shark attack

There are worse things to worry about in the world. You don’t need me to list them. Log-on to any newspaper, any day of the week, and see how long it is before you sigh, swipe, and check for the hundredth time that day if you’d had any likes on that picture of your dog in sunglasses.

And you don’t need me to tell you that life goes on, regardless. There’s no fairness to it. One person obsesses about ear hair, another gets batoned in a street riot. In the same street.

So – bearing that in mind – let me tell you about this terrible hoovering tragedy I suffered today.

It was all going so well. I’d pretty much finished downstairs and was ready to start the stairs. I like the hoover we’ve got. Of course, it’s not actually a hoover. Hoovers never are. This one’s got a much snappier name – the Shark. It’s sleek, snappy. An upright with more attachments than a Space Marine. I love it. I came to the bottom of the stairs with absolute confidence. Unsnapped the handheld carpet device. Decoupled the cylinder from the floor head. Began my ascent.

The cord is just long enough to let me reach the top step. Then I throw the tube forwards to act as a kind of anchor, balancing the cylinder well enough to let me go back downstairs, unplug and bring all the attachments upstairs to start the cleansing operation there.

This time, though, the cylinder was full of dust. And the thing about the Shark is – it’s bagless. Which I like. It means you can lift away the dust container, take it to the bin, flip a catch, and empty the whole thing. Thank you, Shark. I’ll do that.

Sidenote: Sometimes you get sudden, unexpected and terrifying insights into the chaos that underlies your life. Things you’ve taken for granted that turn out to be laden with hazard. Things you’ve done a hundred times safely that reveal themselves to have been fraught with danger the whole time. Like walking down the street and one day finding out it’s built over an abandoned tin mine (and the pavement is made of old biscuits).shark hoover

You see, the lift-away body of the Shark comprises two halves: the dust chamber and the body it snaps into. What I didn’t realise is that there’s a dust filter sitting inside the body. When the dust chamber is released and lifted away to be emptied, this dust filter sits loosely in the body. There’s nothing to hold it in. Nothing at all. So when I accidentally trod on the cable on my way back down the stairs, and the Shark body toppled over and crashed down the stairs after me, the dust filter was thrown clear, bouncing down on every stair, scattering explosions of dust everywhere, on the treads, the walls, the skirting boards….

I caught it at the bottom, in one final cloud of dust, covering me as completely as if I’d stood underneath a dust silo, given the thumbs-up, and someone somewhere pulled a chain.

There are worse things. Of course, at that moment, I couldn’t think what.

 

Chapter 3: Three Little Words

Stanley makes his bed and lies in it – The Lurcher that Never Looks Back – Not Really Disney Material – The Farm Dog Theory – Stanley McQueen – Spock as Dog Whisperer

paw print

Stanley’s been home a few days now and he’s absolutely perfect. Almost.

He’s affectionate, gentle, inquisitive. He has a funny way of pulling out the throw we use to cover the sofa at night, dragging it into the middle of the room, twirling it round into a weird kind of nest, then plomping himself down in the middle of it (sighing heavily, like a forbearing but disappointed teacher who has shown his pupils time and time again exactly what is required but STILL has to go through the motions). He sits when you ask him to sit. He stands when you ask him to stand (admittedly a bit confused when we say Stan, sit!) He takes a treat from your fingers so slowly and carefully it’s like you never had it in the first place. He doesn’t whine at night. He’s housetrained. In fact, Stanley’s so nearly perfect, it’s unnerving. But two things stop him from being a one hundred percent, gold-starred, fully certificated wonder hound. One is his barking at other dogs when he’s on the lead. The other is his recall – or, more specifically, his lack of it.

We’ve tried training him in the garden. We even bought a whistle. We blow the whistle and give him a treat when he comes back (which he does, mostly). It’s all fine. By the book. But when we take him for a walk over the fields and let him off, he becomes a different dog altogether. He ignores the whistle. He ignores the shouting, the frenetic rattling of treat bags, the slapping of thighs and general carrying-on. He heads off, onward, outward, away. Head up, tail out. He does NOT look back. The only reason he MIGHT stop is to write a quick letter and post it. The letter will arrive in a day or so. It will read: Dear People. I am GONE. Yours &c, S.

