Coronavirus week 15 – the fine line between hope and crisis…

Did we go too soon?

Most of the week has been spent anticipating the 4th of July or ‘super Saturday’, ‘Independence Day’ when the pubs, restaurants and hairdressers were allowed to reopen. Also self-catering cottages, campsites and some B&B’s along with theme parks. We were waiting an announcement on which countries people will be allowed to visit without the need to quarantine on return. There were some concerns from scientists that we were going too far too fast.

For all of the above there were some who took it as a green light to start now. Airlines had passengers off to Spain, France, Greece and whole host of other places where they had second homes or were planning to be away for many weeks. Such people clearly had enough money to ‘self-insure’ against any eventuality. Street or ‘block parties’ continued and some pubs were open early. By the time Saturday came there were camera crews and reporters ready to capture the inevitable response to cutting a bit of hair or downing a pint.

The reports appeared to be mainly positive, but watching the crowds in Soho roaming the streets on a sunny afternoon there didn’t appear to be much social distancing going on there.  As a reporter from the Associated Press put it

John Apter, chair of the Police Federation, who was on patrol in the southern England city of Southampton, said it was a busy shift, one that saw officers having to deal with naked men, “happy” drunks as well as “angry” drunks. He said the shift “managed to cope” but it was “crystal clear” that those who have imbibed one too many cannot, or won’t, socially distance.

I don’t usually use swear words but that last sentence is one to which my friend Gareth from the head injury charity might reply ‘no sh*t Sherlock!’.

A few days earlier the authorities decided that one place that the pubs and hairdressers would not be opening was the city of Leicester. Due to data showing the infection rate rising alarmingly in some post codes  a ‘local lockdown’ was imposed. Many words were written about the possible causes, some speculating that the ‘hundreds’ of local small garment factories in tiny buildings that continued working were the main reason. Others said that it was the fact that the city is home to many people of Asian heritage where the culture is to live together in multi-generational households, some in areas of deprivation. It is well-known that two of the groups more susceptible to infection are minority ethnic and the elderly.

I am weary from hours of attending the Methodist Conference along with 300 others on Zoom, voting by virtually raising our hands or completing  on-screen polls. I am emotionally drained by listening to speakers on so many topics that needed our action. They all seemed so relevant. We were diverted from our agenda on the first morning by several urgent ‘notices of motion’ that altered proposed resolutions around equality diversion and inclusion (EDI). I admit to being a little annoyed, but as speaker after speaker from the LGBTQI+, transgender, black and ethnic groups, those with disabilities both visible and hidden, spoke of injustice, hatred and, even worse – indifference, I couldn’t help but be determined that action is needed.

This is about justice and inclusion and the need to work more as a church to celebrate difference. Again I was challenged to look at the EDI learning kit – but it is so much more than that. It is easy to think that living as we do in a predominately ‘white European’ town, that I am not racist. But that falls into the example heard in church so many times, ‘well we don’t have any minority ethnic people in our church so we can’t be accused of being racist’! I would now be tempted to ask, so how many disabled, homosexual or ‘gender fluid’ members are in your church or even your circuit? Is the membership or attendance representative of the area you live in?

This focus on EDI may have influenced some representatives to elect our first BAME President elect for 2021. Rev Sonia Hicks also happens to be a woman. She has great experience having served as a Circuit Superintendent in three connexions: Britain, the Methodist Church in the Caribbean and Americas and the Methodist Church in Ireland (MCI). Sonia is quoted as saying;

As a Black person born in the UK, it is a great privilege to serve the church family I love in this new way. I will do all I can to honour this choice of the Methodist Conference and enable British Methodism to celebrate our God-given diversity.

Not for the first time, the Conference elected two women to the top posts as Sonia will be joined as Vice President for 2021 by Barbara Easton, a secondary head teacher from the West Midlands.

Next up at conference was Sam Monaghan, chief executive of our charity that provides services and care homes or living in the community Methodist Homes (MHA).  They have been very visible on our news programmes as a case study for the problems in care homes. 400 residents have died so far. It was obvious that care homes were forgotten initially. I was in tears as Sam recounted the story of those losses and that of three members of staff. Our district team decided there and then that as well as EDI, MHA would be one of our priorities for the year. One of our group with homes nearby said that some church members had commented that it is more expensive to live in them. That’s partly because they are an organisation that pays its care workers the ‘real living wage’, decided by the Living Wage Foundation, rather than the national (minimum) living wage set by our government – something to celebrate not complain about.

After the main session of conference finished for the day attended (via Zoom again) a ‘fringe event’ about how our ‘bank’ Central Finance Board (CFB) were deciding which oil companies to divest themselves from, on the advice of the Joint Advisory Committee on Ethical Investment (JACEI) of which the Methodist Church is a member. There was some ‘controversy’ that we were still investing in three oil companies who were not meeting the measures set by the Paris Agreement on climate change. CFB explained that reduced returns and loss of income had to be balanced with a judgement about the companies ‘moving in the right direction’. There were also difficulties in the metrics of how to judge the companies. Change costs money, and whilst change needs to be worked through and company’s encouraged, it won’t happen overnight ( I know we don’t have time here, but I believe that science and technology will play a large part in solving climate change – it just needs investment and a push).

We spent many hours the next two days discussing long reports on important projects and issues for our church, but as time went on I got more worked up about the young people of our church who we call ‘3-generate’ pushing hard on the climate issue, and asking for CFB to overturn their decision to keep the three oil companies. This came to a head in a debate when, despite warnings from our treasurer and others that the loss of income and costs of doing so would be many hundreds of thousands of pounds and our own independent pension scheme trustees might decide to ‘disinvest from our own bank’ to seek better returns elsewhere, a notice of motion was agreed to overturn the decision. I resolved that I would speak up on the subject. Having spent many hours preparing carefully what I would say, by the time I was called to speak it was the very last part of the final session and due to overrun I had to quickly cut what I wanted to say from three minutes, to two and then one. I nearly didn’t speak but had ‘promised’ out treasurer that I would. At the last minute my printer also ran out of ink. I was very weary and tired so, instead of putting one negative point and one positive suggestion, I stumbled my way through one minute of the negative before being cut-off mid-sentence. I was shattered and devastated. The clip is on YouTube as the sessions are up there. This is a screenshot of me making my ‘speaking debut at conference’, looking distracted by trying to read what I am saying off the other screen next to my laptop.

