Earth is Crammed with Heaven

“Earth’s crammed with heaven, and every common bush afire with God; but only he who sees, takes off his shoes, the rest sit round it and pluck blackberries.”

Elizabeth Barrett Browning

I stumbled upon this quote just this morning in one of my wife's books. Every morning on the train I pass by a small glimpse of heaven (or at least what I would hope heaven might be like). Just past Cuxton on the way towards Meopham is a small valley full of farms and fields that change almost daily with the seasons. Going from alternate rich green and yellow fields in the spring, to a uniform green mottled with red poppies in early summer, then white with wheat in August. Meanwhile the trees in the hedgerows and a small woodland in the midst of the valley go from winter's bare skeletons to a riot of spring blossom to lush summer greens and then autumn golds and reds.

But most of the train is too buried in their papers, iPods books and (indeed) Blackberries, or else are too fast asleep to notice. I miss it too, most mornings, but every now and again I see this valley on my way in to London and my heart leaps and gives praise. On my way back from London, especially in the lighter evenings of spring and summer I give thanks whenever this valley comes into view, as it reminds me that I am near home - both physically and spiritually.

This little valley, glimpsed twice a day for barely a minute is, for me at least, a reminder of God's incredible creativity and artistry, and of his tangible presence in a Creation that holds together through his very Word.

Earth is crammed with heaven indeed, even in an obscure part of Northwest Kent.

Dying patients denied pain relief because of legal fears

A survey in Nursing Times has been published this morning claiming that "dying patients denied pain relief because of legal fears" - specifically that one in ten 'nurses' surveyed said that they were scared to give full doses of pain relieving opiates (even where prescribed) because of fears of being prosecuted for assisting in the death of a patient.

There are some real question marks to raise about this. First and foremost the methodology of the survey itself. This was an open survey that anyone could post to. Pro euthanasia groups were generically emailing their supporters asking for nurses to fill in the survey, but any of their supporters could have. The same may have happened on the other side. But the key point is that you did not need to be a Nursing Times subscriber or show any proof of being a registered, practising nurse to fill this in, so the results cannot be said to have a high degree of validity. The 2,311 respondents may have all been practising nurses, but there is no way to verify that. Furthermore it was a self selecting sample, so there is no way you can say this is a representative cross section of the profession.

Secondly, the survey asked distinctly slanted questions, which seem to look for answers that pointed to neglecting patients' symptoms for fear of prosecution. It was hard to give an answer that did not point in that direction without ticking an 'other' or 'not applicable' box. In other words, there was no real triangulation of data by asking different questions with different possible answers to make sure that the respondents were actually saying what they appear to have said.

In short, the methodology of the survey is so poor as to leave one wondering how many useful conclusions one could make from the data.

However, leaving aside the questions about the methodology and validity of the study, if one is to draw conclusions from it, then it does suggest a scary level of apparent ignorance of good clinical care and the law. 33% said they did not know what the law was (it hasn't changed, despite what you would have thought seeing the coverage of the DPP's guidelines on prosecution in cases of assisted suicide), and if 12% of nurses think it is better to titrate down the dose of opiate analgesics so that a patient is in pain rather than risk prosecution, that show a) a starling level of callousness and lack of care, b) a devastating level of ignorance about good palliative care and how hard it is to actually overdose someone on appropriately prescribe opiate analgesia, and c) a scary level of ignorance of the law on assisted suicide.

Has any nurse ever been prosecuted for simply giving an extra (prescribed) dose of diamorphine to a patient in terminal pain? I have never heard of such a case. You would have to give a huge dose to kill someone (people in severe pain can take considerably higher doses of opiate analgesia than people in no pain), and be either deliberately malicious or unbelievably incompetent to do so. In short, either this survey is picking up something that is not there by nature of its methodological flaws, or we really need to look again at nurse education on medical law and end of life care!

What is even more concerning is that the Royal College of Nursing has still to produce any professional guidance on this issue. The Nursing and Midwifery Council have spoken strongly, pointing out that the law has not changed, but despite the RCN changing their stance on assisted suicide to one of neutrality (supposedly to enable greater discussion of the issue), the main professional body for nurses in this country seems to be dithering and uncertain what to do. This lack of leadership may explain, at least in part, why so many nurses apparently feel ignorant and unable to act appropriately in the face of a person facing the end of their life in pain.