It’s like we’re mad inventors who built a clockwork hound only capable of running in one direction, and when it’s disappeared over the horizon we’re left looking at each other, suddenly realising the basic design flaw.

Nothing works. It’s a simple fact. Stanley will NOT come back. All we can do is head him off in a Billy Smart’s Circus version of the pincer movement, tramping through the grass as quickly as our enormous boots, flashing bow ties and buckets of confetti will allow.

If we get the angle right it’s effective, though, because the ONE good thing about Stan on the Run is that he will keep coming on, straight, in a relentless trot, so much so that when he makes contact and you grab his harness, his feet keep on wheeling round and round (or at least it feels like they do), and he looks astonished, because he can’t understand what the problem is.

Yesterday was different, though. Yesterday was dangerous.

paw print

We set off as usual, Lola on one side, Stanley on the other. Filled with sunshine and optimism and bonhomie. I feel good. Man and dogs in perfect harmony.

I see a woman on the other side of the road with an immaculate GSP. They totally look like each other, in that Disney way – heads up, noses high, marching along the pavement in perfect step with each other.

‘Good morning!’ I say. If I’d been wearing a hat, I’d certainly have lifted it.

‘Good morning!’ she says.

Then Stanley barks. That great, open-throated, wilderness-worrying, howling harroo. The sound that would make a wolf turn vegetarian.

The woman and her dog hover a few inches above the pavement for a second, and hurry on.

paw print

Over the fields Lola is running on ahead in her perfectly easy and reliable way. I’ve still got Stanley on the lead, though. I want to let him off, too, but every time we’ve done it so far he’s ended up running away, or got stuck head-first in some brambles.

Whilst I’m thinking about this, a friend of ours – Jackie, the woman who helps run the choir Kath sings in, calls to me from the gate. Her little dog Max must be somewhere around, too. He’s a cute thing, a cross between a border terrier and a lamb, as far as I can tell. I’m a little worried how Stan’s going to react meeting him whilst he’s still on the lead, but when I say this to Jackie she’s pretty forthright.

‘Oh – let him off!’ she says. ‘I was brought up on a farm and we never had any of this nonsense! No! You just let them get on with it. I know they all go on about training, but really – they’re just dogs! But that’s me. I can’t see the point of having a dog and worrying too much. They sort themselves out!’

So I let Stanley off.

And actually – it seems to work. He has a good sniff around the bramble thicket nearest to us, but doesn’t do a swan dive into them. And when Max finally appears they greet each other calmly and courteously, and nothing much happens, and after Jackie and I chat for a bit about the choir and the upcoming tour and stuff, she carries on walking, and I head in to the next field.

Which is where it all goes wrong. Stanley suddenly speeds up, double-time. He’s caught wind of some rabbits over the far side. He’s at the fence in no time at all, despite his back legs still being weak from those years of neglect. He tries to jump the fence – which has barbed wire along the top. I can hardly watch.

But of course, I do.

It reminds me of that scene in The Great Escape, when Steve McQueen tries to clear the barbed wire fences on a motorbike. Except at least Steve McQueen manages a couple. Stan falls at the first attempt, not jumping it so much as speculatively launching himself into the air with his four legs spread in an X. It’s a miracle he doesn’t end up crucified on the wire; as it is, he falls back in a heap. He’s just getting back on the bike when I catch up with him and clip the lead back on.

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Needless to say, we start looking round for a dog trainer.