It has only been seen by 2,734 people (mostly watching live at the time), and as far as I can tell no more since. Fortunately it is only up there until 1st August so not many more will view it!

Other news this week

  • As well as final details of the releasing the lockdown, the prime minister announced the ‘big spend’ infrastructure projects to get the UK moving again, a boost to the economy, and providing work for many of those workers who have lost their jobs in the last four months. This led to the inevitable calls to cancel the HS2 rail project to save money and the environment. People against this often quote that there is no need for people like us in Crewe to get to London 20 minutes sooner than we do now, particularly with more people working from home in the future. My response is that HS2 is not about speed but capacity. It is to get more freight off the roads and onto rail. To develop the current system to add another line or so next to current ones will take much longer, be even more disruptive and be more expensive. Just imagine the number of ‘back gardens’ you would have to destroy and the stations, bridges and signalling that would need to be altered. There are already lots of delays from upgrading the present system to current standards, not much of which does anything for capacity, but is making up for decades of underspending.
  • The list of countries we are able to travel to without going into isolation was published at the end of the week. There were 50+ on there but some confusion as some did not want a ‘reciprocal arrangement’ whereby we are able to travel to them.
  • We had one last ‘clap for the NHS’ to celebrate the 72nd anniversary of setting up the organisation. It was supposed to be for five minutes at 5 o’clock on the 5th, but there were only a few households out near us and certainly not for the full time.
  • The figures for deaths and cases kept falling, but were beginning to ‘flatten’. The average Monday to Friday official deaths were 124 this week down from 152 last. Daily cases are averaging less than 900 now. The total at the end of the week was 44,220 and average new infections are just over 500 per day.

How was week 15 for us?

Well the NHS finally appear to have got their act together and, using the new terminology, Alyson was ‘on-boarded’ on Thursday. She received her updated NHS email address on Friday, and has spent the weekend doing some final training on the system. Alyson completed the other modules around safeguarding and GDPR. Hopefully the last portion of the training will be done this week and she can arrange to choose some sessions from the roster in coming weeks.

During my time at conference Alyson did some Nordic walking at Delamere Forest having not done any since before lockdown. Normally she is part of a group but felt safe enough to go on her own and really enjoyed it. On Friday I needed to clear my head, so we spent a pleasant afternoon walking the forest tracks for 90 minutes.

Saturday saw us forming a ‘bubble’ with Michael as we went to his house to help put up a trellis for his climbing rose on the side of his shed. Alyson took the photo below and titled it ‘danger Skaife and son at work’. As I wrote a few weeks ago I am not known for my DIY skills and have not passed any on to my sons. It was a successful afternoon as Michael only hit his thumb half a dozen times with the hammer putting in the metal staples!

Michael had gone into his office in the centre of Manchester for the first time in more than 12 weeks to setup a new colleague with the IT equipment needed to work from home. He said it felt very strange with the added element of social distancing.

I will be going into an office on the outskirts of Manchester this week in order to meet Steve the director of the accountants I am doing the project for. This was the result of a Zoom meeting when I presented my report to the directors and it was agreed that rather than me try to go over all the systems and project plan remotely, it would be more efficient to be in the office, either side of a large table and share the various systems on a large screen on the wall. It will feel strange, but the company has spent a great deal of time putting ‘Covid-secure’ measures in so I am certain it will be as safe as it can be.

When I attended the weekly live-streamed service at Methodist Central Hall Westminster, I was confronted by my disastrous speech on Wednesday again. Three of the main participants had been at the conference and Rev Paul was part of the main organising technical team, and the person who probably pressed the button to let me ‘into the room’. Anthony, a local preacher and rep from the London District, had spoken well to another ‘notice of motion’ to persuade conference to do more about EDI.

Sunday was the first anniversary of Alyson’s mum’s funeral. Again we reflected on how different things were then. Not only the social distancing and the ability to at least hold some sort of tea and meet friends and relatives, but the weather a year ago was very warm too.

Stay safe, and we will see if the easing means we cross the fine line back over to the crisis side and a ‘second wave’.

Coronavirus week 13 – The best and worst of the NHS – the old normal is back…

C22H29FO5 – the wonder drug

As it is nearly 40 years since I was awarded a BA(Hons) in Chemistry, I think I can be forgiven for not being able to give the modern name for dexamethasone. This is the drug announced this week used to treat patients with Covid-19 resulting in reduced deaths for those receiving oxygen or on mechanical ventilators.

Nomenclature has changed since I taught chemistry for five years in the mid-80s. Looking back at the literature of the time it was called 9α-fluoro-16α-methylprednisolone or 6α-methyl-9α-fluoroprednisolone, but either way even having done a biochemistry module I am not sure I would have known it was a steroid derivative of the well-known drug hydrocortisone. One of the main topics I enjoyed was organic chemistry, that of carbon compounds. Looking through the 1,280 pages of Hendrickson, Cram and Hammond’s textbook from 1977 there is no mention of it, despite being used in a clinical way since 1961. To complete the confusion that people often express when I tell them I used to teach chemistry, it is always good to have a chemical structure to describe the compound. Here are two for this drug.

The slightly more modern version on the right shows the different elements hydrogen, oxygen and fluorine as different colours and the methyl (CH3-) structures as a dark triangle. My pharmacy consultant (and wife) Alyson tells me that I was on dexamethasone for a short time in 2012. I was in hospital for 12 weeks (the time we have been locked down now) with a brain abscess, and was given it to reduce the resultant swelling of my brain.

