The Francis Report (2013): Neo-Pharisaism in the NHS?
Issue: Vol 4 No. 1 (2016)
Journal: Health and Social Care Chaplaincy
Subject Areas: Healthcare Communication
This article explores the extent to which a theological concept can guide secular practice. I explore the possibility that excessive regulation undermines compassion. Using Lartey’s pastoral cycle, I compare the mind-set of the Pharisees in Jesus’ time with regulation in today’s NHS. Employing a deliberately provocative style and comparing social processes across millennia, the article challenges many of our assumptions around regulation. It is potentially relevant to other institutions, whether public, private, voluntary, or faith sector. It suggests that theological and pastoral reflection can contribute to better practice in secular organizations. Lartey’s pastoral cycle provides the structure. The article states that theological reflection can prevent us from blind alleys in healthcare. It favours returning to values yet recognizes that some regulation is necessary.
Author: Julian Raffay
Ballard, P. (1986) The Foundations of Pastoral Studies and Practical Theology. Cardiff: Faculty of Theology.
Baxter, H., M. Mugglestone and L. Maher (2009) The EBD Approach: Concepts and Case Studies. Aldridge: NHS Institute for Innovation and Improvement.
Blomberg, C. (2013) Christians in An Age of Wealth: A Biblical Theology of Stewardship. Grand Rapids, MI: Zondervan.
Cahn, E. (2000) No More Throw-away People: The Co-production Imperative. Washington, DC: Essential Books.
Christian Aid (1990) The Road to Damascus: Kairos and Conversion. London: Christian Aid.
De La Torre, M. A. (2014) Doing Christian Ethics from the Margins (2nd edn). Maryknoll, NY: Orbis Books.
Dickens, C. (2012) Little Dorrit. London: Penguin.
Doran, G. T. (1981) “There’s a S.M.A.R.T. Way to Write Management’s Goals and Objectives”. Management Review 70(11): 35–36.
Farrar, M. (2013) Challenging Bureaucracy. London: NHS Confederation.
Fischer, J. (2000) 12 Steps for Recovering Pharisees (Like Me). Bloomington, MN: Bethany House Publishers.
Francis, R. (2013) “Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry: Executive Summary” (Vol. 947: 23). London: The Stationery Office.
Freire, P. (1993) Pedagogy of the Oppressed (new revised edn). London: Penguin.
Green, L. (2005) Let’s Do Theology. London: Continuum.
Hagner, D. (1995) World Biblical Commentary: Matthew 14–28. Dallas, TX: World Books.
Harrington, D. (1991) The Gospel of Matthew, No. 1. Collegeville, MN: Liturgical Press.
Secretary of State for Health. (2008) High Quality Care for All: NHS Next Stage Review Final Report (Vol. 7432): The Stationery Office.
Her Majesty’s Goverment. (2010) Equality Act 2010. London: The Stationery Office.
Hovestol, T. (2007) Extreme Righteousness: Seeing Ourselves in the Pharisees. Milton Keynes: Authentic Media.
Kabir, T., and T. Wykes (2010) “Measures of Outcomes That are Valued by Service Users”. In Mental Health Outcome Measures, ed. G. Thornicroft and M. Tansella, 3–14. London: Royal College of Psychiatrists.
Kesey, K. (1976) One Flew Over the Cuckoo’s Nest: A Novel. Harmondsworth and New York: Penguin Books.
Lartey, E. (2000) “Practical Theology as a Theological Form”. In The Blackwell Reader in Pastoral and Practical Theology, ed. J. Woodward and S. Pattison, pp, 128–34. Oxford: Blackwell.
—(2002) “Pastoral Counselling in Multi-cultural Contexts”. American Journal of Pastoral Counseling 5(3-4): 317–29. http://dx.doi.org/10.1300/J062v05n03_07
Lencioni, P. (2012) The Advantage: Why Organizational Health Trumps Everything Else in Business (1st edn). San Francisco, CA: Jossey-Bass.
MacIntyre, A. (2007) After Virtue: A Study in Moral Theory. London: Duckworth.
McFadyen, A. I. (1990) The Call to Personhood: A Christian Theory of the Individual in Social Relationships. Cambridge: Cambridge University Press. http://dx.doi.org/10.1017/CBO9780511598012
Pine II, B. J. (1999) Mass Customization: The New Frontier in Business Competition. Harvard: Harvard Business Press.
Raffay, J. (2012a) “Are Our Mental Health Practices Beyond HOPE?”. Journal of Healthcare Chaplaincy 12(2): 68–80.
—(2012b) “What Are the Factors that Prevent or Enable the Development of a Spiritual Assessment Tool in Mental Health and That Stand in the Way of or Facilitate the Provision of Quality Spiritual Care?” Unpublished Master’s thesis, Cardiff University, Cardiff, UK.
Realpe, A., and Louise M. Wallace (2010) What is Co-production? London: The Health Foundation.
Sanders, E. (1992) Judaism: Practice and Belief, 63 BCE–66 CE. London: SCM Press.
Schön, D. (1984) The Reflective Practitioner: How Professionals Think in Action. New York: Basic Books.
Sentamu, J. (2015) “Conclusion: Firm Foundations for Britain’s Future”. In On Rock or Sand: Firm Foundations for Britain’s Future, ed. J. Sentamu, 236–58. London: SPCK.
Slay, J., and L. Stephens (2013) Co-production in Mental Health: A Literature Review. London: New Economics Foundation.
Swinton, J., and H. Mowat (2006) Practical Theology and Qualitative Research. London: SCM Press.
Taleb, N. N. (2012) Anti-fragile: How to Live in a World We Don’t Understand (Vol. 3). London: Allen Lane.
Traynor, M. (2014) “Caring after Francis: Moral Failure in Nursing Reconsidered”. Journal of Research in Nursing 19(7-8): 546–56. http://dx.doi.org/10.1177/1744987114557106
Westwood, N., M. James-Moore and M. Cooke (2007) “Going Lean in the NHS”. Coventry: NHS Institute for Innovation and Improvement/Warwick University.
Wilkins, M. (2004) The NIV Application Commentary: Matthew. Grand Rapids, MI: Zondervan.
Williams, R. (2003) Lost Icons: Reflections on Cultural Bereavement. London: T&T Clark.
Woodward, J., and S. Pattison (1999) Pastoral and Practical Theology. Oxford: Blackwell Publishing.
Yerkes, R. M., and J. D. Dodson (1908) “The Relation of Strength of Stimulus to Rapidity of Habit‐Formation”. Journal of Comparative Neurology and Psychology 18(5): 459–82. http://dx.doi.org/10.1002/cne.920180503