Home » National Health Service
Category Archives: National Health Service
Small pleasures mean a lot, particularly at the moment when many normal pleasures are denied to us. If I can’t meet my friends, or go to restaurants, or engage in my hobbies at least I can enjoy a gin and tonic in the bath, or a nice dinner with an indulgent dessert (it is worrying how many such small pleasures involve food and alcohol!!). The lockdown hit halfway through Lent, when I was trying to exercise some self-discipline and lose a little weight, but having been forced to give up so much I could no longer do without chocolate and snacks! I am kept sane by daily walks around the village, appreciating (until today) the glorious spring weather and the emerging wild flowers and butterflies (six different species on our last long walk). And my husband and I distract ourselves with light-hearted TV. Friday Night Dinner and Britain’s Got Talent help to define the week and we’ve been working through old-favourite box sets of Phoenix Nights and I’m Alan Partridge.
In some ways the first couple of weeks were the hardest, when the rules kept changing. After a trying morning shopping for three households in a supermarket with bare shelves, at least I could reward myself with a cappuccino on the way home (I couldn’t sit down, or use a re-usable cup, but I could get a disposable take-away). But then all the coffee shops closed. On the evening of the day the schools closed, we went for a family walk in our local forest. At least we could enjoy that. We found a pond full of frogspawn and toad spawn and took pictures, planning a science project on reproduction in amphibians. We would go back every week and check on the progress of the tadpoles. But then they closed the forest. Each new lockdown was a fresh loss.
In the “Good Lives Model” (Ward, 2002) Tony Ward and colleagues propose that all people try to achieve a set of fundamental “primary goods”. These are: life; knowledge; excellence in work; excellence in play; agency; inner peace; relatedness; community; spirituality; pleasure; and creativity. In lockdown, many of our usual means of achieving these goods are no longer accessible. However, there is evidence all around of people striving towards these goods in novel ways. The primary good “life” refers to health and fitness. We may no longer be able to go to gyms or practise team sports, but country roads are full of cyclists and walkers, solitary or in family groups, and there has been an explosion in people exercising at home, with or without the assistance of Joe Wicks! My son, who is a junior sailor, is achieving his “excellence in play” through “Virtual Regatta”, a computer game which adheres to the principles of dinghy sailing and which has provided the platform through which competitions that should have taken place can continue after a fashion.
Our local vicar is in his element providing novel ways through which his flock can achieve “spirituality”: services live-streamed from his dining room; virtual coffee mornings; resources to use at home. I’ve outlined above some of the ways in which I am achieving “pleasure” in small ways. I’m sure the current shortages in flour are caused in some part by an increase in people achieving “creativity” through baking. My son alone has clocked up two different types of pastry, two different types of scone, two fruit crumbles, shortbread and a Simnel cake since the lockdown began! We achieve “relatedness” through Zoom and Skype and Facetime: I speak to my parents much more often than I did before the crisis and my husband replaces visits to the pub with his father and brother with a weekly “virtual pint night”. And we achieve “community” through standing together on our doorsteps every Thursday at 8pm to clap for the NHS.
The Good Lives Model was developed to understand and improve the rehabilitation of offenders. It proposes that offenders are trying to achieve the same primary goods as everyone else, but lack the skills, opportunities or resources to do so in pro-social ways. They therefore pursue their goods through methods which are illegal or harmful. Traditional approaches to working with offenders have been risk-focussed, analysing their past mistakes and telling them what they mustn’t do in the future. The Good Lives Model points us towards strengths-based and future-focussed interventions, whereby offenders identify new, prosocial ways of achieving their primary goods and are equipped with the skills to do so. The focus is on building a new “good life”, with the emphasis on what they can do rather than what they can’t.
It seems trite to compare life in lockdown to life in prison (although Jonathan Freedland in last Saturday’s Guardian references ex-prisoner Erwin James who believes the parallels are strong). There are, however, some similarities to life on probation supervision or parole licence. I can’t pretend to understand how it feels to live subject to licence conditions whereby even a minor breach could result in imprisonment. But in the current situation, I have a little insight into how it feels to live according to strict rules designed to minimise risk to myself and others; rules which are frustrating but for the common good; rules which tell me what I can’t do and where I can’t go; rules which sometimes change and goalposts which sometimes move. In this climate, as described above, small pleasures are important and it is essential to find new ways of achieving and maintaining primary goods. Lockdown has given me a fresh appreciation of Good Lives and, I hope, a deeper understanding of the impact of the decisions I make and the conditions I impose.
Associate Lecturer in Criminology at the University of Northampton and Psychologist Member of The Parole Board for England and Wales
Freedland, J. Adjust your clocks, lockdown is bending time completely out of shape. The Guardian, 25th April 2020.
Ward, T. (2002). The management of risk and the design of good lives. Australian Psychologist, 37, 172-179.
In my Sabbatical year spent here in Vietnam, it would be disingenuous NOT to speak about the Coronavirus. Without being hyperbolic, this is a crisis of every proportion. Here are a few of my observations.
