Interview

Change

Community

Faith

S&U interviews

2 October 2023

6 min read

Cost of living crisis: faith and food banks combine to tackle destitution and its causes

The Trussell Trust wants food banks in its network to reduce the need for their services. Robert Wright finds out why the trust regrets they still distribute so much food.

Robert Wright

Robert is a journalist at the Financial Times.

A man stands in front of a food bank's shelves of cereals and boxes labelled by foot type.

Howard Wardle at Eastbourne's food bank.

When Howard Wardle was making plans to set up a food bank in Eastbourne, in East Sussex, he received little support from his fellow church leaders. Speaking in the industrial estate warehouse that has been the food bank’s headquarters since 2017, Wardle recalls how at a meeting called to discuss the idea he largely encountered bafflement. At the time, Wardle was pastor of the town’s Community Church.

“They said, ‘There isn’t a need in the town – you’re wasting your time doing it’,” Wardle says of the meeting in 2011.

Wardle nevertheless received encouragement from Eastbourne’s Citizens’ Advice Bureau, from the major of the local Salvation Army congregation, the local authority’s social services – and the Trussell Trust, the UK’s largest organiser of food banks. The food bank, of which Wardle is now chief executive, last year handed out 280,000 meals.

Yet for Wardle and the Emma Revie, the Trussell Trust’s national chief executive, it is a matter of regret that its members are distributing so much food – organisations affiliated with the Trussell Trust handed out 2.99mn parcels in the year to March 2023. The figure was a 37 per cent increase on the year before, a rise largely down to the cost of living crisis started by the spikes in energy and food prices following Russia's full-scale invasion of Ukraine in February 2022.

“It’s incredibly worrying and upsetting that so many people – more people – are having to come to food banks,” Revie says.

Workers at the Eastbourne Foodbank and others nationally are following a strategy of campaigning for policies that seek to ensure no one needs to seek emergency food support. They also employ staff who help clients to navigate the benefits system, prepare for work or take other steps to find a permanent solution to their problems.

“We were absolutely resolute that enough is enough. We needed to do whatever we needed to do to reduce the number of people needing to come to food banks.”

Emma Revie

The Trussell Trust centrally provides organisational support for affiliated food banks but deliberately does not undertake functions such as purchasing food.

Revie says it adopted the strategy of trying to put itself out of business five years ago, after experiencing significant growth in demand for its services. The trust was founded in 1997 in Salisbury by Carol and Paddy Henderson, a Christian couple. Christian principles have been core to the trust’s operations ever since.

“We reached a decision point where we either had to accept that this situation was likely to increase and would always be needed or we had to decide that that was not acceptable and change the way we thought about our work,” Revie says.

The trust recognised how inadequate food parcels were to the fundamental needs that member food banks were seeing among clients, she adds.

“The reason people are coming to food banks is they don’t have enough money to afford the essentials,” Revie says. “They know it’s not going to put credit on the gas meter. They know it’s not going to pay for school shoes.”

The organisation had to decide whether it accepted as inevitable that so many people needed its services or would reorient itself towards working to end that need, she adds.

“We were absolutely resolute that enough is enough,” Revie says. “We needed to do whatever we needed to do to reduce the number of people needing to come to food banks.”

“We’re not just here to get people on benefits. If we think they can work, we try to encourage people to get into work.”

Robert Crockford

In Eastbourne, the strategy of reducing dependence on food banks has been in place from the start, according to Wardle.

“When we started, we felt it was one thing to have a food bank giving out food but another to have people not need to come to food banks,” he says.

After receiving some grant funding, the food bank took on staff to help clients to resolve their financial problems and ensure they were receiving all the welfare benefits to which they were entitled.

“We built a welfare benefits team, a debt team and a medical benefits team so that we could help clients,” Wardle says.

Robert Crockford, the food bank’s senior advocacy officer, says he helps food bank clients to navigate issues such as the two-child limit and the overall benefits cap that restrict the amount benefits recipients can receive.

The two-child limit stops parents from receiving child benefit for any more than two children if the additional children were born after 2017. The benefit cap - £283.71 for a single person living outside Greater London – was introduced in 2013. It limits the total amount a person or family can receive from the system.

