TV’s search for the perfect Christmas special

Sitcoms rely on expectation and conventions. James Cary shares the one rule that gets broken at Christmas time.

James Cary

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

Dressed in camouflage uniforms and makeshift costumes, soldiers create a nativity scene

Bluestone 42 Christmas Special, 2013.

There are rules to sitcoms. I should know. I’ve been writing sitcom scripts for over twenty years. This includes two Christmas specials (Miranda and Bluestone 42). When you start writing a Christmas episode of a sitcom, you look back to Christmas specials you saw as a child. Soon, you are aware that there are certain expectations for a Christmas special. You also realise you can break one of the rules of sitcom.

Before I explain what that is, let me give you the basic rules of a TV sitcom. Essentially you need three things: Characters; conflict; and a confined space. Each episode has a beginning and a middle and end, but the characters must end up back where they started.

The characters in a sitcom are in conflict. They have contrasting viewpoints, seeing the world very differently. And they are confined, unable to walk away from each other because they are family (Think Del and Rodney in Only Fools and Horses), or they have to work together (Think Sir Humphrey and Hacker in Yes, Prime Minister) or they all live in the same suffocatingly small village (Think Geraldine and Alice in The Vicar of Dibley).

Each week, the characters have quests. They conflict. The story plays out in the same reliably predictable but surprising way. Del Boy has another get-rich-quick scheme; Sir Humphrey tries to stop Hacker from changing anything; and the Vicar of Dibley keeps trying to help Alice and the idiots who surround her. That can’t change, even in a Christmas special.

At Christmas, however, you can have your characters go on a journey. That’s quite a popular option. But the journey has to be arduous – like the journey to Bethlehem – and might involve a pregnant woman (think The Royle Family) – like the journey to Bethlehem. But your characters could go on a road trip in any episode. That’s not the rule you have to break.

Your Christmas special might be centred around your character’s own version of what constitutes ‘the perfect Christmas’. These expectations must be met, but the lesson is normally that it’s all about who you’re with, not what you do. In the Bluestone 42 Christmas special, the bomb disposal team in Afghanistan are away from home so trying to have a ‘normal’ Christmas with turkey and a nativity play in which yonder star turns out to be a mortar attack by the Taliban. But they’re in it together.

Family is always important in a sitcom, but doubly so in a Christmas episode. In Miranda Series 2, our comedy heroine wants to do Christmas her own way with her friends, and not spend the day with her embarrassing and eccentric parents. But she learns a common Christmas lesson that family comes first, home is best, and no-one does Christmas better than your own family. Again, this is not a deviation from the normal rules.

So, what rule does the Christmas episode break? It is cast iron law across all genres of television. It’s the Deus Ex Machina. That’s not normally allowed. Deus Ex Machina literally means ‘God from the machinery’. It’s a Latin term for what happens in Greek theatre. Actors representing gods would be suspended above the stage and at the denouement of the play, they would come down and intervene, so that everything is sorted out.

It’s not for a twenty-first century sitcom writer to say that the Greeks didn’t know anything about theatre, but wow. Modern audiences would not stand for this totally unjustified divine intervention. If a character was about to be exposed by the annual Church fete and at the last minute, a thunderstorm out of nowhere rained off the whole event, you would start throwing things at the TV. If a character declared undying love to another and it was not reciprocated, the sudden discovery of a foolproof love potion in the third act would have the producer, director, the cast and even the make-up lady asking for rewrites.

But at Christmas, God comes down from on high. So, in your seasonal sitcom special, you’re allowed a miracle. In fact, the audience are almost demanding a ‘Christmas miracle’. This is the time of year when magic happens.

This miracle normally happens overnight because that’s when miracles happen. The Wise Men followed the star to the witness the child born of a virgin. Given stars were involved, we presume it was night time (although the text doesn’t say so). Marley and three Christmas ghosts visit Ebeneezer Scrooge at night. He is miraculously transformed by the experience.

Christmas is a time when lots of people going to church who normally would not, but the vast majority of people in the UK do not go to church or worship God at Christmas. But the incarnation, that is story of God made flesh in Christ, keeps poking through and turning up whether we like it or not. If we won’t go to church to hear that story, God will send it through waves and wires and onto our screens in TV specials so that we all remember that Christmas isn’t just a time for family and traditions; it is a time of miracles. At Christmas, we allow ourselves the luxury of belief.

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.