hello so the chances are that in all of
our lifetimes at some point we will be
admitted to hospital we will all become
patients and as healthcare systems have
grown in size and complexity whilst
being financially squeezed they can
become very focused on targets and when
this happens the way in which patients
are seen changes so people can feel
dehumanized that are being impersonally
processed along a sort of production
line of Health now this might seem like
the most effective way of doing things
but in actual fact when we do this we
waste some very valuable resources the
same resources that could be used to
provide much more engaging potentially
enjoyable and holistic care so what
happens at the moment is you know
someone gets sick they go to the
hospital they will see a doctor such as
myself and I’ll take a medical history
this is a story which culminates and why
that person has come to hospital from
that history
I will distill it down to a problems
list which might look something like
this bed 5 78 year-old male presenting
complaint full problems hip fracture
confusion urinary tract infection pain
and nausea
so this problems list will go on to
define that person’s admission and to
find that person to some extent meaning
the rest of the team will go about
systematically addressing each one of
these problems so bed 5 will be moved
from the ward to the scanner to the
operating theater back to the ward again
reviewed by doctors physios and
nutritionists etc let me introduce you
to somebody else
this is Grundy this is my granddad he’s
an amazing man and by the time that this
photo was taken he was also a 78 year
old male admitted to hospital with a
fool now in this photo he’s actually
holding a number of things which he
failed to find himself he’s holding his
books about politics philosophy
his music this is his story this is his
history
I often whales he said to find him and
he said his family his friends his
allotment his garden shed now these are
two quite different ways of seeing the
same person though it’s a very valid and
both do serve a purpose but they are
very different we would love for
everybody to live it to be living and
defined in the way that they see
themselves as my granddad is here but
clearly when people are admitted to an
acute hospital setting these are the
things which are standing in the way of
them living how they want to live but to
see things that simplistically mrs.
something only is this way we would like
to be having everybody living like this
but it also contains a wealth of
resources which could be used in his
journey as a patient to facilitate much
more engaging and enjoyable human care
as well so as well as a doctor I’m a
dancer and as a dancer I’ve had the
honor and the privilege to work with the
number of people using dance in the
community setting like dance therapists
music therapists physios OTS and I’ve
seen the biological psychological and
social impacts that dance can have in
this context what I wanted to do those
to see could we use dance in the acute
hospital setting with people who are
really quite sick to utilize some of
those resources which I talked about to
actually improve the delivery of their
care so I previously was a doctor for
Award for patients with multi
drug-resistant tuberculosis in South
Africa as MDR TB tuberculosis that’s
resistant to multiple drugs normal jokes
but most of our most effective ones
drug-resistant organisms on a global
scale are one of the biggest threats to
global health but on an individual scale
MDR TB is holistically detrimental to
health and what I mean by that is it
affects people biologically
psychologically and socially so
biologically or physically MDR TB
destroys bodily tissues particularly
affecting the lungs the spine and the
brain that can affect pretty
anywhere socially it’s very stigmatizing
people don’t really want to hang along
with the person who’s got a
multidrug-resistant potentially
contagious potentially fatal disease and
then psychologically as people are
stigmatized socially isolates it they
can physically they can physically be
conditioning they can psychologically be
conditioned to so what is holistic does
e holistic ly detrimental disease so
going to work on this water thought we
need a holistically positive solution or
approach at least and so I thought this
would be a great place for a dance
session not everyone would be one of the
biggest oh you can do those people are
really sick they’re not gonna want to be
dancing and I thought I actually
probably right probably right then I saw
actually when we asked the patients why
don’t we ask these people who happen to
be ill with this disease if this is
something that they want to do and they
were really keen I thought you know what
we’ve got everything we need we’ve got a
dance floor we got a sound system and
we’ve got a crew of highly funky
individuals ready to deliver these
sessions so that’s what we did twice a
week everyone out on the dance floor
whether that was rolled out in a
wheelchair with crutches or help by
someone else if they couldn’t get out
then we would do own little personal
sessions with them in their beds and
what we the way that we thought that we
built it was it was very much a
collaborative work so the music selected
would be their favorite shoes that they
used to dance during night clubs it bars
at home with their families the
movements which would be selected would
be everyone teaching each other so I
didn’t teach a dance lesson I ran a
dance session people went from being
passive recipients to care it’s being
active collaborators in their own
recovery with the movements they would
teach each other and we would all just
say well you know what’s your favorite
dances yeah cool and then we would make
up routines we’ve developed these on so
we might have a step like this and what
I might do is add in an extra sort of