Leadership and education are what are needed here, not a change in the law!

A Christian Manifesto

I was heartened to read the Evangelical Alliances' Open Letter to Party Leaders today, as it reflected the views of British Evangelical Christians on Facebook and Twitter, and refreshingly not a single reactionary idea amongst them!

• Encourage the importance of marriage as the best environment to bring up children
• A change to the voting system so that it is more representative of the votes cast
• For politicians to act with honesty and integrity

Other suggestions that make up the top ten ideas include:

• Foster social entrepreneurship in inner city areas that have suffered from long term deprivation
• Fully worked out plans for supplying water and sanitation to those currently without in developing countries
• An immigration policy that ensures we provide proper sanctuary for those fleeing persecution in their own country
• Cap the interest rate that can be charged on loans and credit cards
• Reform the House of Lords
• Work to set up an international tax on financial transactions
• Take hard choices to tackle the national debt

This is just a sample of the many ideas that were submitted to the Facebook group and via Twitter, and show that Christians are passionately committed to all areas of society. Which ever party or parties form the next Government we call on them to listen to these suggestions and engage with the Church. Across the country churches are an integral part of local communities and work for the good of all society. We ask that you work with the church as a key partner as you begin to govern.

The thinking is refreshingly global, focussed on justice, fairness and community - values at the heart of a Christ Centred, Biblical world view. I doubt that the party leaders will have listened that much (judging from most of their manifestos), but whatever government we find tomorrow morning, we have here some of the issues that Christians at least would like it to address - issues that will have a wider benefit rather than simply fulfilling sectarian interests.

Where Was the Foregin Policy?

Tonight's Leaders Debate on Sky is being picked over by pundits ad nauseum, so thought I would add my own twopenny worth.

It was meant to be in foreign policy (although less than half was - especially if you take a pointed question about the Papal visit as being less about foreign policy and more about relationships with faith communities, which the leaders seemed to do). So we got Europe (sort of), Afghanistan (a lot) and the Special Relationship with the US (again, sort of). But nothing on overseas aid.

Four or five years back, that would have been in the top three questions asked by the audience or the pundits. Not now - the world's poor have dropped off the agenda again. Depressing. Inevitable, but depressing, because this election will once again be fought about who is going to put more pounds in my pocket - and the swing voters in middle England will be the ones who's pockets that party will want to promise to line. Our own poor, and the poor of the developing world, once again, not getting a seat at the table.

Update 4 May 2010:
Well, it seems the lack of Development related policy or questions was no surprise to some, and that that other have been dissecting the limited differences between all the parties (who all adhere notionally to the target of 0.7% of GDP going in aid by 2013). All well and good. And the One Campaign has got all the party leaders to go on record with their fairly trite statements on aid policy. All seem to be saying the same things, and none of them are bad. But I fear that the world's poor have genuinely slipped off our radar as a nation.

In Sarah Bosley's Global Health Blog in the Guardian this morning there was a pointed piece about Avastin, a bowel cancer drug that can (in very small doses) cure wet age related macular degeneration. But the drug companies are peddling the low doses of Avastin at a hugely inflated price and under another brand name. And this goes on all the time with diseases in the developing world, where treatments are denied the poorest of the poor because of profiteering. But this gets hardly any media or political attention.

This morning I led a morning devotion on Ezekiel 16 (one of the stronger passages in a pretty hard hitting prophetic book). Verses 49-50 say something quite scary - the sin of dear old Sodom, destroyed by sulphurous fire in Genesis, was not as is widely assumed, homosexuality, but rather that they sat back comfortably engrossed in their own pleasures and problems while the poor and vulnerable around them starved.

I fear for our nation - that we have let our own concerns (however relevant and valid they may be) deflect us from the real needs of the poor and our obligations to them as the rich world. And what judgement awaits us for this? Hmmm, read the rest of chapter 16 in Ezekiel and beyond...

BBC News - Will Christians swing the 2010 UK election?

Interesting article on the BBC News - Will Christians swing the 2010 UK election? - there is definitely a far more high-profile mobilisation of the Christian electorate this year than I can ever previously recall, and all the major parties (and not a few of the minor ones) seem to be playing up the Christian vote.