The research on dexamethasone done in British hospitals, with volunteer patients involved in the clinical trials, has been hailed as ground-breaking. The drug has potential to save tens of thousands of lives worldwide. It must be devastating for those who have lost loved ones who may have benefited from it. This and the amazing dedication of the care staff, cleaners, physios, pharmacists, therapists, doctors, nurses, and administrators demonstrate the best of our NHS. As a country and tax payers we need to fund them to the level required. We will have a thorough review and ‘learn the lessons’, but I fear that once ‘real life’ takes over and self-interest resumes its ‘normal life’, we will forget those weeks early on when as one voice we said ‘this can’t be allowed to happen again’.

The whole system needs a thorough rethink. There have been many reviews and reorganisations over the years, and it would be natural for those who work in it to think ‘oh no not again’.  The NHS needs rebuilding from the ground up, and possibly renaming. Before Covid-19 I think most people thought of the NHS mainly as the hospitals and local surgeries. In latter years, and certainly during the crisis, there have been concerns that care homes, mental health services, and some social care is linked to the NHS. Many people comment on ‘private business’ not getting involved in our health system as a bad thing. Well I have news for them, much of what we think of are ‘private businesses’. Community pharmacies which I worked in for over 20 years and Alyson has worked in for 40 now, are private limited companies owned mostly by pharmacists but some by medical wholesalers. The same is true of almost every doctor’s surgery who are businesses of doctors setup as a partnership of lead GPs who employ other GPs to help them. These private businesses operate as ‘contractors’ and are paid by Department for Health and Social Care (DHSC), itself only renamed in January 2018.  They are paid a rate for their services, whether that’s seeing patients, running clinics or dispensing prescription or carrying out medicine use reviews that is negotiated by their professional bodies with DHSC. It should not be a surprise that negotiating with what is in effect a ‘monopoly’ supplier is not one that leads to mass riches. What does surprise those doctors who visit pharmacies or chat to owners is unlike their partnerships, DHSC pays nothing towards premises or staffing costs of pharmacy businesses, or pay for the holding of large amounts of drug stocks. And don’t even get me on the subject of Dispensing Doctor practices – people who can write a prescription if they have too much stock of a particular drug, or choose the one that’s best for their business rather than the patient.

‘Business’ and the idea of accountability and competition has been part of the health service for many years, and now we have ‘Trusts’ who are independent organisations running services at a local or regional level. They contract to suppliers and surgeries, pharmacies and ‘buy in’ other services from blood and organ donation services, laboratory services and a host of other clinical ones. There are companies who contract for IT projects, finance, property building and maintenance, catering, cleaning etc. This started when I was still in pharmacy 20 years ago and even then I could see the problems of having local GPs on trusts. As with teachers and risk assessments I wrote about in an earlier blog, most GPs are not businesspeople and they can’t be blamed for conflicts of interest between their business and that of patients and other contractors.

Many governments have presided over reforms but the last major one by the coalition government in 2010 and overseen by Andrew Lansley has proven to be disastrous. Even before starting it drew criticism from a lot of areas. The idea of giving even more power to GPs and frontline staff and increased ‘competition’ on one level might seem like a good one, but in reality it led to a mix of systems and lack of any central accountability. The devolving of the social care and public health issues to local government foundered as the secretary of state for health, Jeremy Hunt, cut the budgets under the guise of ‘austerity measures’. The well-publicised ‘scandals’ with Mid Staffordshire NHS Trust and others in care homes can be laid at the lack of oversight on patient safety.  The organisation Public Health England (PHE) was formed as a result of abolishing Strategic Health Authorities (SHAs), and at the time several directors warned that this would compromise our ability to ‘fight any future pandemic’. SHA’s would have been able to lead on organising the local response and would have people on the ground able to conduct a ‘track and trace’ system. Andrew Lansley stepped down from government in 2015 and was rewarded for his efforts with a seat in the House of Lords.

Jeremy Hunt was the secretary of health who ignored the results of ‘Operation Cygnus’ in  October 2016 used to check the resilience of the NHS to respond to a pandemic (albeit one of influenza). As widely reported at the start of this pandemic, this led to a failure to replenish our stockpiles of PPE, antiviral drugs and ventilators. It is shocking to see him in recent weeks, as the now chair of the parliamentary health and social care select committee, taking the government to task over their failure on issues he was responsible for. When he was elected by MPs to this role in January there was a feeling that this conflict of interest might stop him questioning too much. It’s extraordinary to see the exact opposite happening, but his ability to wipe clean his own responsibility is equally unbelievable.

Andrew Lansley promised a ‘bottom up’ review but ended up with more ‘top down’ structures in place and setting up a whole series of ‘independent bodies’ to monitor things.

Several people have expressed surprise that hospices receive so little funding from DHSC and other government bodies that they have to rely on local fundraising and charitable status to continue. This was put in the spotlight early in the current crisis when fundraising stopped and no provision was forthcoming to help with PPE. If a national health service is supposed to cater for us from ‘cradle to grave’, what has gone so wrong that patients and their families who are facing the real end of the health system are left to donations and sales from charity shops for the provision of care to their loved ones. Another part of the health service that I have experience of, and which has been neglected are rehabilitation units. It seems Covid-19 is an illness that takes a terrible toll on survivors, with months of aftercare needed to even walk again. Many weeks on a ventilator in a medically-induced coma leads to mental health issues as well as physical weakness.

NHS IT provision, which I had some experience of when trying to implement the Electronic Prescription Service (EPS) in our pharmacy branches in 2005/6 was one riven with problems. With the help of our wholesalers and investment in NHS broadband we got all 50 branches setup just as we were sold to the Co-op. Alyson continued working in branch and even now, 14 years on, the system is not fully implemented and looks unlikely to be any time soon. Only recently can pharmacists see a very small amount of information held nationally on any patient who comes into their branchwhen they are away from the place they live. I know from personal experience that my local hospital, 15 miles from the one in another county and a separate trust where I was treated for my brain injury, can’t access any of my scans or records. This is why I have a lever arch folder with all my records and several CDs of my scans/x-rays that I can take in should it happen again.