Kath gets a recommendation for a militaristic woman who lives locally and specialises in gun dogs, but I’m not sure whether she’ll be a good fit. All that saluting and duck work. I’m holding out for more of a dog-whisperer type, someone who can do the canine equivalent of the Vulcan mind meld. I imagine them watching Stanley performing his bed trick, when they’ll smile mysteriously, write three little words on a scrap of paper, the key to the mystery of this particular dog, and then hand the paper over:

Twirling, Feeding and Rabbits

stanley on bike

Where’d that dog go?

stan head on ownJust a quick note to say sorry for taking down the blog pages about Stanley the lurcher!

I did it because I wanted to give them their own space, so it’ll be easier to read them in order. It also gives me a chance to re-write them a bit, which is just as well…

You’ll find them on the top menu under ‘The Lurcher Diaries’.

Thanks for reading!

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Chapter 2: Dogs on the Loose

When Lola Meets Stanley – Psychology of The Hump Explained – First walks – The Bull That Watches & Waits – A Notorious Bark – The calming effects of traffic – Signing on the dotted line – Incident at the Re-homing Centre (no actors or dogs are injured in the making of this scene).

paw print

Trudy rings us a few days later.
‘Canal boat man’s changed his mind,’ she says.
‘Has he? Oh. Why?’
I think of that famous line in Jaws. ‘You’re going to need a bigger boat.’
‘I don’t know why,’ she says. ‘It doesn’t matter. All I need is for you to say whether you’re going to take Stanley or not.’
I hesitate. I’m still a bit worried he won’t fit through the cat flap. Or pet flap, I should say. But maybe I’ve remembered him wrong. Maybe he isn’t that big after all.
‘Hello?’ says Trudy. ‘Hello?’
I imagine her hair, flashing violently behind the counter. ‘Yes or no?’
‘Why don’t we come and take him for another walk?’
We arrange a time. She hangs up.
At least it wasn’t a video call.

paw print
The shelter hadn’t told us too much about Stanley. We knew he was nine, that he’d been neglected, underfed, under-exercised, to the point where his back legs were weak and half his teeth had fallen out. We knew he’d spent those nine years in the company of another dog, Biscuit, the ratty little tan terrier we’d seen in the pen with him on that first visit, knuckling up and down the place like a gangster planning reprisals. Apparently Stanley had doted on Biscuit but Biscuit was indifferent at best. The two of them had been ‘surrendered’ to the shelter because the owner couldn’t cope. The ‘surrendered’ description sounded odd, like the welfare inspectors had surrounded a bungalow, and after a tense standoff, the dogs had come out with their paws up. Either way, they’d made it out of a horrible situation reasonably intact. Biscuit had gone to another place (presumably with tower guards and searchlights). So Stanley was in the pen by himself.

He barely looked up when we approached.

paw print
The first time Lola sees Stanley is in the parking lot at the rehoming centre. She immediately climbs on his back and tries to hump him. It’s as much a surprise to us as it is to Stan. We’ve never seen Lola hump anything, let alone a male dog. And a tall one, at that.
‘Yeah – well – it’s actually pretty common,’ says Lauren, one of the dog wardens, pulling them apart, then walking with us out over the field that backs on to the centre. ‘Bitches’ll do it, even the spayed ones. The thing is, it’s not so much sexual as a sign she’s a bit over-excited.’
Stanley doesn’t seem that bothered, though, which we take as a good sign. If he can ignore that he can ignore anything. We figure Stanley is so focused on the walk he’d ignore a banjo-playing leprechaun (or only pause long enough to scarf his Lucky Stars and then hurry on). And pretty soon Lola has forgotten about it, too. We trot along in neutral formation, lurchers left and right, straight ahead. Making polite conversation. Stepping round the muddy puddles in the lane.
We pass an enormous bull, its massy black head looming over a fence, a ring through its nose and one through its eyebrow, possibly. I want to take a photo but Lauren shakes her head. I think she’s worried about Stanley, not the bull. Which makes me a little twitchy. Stanley doesn’t show any sign of trouble, though. The bull watches us go.