Wonder why the sudden sea-change? Is it because we are becoming more political as British Christians, or is because we tend to vote more than the general population, so in a close contest the parties need to court us? No easy conclusions, but perhaps both are true.

I see two dangers - firstly that we end up like the US Evangelicals and become too wedded or identified to one set of political issues and one party, or secondly that we end up being useful idiots to parties that dump us once it is more more politically expedient to do so, as the Republicans did evangelicals in the last US election. Either way, the temptations of power and empire are the ones we must abjure as followers of the King whose Kingdom was not of this world, whilst engaging with the political world in a constructive and Godly manner. Not an easy tightrope to walk, but one we should not avoid.

Marriage does little for child development

Interesting study in the Grauniad - Marriage does little for child development, study finds |Politics |guardian.co.uk -

Not really a surprise - it isn't marriage per se, but the people who tend to get married that has an impact on the development of their children.

Which does suggests that in finding policies to help lift children out of the poverty trap and improve social stability it is not so much finding tax incentives for people to get married, as addressing the wider social, educational, economic and health issues that affect families of all shapes and sizes.

As a Christian I believe in marriage, but recognise that it is only one of a whole tapestry of social strands that build stable individuals, families and communities. And it is the wider social, economic, political and spiritual changes in the life of our nation that has eroded many of these strands in many of our communities.

Once again, it is easy to address the surface issue without going deeper in a hunt for attention grabbing policies.

Another Christian Declaration ahead of the General Election

This time Steve Chalke's network, Faithworks has launched The Faithworks 2010 Declaration calling on the major parties to recognise the role of faith based organisations and churches to local communities and service provisions across the UK, and the centrality of the Christian faith to those responses. It also calls or stronger national and local government partnerships with the Christian FBO sector which recognise rather than marginalise the core Christian faith at the heart of the work done by churches and Christian organisations.

It is encouraging to see the number of Christian organisations really engaging in this general election (the Evangelical Alliance are asking people to tweet or Facebook their manifesto priorities, CARE are asking Christian to Make The Cross Count, etc, etc.) - and showing the breadth of concerns and involvement that Christians in the UK have with the life of our nation. We may not all agree on what the core issues are, but we hold the same Lord to be at the centre of our ethics, values and practices.

Westminster2010 - Protecting human life, marriage, and freedom of conscience

Following the US 'Manhattan Declaration', British Church leaders have today launched Westminster2010 - Protecting human life, marriage, and freedom of conscience, a declaration of Christian conscience, valuing human life and justice for the poor and marginalised ahead of the UK General Election, (expected to be called next week).

The leaders (including former Bishops Michael Nazir-Ali and George Carey, Steve Clifford of the Evangelical Alliance, Cardinal O'Brien, leader of the Catholic Church in Scotland, and the heads of several other Christian denominations and national organisations) call upon all the major parties and candidates to listen to the voice of Christians (amongst others) at the election, recognising that the voices of Christians have been somewhat in danger of being marginalised in recent years.

In particular the Westminster Declaration sets out a broad range of policies that unite churches in the UK, including support for marriage, freedom for those of faith to live their lives according to their beliefs and opposition to assisted suicide and euthanasia.

It also calls for Christians to support, protect, and be advocates for children born and unborn, and all those who are sick, disabled, addicted, elderly, poor, exploited, trafficked or exploited by unjust trade, aid or debt policies.

The timing of the launch of Westminster 2010 ahead of the call of the General election is designed to send a clear message to all parliamentary candidates that Christians will be supporting those who will both promote policies that protect vulnerable people and also respect the right of Christians to hold, express and live according to Christian beliefs.

You can sign the declaration here.

(At time of posting, the site seemed to have crashed, but should be up again soon).

Pullman's Latest Offering Gets a Thoughtful Christian Response

Bishop Alan’s Blog: The Goodman Philip and the Scoundrel Pullman?

A typically thoughtful review of Philip Pullman's 'The Goodman Jesus and the Scoundrel Christ' - suggesting it may be a more helpful and thoughtful read than the provocative title suggests. I may now even be tempted to borrow it from my local library! Sadly, I fear this may not be representative of the mad eyed responses I anticipate flooding in from many of my fellow believers (sigh)

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Think local to change face of Britain, urges David Cameron - Times Online

Think local to change face of Britain, urges David Cameron - Times Online

It is encouraging to see words like 'Community' and 'Civil Society' being used in the language of the general election. However, while none of the parties has it really nailed, they are coming out with some good ideas. Ideas, however, have a habit of biting the dust once an electoral mandate is received.

