I’ve mentioned before on this blog that in addition to my
day job, I did shifts in the local out-of-hours social work team for about 14
years, throughout the 1980’s and 1990’s.
You were very much on your own: there were two social
workers on duty covering a county that was 75 miles from west to east, and 50
miles from north to south. A deputising service took calls and passed them on
to these two workers, who then dealt with the referral as they saw fit, whether
it was a Mental Health Act assessment, an allegation of child abuse, a frail
elderly person needing a night sitter – or anything else at all that could
conceivably fall within the remit of social services.
We were pretty much allowed to make our own decisions
without interference. Often it was as much about what you decided not to do as
what you did.
One winter’s evening, I received a call from a medical ward
in a hospital. The Sister was concerned about Erica, a woman in her 70’s who
had been present at her terminally ill husband’s bedside when he had finally
died.
“I’m very worried about her,” the Sister said. “She won’t
stop crying. We’ve got her in a side room, and one of my staff is with her, but
we’re worried she might do something silly if she goes home. She might need to
be admitted to a psychiatric hospital.”
I couldn’t help feeling that the quality of the referral was
dubious. After all, isn’t someone entitled to cry when a loved one has died?
Isn’t it something that nurses on a medical ward come across frequently, and
ought to know how to deal with such events?
However, the Sister maintained that this wasn’t normal, and
that Erica needed to be assessed.
In the end, I decided I had to go out and see Erica,
although I was not going to treat it as a formal request for a Mental Health
Act assessment, which seemed disproportionate in the circumstances.
The county being so geographically large, it was about an
hour before I got to the hospital. Erica was in a side room. She was no longer
crying, and seemed quite composed.
“I’m very sorry you’ve been bothered,” she said. “As you can
see, I’m quite all right now. But Jimmy and I have been married nearly 50
years, you see, and I’m going to miss him.”
A tear sprang into her eye, although she did not sob.
“Do you have any relatives nearby? Any children?” I asked
gently.
“Jimmy and I never had children. I’ve got a sister, but she
lives 200 miles away. I don’t want to bother her. I promise, I’ll be all
right.”
“What would you like to happen right now?”
“I’ve paid my respects, I’ve said my goodbye. I don’t want
to stay here any longer – Jimmy isn’t here now. He’s somewhere else. I’m tired.
I’d like to go home.”
“Would you like me to take you home?” I asked.
“I don’t want to put you to any trouble.”
“It’s no trouble.”
Her home wasn’t far away, and we were soon at her dark
cottage. She unlocked the door and I followed her inside. The house was clean
and tidy, displaying the love she had had for their home, but it was cold. She
did not have any central heating.
I noticed a tiled 30’s fireplace, with a grate and a bucket
of coal on the grate.
“Shall I light the fire for you?” I asked her. “Have you got
any firelighters?”
“I don’t use firelighters,” she said. “I just make some fire
bunnies.”
“Fire bunnies? What are fire bunnies?”
“Don’t you know what fire bunnies are?”
I shook my head. “Can you show me?”
“Come and watch me,” she said, getting a newspaper and
kneeling down by the fire.
I observed as she took a sheet of newspaper and rolled it
into a long tube. Then she tied it into a loose knot and popped it into the
grate. She continued to do this until she had used up the newspaper. Then she
laid a few pieces of kindling wood on top, and finally added a few lumps of coal.
Once she was satisfied, she struck a match and lit one of
the fire bunnies.
The fire very soon flared up, the fire bunnies providing a
rapid and efficient source of heat, catching the kindling, and soon the fire
was blazing away and bringing warmth into the room.
“That’s amazing,” I said, genuinely impressed. “I’ve never
heard of fire bunnies before. What a good idea. I’ve got a woodburner at home.
I’ll have to try that next time I’m lighting a fire.”
Her face lit up with pleasure. “Oh, I’ve known how to do
that since I was a little girl. My mother taught me. Would you like a cup of
tea?”
She made us a cup of tea and we sat in front of the fire
while she told me about her mother, and her father, and even her grandmother.
And about Jimmy, of course.
By the time I left, I was satisfied she was safe to be alone.
She was best at home. I knew she had a long journey ahead of her, and it
wouldn’t be easy. But she was already beginning to process her grief. She would
make it.
A great story. Though I doubt an AMHP would turn out to that today, more likely a concern for welfare would be created for police to attend. Which is a shame.
ReplyDeleteLovely story and a reminder of what has been lost from the social work role.
ReplyDeleteIntegrated care is coming to an end, in the borough where I work. It is a worrying time for all involved, especially the CPNs and social workers. IHas this separation taken place elsewhere in Britain and how well or badly it went. We identified many challenges but yet to experience then because the separation has not yet taken place.
ReplyDelete