As predicted by my sons in a blog six weeks ago NHS IT, or NHSX as it is now called, was criticised this week for the failure to deliver the NHS Test & Trace app, and are considering reverting to the Google/Apple model. As my chair of district tweeted;

In all the ‘clap for carers’ and accolades given to those in the health and care systems, we shouldn’t fall into the trap of thinking everyone is working for the common good. In an organisation of about 1.5 million people there will be some ‘bad apples’ and strong management and administration supported by decent pay and training is needed.

Our National Health service should be as much about prevention and encouragement to live a healthy lifestyle as it is about treating us when we fall ill. The effects of obesity, diabetes, heart disease and respiratory conditions on the death rate from coronavirus demonstrates this need. The savings made from prevention should outweigh the costs of later treatment.  Education, as in many things, is vital for health outcomes as is reducing poverty.

Let’s hope the next review takes all of the factors into account and, as I wrote last week, as a country we can fund the necessary changes. Our National Health Service has become a ‘Reactive Illness Programme’ (RIP), and needs to change, and quickly.

Other news this week

  • The ‘old normal’ resurfaced in our area this week when 6,000 people attended raves in two separate areas of Manchester on Monday. Several people were stabbed, one girl allegedly raped and local people had to clear up the mess after everyone had left.
  • Crime seems to be on the increase (or at least being more reported) and terror is back on our streets with the stabbings in Reading this weekend.
  • There is more talk of reducing the social distancing requirements to one metre to get hospitality and self-catering holiday accommodation open.
  • Dame Vera Lynn died this week at the age of 103. She was called the ‘forces sweetheart’ during World War Two and had shared her thoughts during the current crisis and her song was echoed in the address to the nation by our Queen when she said ‘we will meet again’.
  • The Labour Party review on the reasons for disastrous results in December’s general election was published. It didn’t make comfortable reading for members of the party like me. We must work for Labour to produce policies which chime with the need to do things differently in relation to funding the new health and social care system, tackling poverty, improving education and closing the gap between the wealthy and poorer in society.
  • The daily death announced totals continue to fall with the Monday-Friday total this week being 853 down from 1,065 last week (a fall of 20%). The total of deaths at the end of the week was 42,632.
  • With numbers seemingly under control in European countries despite some local outbreaks in Germany, I looked again at the statistics on Johns Hopkins site and there are some awful looking graphs in other areas of the world. Here are the graphs for cases in Europe;


    These show that we are over the (first?) peak of infections. The story in two countries with presidents who think it is nothing to worry about, and are trying to get their country’s open again is not so hopeful…

    and note that the scales on these are tens of thousands rather than the thousands in Europe.
    The middle and far east countries are also showing curves which are concerning, with a ‘double peak’ for Iran. The cases are in hundreds but show no signs of decreasing.

  • We need to start looking overseas again now that we are getting the UK cases down. There is concern from aid charities that helping less well-off countries will be harder now that the department for international development (DFID) and the UKAid agency has been subsumed into the Foreign Office. A move criticised by three recent former prime ministers from both Conservative and Labour.
  • The debate and protests around racism and the ‘Black Lives Matter’ movement continued across the world.
  • I was going to write that the demonstrations and actions of climate protestors, similar to the ones for Black Lives Matters with marches and ‘direct action’ had not resurfaced, when yesterday I saw an interview with Greta Thunberg saying that she was looking forward to going back to school in Sweden, and vowing to carry on campaigning.
  • Greta’s target for criticism president Donald J Trump was back on the campaign trail with a ‘huge rally’ in Tulsa, Oklahoma where only 6,000 of a possible 19,000 seats were occupied despite over a million applications for tickets. For those who did attend there was little sign of masks or social distancing, and six of the organisers caught the virus. At the time of writing there are reports that Mr Trumps rally had been ‘turned over’ by teens and young people responding to campaigns on the Tik-Tok and K-Pop social media platforms applying for tickets then not turning up. Mr Trump said earlier in the week that a million supporters would come.

How has week 13 been for us?

Unfortunately we have another example of the ‘worst of the NHS’ in our household. Five weeks after Alyson applied to help out NHS 111 with taking phone calls from people who need to speak to a pharmacist, and after three polite chasing emails and responses from the HR team doing the ‘on-boarding’ stating that she will hear ‘in a few days’, there is still no sign of her contract or training plans. She has played her part by taking two more calls on the SOS NHS volunteering app.

We haven’t ventured to ‘non-essential shops’ yet and the crush at the Nike store in London and the lady interviewed in the Primark queue in Manchester who stated that she ‘felt like I’ve won the lottery’ didn’t pursuade us. We did go for another walk in Delamere Forest and had a picnic which was pleasant. The weather meant another postponement of meeting with friends in our garden, but we have a walk planned in a park further afield this week.

I have watched a couple of the Premier League football matches now live on ‘free tv’ and have been surprised how realistic the ‘virtual crowd noise’ is to make them seem more ‘normal’ despite empty stadiums. The  online radio commentary I heard for my team Middlesbrough was a sign of the ‘new normal’ being much like the old – we lost 3-0 and are looking at relegation again.

I had my first international Zoom with a call to our subcontractors’ office in India with the person who helps on the IT project I am doing. We have had training sessions with the team from our district who are attending the Methodist Conference in a week’s time. With over 300 representatives, Zoom will be in the form of a webinar where we can only see the person presenting and another speaker who wants to add to the debate. Voting will by the raising of a virtual hand or completing a poll on the screen, so the feedback on numbers should be much quicker than the usual manual count of raised hands in the conference hall.  I will write more about this next week. The conference service on Sunday will be at my now ‘virtual home church’ of Methodist Central Hall, Westminster in London.

Keep safe and let’s hope there is a safe further easing of lockdown in the coming week.