Meanwhile the local community groups and churches will get on with the job we do best, with our without the Government's support, whether it be blue, red or yellow come June.

#RHT - Robin Hood Tax

Check out this video that explains a simple but potentially significant idea to release a global benefit from the world's financial markets - something that could save lives and make a real, lasting difference.

see http://robinhoodtax.org.uk/ and follow on Twitter & Facebook for more information and ways to get involved.

This is an idea whose time has come!

The Shack & The Road

I am still reeling from my recent reading. After putting it off for a year or so, I finally succumbed and borrowed a copy of the most read Christian book of recent years (or decades even), 'The Shack', to at least find out what all the controversy was about. At the same time I decided I needed to read Cormac McCarthy's prize winning 'The Road' before the movie came out. Neither book could be described as a light hearted bundle of laughs, so I was steeling myself for a less than easy literary experience

Let's start with 'The Shack' – the story of a man whose daughter was abducted and murdered some years earlier being drawn to the site of her death by God at the eponymous Shack. Turning up as an African-American and an east Asian woman and a middle-eastern man, the Trinity then proceeds to show him the nature of the divine and his human misconceptions about God, life, death, suffering, etc, etc, and in so doing help him come to terms with his awful loss. If that summary sounds banal and superficial, it is because at one level, the book is banal. Badly written, cliché ridden, verbose to the point of tedium, the God of 'The Shack' communicates in trite sermons and homely proverbs, but seems unable to use metaphor and parable to explore deep and complex issues. It presents a rather wishy-washy God, the sort of nice cuddly figure of the American Megachurches, rather than a more robust Biblical vision of the Divine.

Others have written at length about the book's literary and theological deficits, but it obviously scratches some spiritual itches in our post-Christendom culture. Certainly, it does speak into the darkness of human loss and sorrow, and for all its faults, I found myself moved at times. But like a McDonald's, it tasted good but left me feeling strangely under nourished.

'The Road' on the other hand left me reeling, as if I had been at a good friend's funeral – deeply sorrowful, but also left with a profound sense of hope. The premise is as bleak as you can imagine – a nameless father and son walk across a United States that has been utterly devastated by a nameless global disaster, leaving the air leaden with ash, blotting out the sun and extinguishing all wild life. The only things left in this bleak landscape are the sporadic forest fires sweeping the land, and straggling bands of human survivors scavenging for food, many of whom have turned to cannibalism to survive. With just a trolley of scavenged food supplies, a pistol with two bullets, and each other, the two protagonists struggle towards the ocean for no clear reason. Along the way they face mundane struggles against the elements, the other human survivors, and their own failing health. Not a barrel of laughs you'd think, and for certain it is as grim as that summary would suggest. But to write it off as too bleak to be endured would be to miss out on a truly moving and uplifting masterpiece.

Much has been made of the beautiful, stark and simple prose with which McCarthy paints his pictures and tells his tale, and rightly so. But it is the simple, profound way that he paints the relationship between father and son that got to me. As a father myself I identified with the relationship so powerfully. The father seeks to protect his son from the stark hopelessness of their situation, seeking to convince him that they are keeping the flame of humanity alive, and seeking others who do the same (while not really believing this himself). However, it is the son who keeps challenging his father's single minded resolve to survive at any cost by constantly enjoining him to share their food with others, to take in the lost and help those who are in danger. His simple, naive compassion and hopefulness sits in stark contrast to the vicious cannibalism or despairing, bewildered hopelessness of the other survivors that they encounter. The son teaches the father to be truly human in the face of bleak inhumanity.

In 'The Road' God would seem to be absent – he was either never there, or has turned his face away from humanity and abandoned us to our fate. Yet the novel's finale gives us a glimmer of hope – that God has not turned his face, and that he is to be found in the finer human qualities that have not been extinguished, even in the worst of circumstances.

So, while 'The Shack' seems to be about God, it is really only about a certain, American cuddly image of God that is vapid and all too human. Meanwhile, in 'The Road' God remains off screen, but his presence is there in the simple humanity of the boy and his relationship with his father. It is that altogether more painfully realised image of God that is the more authentic.

