Explainer

Addiction

Change

8 June 2023

6 min read

Eden in the East End

Belle Tindall writes of her afternoon in an East End kind of Eden, and tells the stories of how, through All Hallow’s Church, Christianity is being lived out in Bow.

Belle Tindall

Belle is the staff writer at Seen & Unseen and co-host of its Re-enchanting podcast.

A neo-Romanesque church sits at the acute corner of two roads. To its side a tower block rises over a row of low-rise flats.

All Hallows,Bow. 'Ahaba' is an old Hebrew and Arabic word for love.

Google.

Feeling increasingly restless in the comfortable confines of West London, Rev. Cris and Beki Rogers, along with their family and seven others, decided to take on All Hallows Church and make Bow their home.

Fast forward thirteen years, and here’s Cris, sat with a coffee on the corner of an intersection in the heart of London’s East End, flanked on every side by blocks of flats and talking over the sound of heavy traffic: this is Cris Rogers’ Eden.

‘I love this place’, Cris delightedly declares, ‘I love the sounds, I love the smells, I love the people’.

And why wouldn’t he? This is the place where Clara Grant, the infamous ‘Bundle Woman of Bow', founded the Fern Street Settlement in 1907, ensuring that thousands of children were warm, fed, taught and loved.

It is where, in 1913, Sylvia Pankhurst established the East London Federation of Suffragettes, fighting for the rights of working women.

It is where, in 1985, the profoundly influential grime music artist, Dylan Kwabena Mills (perhaps better known as Dizzee Rascal) was born and subsequently raised.

It’s not hard to see why Cris describes his home as a place of profound justice, of resilient compassion, of innovative creativity and of rich community. In ways that we’re likely to be unaware of, we exist in the cultural ripple effect of places such as Bow. We owe them a great debt. And yet, there is, of course, another way to perceive and speak of Bow; a perception which places its focus upon slightly different identity markers.

It is, according to the Government’s Deprivation Indices, one of the most deprived communities in the UK. It has an above average crime rate, with a particularly high number of home break-ins. The percentage of home ownership in the area is 17 per cent, which is dramatically lower than the national average of 65.8 per cent. It is also a community that, because of the establishment and closure of St. Clements Mental Health Hospital, has an increased number of residents who live with mental illness and addiction.

It is true, in many ways, Bow struggles.

And it’s not that Cris and the community at All Hallows ignore these facts. On the contrary, they’re on a crusade against poverty in the area, working to eradicate it entirely. They’re also relentlessly pursuing justice and offering support to those in their community who need it most.

No, ignorance is not the source of Cris’ perspective - Jesus is.

I’m aware that such a sentence is in serious danger of sounding eye-rolling-ly twee, so allow me a moment or two to explain further.

The playwright himself took the stage, the author jumped inside the page, the architect inhabited the plans. Admittedly, it’s downright strange.

John, one of Jesus’ four biographers, opens his work with a prologue of epic proportions. Nestled into this prologue is this line –

‘The Word (that’s Jesus) became flesh and made his dwelling among us’.

In John’s original Greek writing, the words ‘made his dwelling’ can be more literally translated as ‘tabernacled‘, or rather, ‘pitched his tent among ours’. Author Eugene Peterson subsequently paraphrases it this way:

‘The Word became flesh and blood, and moved into the neighbourhood.’

The belief that God squeezed himself into the confines of humanity is certainly one of the more mystic elements of Christianity. The premise is that the playwright himself took the stage, the author jumped inside the page, the architect inhabited the plans. Admittedly, it’s downright strange.

And yet, this is the bedrock of what theologians call Incarnational Theology, a theology of Jesus’ embodied presence on the earth. Or, what Cris Rogers would call ‘moving in and living deep’. It's the astonishing idea that Jesus is present amongst, he is present alongside.

If the Incarnation happened, as Christians believe that it did, if Jesus really did pitch his tent next to ours – in that, he literally entered into time and place – then the implications of such aren’t only spiritual. The gospel (for want of a less Christian-ese word) is also a physical encounter, it is intent on changing one’s day, one’s week, one’s life, in tangible and practical ways. It must still be found in time and place. The church (as in, the people, not only the building) is one of the most obvious ways through which this could happen, as they take their lead from the one they represent and they themselves ‘move in and live deep’.

So, with that in mind, back to Bow.

For the residents of Bow, this thing called ‘Christianity’ is not a set of ideas that floats in the ether. On the contrary, it’s the people that teach them to speak, read, and write English in their ESOL lessons. It’s as tangible as the presence of the food banks, as obvious as the building on the intersection, as relentless as the recovery courses that run week after week.

Of the people who flow through All Hallows Church 40 per cent are in varying stages of recovery from addiction. It’s not surprising, therefore, that a major focus of Cris’ team is helping people through those often-complicated stages. Whether that be through the AA/NA courses (including one delivered in Russian), or visits to Pentonville Prison when addiction has taken hold once again and paved the way for behavioural mistakes to be made. After all, recovery from addiction is anything but linear.

And then there’s the recovery service. Every Tuesday evening the building hosts around 40 people who attend a specifically recovery-oriented service, held by Raf, the curate at All Hallows – who himself is ten years clean and sober. This service combines the twelve step programme with the Bible, week after week after week, building a community upon the power of these two liberating texts.

Moving in and living deep means that the team at All Hallows can take Jesus’ instruction to ‘love their neighbour’ completely literally. Even when that neighbour is breaking into their church’s coffee shop for the fourth time. It means that, together, those neighbours can love their home well and refute the notion that someone has made it when they finally have the means to move out of it. It means that Cris was right where he needed to be when someone walked past their church building on the way to take their own life, and decided to ask for help instead.

This is what incarnational theology looks like on the ground. This is how Christianity makes itself known in Bow. As Cris says, ‘we are called to love the hell out of our estates as no one else can’.

An East End kind of Eden

I’m telling this story through the vehicle of Cris, his family and his team, but this piece really isn’t about him or them; it is about Bow. A beautiful place filled with beautiful people. It’s a story of a group of people living in and learning from a community they know and adore. It’s a story of the mystic nature of incarnational theology looking like a Russian recovery course. It’s a story of being enchanted with one’s home.

I say this because, as Cris has observed, words matter. The story you tell about a place matters. This is the reason that they have re-written the words to a hymn from 1885, the third verse of which goes like this:

When through the woods and forest glades I wander

And hear the birds sing sweetly in the trees.

When I look down, from lofty mountain grandeur

And see the brook, and feel the gentle breeze.

Then sings my soul, My Saviour God to Thee,

How great Thou art, how great Thou art.

Beautiful as these words are, the story they tell to residents of places such as Bow, is that beauty is elsewhere, that God is more present, and somehow easier to find, in places that look nothing like their home. In order to counter that, these are the words that ring out from All Hallows on a Sunday morning:

When through the estate and shaded parks I wander

And see the shops and people in the streets

When I look up and see the tower blocks’ grandeur

And hear the cars and the sound of dancing beats. 

Then sings my soul, My Saviour God, to Thee, 

How great Thou art, How great Thou art.

There is a kind of Eden in the East End, in fact, there are numerous. And while I can’t speak for them all, I can say that Bow is one of the most special places I’ve ever found myself (with some of the best coffee).

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.