Today it was reported that the Whistle-blower, Dr. Li Wenliang, died of the virus. At the epicentre, Chinese health officials initially claimed the virus would peak and subside within a week’s time. There are claims that those predictions were made due to reticence to pass bad news up the political chain. Undoubtedly, we will celebrate him as a hero, for his efforts to alert the world while Corona was just an epidemic. For context: This same week, one of my state’s senators outed the whistle-blower who originally brought to light the massive corruption of the current White House occupant who was just acquitted. At the same time, in the middle of the (illegal) trade war between these two nations, Chinese health officials reference American health standards to legitimize their efforts to control this pandemic on the international stage – not the W.H.O. If my head weren’t spinning from all this news, then certainly even I am suspicious of my every cough or sneeze to the level of paranoia. Or, perhaps this pseudo-medical mask I am wearing is just rather annoyingly pinching my ears.
Sitting on the ground, people are handling it reasonably well. That is to say, no one is running around screaming or losing their heads. Logistically, the virus could hardly have come at a better time. The city was already emptied out by those who had returned home to celebrate the Lunar New year, known in Vietnam as Tet. The weekend folks were set to return, orders came from on high to close all educational institutions, due to the obvious fact that classrooms huddle groups of people into close, closed quarters – infection heaven. Heck, classrooms are built as fertile grounds! Morally, it’s the exact opposite: What an unsettling ending to the region’s most festive season!
Worse still, there is a travel ban from China, while estimating that “Chinese visitors comprised almost 30 percent of the approximate 15.5 million international travelers who arrived in either Hanoi or Ho Chi Minh City last year and translated into $30 billion from both the domestic and international market.” Who really can imagine the wider economic impact!?!
On my sabbatical, I am working in the language centre of a partner institution of my home university in the UK, which I got to know in my role as Senior Lecturer in International Business. Here, my desk is merely 15 feet away from the customer service desks where students come to register from the language classes, or any one of the ESL tests they must pass to graduate. Basically, at some point, every student at this university must come into this office. Additionally, we are a regional German-language testing centre, garnishing many folks from China (recall that travel ban!). While there are usually 6-7 ladies manning the kiosks, only two to three were called in the first few days to address students’ needs. Now, each day there is only one. Yesterday afternoon, it was announced again that all educational institutions would be closed for yet another week. Since I know that only a few of my colleagues are from Hanoi and are here with their parents, I suppose most of these ladies are home looking after their kids. I cannot imagine how other parents without grandparents nearby are dealing with this crisis.
A colleague told me last week that universities always reserve time within the term for such contingencies, but I imagine two full weeks of cancelled classes is a stretch. Certainly, my concerns have shifted towards the graduating seniors this term. Then, there are also the hourly-paid language teachers our/any centre hires. What about their labour? What’s more, our university is huge and sits next to at least 3 more universities, not to mention the 3 pre-schools I pass on my walk home. Again, all primary, secondary and tertiary schools are all closed for a second week after Tet. There are over 30,000 students, lecturers and staff. My husband has a similar gig down the road which boasts many, many more.
There are entire food and transportation economies woven around all these campuses. Most visibly, there are a host of corporate café chains, as well as typically Hanoian tea-stalls and street-food kiosks selling fast-food ranging from variations of noodle soups, to anything that can be deep-fried, steamed or cooked over a charcoal fire. Naturally, this Kentuckian spends way too much time at the grilled chicken lady. She does feet, as well as drumsticks and wings which she stretches out onto skewers and serves with hot sauce (so there’s no need to carry any in my bag). Most of these food outlets closed for Tet, but many simply have not re-opened since. The few that are open are virtually empty, save for the few pedestrians and commuters passing by, or the motorbike taxis that station themselves around each entrance to the campus alongside the tea-stalls. At least apparently, their persistence offers moral support, though it is possible that economically, there ain’t enough business between them. Enough?
Since the outbreak, I’ve regularly received text messages from the Ministry of Health, as has been widely reported in global media. The messages are in Vietnamese, which Google translates in 1-click just by copying the text. This is all –perhaps strangely- reassuring. No, it is very reassuring. The same messages are also sent straight to my phone via regionally popular chat programs such as Zalo. ‘Google Translate’ is integrated into that programme, too, like a virus. There, MoH’s chat messages include links to extended articles, especially details on how individuals can protect themselves, plus further info such as: “All hospitaliszation costs, medications, and testing costs for nCOV-positive patients are free.” There are layers of ways of spreading knowledge about the impact of potential outbreaks of disease, especially since SARS. It’s refreshing to see social media used so purposefully.
The streets are vacuous and quiet. Ordinarily, Hanoi is a loud, crowded, motorbike ridden city, so this peace is…(sigh)…morbid. Again, there are no visible signs of panic on the streets. It’s lunchtime here in the office. While I was engulfed in writing this blog-post, everyone else has quietly slipped away. This is the first time that I find myself alone in this building. All I hear are birds chirping outside, and a few horns blowing in the distance. The parking lot is empty. I’m going home.