Climate Change, Population and Health

At the time of writing, the Copenhagen Climate Change Talks are about to happen, and much comment in the media suggests that the chances of a meaningful agreement on curbing emissions rests on whether the West can persuade India, China, Brazil and much of the developing world to sign up.

At the same time, reports have been published recently expressing concern about the role of a growing population will have on climate change, poverty and development Many climate change activists like Jonathon Porritt are calling for drastic reductions in birth rates to save the planet. Others raise the concern that growing third world populations will not only add to climate change but set back development by spreading meagre resources too thinly.

This growing trend needs to be challenged. Recent research has shown that far from contributing to climate change, the poor barely have any impact but are disproportionately affected. China, which has a low population increase rate has one of the highest rates of increases in emissions – the same is true of much of the developed world, while most Africans have less than a thousandth of the carbon footprint of your average European (let alone your average American).

The problem is not population growth but the emergence of developing world middle classes who aspire to Western consumer lifestyles, complete with its conspicuous over-consumption of resources (hence the hike in oil steel and wheat prices over the last five years). This raises two awkward questions. Firstly, what sort of development do we really want? Do we want Africa and Asia to enjoy Western standards of living (and thus consumption)? It has been said that to sustain that level of consumption would take the total resources of 2-3 additional planets like Earth. Secondly, if we do not want that kind of development for Africa, Asia and Latin American, then what right have we to deny them what we permit ourselves? It strikes me that calls to curb the population in the developing world smack too much of the rich trying to control and demonise the poor, while side stepping the consequences of our own love of cheap credit and conspicuous over consumption

Climate change is happening - whether we can change it is open to debate, but like the global economic crisis (which will swell the ranks of the poor by 100 million this year), the poor are not responsible but are the first to suffer. Poverty and lack of resources, infrastructure, and often governance, greatly increase the vulnerability of the poor to the effects of climate change. Those living in costal or tidal river flood plains (e.g. a large part of the population of Bangladesh and Southeast Asia and the Pacific) will be at risk of flooding if sea levels rise - increasing risks of water born diseases, loss of food production, homelessness and descent into further poverty. Competition for water and other resources as climates warm will increase wars and conflicts amongst poor communities and nations, leading to the further collapse of health and social infrastructure and increase rates of malnutrition. Increasing climate refugee communities forced off flooded or drought ridden lands will also put huge strains on health infrastructures of their own and surrounding nations. The subsequent sequelae particularly in the areas of maternal and child health will reverse the meagre gains of the last decade. Climate change, not caused by the poor, will have disproportionate impact upon their health.

We sit back and debate about climate change and whether it is real, while some extremists call all human beings the problem just for being alive. It would seem that the anti-life psychosis that seems to be afflicting late post-industrial Western consumer cultures is being exported to those who do not need to have to put up with such utter evil nonsense. All the while we are fiddling while the poor suffer for our actions – it is us, our cars, our gadgets, our waste, our demand for more, cheaper newer, for the exotic and out of season food shipped half way round the world, the need for bigger cities and more roads to fulfil our demand to get where we want when we want how we want. Porritt, Attenborough and their like are just obfuscating.

Jesus and the prophets warned strongly that sitting back complacently makes us culpable in the exploitation of the poor (e.g. Matthew 25:31-45). The tough question for me is, what the hell am I going to do to help change this? Watch this space.

The Spirituality of the Long Distance Runner

I have recently been enjoying the "What is Spiritual Practice" blog series by Christine Sine and associates over in Seattle these last few months. Exploring how every day experiences can be part of our devotion to God has always interested me, and this series of thoughts has been quite refreshing and eye opening about unexpected ways of encountering God.

Thanks to my recent health problems I have had to make some major changes to my diet and start a proper exercise regime. For me, proper exercise means running – it was a passion for much of my twenties and early thirties, but somehow marriage and fatherhood squeezed the time for such practices – until I realised it was one of the only ways I could lose weight and help bring my diabetes under control.

So, I dusted off my old running shoes, bought some running shorts, and fished my worn out running socks from the back of my drawers, and started to pound the pavements whenever I could. I started taking my running gear to work and running the streets of Borough in my lunch hour (I briefly tried to run the route between the Millennium Footbridge and Tower Bridge on both sides of the Thames, but the volume of tourists made this hazardous, and a gashed arm caused by a distracted individual idly forcing me into some railings made me give up on that idea!!).