 

 

Life & Death – Coronavirus week 10 – taking things one day at a time

Week  10 in daily format.

I usually start these blogs at the end of the week but decided today that I will try doing a ‘daily’ note. This will allow me to capture my thoughts in real time and my mood in relation to events around the crisis. I will review and correct some grammar and shorten sections prior to publishing, but the essence of the days won’t change.

Monday 25th May – ‘I have never been so angry..’

Having made a determined effort in last week’s blog not to write much about Dominic Cummings, the story of his 260 mile trip to Durham, and Boris Johnson’s ‘defence’ of his actions at Sunday’s daily briefing, I woke up this morning quite angry. Not about the actions of the senior advisor, but more that I was so distracted by the whole thing that I missed a huge section of the blog which I had planned to cover.

Sunday 24th May was, for Methodists like me a special day. It is called  ‘Aldersgate Sunday’ formerly ‘Wesley Day’. As the web site for the Methodist Church in Great Britain explains;

In May 1738, John unwillingly attended worship at a Moravian ‘Religious Society’ meeting on Aldersgate Street in London. It was during this service that he felt his “heart strangely warmed”, as he experienced God’s love in a most personal and life-giving way. Until then he had known God in his mind, but not in his heart. Now he understood the value of a personal experience of God that would bring assurance of salvation to the believer.

This year the 24th fell on a Sunday so that made it even more relevant. Not so reluctantly as John Wesley, I attended a streamed service from Methodist Central Hall in London, just over two miles from Aldersgate Street in the City of London.  It was a wonderful service with over 1,500 watching. It was also the last service of their minister Rev Dr Martyn Atkins, former President of the Conference who was ‘retiring’ or as we call it ‘sitting down’ after over 40 years of service to his church. He was what we call ‘one of Mr Wesley’s preachers’, who had been ‘stationed’ in various places across the country as ministers in our denomination are called to be ‘itinerant’, usually staying in one place for around 10 years and then moving to another ‘appointment’ .

The penultimate service I attended in church before they were closed for lockdown was at Methodist Central Hall on 1st February. We were down in London for a visit and, never having been there, I decided to go for the Sunday service. It is an impressive place, built from the donations of one million Methodists, including members of my mum and dad’s families. Martyn was preaching and gave a challenging message about putting on the ‘armour of God’. I received a blessing and was anointed with oil by one of the Deacons at the end of the service. I  managed a few words with Martyn as we had briefly met a couple of years previously. It was in a small room at one of our closed churches, repurposed as a second-hand bookshop raising funds for the museum of Methodism at Englesea Brook Chapel, which is in our circuit between Crewe & Alsager. I was dropping some books off and Martyn was chatting to our Superintendent minister who worked there on his days off. Martyn had written an article for the ‘Methodist Recorder’ that came out that day and which was a challenge to modernise, and I told him it was thoughtful and a great piece. Martyn didn’t remember the conversation but knows the bookshop as he is a great collector of books, and said he would be going there a lot in the future as he and his wife are moving back to Derbyshire, less than an hour away from Alsager.

So, my anger was about not mentioning all that in last week’s blog.

However, the anger referred to in the heading of this section is my wife Alyson’s. Having never been ‘political’ before, she found the email address of our local MP this morning and wrote to him to express her anger at the situation over Dominic Cummings and her disappointment at the way Boris Johnson has handled it. I don’t think Alyson will mind me saying that her natural inclination is not to vote Labour. As a pharmacist and frontline worker who has seen the effects of coronavirus on her patients she wanted her MP to know. He is Dr Kieran Mullan who worked in the accident & emergency department prior to becoming our local MP for the conservatives and has gone back to work some shifts. It will be interesting to see if she gets a reply.

Neither of our moods was improved after the two press conferences that evening. The extraordinary lengthy one with the special advisor in which he showed no regrets but tried to explain why he could make special arrangements for his family. Followed an hour later by one with Boris Johnson. No one, particularly the journalists, was listening to details of how lockdown was to be eased by opening of shops and secondary schools in mid-June. Everyone wanted to keep talking about Mr Cummings. As the day ended the special advisor was still in place, left to be judged in the court of public opinion.

I sat and wrote my own email to Dr Mullan MP.

Tuesday 26th May – hey ho, hey ho, it’s back to work we go..

When the prime minister told the country two weeks ago to get back to work, I didn’t think it applied to me. I was enjoying my semi-retirement, time with Alyson, the warm weather and helping my church and the charities I am involved with. However, at 9.30am I found myself attending a Zoom ‘Monday Morning Meeting’ (moved due to yesterday’s Bank Holiday) with 18 of my new colleagues at an accountancy practice in Manchester.

My friend Steve had asked me back to do another systems project for his new company. If Alyson and I had been managing to take all the holidays that we had planned, there was no way I could have said yes. Truth be known I had some doubts about my ability but after a couple of meetings and 1-2-1’s my interest, and not a little ‘excitement’, was back. It took most of my day, and I had foregone the usual early morning exercise.

Meanwhile Dominic Cummings was still in his job, despite one ministerial resignation and a ‘revolt’ of 30 MPs and literally thousands of similar emails like mine to local MPs. It was left once again to the BBC ‘s Newsnight presenter Emily Maitlis in her opening ‘monologue’ to sum up as follows

Dominic Cummings broke the rules. The country can see that and it’s shocked that the government can’t. The longer ministers and the prime minister tell us he worked within them, the more angry the response to this scandal is likely to be.  He was the man remember who got the public mood, who tagged the lazy label ‘elite’ on those who disagreed. He should understand that public mood now; one of fury, contempt and anguish. He made those who struggled to keep the rules feel like fools and has allowed many more to feel they can flout them. The prime minister knows all this, but despite the resignation of one minister, growing unease from his backbenchers, a dramatic early warning from the polls, deep national disquiet, Boris Johnson has chosen to ignore it. Tonight we consider what this blind loyalty means about the workings of ‘Number Ten’. We do not expect to be joined by a government minister but that won’t stop us asking the questions.