Crockford explains that he seeks to help clients to explore whether they count as disabled, a carer or have some other status that might enable them to receive higher benefits.

The group also works with People Matter, a charity that helps to prepare people for work.

“We’re not just here to get people on benefits,” Crockford says. “If we think they can work, we try to encourage people to get into work.”

Revie bemoans the overall inadequacy of the benefits system, pointing out that many recipients of Universal Credit – the main income-support benefit for most people who are unemployed or on low incomes in the UK – cannot afford food.

“When almost half the people on that benefit are unable to afford food, something systematically is failing,” she says. “So do you tackle the symptoms or do you tackle the actual problem?”

That emphasis on tackling problems is clear at another food bank affiliated with the trust – in Kingston, on the south-western edge of London.

Ian Jacobs, director of Kingston Foodbank, says his organisation works closely with Citizens’ Advice to try to develop permanent solutions for people seeking help.

“We do deep-dive investigations into people’s circumstances to try to see if we can get more money into people’s pockets,” he says.

Kingston Foodbank currently operates six foodbank centres and one pantry, where referred clients can select and buy reduced-price food. Jacobs says he would like one day to reverse the proportion, so that it operates six pantries and one food bank.

Jacobs, a member of the Doxa Deo Community Church, an independent evangelical church, also makes it clear that many volunteers are working at the food bank out of Christian conviction.

“We’re always open to pray with clients,” he says.

Revie says the trust is “deeply rooted” in the local churches.

“Many of our volunteers and staff are motivated in the work that they do by their Christian faith,” she says. “Our values of community, compassion, dignity and justice are deeply rooted in the Christian faith.”

Revie points out that the trust was founded by Christians and that its network grew through approaches by individual churches to the trust.
"We as an organisation work with people of all faiths and none and we certainly support people of all faiths and none," she says. "But we are deeply rooted in the local churches and many of our volunteers and staff are motivated in the work that they do by their Christian faith,” she says.
Faith has a "very special role to play" in the trust's work, Revie adds.
“Our values of community, compassion, dignity and justice are deeply rooted in the Christian faith," she says.

“We don’t believe there should be food banks in today’s society,” Jacobs says. “That’s why we do all the extra work to make sure people aren’t dependent on the food bank.”

Article

Care

Change

26 July 2024

6 min read

Are we forgetting how to care?

The profound act at the heart of nursing.

Helen Cowan

Helen is a registered nurse and freelance writer, writing for audiences ranging from the general public to practitioners and scientists.

A nurse bends beside a bed and talks to a patient

Marie Curie.

Recently, at a nursing leadership programme in Oxford, attendees focused on the fundamentals of care. Have we forgotten how to care? What can we re-learn from those who pioneered an ordinary yet profound act that affects millions?

Anam Cara is an old Gaelic term for ‘soul friend’, a person with whom you can share your innermost self, your mind and your heart. It is a term that Tom Hill, former chief executive at Helen House Hospice in Oxford, used to describe the relationship between his staff and the thousands of children and their families who passed through their ‘big red door’ in its first twenty-five years. The hospice (or ‘loving respice’ as it became known) had been founded by Sister Frances Dominica in 1982.

Other care in this country can also trace its religious roots. Between 1048 and 1070 in Jerusalem, the Order of St. John was founded for the purpose of helping pilgrims (“our Lords, The Sick”) who had become lost, weary, or beset by other difficulties while on their way to the Holy Land. Today, in the United Kingdom, the British Association of the Order has extended care to older people first in almshouses and later in care homes. A trustee for ten years was John Monckton, a man of ‘considerable talent, enormous integrity and deep religious conviction’; his tragic murder in 2004 led to the creation of the John Monckton Memorial Prize, which recognised and rightly celebrated commitment to care by care workers.

Today, across the world, seen and unseen, nurses, carers and families continue to provide compassionate care. “Assisting individuals, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge” is the very essence of nursing, captured by ‘architect of nursing’, researcher and author Virginia Henderson in 1966. Meeting more than basic needs such as breathing, eating, drinking and eliminating bodily waste (which are of essential importance), Henderson recognised the role of the nurse in enabling humans to communicate with others, worship according to their faith, satisfy curiosity and sense accomplishment.

