggling to cope under the strain of demand but not being efficient enough and it can feel like what we’re doing isn’t up to the mark. With all the other current surrounding narratives we live with (like Brexit and Climate Change), things can so easily feel overwhelming.

 

So, I just wanted to write and tell you that the NHS is not in a crisis. We’re just underfunded and understaffed and we’re doing the best we can in those circumstances. Demand is growing year on year and we’re dealing with real complexity. We’ve been under the biggest and longest squeeze on our finances in NHS history, for the last 9 years, and the 3.4% uplift we’ve been promised, although welcome, is not enough to keep us running as we are and do the transformational work required of us. We don’t have enough people to deliver the work we’re being asked to do and so it’s no surprise that morale is low and burn-out levels are high. None of that is your fault. You are doing an amazing job. Every day, you turn up to work, in the context of everything else you have going on in your life and you are helping to deliver a truly world-class health service. Good job!

 

Amidst all the rhetoric you hear, the targets you feel under pressure to meet, the constant flow of people through the doors, the blame and complain (and sometimes bullying) culture that can grind you down, the traumas that you deal with every day, the pain that you help people process, the love and compassion that your pour out, the siloes and frustrations with the clumsiness of the system at times and the long hours – of which you work above and beyond most of the time…..know that you are more than your job and you are valuable just for who you are.

 

So, in all the busyness, remember to listen to and look after your own needs and those of your team around you. You can only do what you can do, and you’re doing a great job. Think about Maslow’s hierarchy of needs and how much you are attending to those things.

 

Physiological Needs – are you listening to your body? Are you getting time to have a drink, eat well, stretch, sleep and get to the toilet ok?

Safety – Are you feeling safe in your work? Do you feel protected? Are you worrying all the time about making mistakes? Do you feel it’s ok to make a mistake and be able to talk about it and learn from it, without fearing some awful consequences?

Love and Belonging – Do you feel like you are an important member of your team – that you matter, that you belong, that people around you care about you? Maybe in the humdrum and mayhem of everyday, we forget to tell each other.

Esteem – How is your self-esteem? Do you feel confident in who you are? Are you treated with respect and kindness and treating others with the same – no matter who they may be?

Cognition – Are you in a place where you can think clearly, make rational choices and in an environment which values learning and development?

Aesthetic Needs – Are you taking time to admire the beauty around you and enjoy life? Without this, it’s really hard to keep motivation alive, especially when things are tough and work feels really pressured. Taking time for this changes your perspective on everything else. How is your perspective? Is it in or out of kilter?

Self-Actualisation – Are you able to be spontaneous, making wise and creative, moral choices, problem solving without prejudice whilst accepting the facts in front of you?

Transcendence – This is the place we are aiming for as human beings – that ability to move out of our ego and into the place of gift from which we can love the ‘other’ and even our ‘enemy’ with the kind of transformative substance that changes the world.

 

The truth is, you can’t get to this place of self-actualisation and transcendence if the other areas aren’t looked after – so what needs attention? What are you noticing that needs taking care of? Don’t worry about all the pressures from on high – it’s all part of a system of biopower that needs to measure things to keep control. You – yes you, are valuable and important and the contribution you are making every day is phenomenal. You will certainly make some mistakes. It’s likely that you’ll feel overwhelmed at times, so listen to what your body, mind and heart needs and give yourself some space to attend to those things. Your own health and wellbeing really matters. So if you need help – and most of us do at different times, then please talk about it and give it some focus. We need to take care of each other – it’s ok not to be ok. Only when we create supportive environments for each other can we bring our ‘A game’ and keep providing the phenomenal care, innovation and transformation that we do every day.

 

Thank you a million times for everything you are doing, despite the struggles and pressure. Together, we need to create a culture of joy and kindness. That is partly the responsibility of leaders, but its incumbent on all of us, to treat ourselves and those around us with gentleness and respect. Go ahead and keep doing the great work you are doing every day – you really are a wonder!

 

Love and gratefulness

 

Andy

 

 

 

 

 

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