Dunoon Grammar School

One more post about living in ‘the swine flu capital of Scotland’ (a title bestowed by the Times newspaper- here.)

Although there are now cases on the Island of Bute, and in Oban, Dunoon still remains the centre of the largest out break of the H1N1 virus in Scotland. As of Friday, there were almost 70 confirmed cases. Fortunately, most cases seem to have had mild effects on those infected- vomiting, aches and pains, dry cough- but two people have required hospital treatment. One person suggested that a recent hangover was worse!

The official response to this has been changing too. Initially the hope was that we could contain the spread of the virus by keeping those who had direct contact with infected people separate, and using prophylactic medication. It is safe to say that this does not appear to have worked very well! The concern of those of us that work for essential services is that if enough staff are infected, then we will not be able to maintain essential care to vulnerable people. However, at present, this has not been a problem. Services are managing fine.

The service under most pressure is the local hospital- and this seems to be at least in part because of the very many ‘worried well’ who are turning up for tests and seeking medication.

The current advice is that if infected, keep away from work and people. If in contact with those infected, but you are not symptomatic, then carry on as normal.

Community services (Social Work and Education) have been given clear instruction to ‘carry on as normal’, and not to get into a pattern of canceling things, and therefore increasing the sense of crisis in the locality.

I was surprised then to hear that Dunoon Grammar School is now closed for a week. My daughter, who is in year three, was already off all last week in an attempt to control the spread amongst people who had contact with a confirmed case of infection. I wonder whether the decision to close the school was more in response to the fact that so many people were simply not sending their kids to school. I heard that on one day last week, there were only 35 kids in the school (the normal intake is more than a thousand.)

The effect on the community has been interesting. Some are fearful and withdrawn- suspicious of sniffles and sneezes. But mostly the effect seems to be rather positive on peoples relating and interacting. After all, communication in small towns can often be very incestuous and gossippy- and swine flu gives us such great material. The chance to compare notes on who-knows-who, and to inquire after the wellbeing of the new local celebrities- those infected. I have found people to be almost universally good humoured about the whole thing.

Perhaps the ultimate expression of this is that I heard yesterday that some of those who had been infected were gathering together at a ‘Swine flu barbecue’- a social event for those who had been quarantined from others.

A hog roast you could say.

Where the swine flu ham is fully roasted.

Good for them!

The swine flu outbreak in Dunoon continues- more cases confirmed today. The Dunoon rumour mill has had a field day. I have really enjoyed hearing all the different versions of the same stories- you hear them in the queues at supermarkets, in the street, and in offices.

It is difficult to know whether we are over reacting, or under reacting. The school kids who have been told to go home, and not to associate with others are clearly ignoring this advice en masse- apart from my daughter, much to her disgust! I even heard about one girl in her year working as a waitress! I kid you not! Although, this being Dunoon, this story may well not be true.

The jokes have started too- the obvious ones are football related- the judgement of God on all Rangers fans, or the fact that God is a Celtic supporter, and has contaminated Ibrox to ensure that they win something next year. ( The link here, in case you missed it, is the fact that the outbreak here is linked to a bus full of Rangers supporters who travelled together from Dunoon.)

Then there have been the rather more pompous jokes about links to other plagues through history-

It did remind me of the story of the village of Eyam in Derbyshire close to where Michaela and I grew up. The story of the sacrifice made by the villagers there had entered into folklore to such an extent that it was the destination of many a school trip.

Here is the story as told here.

Eyam, a village in Derbyshire, was also badly affected by the great plauge of 1665 even though the disease is most associated with its impact on London. The sacrifices made by the villages of Eyam may well have saved cities in northern England from the worst of the plague.

At the time of the plague, the village had a population of about 350. The most important person in the village was the church leader – William Mompesson.

In the summer of 1665, the village tailor received a parcel of material from his supplier in London. This parcel contained the fleas that caused the plague. The tailor was dead from the plague within one week of receiving his parcel. By the end of September, five more villagers had died. Twenty three died in October.

Some of the villagers suggested that they should flee the village for the nearby city of Sheffield. Mompesson persuaded them not to do this as he feared that they would spread the plague into the north of England that had more or less escaped the worst of it. In fact, the village decided to cut itself off from the outside would. They effectively agreed to quarantine themselves even though it would mean death for many of them.

The village was supplied with food by those who lived outside of the village. People brought supplies and left them at the parish stones that marked the start of Eyam. The villages left money in a water trough filled with vinegar to steralise the coins left in them. In this way, Eyam was not left to starve to death. Those who supplied the food did not come into contact with the villagers.

Eyam continued to be hit by the plague in 1666. The rector, Mompesson, had to bury his own family in the churchyard of Eyam. His wife died in August 1666. He decided to hold his services outside to reduce the chances of people catching the disease.