We see another dog warden coming the other way with two Staffies, her wild curly hair flying out round a yellow headband, the dogs shouldering ahead on the fullest extent of the leads like chariot horses. She looks impressive, a modern Boudicea in fleece and wellies.
‘Let’s just move over here a bit…’ says Lauren.
The next thing I know, Stanley is barking and flying out on the lead. Not just any kind of bark, though. A deeply resonant, hound-round, bellowing ker-hoomf. The kind of bark that would make a mammoth clench. The kind of bark that would have Sherlock Holmes pulling out his pistol and hurrying grim-faced over the moor.
‘Hi Karen!’ says Lauren, hauling him back.
Karen is having her own struggle with the two Staffies, who – if not quite as homicidally committed as Stanley – still sound pretty murderous. She only has the energy to smile and wave, as we hurry on in the opposite direction.
I turn to see the bull still standing there, staring after us. I get the impression he’s there most days, to get the latest action.

Eventually we find ourselves on a footbridge over the motorway, watching the zoom of cars and lorries passing backwards and forwards beneath our feet. We stand there a moment, catching our breath. The traffic is actually quite soothing.

‘Don’t worry,’ shouts Lauren, pushing her hair out of her face. ‘You can train that out of him. You just have to remember – he’s been through a lot.’
We all look at Stanley. He wags his tail.

paw print
Back at the centre Trudy is waiting behind the reception desk with her clipboard.
‘Well?’ she says. ‘How did you get on?’
‘He barked at some staffies but other than that he was fine.’
‘Good,’ says Trudy. ‘So… what do you think?’
‘We’ll take him!’
‘Excellent. Jenny will finish the paperwork.’
She hands the clipboard to Jenny who starts working through the form.

A large red-faced man wearing the rehoming centre fleece suddenly bursts through the door.
‘Old lady down, two loose on the field,’ he says, then hurries out again.
‘Bloody hell!’ says Trudy. ‘Hold the fort, Jenny.’
She hurries outside after him.
‘I’ll go and check on the woman,’ I say.
‘He used to be a paramedic,’ says Kath to Jenny, who’s looking so flustered now she can hardly speak.

Outside there’s a shaken-looking elderly woman leaning against the passenger door of a car. A middle-aged guy is standing next to her, dividing his attention between the woman, the two dogs and the staff members running around on the field.
‘Are you okay?’ I say to her.
She nods.
‘Any new pain anywhere?’
She says no.
‘I’m having my hip done next week,’ she adds, like that’s a bit of luck.
The guy with her turns out to be her grandson. He tells me what happened. How the larger of the two dogs pulled her over when they got out.
‘He’s never been good on the lead,’ says the guy.

Back inside, Kath has finished going through the paperwork with Jenny, who’s struggling with the card reader. She takes the card out, shoves it in, takes it out again and gives the machine a little slap with it.
‘I recognise that big guy,’ says Kath. ‘He teaches karate at our daughters’ old primary school.’
I have a strong image of him, running over the field, his arms held wide, trying to round the dogs up in Trudy’s direction.
‘I think he’s a black belt,’ says Kath.
‘It’s gone through!’ says Jenny. ‘Finally!’

mammoth

Chapter 1: Do you have anything in this size?

Dogs on stilts – And barges – Hair colour & its uses – Things you can pick up at the Rehoming Centre – Silence of the Bagels – The List

Trudy, the woman in charge at the rehoming centre, has a streak of ice blue in her hair. I’m beginning to think it changes colour according to the person she’s talking to.
‘What do you mean – too big?’ she says, slapping the clipboard down.
‘Well. We’re not sure. He looks enormous next to Biscuit.’
‘Biscuit’s a terrier. Biscuit makes everyone look big.’
‘Yeah – but – Stan’s legs. It’s like he’s on stilts.’
‘He’s a lurcher.’
‘I know.’
‘Anyway,’ she says, raising her eyebrows and sighing, as if she’s had too many years of exactly this sort of thing already and it’s not getting any easier, ‘Canal Boat Man has first dibs.’

To be fair, I think Stan would look great on a canal boat. Wearing a flat cap and neckerchief. One paw draped over the tiller. Mournfully whistling as the boat chugs through a tunnel.

