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The Future of Chaplaincy. Developing new guidelines for Chaplaincy in the NHS Chris Swift. Session content. Explaining the guidelines project Identifying & exploring key themes Raising specific questions Discussing those questions Feedback & development Plenary discussion.
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The Future of Chaplaincy Developing new guidelines for Chaplaincy in the NHS Chris Swift
Session content • Explaining the guidelines project • Identifying & exploring key themes • Raising specific questions • Discussing those questions • Feedback & development • Plenary discussion
The Guidelines Project • Legacy from previous NHS body – April 2013 • Debate about delivery: MFG & CLF • NHS England (Equality) • Approach to project lead September 2013 • Time-table for project 6 months • Draft guidelines expected January 2014 • Consultation period to end of March 2014
Project Challenges & Drivers • Timescale • Engagement • Complexity (DPA etc.) • Politics • Agreement • Underpinning (research) • 2003 guidance archived • NHS changed/changing • Chaplaincy cuts • Equality • Weak provision in SC14 • England falling behind
The Process • Reflecting on the context • Engaging knowledgeable people • Identifying key themes • Locating the target audience(s) • Recognising the political landscape • Producing something concise & useful
Challenges for me • Community health care/GPs • Mental health care • Smaller teams/single practitioners • Multi-faith perspectives • Hospice settings • Chaplaincy relative to secure facilities/HMP
A changing landscape: Religion & Spirituality
The challenge of language Religion: Relatively clear, specific, authorised, but often viewed with suspicion Spirituality: Ambiguous, broad, personal, unauthorised, often viewed as attractive & desirable
NHS indicators of support Compassion: Compassion is how care is given through relationships based on empathy, respect and dignity – it can be described as intelligent kindness, and is central to how people perceive their care. NHS Commissioning Board: Compassion in Practice 2012
Compassion: We search for the things we can do, however small, to give comfort and relieve suffering. The NHS Outcomes Framework 2012/13 DH
Public Sector Equality Duty places: “legal responsibilities to demonstrate that they are taking action on equality in policymaking, the delivery of services and public sector employment. The duties require public bodies to take steps not just to eliminate unlawful discrimination and harassment, but also to actively promote equality.” EHRC Website Accessed 25/10/13
The single public sector equality duty will require public authorities to: • Eliminate discrimination, harassment and victimisation. • Advance equality of opportunity. • Foster good relations. EHRC Website Accessed 25/10/13
Religion and belief Religion has the meaning usually given to it but belief includes religious and philosophical beliefs including lack of belief (e.g. Atheism). Generally, a belief should affect your life choices or the way you live for it to be included in the definition. EHRC Website Accessed 25/10/13
Human Rights There are reasonable implications to draw from Human Rights legislation & public body duties: • The role of public bodies amounts to more than a willingness not to obstruct • Where someone is incapacitated and unable to exercise their rights without assistance the organisation has a role to enable rights to be observed • Picker Europe inpatient data relative to this
Future of Chaplaincy • Existing reality recognised – spectrum ranging between a direct provision model & a generic/facilitation model • Direct provision leads to prompt service, religion matched for the majority & larger minorities (equality) • Facilitation model provides spiritual care and facilitates religious care (service risk) • Both models engage with staff education; training; volunteer management; research; equality promotion • There are various combinations of these models
Spirituality – a final word Dr Clare Gerada – Britain’s ‘top GP’: “medicine is an art as well as a science... Every patient is different... nothing prepares you for the consultation with the patient in front of you, dealing with their psychological, their physical, their social and increasingly, their spiritual needs.” Women’s Hour Tuesday 22 October 2013