I started working out longer routes around my neighbourhood – streets that I knew by car, and then back routes and down through woodland and waste ground that I had never even been aware of before. At work I discovered side streets with hidden parks and those wonderful London squares with shared gardens in the centre tucked away behind the utilitarian facades of Borough High Street and London Bridge. I have found that you learn much more about a place pacing it out on foot than you do in a car or on a bus.

But it is the discovery of things inside myself that caught me by surprise. That my body actually craves exercise, and that years of being sedentary had not only harmed my health but had affected my spirit – my body wants to run, and denying it that had left me feeling something was missing. Suddenly it was more than the endorphin high of a good run, it was a sense that my body was doing something it was designed for and designed to do well. I am a runner by nature, and on the road I have found that "sweet spot" – the place where my body works at its best. The challenge of a new hill, a harder circuit, a longer route, a better time, all making me stretch my body to do more of this, and my body responds with joy. I have lost over two and a half stone (around thirty pounds if you are American, around fifteen kilos if you are European), and around eight inches off my waist. But it is more the sense of having energy and stamina and feeling young again that has struck me. It's like the years have fallen off, and I have my old self back again.

And as I find this new/old sense of self, I am also finding God with me on my runs. Granted I usually run listening to a podcast of films reviews, news or other matters of interest to me, but even with that I find myself aware that I am not running alone. I am not sure why God made me good at this – I am never going to be good enough to compete (nor do I want to), and it is an intensely solitary pursuit for me, (although I enjoy running with a partner from time to time). Yet I sense that in finding this one area where I am fitted, I am opening myself up to God to use me in other ways that He has suited me to.

We all have a place where we fit, a role or a skill that is uniquely ours. Finding that "sweet spot" is the road to joy, peace and fulfilment. Not necessarily the road to comfort, prosperity and material security, as some of the American prosperity heresies would have it, mind. In fact quite the opposite. Running takes hard work, discipline and commitment, self-sacrifice. Serving God in whatever way takes no less focus and commitment. So I have found that while running is a good in itself for me, I have found it more as a reminder that God has good works prepared for me in whatever role or walk of life that I am in. That is the challenge we all face – and sometimes we find it by the most unexpected route.

Era of the Reboot

I think it can hardly have passed notice that the world of cinematic and TV science fiction is going through a strange phase at the moment. I say strange, because it at once both highly creative and innovative while at the same time being tied somewhat pathetically to its antecedents.

Look at some the major science fiction films of the last eighteen months - Star Trek, Terminator Salvation, Star Wars: The Clone Wars, and The Day the Earth Stood Still etc. All either remakes or reboots or sequels. Or on recent TV - Stargate Atlantis (a spin off to a TV show that was spin off to a film), Enterprise (the fifth spin off series from the original Star Trek), Battlestar Galactica (a reboot of a short lived seventies/eighties series), Doctor Who (a continuation and re-boot of a the longest running TV science fiction series on Earth) and Torchwood (not only a spin off of Doctor Who, but an anagram of that show's title!), and finally Terminator: The Sarah Conner Chronicles (another spin off from the expanding Terminator franchise). And while Joss Whedon's Dollhouse stands alone as the most original show to have arrived on the scene in a few years, that is only thematically (and even then it has borrowed heavily on ideas from Joe 90 and Dark City to name but two obvious sources). However, structurally (at least to begin with) it was all too tied to the formula of a weekly sci-fi/spy show.

But this trend is not all bad - the new Star Trek film not only brought life and energy to a tired old franchise, but re-booted it in a way that gives infinite room for story progression. Battlestar Galactica remains one of the stand out shows of the noughties, standing up there with The Wire, West Wing and The Sopranos as one of the most innovative, engrossing and compelling television series of any genre. Some old ideas are worth re-visiting and improving upon.

Meanwhile Doctor Who continues to go from strength to strength on both sides of the Atlantic (and indeed, globally). Even it's initially weedy daughter show has at last found its stride with the five part Children of Earth mini series, but at the cost of killing off most of the characters and destroying its base of operations (a fourth season is still rumoured, but no yet confirmed).