What we don’t tell the woman is exactly why we think Stan is too big. The thing is, we’ve got a pet flap in the door for our existing lurcher, Lola. She’s actually quite small for a lurcher, and we’re not sure Stan will fit through. We shouldn’t feel shy mentioning this, but we do. It’s a practical detail, after all. It’s better for the dogs if they have access to an outside area. It’s just – well – it feels a little insensitive, somehow. Like going into an art gallery and asking for a painting to cover a hole.

‘Why don’t you take him for a walk?’ Trudy says.
‘Yeah – but if we take him for a walk we’ll only end up falling for him and it’ll be harder to say no.’
The blue in Trudy’s hair deepens.

I like this rehoming centre, though. An old thirties semi that looks like it was commandeered for the purpose sometime in the seventies, the kennels extending out back. I like the slightly ramshackle feel of it, the scruffy old reception, shelves of stuff for sale – bedding and cat carriers, feeding bowls and harnesses, shelves of dog-eared Jack Reacher thrillers, Aromatherapy for Cats. There’s a tall counter at one end separating the tiny admin area from the public parts. Today there’s a solid-looking pit bull called Mike helping out; he looks up at me with the serious expression of a lifer with library privileges. The other members of staff come and go, all of them bright and chipper.

The thing is, we’ve got history here. Twenty years ago when Kath and I got back from honeymoon, and moved into our new house, we thought: What this place needs is a dog! (in that sublimating way new couples have). We came to look around the centre and came away with a Patterdale-Lakeland cross tucked under our arms. Well – not immediately. They did visit to check the garden first. When we said we liked the look of Buzz but wanted to think about it, they said that he was a popular dog, he’d already attracted a lot of attention, and if we didn’t move fast he’d be gone. So we fell for the hard sell and took him on the spot. Looking back, it was one of the best decisions we ever made.

Ten years later we came back to adopt a second dog – Lola. She was a tiny lurcher puppy, malnourished, quivering in the pen with a ragged troupe of the same. We took her home, and after a few teething problems – like eating Kath’s mobile phone – she soon turned out to be another great addition to the family.

So it feels as if we’re orbiting this rehoming centre on a long, ten year loop, a domestic comet shaped like a people carrier, swooping into view every decade or so to pick up another rescue. And in a funny way, it’s quite reassuring to see that nothing much has changed. There’s a new roof on the kennels, a reptile facility, and – weirdly – a vegetable and fruit rack with an honesty box (today: mostly pineapples), but otherwise, it’s exactly the same.

We’d visited one other rehoming centre before this one. It was run completely differently, with a plush reception centre, smart boards playing videos of the residents on repeat, social media icons and contact details prominently displayed. It felt more like a professional matchmaking service. We were shown into an office, interviewed formally and at length, our details taken, requirements examined, expectations and experiences forensically tested, and then, after a great deal of pencil chewing and a few brisk calls on the radio, a name was picked from their list. I don’t know what it said about us, but the dog they picked was Bagel, a brindle-coloured lurcher too nervous to be introduced without a particular handler. And even then, we certainly wouldn’t be able to take him for a walk. It reminded me of that scene in Silence of the Lambs, where they wheel Anthony Hopkins out on a porter’s trolley, wearing a mask. But unfortunately, they said, Bagel’s handler was off sick, so nothing could happen that week. We said we were happy to wait, but after two weeks without any change, we reluctantly declined and said we’d be in touch.

‘So – what do you think?’ says Trudy after we give Stan back to the handler and walk past the pineapples back into reception.
‘He’s lovely,’ I tell her. ‘We’ll take him if Canal Boat Man can’t.’
‘Great,’ she says, smiling at me in a rather disconnected way and ticking a box on her clipboard. ‘We’ll put you on the list and give you a ring.’