Wednesday 27th May

Today was a warm one and started with my weekly 5k ‘local Parkrun’ which I have been doing as the usual Saturday morning one, I have done since 2016, has been suspended as part of the lockdown measures. We ate all three meals outside on our patio table and were delighted to see a pair of young goldfinches on our feeders.

The numbers of Conservative MPs asking for Dominic Cummings to  be sacked was over 40, and the prime minister was before a committee of senior members of parliament from all political parties. Their questions were supposed to be on his performance in the new parliament which started in December. However, they too concentrated a lot on his special advisor and what effect it might have in getting the message over for the rest of the pandemic.

Health secretary Matt Hancock tried to distract from the Cummings story by changing the sign on the podium at the daily press conference announcing the NHS test and trace strategy to help ease the lockdown. He was ambushed by the video question from a member of the public asking if everyone who had been fined for travelling to arrange childcare would have the money refunded. Perhaps taken aback by the questioner being,  as he so tweely described him, ‘a man of the cloth’, he desperately searched for an answer and promised to take it back and ask the treasury. The next day the answer came back – ‘no’.

At 9pm I logged onto the American businessman Elon Musk’s SpaceX website to watch a live stream of his Falcon 9 reusable rocket taking men into space in a Dragon spaceship that sits on top and carries astronauts Bob Behnken and Doug Hurley. It will dock with the International Space Station (ISS) and then return to earth. This was the first time since 2011, and it was cancelled with 17 minutes to go due to storm clouds. I looked forward to the second try on Saturday.

The virus touched this event when a photo of people watching the launch from a road bridge nearby caused a social media storm around social distancing and accusations that the picture in USA Today was an old one. I read an account on the paper’s blog that showed the picture from 2011 and you can see not quite so many  people, and some in the today’s one wearing masks.

We have watched the launch of a small rocket from a beach nearby the Kennedy Space Centre during a visit in 1994, so can understand the interest of locals in such a massive event.

Just before turning off my laptop to go to bed I made a sign parodying the one on  the daily briefing podium. Having done so, I almost deleted it immediately, worrying if such a thing was ok. I posted it on Facebook and Tweeted it to Rev Helen Kirk, our own Chair of District or ‘woman of the cloth’!

Thursday 28th May

The tactics seemed to work as the prime minister’s special advisor was not the top headline on news bulletins. My ‘funny’ podium sign was retweeted by Helen and liked on Facebook, so guess it was ok. This was the exchange between Helen and me.

When we had a coffee via Skype with friends David & Janis it was something they were annoyed about. Janis knows the road to Barnard Castle where the now infamous ‘test drive’ was taken and thought it unsuitable as a check for the type of journey back to London.

It was another very warm day and we had meals outside and did more work on the garden.

The evening briefing, after the cabinet had done their legally required 3-weekly review, brought news of another ‘easing’ of the lockdown measures. From next Monday we will be able to meet in groups of six in a garden or outside space, some non-essential shops, outdoor markets and car show rooms can open from the 8th of June.  Premier League matches would start from 17th June behind closed doors. Boris Johnson stated that he wanted to ‘draw a line’ under the Cummings affair and move on ‘as the country wanted’. Journalists had other ideas and asked more questions about the ‘illegal trip’, even trying to involve the Chief Scientist and Chief Medical Officer in the questions. There were questions about how people might hold ‘socially distancing barbecues’ in their gardens, and what if someone wanted to use a toilet in the house. Scotland, Wales and Northern Ireland announced different measures from England, just to add to the confusion.

The evening brought the tenth and final clap for carers. It was well supported and loud on our street, but it felt like the right time to end it.

Friday 29th May

We had planned to get up very early, have breakfast, drive to Delamere Forest, and see if we could manage a walk without getting too close to other people. We arrived at 8.45am and walked to a small isolated lake surrounded by some beautiful yellow orchids. It was not too busy with people, but there was a lot of litter from visitors over recent days. We resolved to take bags and collect it if we came again. We saw a lot of birds, went on a rope swing under a tree, and walked the parkrun course.  We arrived home by mid-morning and sat in our warm garden for lunch.

Alyson commented during the walk that it seemed odd to be in such a peaceful place surrounded by life when there were thousands of people in hospital fighting for their lives. I said that most days were like that, but it had been heightened in the last three months.

Rishi Sunak, Chancellor of the exchequer announced an extension of the furlough scheme and support for the self-employed until October.  It was at a slightly lower rate and employers were going to contribute towards the costs. Employees can go back part-time under the scheme.

We watched the last of the daily  BBC Two ‘Springwatch’ reports. It has been a joy to see all the birds nesting and trying to survive. Insights into nature, and a new section of ‘mindfulness’ where they show 90 seconds of pictures with no commentary. We have had river valleys, woodlands, seaside, and tonight’s was lakes and mountains. Wonderful.

This was followed by the satirical program Have I Got News For You, and we were back to Dominic Cummings again. The fun (laced with real anger) they had with the story reached new levels of satire. Apparently there is a Durham slang of ‘that’s a load Barney Castle’ meaning a pathetic excuse. It originates from medieval saying based on a siege in the castle. As one famous columnist is fond of saying ‘You couldn’t make it up!’.

Saturday 30th May

Another bright and sunny day. I got a new PB for my new regular ‘local parkrun’ and like every other week I finished in first place! Alyson was back on the frontline working a morning shift in a community pharmacy. It was again one where she felt safe with one patient at a time.

Two members of the Scientific Advisory Group on Emergencies (SAGE) broke ranks to voice concern about easing lockdown restrictions too early, risking a second wave and peak of infections. There was a worry that having announced on Thursday that people could meet up in larger groups for a barbecue in gardens, some would start early with the forecast sunny weekend. Our neighbours had two families together in their garden with little evidence of social distancing, and on Alyson’s afternoon walk she saw a group of youths playing a football game.