adding some arms
because being able to lift up your arms
around your head is actually really
important for activities of daily living
like washing feeding herself and you
know obviously we had lots and lots of
fun but also the patient said that it
really affected them
they said that physically they felt
stronger and that their breathing was
easier they felt psychologically more in
control and happier and socially the
atmosphere on ward changed the way in
which patients and staff patients and
other patients patients and family all
interrelated with each other was quite
different they were talking together as
people with other people which is really
important and as I said the patient’s
felt really engaged with their care and
since then where I can remember being
stuck in a Andy because I it was busy
and I was delayed and I came back to the
ward and everyone was already on the
dance floor this is amazing said yeah
afternoons doesn’t dance then
you know not today you know we’ve
already done an hour because you were
late all right cool and then even after
I left the physiotherapist the
physiotherapist carried on using dance
on the ward to deliver their sessions
even independently of my sessions I also
came across another hospital which have
been using music with their exercise
classes because they thought engage
their patients again with
multidrug-resistant tuberculosis in a
better way so you know going back to
London and I said to some people about
this and they said well you know that
was South Africa it’s not gonna work
here but should I completely disagree
with this I think that dance is actually
something that’s very core to being
human it’s been present in cultures
throughout the world throughout history
it’s only in Western cultures in recent
decades that dancers become something
more often observed than participated in
so let me give you another contrasting
example to highlight this point in the
UK a holistically detrimental condition
is hip fractures in older people so
physically causes pain reduction in
mobility psychologically people also
socially as people can’t get up
about as much they can’t get out the
house they get socially isolated and
then psychologically once they’re
socially isolated do they get lonely and
they can get depressed and other people
are already a potentially vulnerable
group they might have multiple other
medical problems they might have social
and psychological vulnerability anyway
so these combined factors mean that in
the year following a hip fracture and
all the person’s got up to a 30 percent
chance of dying there’s not just the hip
fracture it’s all these other problems
combined so again I thought you know
what this severe an amazing place or a
dance session and again why everyone
thought I was particularly good idea the
main objection in this situation being
you do know that they’ve just fractured
their hip and it’s been cemented
stitched and glued back together I said
yeah yeah but again I’m not talking
about getting people dancing on their
bedside tables I’m talking about people
dancing in whatever way they can we
stuck strictly within the
recommendations of the physiotherapist
the evidence-based guidelines on what
movements are appropriate and we danced
the music was selected from their
favorite music the music they first
dance to with their you know the husband
before the war started
music they just danced at wedding with
their granddaughter if it was the music
that really engage them in their
memories their feeling of being
themselves and again the movements we
selected we were just they would teach
me their favorite moves and then we
developed them on so does someone having
a great time what we do is when you take
the movement and I develop them to make
more more sort of related to activities
of daily living so you might have a
movement like this so I’m adding clicks
because pizza strength is extremely
important if you wanna be able to feed
yourself wash yourself just yourself and
again we had a great time and the
patient said they would effected them
they said that physically they felt
stronger and more mobile that
psychologically they were happier and
one person summed up really nicely when
she said that she remembered what it was
to be herself again and socially the
atmosphere on the ward changed in the
way that staff and patients related to
each other staff and other other
patients and other patients family
members who would come in to join in and
you know the way in which people talk to
each other wasn’t just this problems
list the problems list was getting
addressed just as efficiently but whose
being done by people looking after other
people because we don’t people who work
in house don’t do so because they really
passionate about chasing figures and
targets figures and targets are very
important but people work in health
because they enjoy helping people
although the figures in targets are very
important the figures should not be the
focus people should be the focus and
appropriately placed targets and figures
will follow now I’m not suggesting for
one second during their cure MDR TB or
fix hip fractures we’re just dancing of
course you’re not I’d be ridiculous be
amazing be ridiculous what I’m
suggesting is that the medicine is vital
the operations are vital the
physiotherapist is vital the
nutritionist is vital but treating
people as people and not just patients
in a way that engages them an injury and
they enjoy is also vital because we
don’t see ourselves as just a problems
list and a bed number we see ourselves
as much more than that we see ourselves
as complex and creative individuals
who’ve been built from our histories our
interests our cultures so let the
blueprint for the future of hospital
medicine be one that acknowledges values
and even utilizes these very precious
personal resources thank you
[Applause]