And it may just be my relief at concluding the deal, but her hair seems to change again – just a little – to a lighter shade of turquoise.

sleepwalk

These are the paths and secret ways / you follow down deep in a dream of days / the lullabies you sing in your sleep / to the woodland creatures who glide and creep / in a shiver of leaves and scatter of stones / flare of feather, flash of bone / falling by moonlight, fetched by crows / to weave into spells in the trees and the hedgerows / rising, calling, settling still

at the edge of the drop on broken tree hill

So you dance with the sun and you drift with the rain / and you lose yourself in the woods again / twist of thorn, pulse of blood / beetled bone and motherhood / tooth and eye and claw and wing / death to life encircling / the watchful night, the waiting dark / the feral rub, the sudden bark / calling you on through your dreams until

you wake at the foot of broken tree hill

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dadbot

Turns out – dad was a robot
I was so shaken I was shot
I should’ve known, though
when I saw him licking the dynamo
on the front wheel of his Pashley
How he spent most of every Saturday
buffing his be’cardigan’d chassis
with duraglit and a chamois
till it sparkled
remarkably

It really shouldn’t have been news
there were plenty of clues
in retrospect
like the way he collected
fridge magnets
his clumsiness with ceramics
the crackle in the air
when he sat in his chair
slicking his single aerial of hair
sideways across his pate
his tie unnaturally straight
the clunk of his slippers
the clackety clack of his clippers
the way he ate his boiled egg dippers
mechanically
unenthusiastically
scanning the kitchen
for anything else we might fetch him

I had it confirmed years later
when I ran into his maker
at a conference for the movers & shakers
of the domestic robot business
‘As god is my witness’
she said, unnecessarily dramatic
a bit too emphatic
for my taste –
but I didn’t want to waste
the opportunity –
‘Yes! Your dad was well respected in the robot community
His software was suspect and his batteries were crap
But we recouped costs when we sold him for scrap’

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in the cage

Imelda’s flat is so small and cluttered it’s like trying to install a commode in a hamster’s sleeping compartment.
‘By the bed’s fine, love,’ she says. ‘I can shuffle m’self straight onto it.’

Shuffling seems to be Imelda’s primary means of getting about these days. Her legs are terribly raw and swollen, and with decreased mobility has come significant weight gain. You might call it the snowball effect – if the snowball had given up rolling, was covered in a rash, and its internal organs were squealing under the strain.
I ask her if she’s got family nearby.
‘Five kids,’ she says. ‘They’ve all done well. Went to college and everything. America. You name it, they’ve done it. And I brought them up all on my own.’
‘That must’ve been hard.’
‘It was hard. My husband died young and there I was, five kids, looking around and wondering what the hell I was going to do about it.’
‘What happened to your husband?’
‘He was killed at work. A big door fell on him.’
‘How awful. So what did you do?’
‘I didn’t have a clue. It wasn’t like I was good for anything much. I wasn’t trained like he was. I didn’t have certificates. Shelling out kids was mostly what I’d done. But once he’d died I had to find a way to put food on the table and shoes on their feet. So I went dancing. And it turns out there was good money in it.’

When I ask her what kind of dancing, I think she says ballroom.

‘You must’ve been really good.’
‘I was good. You wouldn’t think to look at me now, but loads of people came to watch.’
‘That’s amazing!’
‘Yeah. I had a wonderful time. And I made so much money through tips the kids did alright. And now look at them. America and everything.’
‘Tips?’
‘They’d stuff the notes in your costume.’
‘I had no idea there was so much money to be made ballroom dancing.’
‘Ballroom dancing? No! Pole dancing.’
‘Oh!’
‘Can you imagine me swanning around in a chintzy skirt? Don’t answer that.’
‘So you were a pole dancer?’
‘And I was good. I took the kids with me up to London and I did very well. There was a guy there, one of the big club managers, and he said to me Imelda? I’m going to make you a lot of money – but don’t worry! Not like you think! You’ll be quite safe.
‘And were you?’
‘I was. He put me in a cage.’