I watched the SpaceX mission finally take off to the ISS at 8.22pm. It was a spectacular event.

Sunday 31st May

Harold Wilson, labour prime minister in the 1960’s is quoted telling lobbyists before a general election, when it wasn’t looking good, ‘a week is a long time in politics’. He won the election with an increased majority. Well, it is a week since the papers and television were full of stories and accusations about a trip to Durham. It felt at the time like Mr Cummings would be sacked, especially after another day trip to Barnard Castle came out. Boris Johnson decided to try to ride out the storm, pushback on any questions, and focus on getting the next steps of easing restrictions out. It appears to have worked. The news today was of opening schools and some shops tomorrow, and the overnight announcement that those who have been ‘shielding’, and locked in their own homes for the last ten weeks are to be allowed out for walks in the local area but still not to go to shops. They can meet up with one person from another household in the open air but must maintain social distancing. As the virus is around less than it was the chances of infection have gone from 1 in 40 at the start of their self-isolation to 1 in 1,000 now.

This Sunday in the church year is Pentecost (what used to be called Whitsun), the anniversary of the formation of the early church and the day the first ‘sermon’ was preached by Simon Peter after the coming of the Holy Spirit. Watching the service streamed from Methodist Central Hall, preacher Rev Howard Mellor reminded us that the disciples had been effectively in ‘lockdown’ for coming up to 50 days waiting for the next stage in their work.  The image with tongues of fire raining down reminded me both of the fires burning in the US from the protests over the killings of the unarmed black man George Floyd by a white policemen in Minneapolis, and the power of the burning of kerosene and liquid oxygen that took the two NASA astronauts towards the ISS. The US riots had spread to many more cities overnight with more fires and looting. There was little social distancing going on there or at the protests in central London.

I watched the live stream of the docking manoeuvre on SpaceX’s web site as the Dragon-2 spacecraft gently attached to ISS. Despite the seemingly ‘slow and careful’ way the two vehicles came together; we were reminded by the commentator on the video that the two vehicles were travelling at 7.66km per second or over 17,000 miles per hour. As I watched the spaceship close in ‘slowly’ for the last 20 metres between the two vehicles which took just over a minute, they travelled over 300 miles or the distance from Crewe to Land’s End! All at 260 miles above the earth. Over 1.3 million people were watching live on-line.   Docking happened at 3:16pm and the alarm on my phone went off. It is set to remind me of the famous Bible verse John 3:16. My mind went back to the time last November when I stood on steps on top of the Hulda Gate up to the temple at the centre of the ancient city of Jerusalem. Our guide told us that when astronaut Neil Armstrong stood on them he said

I am more excited stepping on these stones than I was stepping on the moon.”

It was seeing earth from the Apollo spacecraft and from the moon that reinforced Armstrong’s belief in something larger than humanity. He had been brought up in a Methodist family and on return from the moon he gave a speech in front of the U.S. Congress in which he thanked them for giving him the opportunity to see some of the grandest views of the Creator.

The final daily briefing of the week gave the figures for deaths on Saturday as 113 compared to 215 on Friday and 324 on Thursday. The total of deaths at the end of week 10 was 38,489.

We shared a weekly family Zoom with the boys. David was happy to be back on the river Avon after his second session of solo rowing from his club in Bath. He had also managed a short swim as he capsized his single-seater boat!  Michael had been walking in Delamere again.

Alyson has arranged for a friend from her ‘knit & natter’ group to come around tomorrow and sit in our garden to share a coffee. We are planning to meet up with her sister and husband for a walk somewhere between our home and theirs in Coventry.

Next week I am planning to look at a single issue related to the pandemic, perhaps the future of the health and social care services, or the costs of repaying the huge financial debts the government support has built up.

Keep safe.


 

Celebrating my 50th & moving on…

50th Park Run - Feb 2018

This week I passed two significant milestones.

Tuesday was exactly 5 years since my neurosurgeon formally discharged me from his care, following treatment for a serious brain injury that paralysed the whole right side of my body and left me unable to speak. It was 6 months after I first went into hospital.

Yesterday I completed my 50th Park run since starting to run again almost two years ago. Although it was my fastest time for several months, that was completely unimportant. Being able to enjoy the feeling of running, breathing the clear fresh air, hearing the birds sing in the trees against bright blue sky – that’s what meant the most. Thanking God for my journey and the changed person I have become is equally important.  As I ran I thought about my family, church fellowship, friends and the medical team who have helped me get to this point.

My wife Alyson (my greatest supporter of all) often tells me that I should ‘move on’. This does not mean to forget; just not to dwell on the past and look more to the future. I feel that this is the time to take up that call.

I will always have my current symptoms of fatigue, memory issues, weakness and balance problems, but I am determined that these will not stop me from seeking new challenges and adventures.

We never know what will happen in the future, and the fact that a friend from church was diagnosed with a brain tumour and had a stroke a few weeks ago, is a painful reminder of that.

I will wear my red 50th Park Run shirt with pride and, all being well, will get my black 100th in the next two years – I tend to run once a fortnight.  By that time retirement may have happened and who knows where that will lead us.

For now my faith is stronger, my confidence has returned, my stress level is controlled (partly as I can’t hold too many things in my mind so forget what I should be worrying about!), and my general health is reasonable.

Time to ‘move on’…

 

 

 

 

The best 5k of my life – even if it took over 39 hours!

Yesterday marked a number of significant ‘milestones’ – an apt word for taking part in my first ever ‘Park Run’. 23rd April is our school friend Keren Harvey’s birthday. Protocol dictates that I shouldn’t give her age away, but it was 39 years ago that Alyson & me started ‘dating’ at Keren’s 18th birthday party.

I had been meaning to take part in our closest Park Run at Delamere Forest, situated between Northwich & Chester, for several weeks. Our son Michael could not run with me, having had a significant milestone of his own this week. He moved to work in the Sydney office of his company for at least 3 months. I had suggested to Michael that we do the run last Saturday. Apart from being busy with his packing, he observed that the publicity over a council starting to charge Park Run for using paths, which until then had been free, may have meant a larger turnout than usual showing their support for the organisation.

