Article
Culture
Film & TV
4 min read

Shardlake: the Disneyfication of the Monasteries

What works, and doesn’t, translating from page to screen.

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

Two men in Tudor clothing converse in a street
Shardlake, left, played by Arthur Hughes.

Have you ever had that sense of dread on discovering your favourite novel is going to be a movie or a TV series? Fans of CJ Sansom’s books have been divided on the adaptation of their favourite historical novels about a hunchbacked lawyer during the Dissolution of the Monasteries. Some have been delighted by what they’ve seen, and felt the four episodes of Shardlake on Disney+ were true to the original books. Others were appalled. 

The originals books are greatly loved. On The Rest is Entertainment podcast, Richard Osman read out comments from his own mother about how and why she loved CJ Sansom’s book so much. I was not so captivated. I read the first book, Dissolution, some years ago and liked it. But I didn’t like it enough to read more. 

So when the TV adaptation landed on Disney+ I was curious. My own reaction was relief that CJ Sansom had passed away only days before his first novel arrived in our living rooms. Sansom was committed to historical accuracy and authenticity. The TV Series? Not so much. 

But Shardlake is entertainment for the masses, not the bookish. Why shouldn’t sixteenth century monks have incredible teeth? Why shouldn’t they burn candles by the dozen in every room of the monastery, day and night, despite the fact that candles were eye-wateringly expensive back then? And yes, these monks should be going to church at least nine times a day, and spend hours in prayer and private study. But who really wants to watch that? This isn’t Wolf Hall on BBC2. This is mainstream global streaming TV: the Disneyfication of the Monasteries.

Given the differences in the media, why are both versions of Shardlake so successful? The secret sauce is the hunchback himself, Shardlake. 

As a screenwriter myself, I know all too well that the dynamics of twenty-first century television – aka ‘content’ – and novels are very different. (My failed novels have reinforced this lesson for me). Shardlake has to appeal to an international audience who have not read, and will never read, CJ Sansom’s books. They won’t even listen to Tom Holland and Dominic Sandbrook talk about the Dissolution of the Monasteries on The Rest is History podcast. 

Novels are fairly cheap to print. TV is expensive, burning money faster than the monks of St Donatus can burn candles. Shardlake is international TV, financed internationally and filmed internationally. Consequently, you are not looking at the Kent countryside. You are looking at Hungary, Austria and Romania for a mixture of reasons. Mostly these would be tax breaks, cheaper crews and financial incentives. 

St Donatus’s monastery is a mash up of the medieval Kreuzenstein Castle near Vienna and the gothic Hunedoara Castle in Transylvania. It looks brilliant. It just does not in any way resemble a medieval monastery – which were surprisingly uniform through Europe. The chapel at the monastery is comically small, whereas there would, in real life, be a hilariously large abbey. 

The New Stateman said, “This is not Merrye Englande. It is the Grand Anywhere we’ve come to know all too well in the age of streaming, and it bores me to death, my eyes unable to stick to it,” which seems a little over dramatic. Most of the reviewers were unconcerned by this lack of historical accuracy. The Guardian called it ‘magnificent’, others ambivalent. It scored about 80% on Rotten Tomatoes with both the critics and the audience. Overall, Shardlake has been a hit. 

Given the differences in the media, why are both versions of Shardlake so successful? The secret sauce is the hunchback himself, Shardlake. He is the sleuth, trying to solve the murder of a fellow commissioner in the service of the King’s ruthless right-hand man, Thomas Cromwell. The recipe for the Shardlake sauce is made up of two key ingredients. 

Shardlake bears his cross with fortitude, not bitterness. 

The first is his goodness. It seems like a bland attribute, but it’s rather refreshing, especially in a world divided both then and now. Shardlake is not complex character with inner demons. (At least that’s not how he’s presented in the first book or this adaptation.) When I read the book, my abiding memory is that Shardlake was one of the good guys. This was surprising at the time as normally Protestants were seen Philistines and cultural vandals who cynically changed their theology to strip the church of its wealth, before passing the churches on to their descendants who smashed the statues, whitewashed the walls and, eventually, cancelled Christmas. Shardlake may be in the service of Thomas Cromwell, but he knows in his heart of hearts that Anne Bolyen was innocent of the crimes for which she was beheaded. And in some small way, he makes amends for this. 

But Shardlake’s goodness is only half of the recipe. The other half is his hunched back. In the sixteenth century, this makes him an object of ridicule and shame. It is not flipped around to become a strength. It is an affliction with which he has to cope. Given Shardlake’s world steeped in religion, we are reminded of the ministry of Jesus, who attracted the sick, the crippled, the lepers and the blind. They were, of course, healed and Shardlake is not so fortunate. 

Shardlake bears his cross with fortitude, not bitterness. Likewise, Jesus Christ himself bore his cross as a victim of injustice on trumped up charges, beaten and executed as one cursed alongside criminals, saying ‘Father forgive’. Shardlake, like Christ in the gospels, is a suffering servant. And now Disney may see the Gospel According to Shardlake spreading all over the world.

Article
Care
Change
6 min read

Are we forgetting how to care?

The profound act at the heart of nursing.

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.