ET Alan

The alien was sitting in MY chair eating MY salmon
‘How d’ya do?’ he said. ‘The name’s Alan.’
‘I don’t care if it’s Jesus Uranus Venus’ I said
blurting out the first thing that came into my head
‘That’s MY salmon! Who said you could have it?’
Alan shrugged. ‘I’m sorry but I’m a salmon addict.’
‘So you’re all like – exploring new worlds and nicking their fish?’
‘I’ll eat plenty of shit but salmon’s my dish.’
‘Don’t you think it would be better to ask permission first?’
‘I know! I know! But where salmon’s concerned – I’m cursed.’
‘You didn’t even leave any for me!’
‘I meant to! Honestly!
But once I get started it’s difficult to stop.’
‘Great!’ I said. ‘That’s amazing, Alan. Thanks a lot.’
He pushed back the empty plate with a tentacle
Loosened a notch on his space suit belt buckle
‘So…have you got anything you wanna ask me?’ he yawned
‘What my ship’s like? Where I was spawned?’
‘No,’ I said. ‘To be honest, Alan, I’m narked
I couldn’t give a shit where your rocket’s parked.
I’d been looking forward to some salmon and broccoli.
This first contact has started pretty rockily.’
‘It’s a thing,’ he smiled, looking shifty and smarmy.
‘Next thing I know you’ll be calling the army.’
‘I wouldn’t waste my breath,’ I said, ‘ET you’re not.’
‘No, I agree,’ he said. ‘ET was hot.
Hey! Wait a second!’ he said, as I wheeled him out.
‘I don’t suppose you’ve got any trout…?’

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back to baseline

‘Do you know who we are? Has anyone told you what we do?’

I say it a lot. Almost as many times as I say ‘Do you have a yellow folder?’

Sometimes I feel like an actor in a long-running play, overly conscious of his hands in the middle of a monologue on a wet Wednesday matinee in February.

But that’s the trick, I suppose. Finding truth in the same old lines, even though you’ve said them so many times they’ve picked up a dodgy shine.

‘We’re an NHS community health team. We’ve got lots of people working for us – nurses, nursing assistants (that’s me), physiotherapists, occupational therapists… you name it!…We’ve got a small bank of emergency carers… we’ve even got a pharmacist!’

I like putting that one in. It makes us sound like a friendly high street, all the usual shops.

‘We work on a pretty tight schedule. Just three days. We get referrals from the GP, who might be worried someone needs a little extra support. We get referrals from the ambulance, who might have gone round to someone who fell, for example, and they want us to follow up to make sure everything’s okay. Or a referral from the hospital, because someone’s being discharged and needs help. That kind of thing. So we pitch in, see what’s what, and either refer the patient on to a more specialist health team like the Respiratory nurses, the Heart failure team, the District Nurses and so on. Basically we’re here to keep people safe at home and help them stay out of hospital if possible.’

Invariably the patient will interrupt on the second sentence of the spiel, though.
‘Three days! Is that all?’
And if they do, I’ll say something like: ‘Well – yes – we are what they call an acute service. We’re very short term and we do try to move people on as soon as we can. But the bottom line is, we won’t leave anyone in the lurch. We’ll keep patients on for as long as it takes for the other team to pick-up.’

Mostly that works. Sometimes they fixate on the three-day thing, and it takes a bit more reassurance. More often than not, though, they’re just relieved to have someone – anyone – coming through the door. Because a great many of the patients we see are struggling. They may have suffered a recent exacerbation of their health problems, an accident or an illness. Maybe they’ve suffered a change in their social circumstance, the death of the partner who was their main carer, or some other family breakdown. But although the specifics of their situation change, the basics stay the same: they can’t cope, and they need help to get back to coping, whatever that might look like.

There’s a phrase you see used a lot in the team – Back to baseline – a simple expression of the outcome we’re looking for. Back to baseline means getting the patient back to where they were before they needed all these interventions.

A simple plan. And like all simple plans it hides a world of negotiation, and difficult decisions, and compromise.

Back to Baseline.

‘Any questions?’