Checking the forecast all week it seemed that it might be wet. Being a fair-weather runner and unsure of my footing in slippery conditions, the prospects didn’t look good. On Friday I was mentally and physically tired from the events of the previous two days. However, on Saturday the sun was shining and it was a crisp, frosty start and I felt full of hope (and energy!). After an early breakfast I set off at 7.30am with the aim of arriving early, to see how the organisation of the run worked and to check the parking situation. I got to the main car park for 8am, and it was deserted save for a group of seven or eight of varying ages carrying logs and weights ready for an early morning workout with a personal trainer.

In the hour until the run started I checked out my fellow runners as they arrived and filled the car park. There were running club groups from Warrington, Ellesmere Port, with vaguely ‘Scouse’ accents, and others more from the more local rural villages in Cheshire, with less harsh voices. There were families with young children and pushchairs. There were couples of all ages and shapes in shockingly tight bright Lycra. A few singletons who, like me, appeared to be ‘first-timers’ arrived and jogged nervously round the car park and found the start about 200 yards away on the edge of the forest.  Then there were the inevitable dog-walkers.

Wearing my tracksuit jacket, thinking it may be cold, as 9am approached the sun shone and it was warm enough jogging on the spot. The top came off to reveal my 2006 Great North Run(GNR) t-shirt. I had chosen this partly as it is cotton and doesn’t rub when I run, but mainly to remind me of the last time I did an organised run. I completed my fifth GNR in a time of 2.5hrs and raised over £2,300 in memory of a church member who had died of bacterial meningitis just after Christmas that year. It was very emotional as I got to the home straight on South Shields sea front and imagined Mike running alongside me and encouraging me to finish. Today’s run would turn out to be equally emotional.

I had printed my Park Run bar code which you need to get a time for your run. Noticing it had Michael’s UK mobile number as an emergency contact, I text him to say I was doing the run but not sure what he would do if someone called about me at 6pm local time in Australia!. He wished me luck. About 300 of us gathered at the start and after a few brief instructions about the route and procedure at the finish we were off. Every runner is deemed to start at the same time and the 3o seconds or so it took me to cross the start point would be irrelevant as it is not the sort of event where seconds are important. The aim is running against yourself and improving your times over the weeks and months.

The course at Delamere is uphill through a forestry track for about 3/4 of a mile then a circuit of Blakemere Moss, a large pool in the middle of the forest, then back down to the start/finish near the visitor centre. I found myself at the very back of the run. I was ready for this as the main goal was to see if I could jog at a pace just above walking for the whole distance. Alyson & I had walked the course a few weeks earlier which helped as I was familiar with the terrain and where we were going. Having done quite a few 10k’s and half-marathons over the years I also knew that there would be some who set off like Usain Bolt for a few hundred yards then come to a complete stop and walking very slowly. So it was that a mother and young son were doing exactly that, and I spent the whole of the run going past them and waiting for them to go past me. Similarly a young woman and her mildly overweight friend were doing the same ‘shuttle runs’. They would have managed a lot better had they heeded the advice from the volunteer marshal at the second check-point to do more running and less gossiping!  They encouraged each other and I saw them at the end talking about doing it again next week; exactly what this event is all about.

It was all I could do to keep running in a vaguely straight line and not to trip as my footing & balance are less sure than they had been 10 years previously. As we jogged by the point where the track and pool meet the B-road through the forest, the sun came through an opening in the trees, and I took a quick glance at my watch. 20 minutes. At the front of the ‘race’ there were competitive types and the top 10 would already have finished. They would have had their cup of coffee and be in the car on the way home by the time I got to the end. By my estimate we were about halfway round, my breathing was steady and my legs had started to feel stronger and less heavy. This could have been the point where my enthusiasm got the better of me, so I resisted the temptation to start passing a few of those in front. I tripped over a tree root and came close to being face-down on the muddy ground!

Soon we were back on the track down to the Start/Finish line and I did indeed pass a few people on the way. The young lady marshal who earlier had told the two girls to stop chatting, shouted words of encouragement and said I was looking great. It lifted my spirits and I started to get emotional. Around four years ago I was training for a triathlon when I suffered a brain injury. After 10 weeks in hospital during which time I had not been able to speak, move my right side or stand, I took my first steps unaided on the day my mum died suddenly a week after visiting me in hospital. I also had a total hip replacement in 2013. My physio Annette specialises in using an hydrotherapy pool to remake connections between the brain and muscles which have been lost. After a year Annette got me standing correctly  and last November, rather than walking like a stiff-legged robot, she taught me how to run again. With exercises for both my core and improved balance, I resolved at New Year to start jogging again. Until yesterday my furthest distance was less than a kilometre on a gym running machine. I was tearful as I gave thanks to God for my faith, the support of my  family, friends and the prayers of my church fellowship that had got me to this next stage of my recovery.

Driving back home my car which reads texts to me announced that Park Run had messaged and interpreted 39.22 as ‘thirty nine hours and twenty two minutes’!

More Park Runs at Delamere and volunteering on other weekends are definitely on my list. My brother Andrew has a charity entry for this year’s Great North Run in September. If I can continue to improve you never know….at my present rate I could finish in less than 5.5hrs!

In honour of 23rd April milestone this year here are two Shakespeare quotes that you may think apply to my first blog post:

  • “Wisely and slow; they stumble that run fast.” Romeo and Juliet

  • “You speak an infinite deal of nothing.”  The Merchant of Venice

And a Biblical one to end on:

“…let us throw off everything that hinders and the sin that so easily entangles. And let us run with perseverance the race marked out for us….” Hebrews  Chapter 12 v1.

For more information on Park Runs and to find the nearest one to you head over to 
www.parkrun.org.uk  
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