James MacMillan’s music of tranquility and discord

The composer’s music contends both the secular and sacred.

Jonathan Evens

Jonathan is Team Rector for Wickford and Runwell. He is co-author of The Secret Chord, and writes on the arts.

A conductor leans in toward an unseen orchestra with a raised hand.

MacMillan conducting.

Hans van der Woerd, Intermusica.

Sir James MacMillan is one of today’s most successful composers, as is evidenced by his achievements in 2024. This year alone has seen the premiere of a new work for choir ‘Ordo Virtutum’ (January), the UK premiere of his cantata ‘Fiat Lux’ (March), the premiere of his new version of Robert Burns’ song ‘Composed in August’ (March), the premiere of his ‘Concerto for Orchestra’ (September), and the premiere of his ‘Duet for Horn and Piano’ (November).

Back in March he also became the 26th Fellow of The Ivors Academy, joining a rollcall of extraordinary composers and songwriters, including John Rutter, John Adams, Sir Elton John, Sir Paul McCartney, Dame Judith Weir and Sting. While, in September, he accepted the Sky Arts Classical Music Award 2024 on behalf of The Cumnock Tryst, the annual music festival he founded in his hometown, which brings together many local community groups on stage alongside some of the world’s most acclaimed musicians.

His music, which is notable for its energy and emotion, is imbued with influences from his Scottish heritage, Catholic faith, social conscience and close connection with Celtic folk music, blended with influences from Far Eastern, Scandinavian and Eastern European music. Accordingly, Tom Gray, Chair of The Ivors Academy, describes MacMillan as “a titan of music, generous in his creativity and craft” and “a foremost proponent of the power of music to communicate and forge bonds”.

He first became internationally recognised after the extraordinary success of ‘The Confession of Isobel Gowdie’ at the BBC Proms in 1990. Since then, his prolific output has been performed and broadcast around the world with his major works including his most performed work the percussion concerto ‘Veni, Veni, Emmanuel’ (1992), a cello concerto for Mstislav Rostropovich (1996), an opera ‘The Sacrifice’ (2007), the ‘St John Passion’ (2008), and five symphonies. For his services to music, he was awarded a CBE in 2004 and a knighthood in 2015.

“In this age of unbelief, the search for the sacred in art and music hasn’t gone away”.

James MacMillan

As will be clear from the titles of works cited thus far, many of his works, such as ‘Ordo Virtutum’, a setting of a sacred music drama by Hildegard of Bingen concerned with the struggle for the human soul in a battle between good and evil, and ‘Fiat Lux’, a celebration of the divine gift of light, directly express his Catholic faith. David Clayton writes that, “Aside from being one of the greatest living composers and conductors of classical music, Sir James is a Catholic whose faith informs all his work”. Clayton also describes him as “a deep thinker who communicates clearly the nature of the creative process when one seeks to create beauty to bring Glory to God”.

MacMillan believes that “Far from being a "spent force", religion has proved to be a vibrant, animating principle in modern music and continues to promise much for the future.” When he speaks about music and the idea of the sacred, as he did most recently at The Sheldonian Theatre in Oxford in October, he emphasises that music seems to be “the most spiritual of the arts, and composers have always seemed to be on a search for the sacred in their work”. He notes that “In this age of unbelief, the search for the sacred in art and music hasn’t gone away”.

In brief, he sees himself as standing in a modernist tradition that includes: Stravinsky, who “was as conservative in his religion as he was revolutionary in his musical imagination”; Schoenberg, “a mystic who reconverted to practising Judaism after the Holocaust”; John Cage, who explored “the spiritual connections between music and silence”; Olivier Messiaen, who “was famously Catholic” with “every note of his unique contribution to music” being “shaped by a deep religious conviction”; Jonathan Harvey, “who has allowed eastern mysticism and his own Anglicanism to adorn his searchingly original scores”; John Tavener, whose conversion to Orthodoxy “had a dramatic impact on his style and aesthetic”; and the “intriguing and disturbing religious shadings of musical modernity” to be found in the post-Shostakovich generation from eastern Europe - Henryk Górecki (Poland), Arvo Pärt (Estonia) Giya Kancheli (Georgia), Galina Ustvolskaya, Alfred Schnittke and Sofia Gubaidulina (Russia).

In this 'obedience' of listening and following, we are stretched and deepened, physically challenged as performers, imaginatively as listeners.

He argues that while, for a time, a post-War reaction led many modernist composers to opt for a primarily abstract style and eschew the stirring up of emotions through music, in more recent years, composers have increasingly re-embraced emotion and, thereby, also spirituality. He also notes significant connections between the music of antiquity and that the modern world. The influence of plainsong and Gregorian chant on modern music, for example, demonstrates a continuing relationship between faith and the arts.

He has suggested that God's power “is presence as absence; absence as presence” and that this is also “precisely what music is”. So, “The umbilical cord between silence and music is the umbilical cord between heaven and earth”. As a result, “the war against silence is a war against ourselves and against our interior life”. He is in agreement with the Scottish Jesuit John McDade, who wrote that "Music may be the closest human analogue to the mystery of the direct and effective communication of grace". MacMillan suggests, therefore, “that music is a phenomenon connected to the work of God in the way it touches something deep in our souls and releases a divine force”.

In similar vein, he also quotes Rowan Williams who, in a sermon some years ago for the Three Choirs Festival, said: "To listen seriously to music and to perform it are among our most potent ways of learning what it is to live with and before God, learning a service that is a perfect freedom... In this 'obedience' of listening and following, we are stretched and deepened, physically challenged as performers, imaginatively as listeners. The time we have renounced, given up, is given back to us as a time in which we have become more human, more real, even when we can't say what we have learned, only that we have changed."

Being stretched and deepened in this way is certainly our experience as listeners of MacMillan’s works. Michael Capps suggests that MacMillan knows that “music dealing openly and honestly with the Christian tradition will not always be pleasing, safe, or tame”. His music “contends” in that it “produces arguments and embodies alternatives, not only to its many secular substitutes, but also to allegedly Christian options that lack the tang and piquancy of Christian particularity.” As a result, “MacMillan’s music also reveals: it shows us a world of both tranquility and discord that we readily recognize, and allows us to better appreciate that world’s fleeting harmonies”.

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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.