Eyam Church where plague victims are buried

By November 1666, the plague was considered at an end. 260 out of 350 had died in the village but their sacrifice may well have saved many thousands of lives in the north of England. Mompesson did survive. He wrote towards the end of the village’s ordeal:

Now, blessed be God, all our fears are over for none have died of the plague since the eleventh of October and the pest-houses have long been empty.

How would Mompesson fare if he tried to persuade we Dunoon folk to close up the borders and sit out the infection, burying our dead as we went?

Not very well I suspect. But then again- who knows, we Brits tend to be at out best at times of adversity, or so we like to think.

A little lad for whom it is all too late...

So, yet more discussions in the media over the last few days about the terrible death of little Peter, earlier known as ‘Baby P’.

Like many others, I have been following this story closely- and have posted thoughts on the issue several times. Earlier posts are here, here and here. This will be my last reflection…

So what has been going on?

It was the turn of the health authority to answer hard questions about its contacts with Peter and his mother. This from here.

Health workers missed dozens of opportunities to identify abuse being suffered by Baby P before his death because of “systemic failings” in the care given to the child, an official report has found.

The inquiry into NHS failings, conducted by the Care Quality Commission and published today, concludes that doctors and other health professionals had contact with the little boy 35 times but every chance to raise the alarm was missed.

Any one of these professionals could have picked up that he was suffering abuse if they had been “particularly vigilant” and gone “beyond what was required” by the system, the health regulator said.

The report talked about staff shortages, inadequate training, delays and poor communication. The General Medical Council has suspended from practice Dr al-Zayyat and Baby P’s family GP, Jerome Ikwueke, over their involvement in the case, but the Care Quality Commission was clear that no individual health workers should be singled out, as the problems were systematic. 5 Social work staff members have been sacked.

There are no surprises here. After every tragedy, and sadly Children die every week at the hands of their parents in this country, inquiries usually make similar points- communication, errors of judgment, poor training, staff shortages. These are not excuses- they are present realities of any beaurocratic response to complex human dysfunction.

Last week, Peter’s mother, her boyfriend were all sentenced. Entirely predictably, the Sun newspaper started a campaign to increase the sentences awarded. (The Sun had earlier campaigned for the sacking of social workers involved in the case, and claimed responsibility for their dismissal.)

And finally, Graham Badman, chair of Haringey local safeguarding children board (Sharon Shoesmith’s replacement) released details of a serious case review. This is the second such review, the first one concluding that there had been procedural failings and errors of judgment, but none on their own “were likely to have enabled further responses that might have prevented the outcome.”

Here is the Guardian’s take on the new report (from here)

The Badman review is clear that this was too generous a reading: Peter’s death “could and should have been prevented”. He could reasonably have been taken into care after the first serious incident, in December 2006, and on several occasions afterwards had professionals been more diligent.

The original report explains – but does not excuse – the failures to take Peter from his family in the context of the behaviour of his mother: she was frequently co-operative, with an open manner, and keen to please, so agencies built up a trust in her.

They saw Peter’s injuries as resulting from lack of parental supervision coupled with his observed tendency to “throw his body around and headbutt family members and physical objects.”

This perspective framed the way professionals viewed Peter’s subsequent injuries, the original report concluded. Wrong-footed by the mother, and seemingly never quite getting enough solid evidence to warrant a criminal charge or issue care proceedings, they effectively gave her the benefit of the doubt. The overwhelming sense of the first review is of well-meaning professionals struggling to bring a clear focus to an infernally complex, chaotic and constantly shifting situation.

Badman is scathing of this. He argues that social workers in particular were too timid. Professionals “over-identified with the parent”, and were even bullied by her.

While the original report gives no clear picture of the mother, Badman portrays her as an arch-manipulator, subverting the professionals, “a dominating and forceful personality”, eminently capable of intimidation.

In the report, there is a devastating sting in the tail. It remains to be seen whether there will yet have to be a public back lash against this- the usual corrective pendulum swing in the opposite direction…

Badman’s interpretation, fashioned with access to more information, is at times clear-sighted in spotting of unforgiveable errors, at others unforgiving of understandable human failings.

Professionals should be more interventionist: if they suspect abuse, they should act on it, even if they are proved to be mistaken. “Better that than the harm the child will experience.”

The removal of children from home, and reception into care has already increased in real terms by around one third. Each one of these actions is a human tragedy- characterised by damaged and broken people, holding opposing and contradictory views, and professionals acting in a context where information is incomplete, and finances are under great pressure.

So for those of you who will never have to encounter such incredibly difficult situations- know this. There will be more scandals. More children will die. There will be more outcry as children are removed on evidence that later turns out to be wrong.

And in the middle of all this will be a set of people who will be held accountable. They will almost certainly be social workers.

Who else?