Interview

Change

Community

Politics

9 October 2023

6 min read

The thin place family-making creates

Fixing a broken adoption system leads to a 'thin place' – one where family-making transcend traumas. Belle Tindall meets Tarn Bright of Home For Good.

Belle Tindall

Belle is the staff writer at Seen & Unseen.

Three young children run away into the distance down across a field of long grass.

Towards a thin place.

Photo by Jordan Whitt on Unsplash.

‘The thin place’ is one of those wonderfully old terms; fifth century old, to be exact. It’s what Celtic Christians labelled the precise places where it felt as though this world and another would meet. Those places were thin because the atmosphere they provided made it appear as though there was very little separation between humanity and the divine. The seen and the unseen, residing in particularly close proximity.

Being Welsh, I have a soft spot for anything remotely ‘celtish’. Being a lover of anything enchanting, I swoon at such a beautiful notion. Being a Christian, I happen to believe that thin places are real.

Here’s the interesting thing though, when the Celts used this phrase, it was pertaining to a geographical area – a Welsh waterfall, an Irish woodland, a Scottish Loch (sorry England, I’m sure your Anglo-Saxons were just as appreciative of you). But when Tarn Bright, the CEO of Home for Good, used this phrase just last week, it was when talking about the UK’s care system.

Quite the unexpected twist, isn’t it?

But you need to spend approximately three minutes in Tarn’s presence to agree with her. In fact, whenever I find myself chatting to anyone from Home for Good, an organisation that is intent on ‘finding a home for every child that needs one’, I find myself in a very thin place indeed.

As a way of explaining myself (and Tarn), allow me to briefly turn my attention to just one of the things that make Christianity ever so slightly odd: the Christian God is a family. I know, I know - it’s intricate, it’s complicated, it’s paradoxical, but it’s absolutely core to the way Christians perceive… well…. everything.

Father, Son, Holy Spirit – the Holy Trinity. All distinct, all one, all God. If I were NT Wright or Jane Williams, perhaps I would feel confident enough to explain this thoroughly. But I’m not, so I won’t. Instead, I’m hoping that you’ll take my word for it, follow my (or rather, Tarn’s) line of argument, and seek out the details later.

Deal? Deal.

So, here we all are acknowledging that Christianity has a family as God, that there has been relationship from the very beginning of time. And so, it follows that Christianity also hinges on a family-making-God, one who ‘sets the lonely in families’, to borrow a phrase. Hence, the thin place. Tarn’s profound thinking is that when we, as humans, put families together, there’s very little separation between us and the God who has always been determined to do the very same thing. If those families are formed biologically – wonderful. If a family is put together through a combination of circumstance and choice – that is just as legitimate and just as thin.

I struggle to think of a more beautiful thought.

Blasting through such trauma, is the immense joy of Home for Good finding and supporting a young couple who adopted all five children.

While I could expend thousands of words waxing-lyrical about such things, I’d be remiss to not tell you anything of Home for Good aside from its somewhat sacred (in my over-emotional opinion) nature. Let’s take it from the beginning.

Home for Good was thought up nearly ten years ago, at a garden party hosted in a vicarage; one flowing with Pimms and finger sandwiches. While the setting may be charmingly quaint, the content of the meeting was of the utmost seriousness. Desperate shortage of foster carers and adoptive parents in the UK was making headline news, and several Christian leaders, many of whom were foster carers or adoptive parents themselves, committed to work together to raise the profile of fostering and adoption within the UK Church.

And so, Home for Good was born.

You see, a child will enter the UK care system every fifteen minutes, there are more children in the care system right now than ever before. Each and every one of those children has intrinsic worth and value, all of them have experienced loss and trauma, many have suffered abuse or neglect. The reality is that there just aren’t enough carers to ensure that these children have somewhere stable to call home. It’s one of those vast and painful realities we find hard to digest. And yet, Home for Good not only acknowledges the tragedy, it tackles it head-on.

Active in all four UK nations, Home for Good is working to find a home for every single child: through fostering, adopting and supported lodgings.

You may be asking yourself where on earth they’re finding these homes.

Well, they’re finding them in the fifty thousand churches across the UK. Not ‘churches’ as in the grand (or perhaps not so grand) building next to your favourite coffee shop, but ‘Church’ as in the tens of millions of people who flow in and out of those buildings. We’re talking the people, not the places. Home for Good practically equip, support and train those who want to invite children into their families, while also mobilising churches to be welcoming and understanding places for these families to be. Because, if we are thinking of family as in ‘nuclear family’; that all important two adults to two-point-five children ratio, we are thinking too rigidly. And, contrary to popular belief, we are not thinking along very Christian lines either.

It struck me, while speaking with Tarn, that the work that Home for Good do is also thin in another way: the space between profound pain and immense joy is, and perhaps always will be, very thin indeed. For example, Tarn told me a story of five siblings who were in very real risk of losing each other. There seemed to be very little hope of finding a stable home for all five of them, as there simply aren’t enough carers who are able to take on siblings. And once separated, even if only intended to be a temporary measure, the chances of those siblings living together again are practically non-existent. It’s hard to fathom looking straight into such huge pain on such little faces. That’s the type of pain that, if we’re honest, we’d like to pretend doesn’t exist. But it does. And it’s in closer proximity than we allow ourselves to realise. But then, blasting through such trauma, is the immense joy of Home for Good finding and supporting a young couple who adopted all five children. This isn’t a story of rescue, Tarn will stand for no such thing, rather it is a story of family-making. The type that Tarn, with her own beloved adopted sons, knows well.

Unconditional love, deep belonging and unwavering devotion had been ‘professionalised out of the system’.

As well as working on a local level, Home for Good have built up an immense influence on a national level. Since Tarn’s been the CEO, she has worked with (all seven) Children’s Ministers in Westminster. As she subsequently observes, the system is not of conscious design. Rather, it consists of a conglomeration of reactive policy ‘add-ons’. Although there are people devotedly working within the system who are intent on doing the best for children, it is deeply and undeniably stretched. What’s more, inputting into the ‘once in a lifetime’ independent review, Tarn and her team were able to explain how unconditional love, deep belonging and unwavering devotion had been ‘professionalised out of the system’. Somewhere along the line, we have stopped asking ‘what the child’s heart needs’. And yet, Tarn notes that how we treat our children now will directly affect how our world works in a generation’s time.

If this is not a justice issue of the most profound kind, it’s hard to imagine what is.

And so, there we have it. Home for Good, the thinnest place imaginable. The place where every child is fought for. The place where family is re-imagined. The place where I abandon every ounce of professionalism, as I put all my energy into holding back embarrassing tears. The place that is, thankfully, quite used to such reactions.

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.