Cicely Saunders, founder of the hospice movement, has dedicated her life to preparing people for death. Kate Kellaway has a chat with her about the best way to goby Kate Kellaway / January 20, 2003 / Leave a comment
Book: Selected letters, 1959-1999 Author: Cicely Saunders Price: (Oxford University Press, ?39.95)
When Dame Cicely Saunders talks about death it is as if she had died many times herself, without ill effect. Her tone is of a well-travelled person, comfortable with her subject, who can tell us what to pack, what to say and how to prepare for another country.
She is an old-fashioned missionary. Her founding of St Christopher’s hospice in 1967 was an act of faith in God-and in herself. She is now credited with launching the modern hospice movement. But she has never been a swaggering Christian. After starting to read PPE at Oxford, she left to train as a nurse and medical social worker before deciding there was a need for improved pain relief-and spiritual help-for the dying. She retrained as a doctor and it was through her pioneering research with cancer patients in the early 1960s (she showed how narcotics could be used without adverse effect) that the medical profession began to take heed.
There were two reasons for visiting her this year: her selected letters (1959-1999), have just been published by OUP, and she has given her name to a research foundation which will extend her work into end-of-life care. The Dame Cicely Saunders Foundation will be the only international institution devoted to such research. She declares that “cancer patients fare pretty well,” but there is less knowledge about how to relieve those suffering from other diseases. Those who are not cancer patients are now known, she says wryly, as “the disadvantaged dying.”
There is nothing disadvantaged about Saunders herself. She is a splendid 84 year old, with mutiny in her eyes. She was the daughter of a Hertfordshire estate agent and, although her grandmother died when Cicely was eight, her disappearance was never discussed. It was, in the 1920s and 1930s, unseemly to talk about death. It was the war that brought her face to face with it. She was nursing men with TB and septic wounds with no pain relief: “We had nothing to offer but ourselves and meticulous nursing.” She learned that “yourself is the best thing you can offer.”
Saunders speaks in the kind of homilies you can imagine a Victorian child sewing onto a sampler, but her words are bracing. “Love is stronger than death,” she says, and the hospice movement grew out of both. When Saunders was…