{"id":3502,"date":"2022-10-10T10:00:09","date_gmt":"2022-10-10T09:00:09","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-humanities\/?p=3502"},"modified":"2022-10-10T09:59:10","modified_gmt":"2022-10-10T08:59:10","slug":"dehumanising-old-age-devaluing-care-and-dismantling-the-nhs","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-humanities\/2022\/10\/10\/dehumanising-old-age-devaluing-care-and-dismantling-the-nhs\/","title":{"rendered":"Dehumanising Old Age, Devaluing Care, and Dismantling the NHS"},"content":{"rendered":"<p><strong>Film Review by Khalid Ali, Film and Media Correspondent<br \/>\n<em>\u2018Allelujah\u2019<\/em> (Richard Eyre, UK, 2022) showing at the <a href=\"https:\/\/whatson.bfi.org.uk\/lff\/Online\/default.asp?BOparam::WScontent::loadArticle::permalink=allelujah\">London Film Festival<\/a> on 9<sup>th<\/sup> and 11<sup>th<\/sup> October<\/strong><\/p>\n<p>Alan Bennett\u2019s 2018 play <em>\u2018Allelujah\u2019<\/em> was an insightful reflection on the big challenges currently facing the UK: an expanding population of octo and nonagenarians, limited health and social care resources, and a National Health Service (NHS) at breaking point. Patients lying on stretchers in accident and emergency corridors waiting to be admitted to a hospital bed, \u2018medically-fit\u2019 mostly older people, referred to as \u2018bed blockers\u2019, cannot be discharged because their care packages take forever to be secured, and burnt-out doctors and nurses demanding better working conditions and threatening to go on strike. The NHS, historically renowned for being a world class service and the pride of Britain, is now suffocating following government privatisation plans (<a href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2021\/04\/13\/nhs-in-critical-condition\/\">https:\/\/blogs.bmj.com\/medical-humanities\/2021\/04\/13\/nhs-in-critical-condition\/<\/a>).<\/p>\n<figure id=\"attachment_3503\" aria-describedby=\"caption-attachment-3503\" style=\"width: 463px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-3503\" src=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2022\/10\/Ali-Khalid-Dehumanising-Old-Age-Devaluing-Care-and-Dismantling-the-NHS-Dench.png\" alt=\"Ali, Khalid - Dehumanising Old Age, Devaluing Care, and Dismantling the NHS\" width=\"463\" height=\"311\" srcset=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2022\/10\/Ali-Khalid-Dehumanising-Old-Age-Devaluing-Care-and-Dismantling-the-NHS-Dench.png 463w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2022\/10\/Ali-Khalid-Dehumanising-Old-Age-Devaluing-Care-and-Dismantling-the-NHS-Dench-300x202.png 300w\" sizes=\"auto, (max-width: 463px) 100vw, 463px\" \/><figcaption id=\"caption-attachment-3503\" class=\"wp-caption-text\">Mary (Judi Dench) and Dr Valentine (Bally Gill) plotting to keep the hospital open<\/figcaption><\/figure>\n<p><em>\u2018Allelujah\u2019<\/em> the film adaptation of Alan Bennett\u2019s play, scripted by Heidi Thomas boasts a stellar cast of national treasures of British film, TV, and theatre. Maintaining the dark humorous tone of the play, the film follows a critical week in \u2018Bethlehem Hospital\u2018 or \u2018The Beth\u2019 a community hospital in Yorkshire threatened with closure. The hospital motto of providing care \u2018\u2019from the cradle to the grave\u2019\u2019 is no longer viable when the government\u2019s focus is on building \u2018specialist centres of excellence\u2019. Funding decisions about \u2018The Beth\u2019 and its future are brutally made by London ministers whose priorities are profit and economic gain, an agenda that is not typically associated with \u2018compassionate geriatrics care\u2019. The hospital staff, its chairman, a group of volunteers, and a colourful mixture of older patients are campaigning to keep their beloved \u2018Beth\u2019 open. A camera crew from the local TV station is filming their attempts to generate wider support.