Article
Change
4 min read

Social prescribing for whole person care

Responding to an anxiety epidemic, there’s a growth in social prescribing with a spiritual wellbeing element. Esther Platt explores how it's working out locally.

Esther works as a Senior Consultant for the Good Faith Partnership. She sits in the secretariat for the ChurchWorks Commission.

Two people sit at a table with their hands resting on top of it. One speaks to the other
Photo by Christina @ wocintechchat.com on Unsplash

Since 2001, Mental Health Awareness Week has been marked once a year in May. This year, the theme was anxiety - an increasingly relevant topic in a country that has endured three years of world-changing crises and the soaring cost of living. Research from the Mental Health Foundation has found that 1 in 10 UK adults feel hopeless about financial circumstances and more than one-third feel anxious. 

For centuries, it has been recognised that spiritual well-being is closely tied to mental well-being. By spiritual wellbeing, I don’t mean organised religion. I mean our sense of relationship to a higher-power or reality beyond our own, and our sense of purpose and meaning in life, as Craig Ellison outlines it as in his paper Spiritual Well-Being: Conceptualization and Measurement. 

In Man’s Search for Meaning holocaust survivor Victor Frankl compellingly makes the case that in a world of suffering, our survival depends on our sense of purpose, meaning and hope. Frankl coined the term ‘the self-transcendence of human existence’ by which he explained that human beings look for meaning beyond themselves, either in a cause, a person to love, or a higher power.

With an increased understanding of the holistic nature of wellbeing, and the value of spirituality, a new way of looking at health is emerging. 

While modern psychologists are still building a clinical-grade evidence base on the value of spirituality, there is clear agreement that spiritual wellbeing is crucial for a good quality of life, especially for those who are facing adverse life events, as you can read on the US National Library of Medicine web site. Traditionally, health provision in the UK has focused exclusively on the physical, and more recently the mental. However, with an increased understanding of the holistic nature of wellbeing, and the value of spirituality, a new way of looking at health is emerging.  

Social prescribing is one way in which this is being done, and across the country. 

In social prescribing, local agencies such as charities, social care and health services refer people to a social prescribing link worker. Social prescribing link workers give people time, focusing on ‘what matters to me?’ to coproduce a simple personalised care and support plan. This involves ‘prescribing’ individuals to local community groups such as walking clubs, art classes, gardening groups and many other activities. 

Churches are playing a crucial role making social prescribing happen. St Mary’s Church in Andover, offer a wellbeing course to members of the community who have been directed to them through the local GP surgery.  

Members of Revival Fires Church in Dudley have been trained to offer Listening and Guidance support to those who are referred by a GP.  

Beyond social prescribing, St John’s Hoxton in London offer the Sanctuary Mental Health course to their community which gives people an opportunity to share their experiences and find solidarity in their struggles.  

Church provides a space where the breadth of our wellbeing, our desire for purpose, community and hope can be supported in a way that the NHS does not have capacity or experience to deliver. As the Archbishop of Canterbury, Justin Welby, writes  

"The issue of mental health is one that requires a holistic approach on an individual basis, incorporating as appropriate psychiatric, medical and religious support’.  

Olivia Amartey, Executive Director for Elim, an international movement of Pentecostal churches adds,  

‘I am convinced that there is no other organisation on earth that cares for the whole person, as well as the church. Its engagement with the statutory authorities, focussed on individuals’ well-being, provides an invaluable opportunity for a synchronised partnership to the benefit of all our communities.’ 

Jesus told his followers, ‘I have come so that you can have life and have it to the full’. This is the hope that animates churches. Christians find meaning and purpose in the hope of life, peace and justice that Jesus gives. Church can be a space where the complexity of hurt and suffering is acknowledged, and where we can find solidarity and support in the presence of those who can help us find purpose and meaning.  

At ChurchWorks, a commission of leaders from the 15 biggest church denominations in the UK, we are excited by the prospect of more churches providing this space. On 18th May we held ChurchWorks for Wellbeing, in which we gathered over 300 church leaders to explore how the church can bring hope to our communities in this time. We shared stories of small and simple conversations, where offering a listening service, an art class or a food pantry enabled churches to give people in their community space to be, to grieve, to process and to grow. From the conference, it is our hope that we will see hundreds more churches start to engage in social prescribing and welcome their communities to access holistic wellbeing support.  

At a time when anxiety is rife, and it is so easy to feel despair and hopelessness, the church offers a vital resource to us: a place where our spiritual wellbeing can be nurtured, where we can find purpose, where we can find community, where we can find hope. 

Article
Belief
Change
6 min read

What makes a journey a pilgrimage?

Travel may broaden the mind, but pilgrimage can nourish a soul.

Graeme is a vicar of Marsden and Slaithwaite in West Yorkshire. He also cycles and juggles.

A country lane runs down a gentle hill between green and yellow fields under a cloud dappled sky.
The fields of Hertfordshire
Graeme Holdsworth.

On the recent anniversary of Chaucer’s pilgrims setting off to Canterbury, the British Pilgrimage Trust held a symposium on apocalyptic pilgrimage and spiritual tourism, in a London church – St James Clerkenwell. Nick Jones, the Editor of Seen & Unseen knows of my predilection for a spiritual aspect to travel, and recommended I go along. The only problem with his recommendation was that I live in West Yorkshire, and London seemed like an expensive journey for an evening sat quietly on church pews. 

My nearest church is St James in Slaithwaite, and as St James is the patron saint of pilgrimages, it seemed obvious to turn the journey into a pilgrimage. The shortest walking distance is 185 miles and would take me a month to walk. Kosuke Koyama wrote that the speed of love is three miles an hour, the speed God walks. However, God has an eternity to travel, and I had to be back to lead Holy Communion the following Sunday. Cycling (the cheapest, easiest, and finest form of travel) would take me two days, if I took it easy and stayed in a hotel halfway. 

