Snippet
Comment
Education
2 min read

The daily trial of being a head teacher

School traumas shared.
A head teacher looks bothered, against a wooden wall
Steve Savage: the new headteacher in TV drama Waterloo Road.

I run groups for head teachers, as part of my day job. Heads answer to government, and to local authorities. Also to governors, parents, teaching staff, local press, dinner ladies, site teams… and that’s before they try to meet the individual learning needs of every child in their schools. Even people who don’t like them as a breed acknowledge that their burden is heavy. Particularly since Covid. The number of heads burning out in the face of consequent challenges is seriously worrying. 

So, I do what I can to help, by getting small groups of them together to talk. Six at a time, max, everything confidential, no minutes, no agenda, no holds barred on discussion topics. All sorts of things are raised, from asbestos in school buildings to sleepless nights before Ofsted. What do you say to a child insisting she’s a cat, or to staff accusing each other of racism? 

Yesterday’s meeting started with Rosemary. ‘Give us a brief summary of how you are, then just a headline on the topic you’re bringing,’ I said. Rosemary was absolutely fine thanks. Her topic this time: poo. 

‘What?’, I said involuntarily. ‘Seriously?’ 

‘My whole month has been full of it,’ Rosemary said. ‘Sorry.’ 

Three separate stories, she had. Recent heavy rain made the sewers overflow right through her school hall. She and her site manager were there in their wellies at 5.30am sweeping and sluicing, to make the school usable. Then there was the child entering Year 1, in nappies. He’d been potty trained last term, but then… school holidays. Nappies again. Her Year 1 teacher threatened to resign if she had to change a five-year-old, so Rosemary was doing it. ‘You have to model it, don’t you – this job,’ she said. 

And then, the day before, her cleaning team said there was something she needed to see. (Uh-oh.) The most horrendous mess, Rosemary said – in the staff bathroom. 

She is a very elegant woman, Rosemary, and by the time she’d finished miming her reaction to the state of the walls, her wielding of a toilet brush, her removal of a truly terrible pair of pants from the bin etc, we were all crying with laughter. 

But even as I wiped my eyes, I felt unexpectedly emotional. If anyone needs an object demo of what selfless love looks like, in action, they need to come to one of my heads’ meetings.

Column
Assisted dying
Care
Comment
4 min read

Proposed euthanasia safeguards insult our NHS

We must defend a collective sense of care and generosity.

George is a visiting fellow at the London School of Economics and an Anglican priest.

A gable end mural depicts a nurse in scrubs and a mask turning and looking towards the viewer.
A mural of an NHS nurse during COVID, Manchester.
Mural Republic

It was, I believe, the late political satirist Simon Hoggart who coined the Law of the Ridiculous Reverse, which held that, if the opposite of a statement is plainly absurd, then it was not worth making in the first place.  

This law comes to mind when Labour MP Kim Leadbeater promises that her Assisted Dying Bill will have the “strictest safeguards in the world”, one of which is that those patients who have ordered their fatal dose “would be allowed to change their mind at any time.”   

Where, exactly, has it ever been suggested that an individual, having asked for an assisted death, would not be allowed to change their mind? I’m just wondering which legislator or medical professional has proposed that once a lethal draught has been prescribed then there is no turning back.  

I’m struggling to picture the circumstance in which a terminally ill patient is pinned down and killed, the last words that they hear being: “I’m sorry Mrs Simpkins, but everyone’s gone to a lot of trouble. You asked for it and you’re jolly well going to get it.” 

This is important because, apparently, being able to change your mind about asking for help to kill yourself is one of the strictest safeguards in the world. I hope Ms Leadbeater will forgive me for pointing out that this doesn’t really stack up. 

 And what’s serious about it is that it’s also a massive straw man argument. The clear and rather devious implication is that one of the arguments being made against the introduction of an assisted suicide law is that patients won’t be able to change their minds about it, which I think we can all accept simply isn’t a fact at all. It’s absurd – a Ridiculous Reverse. 

So I’ll defend the NHS with a religious fervour. To my mind, healthcare is a holy mission. We meddle in law with the Hippocratic Oath at our very deep peril. 

It’s also hugely contemptuous of the medical profession in general and rude to the NHS in particular. That’s because there’s a snide impression behind Leadbeater’s comment there may be hundreds of budding Harold Shipman out there, but her powerful safeguards are going to protect us from them. 

We’re in danger of becoming inured to this kind of insult from politicians directed at the NHS. And it’s worth exploring why they might think we need to be protected from unscrupulous doctors and nurses. In this case, one possible reason is that the NHS isn’t being particularly helpful in giving the euthanasia enthusiasts what they want. 

Doctors and their staff have plenty of ethical objections to assisted suicide. But leave those aside for a moment. At the practical level, the NHS has made it clear that it doesn’t have the infrastructure to operate a policy of assisted deaths safely. And it can’t afford to set one up. So a government that introduces assisted suicide is going to have to organise and regulate its own assisted death agency. 

“Oh,” the assisted dying lobbyists seem to exclaim, “we’d presumed you’d do as you’re told.” Just hand out the hemlock. Take your instructions from the legislature. 

But the NHS is better than that. And it’s that kind of high principle that so infuriates feckless politicians. It was the late Nigel Lawson who said, somewhat ruefully, that the NHS “is the closest thing the English have to a religion”. The right wing of politics regularly tells us it’s time to renounce that religion. 

To worship the NHS as a religion would, literally, be idolatrous. But it’s not so to acknowledge its religious qualities. Just look at the word – the Latin religio means something like “good faith”, the essence of who we are, what makes us good. 

The NHS, in its post-war incarnation, has been central to who we are as a people and what defines us. It’s something to do with our collective sense of care and generosity to one another. Its members, like our national Church, make up a single body. 

This is not to co-opt the NHS as the medical wing of the Church. It’s no part of the NHS’s brief to proselytize – rather the reverse; Christian medical staff have been in deep disciplinary trouble for evangelising. It is a profoundly secular organisation. 

So the NHS emphatically isn’t in the business of propagating the gospel. But that’s not to say that we can’t be in the same business. Many priests have stories of their most affirming work being in the company of people of other faiths or of none. 

The NHS’s proud heritage is to offer treatment free to anyone at the point of access. Put another way, it will seek to heal anyone who comes to it. I make no apology for saying that sounds familiar. 

So I’ll defend the NHS with a religious fervour. To my mind, healthcare is a holy mission. We meddle in law with the Hippocratic Oath at our very deep peril. 

And when NHS professionals tell us where we can stick our assisted suicides, I respectfully suggest we give it our solemn attention, rather than patronisingly offering a Law of the Ridiculous Reverse.