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When the NHS was established in 1948, it was decided that the hospital authorities should give special attention to provide for the spiritual needs of both patients and staff. It was also deemed appropriate that a hospital should have a chapel and that a chaplain should be appointed to care for the patients and staff.

More about history of the chapel at Addenbrooke's.

Why ‘chaplain’?
The word chaplain comes from the Latin word for a cloak and the word grew out of the story of St Martin meeting a man without a cloak, begging in the rain. If St Martin had met the man's need by giving him his own cloak he would have shifted the problem to himself. Instead he tore his own cloak in two and shared it, half for the beggar and half for himself. It was, therefore, recognised that a chaplain is someone who shares support with those in the storms of life and offers some spiritual help and direction in those difficult times.

As hospitals grew from hospices (places where travellers could find hospitality, Christian love and medical care, on their journey), so it is appropriate that hospitals have their own chaplains who can continue within that tradition of offering care and support to those in difficult times.

History:
When the NHS was first established, it was decided that the needs of the whole person ought to be considered. This meant that if hospitals were of a specific size then a chaplain was appointed to work in the establishment so that the religious needs of patients were duly catered for.

The close connection between the State and the Church of England meant that all the posts went to Anglicans (i.e. Church of England ministers), and it was assumed that the majority of patients would be Anglican. The needs of the other denominations, particularly the Free Churches, were recognised by the appointment of Free Church chaplains.

A careful protocol was followed so that the respective chaplains only visited their own 'followers'. This was also a reflection of the strong denominationalism that was evident in the church community.

The 1990s saw a great shift in the culture of our society with the upsurge of new age thinking and ideology. While this development was viewed by some as a threat to traditional values, it can also be seen as a clear desire by a large number of people to have their real needs met in a relevant way. Many people's spiritual needs were not being addressed within the church culture and, therefore, they found expression elsewhere and significantly in the New Age movement. This movement to a post-modern culture was paralleled with changes in the NHS with the introduction of Trusts. One consequence for chaplaincy was to see the increase in the number of Free Church chaplains appointed by the Trusts and the creation of ecumenical chaplaincies.

Whether this development was conscious and deliberate, or piecemeal and based on the decision not to allow chaplaincy to be so restrictive, is hard to know. The consequence is that where it has been allowed to develop, it has been considerable. It has provided the way forward for a dynamic development of service as the priority of the need of the patient has been placed at the top of the agenda.

Nowadays:
The demands of hospital life are particular and immediate. The issues of life and death are constantly on the agenda. The needs of people, both patients and relatives, are intense and wide ranging. The need for individuals to feel cared for and experience some sense of compassion and understanding of their particular situation is continual. Whether those people have a particular faith system or cultural background does not always determine whether they will ask for help. It is often the case that those with little predisposition for religion will ask for help from the chaplaincy because they feel some need that may be met from that quarter.

People are looking for someone who will sympathetically engage with them and respond compassionately to them as people. The need for spiritual care is awakened and the experience of encountering someone who can tune into their wavelength is important if that level of need is to be met.

It is a basic care for the person and a respect for the individual that is fundamental to our work. This basic ideology places chaplains in the vanguard of pastoral care and it is vital that the practice of chaplains matches their conviction. If chaplains are committed to affirming basic values of care compassion and respect, then this must find its expression in each member of the team adhering to that viewpoint, and placing their own preferences to one side for the sake of the patient or their relative.

You can find out more about the Chaplaincy today here

 

 

For further information contact The Chaplaincy, Box 105, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB2 2QQ; Tel: 01223 217 769; E-mail: chaplaincy@addenbrookes.nhs.uk

 

Last updated: 31 August 2006