Dollhouse may be finding its own original voice after an uneven first season, but at least has the virtue of coming from a (mostly) original idea that is not an attempt at a remake. But it is no Firefly (at least, not yet - the expectation on Season 2 is huge). And while Fox did grant it a second season, it did so at the cost of a third season of The Sarah Connor Chronicles, which had suffered from a very slow and uneven second season after a lean and engrossing first.

The less said about Terminator Salvation the better - maybe that franchise is finally ready to be laid to rest. Please! Ditto The Day the Earth Stood Still.

What does this all tell me? Maybe that there is a need to play it safe in US and British TV producers minds. Go with what we know will sell, rather than risk something different or new? That may be true, but there are genuinely innovative shows out there that give a lie to such an easy conclusion.

It may be that there are few writers willing or able to come up with something original? Or of a generation so raised on TV and cinema science fiction that they will not raid the treasure trove of ideas in literary science fiction.

However, there are some breaths of fresh air - Cameron's forthcoming Avatar looks set to revitalise the genre, not just through state of the art effects, but also through a premise that draws heavily on classic literary science fiction ideas. And there is District 9, with it unique setting in South Africa (at last, the aliens are not landing in New York or London, but Jo'Berg), and the recent Moon with its original and intelligent premise couched in references back to classic '70s science fiction films. But overall, I fear that TV and cinematic science fiction is in a state of decline in new ideas and innovation. Maybe we need a new generation of writers willing to branch off in new and unexpected directions. The creativity is out there, I am sure, I just hope it gets to see the light of day.

Faith and Theology: On assisted suicide: the problem with choice

Faith and Theology: On assisted suicide: the problem with choice

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This blog post and the related letter raise an interesting question about the nature of autonomy and personal choice in the debate about assisted suicide. Is our Western notion of autonomy and choice largely illusory and socially determined (as in the Bantu word ubuntu - I am who am because of you, and vice versa, the choices we make and the lives we lead we do in relation to one another, not in isolation)?

It gives pause for thought in the mounting debate about the decriminalisation of assisted suicide in the UK, in particular when autonomy and choice are the principle arguments in favour of legalisation.

Bishop Says Church of England Won't Surivive Without Radical Change

http://www.ekklesia.co.uk/node/9758 - nothing new here, but a public recognition from within the C of E leadership that t cannot count on being part of the Establishment much longer, that it has to rethink how it can remain a part of the life of modern Britain and how it must rethink its mission to England and to the wider world.

One wonders if the formal structures can handle the change fast enough, or like a super-tanker trying to avoid an iceberg, it takes too long to slow and change the behemoth's direction before disaster strikes.

Of course, loss of an established denominational structure no more means the death knell of the church than the sinking of a ship stops people travelling - they just change vessel or mode of transport. The church in new and unexpected forms is popping up everywhere, and long may it do so - I just hope that the formal structures of my church can change direction before one expression of faith in Jesus in this nation collapses beyond repair.

But that is in God's hands, ultimately.

Foreign aid does more harm than good

Dambisa Moyo argues that aid has actually stopped development in Africa by enforcing dependency rather than creating space for bottom up wealth creation and development.

This is a an argument that is growing in force, and seems increasingly to be coming from Africans - not politicians but economists, entrepreneurs and business leaders. It would be good to know what the African churches are thinking about this? Many are tied by aid apron strings to their Western parent denominations, but an increasing number of indigenous African churches are kicking free of Western ties (although many seem to be creating new ties, especially to the more odious ends of the American health, wealth and prosperity heresies).

I think this is a new debate that needs to be had - the old models are simply not working any more (if they ever truly did). We need new thinking if we are going to eliminate global poverty.

Spiritual Care Conference – Days 2 & 3

The second two days of the conference were primarily for student nurses and teachers. In a wide range of seminars, themes exploring spiritual care in mental health nursing, midwifery, palliative care and general nursing. There were about 22-23 nursing academics and teachers, and about forty to fifty students – mostly from Norway, but also several from Netherlands and Romania.

The first day's themes around how to train nurses in spiritual care were reiterated, but also looking at the issue of the ethics of spiritual care when nurse and patients have different belief systems. The case of Caroline Petrie, the nurse suspended (and later re-instated) after offering to pray for a patient was widely discussed (I was surprised to find how much coverage her story had garnered across Europe). Linda Ross and Wilf McSherry explored this theme together in a closing plenary session, and the debate that was generated could have gone on for the rest of the day!