I love the isolation of these high places, the wilderness-ness; it is a place for crying out, and place where only God is listening. 

Not every journey is a pilgrimage. Sometimes people are just travelling. What would make this a pilgrimage rather than simply a long bicycle ride? I believe it is the intention of the heart that makes the difference - what are pilgrims hoping to achieve? Travel tends to broaden the mind, but a pilgrimage is something that might nourish a soul. There is no suggestion that every pilgrimage is religious, but when people undertake pilgrimages they are making a statement that they’re looking for something beyond themselves. For those who are religious, they’ve made space to meet God in the full knowledge that they may be disappointed. Dr Paula Gooder wrote that Christian faith sometimes focusses rather heavily on the state of a person’s soul, neglecting the state of their body. I hoped to enjoy some beautiful cycling, to re-engage with physical-prayer, and to worship God with my heart, soul, mind and strength in a whole body way. Racing cyclist Jens Voigt famously said, “Shut up legs” when the lactic acid began to burn, but what if my legs are speaking a non-verbal language understood by their creator God? Then let them shout: let the hydrolysis of adenosine triphosphate be my body praying ceaselessly, without words. 

The beginning of my pilgrimage took me south and east along the edge of the Peak District. In my planning I had relied on cycling heat-maps to find the roads cyclists preferred. As I climbed a steep hill, I remembered that cyclists are a stupid bunch who often go out and find the hardest roads to cycle. I paused for breath at the top of the climb from High Bradfield; where the Agden, Dale Dike, and Strines reservoirs were stacked up into the distance, and the call of peewits pierced through the noise of the wind. I love the isolation of these high places, the wilderness-ness; it is a place for crying out, and place where only God is listening. 

Bolsover castle was the last serious climb of the day, and from this point on the landscape became a lot gentler. Along the ridge after Bolsover, skirting around the west of Mansfield, I noticed the call of Skylarks, and that the fields had changed from drystone walled moorland to green and yellow crops, surrounded by hedgerows. Houses now had thatched roofs rather than the slate tiles of West Yorkshire. I also began to notice churches: Cottage-core villages with pretty gardens and pubs-on-the-green, their church buildings that seem well-kept, giving rural communities a sense of identity. It was around 7pm when I reached a Peterborough hotel. 

Pilgrimages are often built around the destination, but I’ve found a real joy in the interim moment; the time between setting off and arriving.

Getting up in the morning after a long day of physical exercise is not easy. Although this day would bring an end to my mini-pilgrimage, I was looking forward to the symposium and meeting other pilgrims. Evensong at St Paul’s Cathedral was to begin at 5pm, and needed an early start to make sure I would arrive in time. 

I passed a roadside marker with the distances to Huntingdon and London painted black on a white stone. The Milestone Society’ seeks to preserve these way markers which have a history stretching back to Roman times. I felt a sense of historical connection to those who would have travelled before me. 

There was next to no traffic and I was alone with my thoughts and the songs I sing to myself when I’m happy. One of the lovely things about cycling is the activity itself: we’re doing the thing we want to do, and when we’ve finished we will no longer be doing the thing we want to do. Pilgrimages are often built around the destination, but I’ve found a real joy in the interim moment; the time between setting off and arriving. 

I’m glad I didn’t just catch a train to London. I felt that I’d remembered the diversity of English countryside, the freedom of long-distance cycling, and made connections with like-minded pilgrims.

The traffic was increasing as I closed in on London, and I noticed another change in the housing. Here in the home counties the houses were getting a lot larger, further back from the road, and protected by gates and security systems. The sense of community that came from closely packed thatched cottages around an ancient church building was disappearing. Then suddenly there was an exponential shift in the cycling experience as I entered Enfield: cars, scooters, cyclists, motorbikes. The sound, and visual intensity of city living humanity swamped my senses. 

 I’m glad I didn’t just catch a train to London. I felt that I’d remembered the diversity of English countryside, the freedom of long-distance cycling, and made connections with like-minded pilgrims. I also refreshed my spiritual practice of physical prayer, and time alone with God in the wilderness. 

It was about 2:30pm when I checked into my hotel near Kings Cross, unpacked the clothes I’d brought with me and freshened up before taking a walk south to the Thames embankment. After a pie and pint in a London boozer, on the banks of the River Thames, I walked to St Paul’s Cathedral for Evensong, then joined a walking-pilgrimage back to St James in Clerkenwell. St James Slaithwaite to St James Clerkenwell completed, arriving in time for The British Pilgrimage Trust’s symposium of talks and singing. Among the wonderful speakers, it was a delight to hear historian Tom Holland as he spoke to the apocalyptic call: to be a pilgrim. 

He spoke about Chaucer, pandemics, black death, and the community aspect of pilgrimages. He joked that academic historians tend to be squeamish about attributing too much credit to religious or spiritual experiences as driving forces behind historical events. However, spiritual and religious drivers are significant: in 1033 there was a massive pilgrimage from all over Europe to the holy land, which came with an apocalyptic anxiety as 1,000 years had passed since the death and resurrection of Jesus. I reflected that contemporary anxiety of apocalypse is less focussed on the return of Christ and more on trigger happy world leaders in Russia, Israel and Iran…but I wonder if there will be a similar Christian pilgrimage in 2033. 

 

Read a full account of Graeme’s pilgrimage ride on his blog.  

Find out more about the British Pilgrimage Trust’s routes and resources.