Shining light on the census

Exploring census maps on religious affiliation, Jonathan Moules finds out why it is a flawed measure of a country’s faith

Jonathan Moules

Jonathan Moules is a journalist at the Financial Times.

East London, St Katherines Docks are just to behind Tower Bridge.

Benjamin Davies via Unsplash.

Faith by definition is meant to transcend reason. But the success of St Paul’s Shadwell, a 350-year-old Anglican church that regularly draws in several hundred worshippers each Sunday in an East London neighbourhood with one of the largest Muslim populations is at first glance a mystery up there with the concept of an all-seeing three-in-one god.

SPS, as the congregants call it, serves a parish where 78 per cent of those responding to the 2021 Census of England and Wales identified as Muslim. And yet the church has a membership close to 300 people. Last November, its bonfire night party in the churchyard attracted over 1,100 people, although there was undoubtedly a draw given that the hamburgers, hot chocolates and sparklers attendees could enjoy were given away for free.

The 2021 Census has been a landmark document for several reasons, including for the first time a question enabling people to identify as trans. But one of the biggest headlines it has gained has been its finding that for the first time a minority of people in England and Wales (46 per cent, down from 59 per cent in 2011) now identify as Christian, alongside a significant increase in those identifying as having no religion (37 per cent, up from a quarter decade before) and a smaller rise among other faiths.

How does this marry with the success of a church like SPS?

The first thing to say is that London provides something of an exception to the national trend of declining religious observation.

A report last year from the Church of England revealed that between 1987 and 2019, the number of people regularly attending a CofE church in England and Wales on a Sunday morning fell from around 1.2mn to 679,000. But over the same time period, the number of churchgoers in the Diocese of London increased, albeit slightly.

One of key reasons for London’s success is that it has been a significant beneficiary of a process of restoring the life of existing parishes, called church planting, where larger feeder churches send ordained leaders and up to 100 of their membership to either restart or bring new energy to an existing congregation. This happened to SPS 18 years ago, transforming a congregation of 12, at risk of having to close because of the lack of funds, first to 100 and then to its current size, all the more amazing because SPS has itself “planted” half a dozen other churches in other East End Anglican churches and parishes further afield.

There is another, more significant, reason why the Census is a flawed measure of the country’s faith. The question being asked was never meant to measure either people’s belief or their practice - the reason that so many people turn up at SPS and other churches around the country each Sunday.

What the Census organisers at the Office for National Statistics wanted to do was to measure religious affiliation. The reason they ask about affiliation rather than belief or practice is that a key point of the Census is to guide government spending on healthcare, education and social services. In this context, religious affiliation is a helpful guide to personal circumstances in a similar way to age, gender and ethnicity. In fact ethnicity and religious affiliation are often tightly linked, as is the case in Tower Hamlets’s Bangladeshi families, who make up almost the entire Muslim population of the borough.

One useful addition to the 2021 Census is an interactive map relating to the question of religious affiliation, in which you can drill down to clusters of streets to see how your nearest neighbours self identify.

My streets, in the middle of Tower Hamlets, buck the borough trend with 44 per cent of the Census respondents identifying as Christians. We have the good fortune to know a lot of our neighbours, perhaps because we live so close together in tightly knit terraced streets. From that group, I know a lot that would call themselves Christian although few attend church each week like us. We also share a street with several Muslim families, all British Bangladeshis, others who would definitely put themselves in the atheist category, a Sikh family and a former banker who is a member of a dwindling Jewish congregation in one of the last synagogues in Stepney.

Playing with the ONS Census map, the division of faith in Tower Hamlets closely resembles class divisions within the borough. The pockets of families linked to the East End’s white working class past, on the east and west side of the Isle of Dogs, or the upper middle class people who moved into the luxury flats around St Katharine Docks when Docklands was first being redeveloped in the mid 1980s, are all places where Christian affiliation bumps around the 50 per cent mark.

As well as boasting the country’s largest Muslim population, Tower Hamlets is also the fastest growing and the youngest (with an average age of 31 and a half) local authority in England and Wales. Many of these are the children of British Bangladeshi families, together accounting for about two thirds of the pupils in Tower Hamlets state schools. However, the young demographic also includes the so-called millennials, who have been attracted to the East End both for its vitality and its relatively affordable central London housing, and are the first generation to associate on a significant scale with being atheist.

What all of this shows is that while statistics are an essential part of understanding, we also need to understand what exactly is being measured as well as the limitations of that data.

One of the great unknowns about what data we have is how many people have started to think a lot harder about where they stand on the faith affiliation scale.

The question “what is your religion?” was only added to the Census in 2001, when 72 per cent of the population identified as Christian. No one then realistically thought that this figure was a true guide to the beliefs of the nation, and it seems that since then a lot of people have thought harder about the subject and perhaps been a bit more honest about where they stand in terms of living out a faith.

Not only is 23 years a blink of an eye in the long history of human belief systems, it is probably not long enough for society to come to terms with where it is with faith.

The more interesting figure is still the growth in church attendance in London - no doubt driven by people coming to the capital from around the world as well as the church planting movement. Bums on seats is still a flawed guide, but still probably the best one in terms of understanding where the British public are at when it comes to faith.

Find out what your neighbourhood believes

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.