Edinburgh's grim endurance test of character

How a comedian survived the Fringe and kept going back.

James Cary

James Cary is a writer of situation comedy for BBC TV (Miranda, Bluestone 42) and Radio (Think the Unthinkable, Hut 33).

Three actors stand on a stage, in costume, surrounding a metal conical structure.

Expensive prop? Check. Just Out of Reach performed at the Edinburgh Fringe Festival in 2008.

EFFC, Public domain, via Wikimedia Commons.

This article was first published 22 August 2023.

The Edinburgh Fringe Festival is probably the greatest arts festival on earth. And it’s getting bigger every year. In 2001, 666 groups presented 1462 shows in 176 venues, selling 873,887 tickets between them. By 2017, everything had doubled. 3398 shows at 300 venues sold 2.9 million tickets. Even Covid19 couldn’t burst the balloon. This year, the Fringe is as big as ever. How does it keep on growing?

I have a controversial theory based on my experience as a Fringe performer. And it’s not about the insatiable demand for tickets, but the strange supply. Let me explain.

Every year, tourists arrive in Scotland’s capital to sample an exciting buffet of comic and dramatic treats, alongside a smorgasbord of bizarre spectacles. It’s a hit-and-miss affair, for sure. But most punters know that most shows are, well, a punt. The fringe programme contains comedians, theatre troupes and performers you’ve never heard of performing something that’s rather hard to get one’s head around, until one’s seen it. And sometimes not even then.

The average Fringe goer might well take in half a dozen shows over a long weekend. One might be a favourite Mock the Week comedian of the telly in a venue that seats 800. But the rest are small, intimate, dank spaces that may be uncomfortably packed, or embarrassingly empty. Again, that’s all part of the experience. Add some beers, some unfamiliar street food and just enough sleep to function, and that’s the Edinburgh Fringe experience.

Spare a thought for the thousands of performers you leave behind. There are the ones trapped in that outré fringe show which runs until the end of the month.

Except it’s only one side of it, oh Fringe goer. As you jump on a train from Waverley station and return to the office with a sore head and some good stories about some weird outré theatre that really didn’t work, spare a thought for the thousands of performers you leave behind. There are the ones trapped in that outré fringe show which runs until the end of the month, doomed to perform the same deeply flawed show twenty-seven times, like Sisyphus rolling his rock up the hillside.

If you’re a fringe performer, and I speak from the experience of having performed or produced various shows at the Edinburgh Fringe between 1996 and 2017, things are rather different.

The Edinburgh Fringe is not a talent show where the obscure but gifted performer finds an audience, acclaim and fame through sheer hard work and pluck. That is the experience of a few, but for most, the Fringe is more like running a marathon in the rain wearing an amusing but extremely absorbent fancy-dress costume. It is a test of grim endurance.

It’s not just an endurance of physical stamina, although the odd hours, the alcohol and the ill-advised street food all take their toll. Ultimately, the Edinburgh Fringe is a month-long examination of character. You will experience emotions and feel frustrations that only happen in this annual cauldron of dysfunctional ambition.

It’s not about the show. The 60 minutes spent on stage in front of the barely adequate lights is the straightforward part of your day. The show, even if it’s improvised, is broadly the same each time. How you spend the other 23 hours is real test.

You might think that the task is simple. Every day, you leap out of bed, eat a hearty Scottish breakfast, grab your stack of flyers, and go out and spread the word about your show. No?

Here’s the problem: within a week or so, you’ve worked out that your show is not what you thought it was. What seemed to be an hilarious off-the-wall idea back in February, now seems like a joke worn thin, that technically didn’t quite work in the first place. You are not in contention for an award. Your show doesn’t have any ‘buzz’. Your temporary friends console you that you’re being penalised by doing something different. Or you’re in the wrong slot. Or in the wrong venue. Or getting the wrong audience… when you get an audience.

The expensive prop from your show that is carried around the streets to sell tickets now feels like an albatross around your neck. Your costume hasn’t been washed for over a week and probably never will be. And every punter you speak to has already booked to see the hot new show that has captured the zeitgeist. Oh, and the Cambridge Footlights. And that comedian who was on Mock the Week. Or as it Live at the Apollo? And then they’re going out to dinner with some friends.

At that moment, you remember how much this is costing you, the largest amount of your budget going to your temporary landlady who is currently sunning herself in Malaga having rented you her broom cupboard.

And then it starts to rain.

There’s something about the Edinburgh Fringe that keeps performers coming back year after year. Next year, it’ll be different. And it isn’t.

It appears that I have not made my case for the continual expansion of the Edinburgh Fringe. I have demonstrated a thousand reasons to abandon Auld Reekie and never to return. But let me tell you about what happens next to our hapless performer.

In the short term, the embittered, disenchanted performer may give in to the seven deadly sins, justifying all kinds of self-destructive and narcissistic behaviour. Terrible food, too much booze and ill-advised liaisons. But this is Edinburgh where everything is multiplied many times over. It’s not the seven deadly sins, but seventy-seven deadly sins.

In fact, wait. ‘The Seventy Seven Deadly Sins’? Is that an idea for a show for next year? You start to design the flyer in your head. In the midst of your frustration and exhaustion, you’re already planning your return next year.

Here’s where the wisdom of the ages kicks in which explains my theory. In the Bible, there is a wonderful proverb from King Solomon which runs thus: “As a dog returns to its vomit, so fools repeat their folly.” There’s something about the Edinburgh Fringe that keeps performers coming back year after year. Next year, it’ll be different. And it isn’t. But maybe the year after it will be. And so every year, alongside the newcomers, the old timers return with a new show. And the fringe grows a little bit more every year.

Actually, the first half of that proverb sounds like a great title for a Fringe play. And after my years of experience, maybe it’s time I went back…

Article

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.