In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care?

An uncomfortable truth brought out in healthcare reports such as the Final Report of the Special Commission of Inquiry (The Garling Report) 2008, and the Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry (The Francis Report) 2013 is though that this type of nursing is too often done badly or even missed, leading to pressure injury, medication errors, hospital-acquired infection, falls, unplanned readmission, critical incidents and mortality. According to nurse scientist and scholar Professor Debra Jackson, “missed care occurs much more frequently than we might think”. She cites a systematic review in which ‘care left undone’ on the last shift ranged from 75 per cent in England, to 93 per cent in Germany, with an overall estimate of 88 per cent across 12 European countries’.

In one offensively-titled paper, “Shitty nursing - the new normal?” (in which the authors apologise for the title but not the questions raised), real-life pen portraits are drawn of patients lying for hours on hospital trolleys, immobile through infection or injury, ignored by staff. Whilst acknowledging contextual factors for poor care, such as a shortage of nurses and resources, the authors argue that circumstances cannot be the sole cause of missed nursing care.

A report published by the University of Adelaide, School of Nursing, has called for nurses to ‘reclaim and redefine’ the fundamentals of care. It asks whether the cause of the problem (of missed nursing care) lies “deep in the psyche of the nursing profession itself?” “Has something happened to the way modern nursing views and values caring?” it continues. “Indeed, is nursing in danger of losing its claim to care? In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care? Or is this a broader social pattern where individuals are less inclined to show kindness, compassion, and care for others even if it is a necessary requirement of the job?”

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness.

Writing in the British Medical Journal, Professor of critical care medicine Peter Brindley and Consultant in intensive care Matt Morgan wonder whether doctors also “too often default to high-tech and low-touch” when patients are dying – a time “when community and connection matter most”. They powerfully begin with a mother’s comment: “Humans are gardens to tend – not machines to fix.”

Professor Sir Al Aynsley-Green, the first National Clinical Director for Children in Government and former Children’s Commissioner for England, and past president of the British Medical Association, suggests that we as a society need a “momentum for compassion”. Struck by the extremes of compassion witnessed during his wife’s treatment in the last years of her life, Sir Al wants to see a cultural transformation in healthcare: for compassion to be a key operating principle in NHS and care settings, led by the Chief Nurse’s Office; for every organisation to promote the importance of compassion at the professional level; for the views of patients and families to be sought regularly; for much earlier and better focus on compassion in undergraduate and postgraduate teaching programmes for all staff; for compassion to be inspected against by the Care Quality Commission; and for a willingness to encourage staff at all levels to expose poor practice as well as celebrating excellent care.

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness. “It’s putting yourself into somebody else’s shoes – and doing something about it.” Recently appointed the UK’s first Visiting Professor in Compassionate Care at Northampton University, at the age of 80, Sir Al certainly is doing something about it. He has made it his new purpose in life to “embed compassion into every aspect of care”.

Like Sir Al, Queen Elizabeth II, the UK’s longest serving monarch, espoused compassion, in word and deed. Living a life of compassionate service, the Queen made clear that her Christian faith was her guiding principle. She speaks of Jesus Christ as ‘an inspiration,’ a ‘role model’ and ‘an anchor’. “Many will have been inspired by Jesus’ simple but powerful teaching,” she said in her Christmas Broadcast, 2000. “Love God and love thy neighbour as thyself – in other words, treat others as you would like them to treat you. His great emphasis was to give spirituality a practical purpose.”

When nurses do unto others as they would have done unto themselves, and act as role model to colleagues, not only do patient experiences of care and their outcomes improve – but so does job satisfaction for nurses: a critical factor in nurse recruitment and retention – the biggest workforce challenge faced by healthcare organisations. Across the UK, there are currently more than 40,000 nursing vacancies, and thousands of burnt-out nurses are leaving the profession early. Whether nurses decide to stay or go is driven in part by their daily experience at work. The late Kate Granger, Consultant in medicine for older people, inspired Compassionate Care Awards in her name, envisioning that such a legacy would drive up standards in care - and surely also help retain nurses, through restoring a sense of pride, achievement and fulfilment to the nursing workforce.