No profit from pain

Sr Silvana Dallanegra rscj is a Religious of the Sacred Heart. She works for Caritas Westminster, runs her Province's website and social media, and blogs at  All this life and heaven too .

Sr Silvana Dallanegra rscj is a Religious of the Sacred Heart. She works for Caritas Westminster, runs her Province's website and social media, and blogs at All this life and heaven too.

Here in the UK we've just been celebrating the 70th anniversary of the founding the National Health Service. Over those seven decades millions of lives have been saved, transformed, enhanced, cared for - with no eye-watering bills at the end of the treatment, however lengthy or specialised. Yes, it has its flaws, bureaucracies and problems, but nonetheless it is, quite rightly, a precious national treasure, of which we are all justifiably proud. It is, very much, what its chief executive has called “a unifying ideal – across this nation and down the generations. A health service that belongs to us all. 

Writing in The Guardian Maggie O’Farrell reminds us: “It’s tempting to get grouchy and huffy, to focus on waiting lists or delayed appointments or scrambled prescriptions, but we all need to incant this to ourselves, on a daily basis: the NHS is free, it is inclusive, it is, I believe, this country’s superpower.” And indeed, only those who have lived in countries where medicine isn't free, or who are old enough to remember having to pay, pre-1948, can truly appreciate what a remarkable system we have - and how selflessly counter-cultural, in a world geared to profit and personal gain. Selfless because our national insurance isn't personal - I pay in, and my sicker neighbour benefits; selfless too because it isn't run for profit. This has certainly been the theme to No profit in pain, an NHS tribute song by Gruff Rhys, who also reminds us not to take its continued survival and existence as a free service for granted.

Our celebrations have been filled with gratitude and appreciation: for the service itself, but especially for its staff, many of whom serve with extreme - and at times legendary - commitment, dedication, generosity and sheer, unstinting hard work. Even someone as relatively healthy as me has a list of people to thank: long-ago midwives and health visitors, opticians, dentists (yes, even though I dread every visit!), doctors, nurses and physiotherapists. And there is universal gratitude, too, for the memory of the NHS's founders, especially Nye Bevan, whose passion, audacity and conviction drove the idea forward and ensured it became reality.

Passion, audacity and conviction... these are the hallmarks, too, of those who founded our religious orders. Passion for Christ and his Gospel; passion too for the needs of the world and of suffering humanity; for the young, the sick, the elderly, outcast, materially or spiritually poor, the abused, the vulnerable... for whatever need or situation spoke most strongly to our founders' hearts. Audacity - simply to believe in and hold fast to their call and vision, often in the face of institutional opposition. And a conviction, centred in the healing, redemptive love of Christ, that this little group, this fledgling community, was called to be Christ's hands and heart and hope, however daunting the task or slender their resources.

And if we were founded with passion, audacity and conviction, we have certainly been continued with commitment, dedication, generosity and hard work. Each order has its own narratives, of pioneering spirits and sacrifices made; each order, too, has its own local heroes, serving - especially where the needs are greatest - whether as quiet presence or as tireless, feisty leader, as inspiration or self-effacing team-worker, as they continue their founders' legacy. 

And rather like the NHS we do all this selflessly. We make no profit from pain: pain – whether physical, spiritual or emotional - is what we endeavour to heal, in countless ways; to hold in prayer, to transform, to campaign against, to be alongside - freely. Whether in healthcare or education, in pastoral ministries, counselling or social work, in working with those who are lonely, abused, trafficked or otherwise vulnerable and disadvantaged, or in the silence of our prayer, we give, as freely and plentifully as we can, for love, and with love. 

Yes, we too (like the NHS) have, and have had, our flaws – which communities are addressing – but there is, I believe, an overall balance of goodness and goodwill, which has touched and transformed so many lives. And just like the NHS we also need more resources – in our case, not government funding or specialists, but great-hearted, generous vocations, ready and willing to give their lives for love.

Passion... commitment... dedication... generosity... selflessness… words we so rightly ascribe to the NHS, and all its staff. But wouldn't it be lovely, too, if people, hearing those words, would also automatically think of religious women and men? Not only the religious who work in healthcare, but also the ones they meet in parishes, projects, neighbourhoods and schools up and down the country? The Archbishop of Canterbury, Justin Welby, has described the NHS as “the most powerful and visible expression of our Christian heritage”: I’d love to think that we, who have pledged their lives to Love, could also be seen to be a powerful and visible expression of those very ideals and qualities...

Sr Silvana Dallanegra RSCJ