<\/p>\n<p>Among the hospital patients, we see several personalities of senior citizens; the loner Mary (Judi Dench) (figure 1), a retired librarian, who prefers to be invisible observing in silence the trials of tribulations of her fellow patients, Ambrose (Derek Jacobi) who can\u2019t wait to die lamenting the fact that life is clinging its ugly jaws on him, and Joe (David Bradley) who wants to stay in hospital for as long as he could to avoid being discharged to a care home he hates. The common factor that links these unfortunate souls is that they all lost their dignity and identity. Sister Gilpin (Jennifer Saunders) (figure 2) is the assertive manager who runs the Geriatrics ward with an iron fist. For nurse Gilpin, patients\u2019 inactivity is laziness, incontinence is a curse that immediately places them in her \u2018blacklist\u2019. The geriatric giants of immobility, instability, incontinence, and intellectual impairment, a term coined by Professor Bernard Issacs (Isaacs B. An Introduction to Geriatrics: London: Bailli\u00e8re: Tindall &amp; Cassell; 1965), are all seriously penalised by the strict Gilpin. Her pragmatic, unflinching attitude is the only way to meet hospital targets, namely creating empty beds to admit new patients from the neighbouring acute hospital. Doctor Valentine (Bally Gill) is the kind empathetic doctor who champions his patients\u2019 fight to keep the \u2018Beth\u2019. He argues that a \u2018hospital bed\u2019 is much more than a bed; it signifies a patient as well as a whole load of doctors from different specialties, nurses, therapists, and assistants all working together to improve a patient\u2019s hospital experience. Sister Gilpin vehemently disagrees: \u2018\u2019a hospital should function like a bowel pumping out excretions\u2019\u2019; in her opinion the waste products happen to be older folk. In her role as a nurse, she is only doing a \u2018job\u2019 that others don\u2019t want to do.<\/p>\n<p>The prevalent hostile attitude of society towards older people is exemplified by Mrs Maudsley\u2019s story of abuse (Eileen Davis), a frail woman whose daughter and son-in-law are scheming to take over her home. Ambrose echoes society\u2019s sentiment saying: \u2018\u2019no one likes old people; even old people don\u2019t like old people\u2019\u2019.<\/p>\n<figure id=\"attachment_3504\" aria-describedby=\"caption-attachment-3504\" style=\"width: 1280px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-3504\" src=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2022\/10\/Ali-Khalid-Dehumanising-Old-Age-Devaluing-Care-and-Dismantling-the-NHS-Saunders.jpg\" alt=\"Sister Gilpin (Jennifer Saunders) commands her ward with an iron fist\" width=\"1280\" height=\"720\" srcset=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2022\/10\/Ali-Khalid-Dehumanising-Old-Age-Devaluing-Care-and-Dismantling-the-NHS-Saunders.jpg 1280w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2022\/10\/Ali-Khalid-Dehumanising-Old-Age-Devaluing-Care-and-Dismantling-the-NHS-Saunders-300x169.jpg 300w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2022\/10\/Ali-Khalid-Dehumanising-Old-Age-Devaluing-Care-and-Dismantling-the-NHS-Saunders-768x432.jpg 768w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2022\/10\/Ali-Khalid-Dehumanising-Old-Age-Devaluing-Care-and-Dismantling-the-NHS-Saunders-640x360.jpg 640w\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" \/><figcaption id=\"caption-attachment-3504\" class=\"wp-caption-text\">Sister Gilpin (Jennifer Saunders) commands her ward with an iron fist<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p>Occasionally the film uses a direct approach with sentimental overtones; however, it still delivers in exposing a system and a society where caring for the frail generations is not a priority anymore. If there is a note of hope it comes from <em>\u2018Allelujah\u2019<\/em> ringing alarm bells for each one of us that discriminating against old age will not be tolerated and will be challenged by the rare few like Dr Valentine.<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Film Review by Khalid Ali, Film and Media Correspondent \u2018Allelujah\u2019 (Richard Eyre, UK, 2022) showing at the London Film Festival on 9th and 11th October Alan Bennett\u2019s 2018 play \u2018Allelujah\u2019 was an insightful reflection on the big challenges currently facing the UK: an expanding population of octo and nonagenarians, limited health and social care resources, [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2022\/10\/10\/dehumanising-old-age-devaluing-care-and-dismantling-the-nhs\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":345,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[206],"tags":[15099],"class_list":["post-3502","post","type-post","status-publish","format-standard","hentry","category-film","tag-film-review"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Dehumanising Old Age, Devaluing Care, and Dismantling the NHS - Medical Humanities<\/title>\n<meta name=\"description\" content=\"Read Khalid Ali&#039;s review of Allelujah, showing at the London Film Festival tomorrow (11 Oct) at the London Film Festival.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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