our lifetimes at some point we will be
admitted to hospital we will all become
patients and as healthcare systems have
grown in size and complexity whilst
being financially squeezed they can
become very focused on targets and when
this happens the way in which patients
are seen changes so people can feel
dehumanized that are being impersonally
processed along a sort of production
line of Health now this might seem like
the most effective way of doing things
but in actual fact when we do this we
waste some very valuable resources the
same resources that could be used to
provide much more engaging potentially
enjoyable and holistic care so what
happens at the moment is you know
someone gets sick they go to the
hospital they will see a doctor such as
myself and I’ll take a medical history
this is a story which culminates and why
that person has come to hospital from
that history
I will distill it down to a problems
list which might look something like
this bed 5 78 year-old male presenting
complaint full problems hip fracture
confusion urinary tract infection pain
and nausea
so this problems list will go on to
define that person’s admission and to
find that person to some extent meaning
the rest of the team will go about
systematically addressing each one of
these problems so bed 5 will be moved
from the ward to the scanner to the
operating theater back to the ward again
reviewed by doctors physios and
nutritionists etc let me introduce you
to somebody else
this is Grundy this is my granddad he’s
an amazing man and by the time that this
photo was taken he was also a 78 year
old male admitted to hospital with a
fool now in this photo he’s actually
holding a number of things which he
failed to find himself he’s holding his
books about politics philosophy
his music this is his story this is his
history
I often whales he said to find him and
he said his family his friends his
allotment his garden shed now these are
two quite different ways of seeing the
same person though it’s a very valid and
both do serve a purpose but they are
very different we would love for
everybody to live it to be living and
defined in the way that they see
themselves as my granddad is here but
clearly when people are admitted to an
acute hospital setting these are the
things which are standing in the way of
them living how they want to live but to
see things that simplistically mrs.
something only is this way we would like
to be having everybody living like this
but it also contains a wealth of
resources which could be used in his
journey as a patient to facilitate much
more engaging and enjoyable human care
as well so as well as a doctor I’m a
dancer and as a dancer I’ve had the
honor and the privilege to work with the
number of people using dance in the
community setting like dance therapists
music therapists physios OTS and I’ve
seen the biological psychological and
social impacts that dance can have in
this context what I wanted to do those
to see could we use dance in the acute
hospital setting with people who are
really quite sick to utilize some of
those resources which I talked about to
actually improve the delivery of their
care so I previously was a doctor for
Award for patients with multi
drug-resistant tuberculosis in South
Africa as MDR TB tuberculosis that’s
resistant to multiple drugs normal jokes
but most of our most effective ones
drug-resistant organisms on a global
scale are one of the biggest threats to
global health but on an individual scale
MDR TB is holistically detrimental to
health and what I mean by that is it
affects people biologically
psychologically and socially so
biologically or physically MDR TB
destroys bodily tissues particularly
affecting the lungs the spine and the
brain that can affect pretty
anywhere socially it’s very stigmatizing
people don’t really want to hang along
with the person who’s got a
multidrug-resistant potentially
contagious potentially fatal disease and
then psychologically as people are
stigmatized socially isolates it they
can physically they can physically be
conditioning they can psychologically be
conditioned to so what is holistic does
e holistic ly detrimental disease so
going to work on this water thought we
need a holistically positive solution or
approach at least and so I thought this
would be a great place for a dance
session not everyone would be one of the
biggest oh you can do those people are
really sick they’re not gonna want to be
dancing and I thought I actually
probably right probably right then I saw
actually when we asked the patients why
don’t we ask these people who happen to
be ill with this disease if this is
something that they want to do and they
were really keen I thought you know what
we’ve got everything we need we’ve got a
dance floor we got a sound system and
we’ve got a crew of highly funky
individuals ready to deliver these
sessions so that’s what we did twice a
week everyone out on the dance floor
whether that was rolled out in a
wheelchair with crutches or help by
someone else if they couldn’t get out
then we would do own little personal
sessions with them in their beds and
what we the way that we thought that we
built it was it was very much a
collaborative work so the music selected
would be their favorite shoes that they
used to dance during night clubs it bars
at home with their families the
movements which would be selected would
be everyone teaching each other so I
didn’t teach a dance lesson I ran a
dance session people went from being
passive recipients to care it’s being
active collaborators in their own
recovery with the movements they would
teach each other and we would all just
say well you know what’s your favorite
dances yeah cool and then we would make
up routines we’ve developed these on so
we might have a step like this and what
I might do is add in an extra sort of
adding some arms
because being able to lift up your arms
