{"id":47201,"date":"2020-04-16T10:50:43","date_gmt":"2020-04-16T09:50:43","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=47201"},"modified":"2020-05-30T09:51:14","modified_gmt":"2020-05-30T08:51:14","slug":"jennifer-darlow-thanks-for-the-support-but-i-dont-want-your-clapping","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2020\/04\/16\/jennifer-darlow-thanks-for-the-support-but-i-dont-want-your-clapping\/","title":{"rendered":"Jennifer Darlow: Thanks for the support, but I don\u2019t want your clapping"},"content":{"rendered":"<p class=\"standfirst\">When this pandemic has passed and the applause has faded, the NHS will need support more than ever, argues Jennifer Darlow<\/p>\n<p><!--more--><span style=\"font-weight: 400\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-47206\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2020\/04\/jennifer_darlow.jpg\" alt=\"\" width=\"137\" height=\"160\" \/>For the past few weeks<\/span><span style=\"font-weight: 400\">, people have stood outside their homes or hung out of open windows and clapped. In huge numbers, they\u2019ve been applauding NHS workers for their efforts in treating patients in the covid-19 crisis. My social media feed has been full of emotional tributes to our hero healthcare workers, as well as outpourings from my work colleagues after being overwhelmed at the emotional support offered by other people. Posts have recently been appearing saying that any one of us who is working through this should be awarded a medal. <\/span><\/p>\n<p><span style=\"font-weight: 400\">We have been hailed as these breakthrough superheroes, coming out of nowhere to take on what has been described as the biggest threat to our country in peacetime.<\/span><\/p>\n<p><span style=\"font-weight: 400\">But to me, the clapping is bittersweet. I don\u2019t want it. Let me explain why.<\/span><\/p>\n<p><span style=\"font-weight: 400\">It\u2019s not that I doubt people\u2019s good intentions. I sincerely believe that those clapping genuinely want to show their gratitude. It\u2019s just that for me, it&#8217;s tainted.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">What we need, and have needed for years now in the NHS, is more resources. We have been feeling the blunt edge of staff shortages long before there was a global pandemic. We have seen patients stuck in hospitals for weeks on end as there is not enough social care provision for their discharge. Nurses and allied health professionals work long, unsociable hours on very poor wages. We have constant gaps on medical rotas. On our wards, we don\u2019t even have tea bags for staff to use. Treatments are delayed, chemotherapy is postponed, operations are cancelled\u2014all due to a chronic lack of funding, support, staff, and government dedication.<\/span><\/p>\n<p><span style=\"font-weight: 400\">In 2017, a Conservative government also cheered, but this time when <a href=\"https:\/\/www.thelondoneconomic.com\/politics\/recap-to-the-moment-tory-mps-cheered-after-blocking-a-pay-rise-for-nurses\/23\/03\/#.Xn3h3UYTieI.twitter\">parliament managed to block a vote to give nurses a pay rise<\/a><\/span><span style=\"font-weight: 400\">. In 2016, the junior doctor strikes ushered in <a href=\"https:\/\/www.dailymail.co.uk\/news\/article-3766081\/Junior-doctors-plotting-five-day-strikes-Staff-want-stage-walkout-month-end-year.html\">bitter press coverage<\/a>, with claims that doctors were \u201cplotting\u201d and \u201ccausing unprecedented havoc<\/span><span style=\"font-weight: 400\">.\u201d Brexit has seen <a href=\"https:\/\/www.theguardian.com\/society\/2019\/nov\/24\/nhs-winter-crisis-thousands-eu-staff-quit\">more than 10 000 NHS workers leave our health service<\/a><\/span><span style=\"font-weight: 400\">. Many of those clapping in previous weeks, and who will continue to clap every week, are those who have brought about these changes.<\/span><\/p>\n<p><span style=\"font-weight: 400\">In 2017 when the Manchester Arena bomb went off, I was working the night shift in a Manchester hospital. We watched everything slowly unfold, and throughout the hospital our understanding of the full horror of the event came together piece by piece, as news spread of the scale of the casualties who were arriving. After this horrific event, there was a similarly kind and well intentioned response from the public. Staff got free ice cream, more pizza than we knew what to do with, and enough toiletries to sink a ship. We were honoured by a royal visit and the singer Ariana Grande came to see the children who\u2019d been affected in the hospital. The general public could not sing our praises enough.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Fast forward two months, and we were back to the same old NHS\u2014understaffed and underfunded\u2014with nothing really having changed.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">While this virus continues to be prevalent, its effects will be devastating. But perhaps far more devastating will be the effects for years to come. With <a href=\"https:\/\/www.bbc.co.uk\/news\/health-50397856\">waiting lists already at the longest they have been for years<\/a><\/span><span style=\"font-weight: 400\">, months of disruption and cancellations are going to have a huge knock-on effect. This will be compounded by the fact that people who were awaiting elective and non-emergency treatments, and have had those treatments delayed, may continue to deteriorate in this time and need more input and resources when they finally come to be treated. It is at this point that the NHS will be put to the true test\u2014when the spotlight is off us, and our \u201chero\u201d status has died away.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">So when the applause has faded, when the medals are tarnished, when the ice cream has melted, and the superhero capes are put away, please don\u2019t forget us. I would say to the general public, thank you for your well intended and heartfelt support. But I don\u2019t want it in the form of a clap. I want to see real change\u2014in wages for our less well paid colleagues, in resources for our hospitals, and in the number of staff available. Without your support, and I mean real support, the fear you felt that your hospital would not be able to look after you if you became unwell, long after this crisis is over, may still become a reality.<\/span><\/p>\n<p><em><span style=\"font-weight: 400\"><strong>Jennifer Darlow<\/strong> is a haematology ST5 trainee in the North West Deanery. She currently works at the Manchester Royal Infirmary, and is in training to become a paediatric haematologist.<\/span><\/em><\/p>\n<p><strong>Competing interests:<\/strong> None declared.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>When this pandemic has passed and the applause has faded, the NHS will need support more than ever, argues Jennifer Darlow [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/04\/16\/jennifer-darlow-thanks-for-the-support-but-i-dont-want-your-clapping\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":47202,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[236],"tags":[],"class_list":["post-47201","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nhs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Jennifer Darlow: Thanks for the support, but I don\u2019t want your clapping - 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