It was clear from much of the discussion that one problem has been the teaching of spiritual care as a distinct module, rather than interweaving it with all other aspects of care – which reflects more how spiritual care is delivered in practice. From my own experience, it is usually while conducting a routine (though often intimate) task, such as a bed bath or dressing a wound, that a patient will ask a leading question, or make a statement that expresses a spiritual or existential concern. It is a much underrated skill in the art of nursing to read such comments and use sensitive questioning to explore further with the patient the underlying questions and needs the patient is expressing. While looking for the question behind the question is not a teachable skill - it is learnt and acquired through years of experience - the basic skills if observation and reflective questioning are readily taught. One concern I have is that the practice of nursing is moving away from the bedside and in to the office, such that it is the nursing assistant that does the "real" nursing rather than the Registered Nurse. That may explain why RNs in particular express so many anxieties about spiritual care.

Another theme that emerged was the need for evidence based practice in the field. We have long moved on from trying to define spiritual care – there are as many definitions as there are papers and text books, but we do now need to justify all areas of nursing practice in terms of outcomes – not an easy task for such a rarefied and unquantifiable area. I think nursing has less of a professional problem with fuzzy edges and ambiguity, but it is in health system that has focussed on the paradigm of the machine –with inputs, outputs, throughputs and processes at the fore, rather than the ragged complexity of human suffering and healing, which is the rality that nurses deal with routinely. But there is research being done on how best to care for people spiritually, and that is something we need to use as the basis for all training and practice, and to justify the role of spiritual care in nursing care (and indeed all healthcare).

Spiritual care in mental health is a new frontier – with research emerging only slowly. It is a contentious area, as some religious and existential issues will be exacerbated or expressed in mental illness.

Finally, the need for research and training to be multidisciplinary is also key – all aspects of the health service need to recognise human beings as complex social, psychological, relational, spiritual beings, rather than biological machines to be fed through a system. That is going to take more than a few seminars or conferences – it demands a fundamental, radical culture change in healthcare management, government health policy and applied medical science. So – the revolution starts here!

Spiritual Care Conference, Bergen, Norway

Most of this week I have been meeting with nurse leaders, academic, lecturers and students from across Europe as we once again explore what spiritual care is, and how we in practice care for the spiritual needs of our patients. In the UK this has recently become a hot topic with nurses suspended for praying with patients, and the National Secular Society has called for the NHS to stop funding all chaplaincy services.

And there is no doubt, as a recent Nursing Times survey has illustrated, that most nurses in Britain at least, find themselves poorly equipped to assess the spiritual needs of their patients and address the care needs that are subsequently identified. My father-in-law, a full time hospital chaplain, has commented on more than one occasion that most of the nurses in his hospital are actually embarrassed to even ask if a patient has a faith or belief system – even when they are also asking about bowel habits, diet and even questions about the patient's sexual health! Is religion and/or spirituality the last taboo? Have we found ourselves able to talk about sex, politics and now even death, but still "don't do God"?

One of the biggest question raised on our first day was simply how we translate research in to practice, how we train nurses to deliver effective spiritual care, and how we weave the spiritual in to all aspects of care rather than separating it out as something 'set apart'. Talking to one leading expert in the field who had just flown in from a Royal College of Nursing conference on spiritual care, it seems that there are voices emerging who are suggesting that nurses should play no role in any kind of spiritual care – and while the reasoning of the voices so far raised is clumsy and poorly thought through, there is no doubt that there will be opposition to restoring the spiritual as an aspect of nursing.

So, in bringing nurses the skills to address the spiritual needs of their patients, we have to start with nurses reflecting on their own spiritual nature and journey, whilst at the same time not forcing their beliefs on others. But that is only a start, because any practice of care must be based on good research and be held properly accountable within a professional framework, so it is more than just touchy feely stuff – it is qualitative and quantitative research, health policy and professional framework development, and training strategies. Yet, we have talked this over for two decades, and nurses still do not feel equipped in this area of practice.

Tomorrow we begin the conference proper, but out of today we are pulling together a network of researchers, practitioners and teachers who will work collaboratively on addressing some of these questions, and sharing more widely the experiences of those seeking to put good research in to good practice.