around your head is actually really
important for activities of daily living
like washing feeding herself and you
know obviously we had lots and lots of
fun but also the patient said that it
really affected them
they said that physically they felt
stronger and that their breathing was
easier they felt psychologically more in
control and happier and socially the
atmosphere on ward changed the way in
which patients and staff patients and
other patients patients and family all
interrelated with each other was quite
different they were talking together as
people with other people which is really
important and as I said the patient’s
felt really engaged with their care and
since then where I can remember being
stuck in a Andy because I it was busy
and I was delayed and I came back to the
ward and everyone was already on the
dance floor this is amazing said yeah
afternoons doesn’t dance then
you know not today you know we’ve
already done an hour because you were
late all right cool and then even after
I left the physiotherapist the
physiotherapist carried on using dance
on the ward to deliver their sessions
even independently of my sessions I also
came across another hospital which have
been using music with their exercise
classes because they thought engage
their patients again with
multidrug-resistant tuberculosis in a
better way so you know going back to
London and I said to some people about
this and they said well you know that
was South Africa it’s not gonna work
here but should I completely disagree
with this I think that dance is actually
something that’s very core to being
human it’s been present in cultures
throughout the world throughout history
it’s only in Western cultures in recent
decades that dancers become something
more often observed than participated in
so let me give you another contrasting
example to highlight this point in the
UK a holistically detrimental condition
is hip fractures in older people so
physically causes pain reduction in
mobility psychologically people also
socially as people can’t get up
about as much they can’t get out the
house they get socially isolated and
then psychologically once they’re
socially isolated do they get lonely and
they can get depressed and other people
are already a potentially vulnerable
group they might have multiple other
medical problems they might have social
and psychological vulnerability anyway
so these combined factors mean that in
the year following a hip fracture and
all the person’s got up to a 30 percent
chance of dying there’s not just the hip
fracture it’s all these other problems
combined so again I thought you know
what this severe an amazing place or a
dance session and again why everyone
thought I was particularly good idea the
main objection in this situation being
you do know that they’ve just fractured
their hip and it’s been cemented
stitched and glued back together I said
yeah yeah but again I’m not talking
about getting people dancing on their
bedside tables I’m talking about people
dancing in whatever way they can we
stuck strictly within the
recommendations of the physiotherapist
the evidence-based guidelines on what
movements are appropriate and we danced
the music was selected from their
favorite music the music they first
dance to with their you know the husband
before the war started
music they just danced at wedding with
their granddaughter if it was the music
that really engage them in their
memories their feeling of being
themselves and again the movements we
selected we were just they would teach
me their favorite moves and then we
developed them on so does someone having
a great time what we do is when you take
the movement and I develop them to make
more more sort of related to activities
of daily living so you might have a
movement like this so I’m adding clicks
because pizza strength is extremely
important if you wanna be able to feed
yourself wash yourself just yourself and
again we had a great time and the
patient said they would effected them
they said that physically they felt
stronger and more mobile that
psychologically they were happier and
one person summed up really nicely when
she said that she remembered what it was
to be herself again and socially the
atmosphere on the ward changed in the
way that staff and patients related to
each other staff and other other
patients and other patients family
members who would come in to join in and
you know the way in which people talk to
each other wasn’t just this problems
list the problems list was getting
addressed just as efficiently but whose
being done by people looking after other
people because we don’t people who work
in house don’t do so because they really
passionate about chasing figures and
targets figures and targets are very
important but people work in health
because they enjoy helping people
although the figures in targets are very
important the figures should not be the
focus people should be the focus and
appropriately placed targets and figures
will follow now I’m not suggesting for
one second during their cure MDR TB or
fix hip fractures we’re just dancing of
course you’re not I’d be ridiculous be
amazing be ridiculous what I’m
suggesting is that the medicine is vital
the operations are vital the
physiotherapist is vital the
nutritionist is vital but treating
people as people and not just patients
in a way that engages them an injury and
they enjoy is also vital because we
don’t see ourselves as just a problems
list and a bed number we see ourselves
as much more than that we see ourselves
as complex and creative individuals
who’ve been built from our histories our
interests our cultures so let the
blueprint for the future of hospital
medicine be one that acknowledges values
and even utilizes these very precious
personal resources thank you
[Applause]
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