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nhsManagers.net

13th March 2026

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News and comment from

Roy Lilley



For you..

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Short on time? Get yer ears-on and listen to Roy Lilley read this morning's eLetter... free!

Every once in a while you come across something unusual…


... in our increasingly homogenous world where there is almost nothing unique.  Off-the-wall and different and quirky have become rare, few and far between…


… it’s a delight to find something that is genuinely unique.  Something that makes you stop and think. Take a second look.


En passant, you will welcome confirmation that it is possible for real brains, not artificial, to create, make a life’s work and dig into something we think we all know about…


... only to discover and make us realise, we know nothing.


Something as familiar as Christmas and the birth of Jesus. We know the story; no room at the inn, the mystery, the Wise Men, Herod. 


All of which remain heavy metaphors for today’s mothers, children, poverty and child abuse.


Not just christians. Several other religions and ancient mythologies feature miraculous birth stories for their saviours, messiahs, or figures of mystery. 


Their tales often use supernatural elements… divine intervention, prophetic dreams, or virgin birth… to signify the child's exceptional destiny and divine connection;


  • Buddhism,
  • Hinduism,
  • Zoroastrianism,
  • Egyptian Mythology and the birth of Horus, and
  • in Greco-Roman Mythology...


... all have figures that were said to be born from the union of a god and a mortal woman. 


Taoism, in which some schools believe Laozi was conceived when his mother gazed upon a falling star. He was allegedly born as an old child with a full grey beard after being in the womb for decades…


… I bet that made a mess of the birthing schedules.


Anyway, my refreshingly new discovery … it’s a book about the most important people involved in the tale of the nativity...


... well, perhaps not the most important, that would have to be the divine child, nevertheless…  


… the midwife! Of which there are now a record of just under 25,000 in England.


... the midwife, centre stage in the BBCs tear jerker, Call the Midwife.  


... the midwives, of which there were two, present just after the birth of the Christian messiah, Jesus;


Zebel and Salome...


... they arrived too late at the Bethlehem stable. Mary had given birth to Jesus alone. Where's the CQC when you need 'em?


Zebel was an instant believer that the Messiah had come, but her colleague...


Salome, wasn’t so sure. She decided to examine Mary, as any professional midwife would...


... and suffered instant, painful punishment. Her hand caught fire and dropped off. Then she was healed by touching Jesus. His first miracle.


In the history of art and iconography the presence of midwives, at the brith of Christ and other Saints, is secured in frescos and altar pieces. Painting after painting.


Midwives at the birth of Christ, were excluded from the standard Bible because they failed to meet the strict criteria established by the early Church for God-breathed scripture.


Yet in art, we see them bathing, wrapping in swaddling, carrying heavy symbolic references only to become embroiled in fierce theological debates.


The book I am talking about is ‘The Book of Hours’ by Jane Salvage, herself a global leader of nurse and midwifery policy. 


Her book is full of unique facts and stories and richly illustrated with the pictures of the familiar scene, we take for granted. Not realising there are midwives portrayed…


… no one ever mentions the midwife!  


For students of classical art, this book is more than worth its modest price, with a global collection of images from as diverse a source as the Philadelphia, Venice, Dijon, Washington, Madrid and Long Melford, England (!). Pages and pages, more.


The book and it scrumptious images, is arranged around eleven chapters;


  • witnessing,
  • delivering,
  • arriving,
  • sinning,
  • healing,
  • caring,
  • storytelling,
  • worshipping,
  • treasuring,
  • fleeing,
  • surviving and
  • reviving.


Stories and explanations woven around pictures, carvings and ancient prayer books.


All of which are ready made PowerPoint headings for the Midwiffery of today... and probably will be.


Witnessing and delivering, treasuring a new life into a turbulent world. Fleeing, healing and surviving.  


If you are a midwife, this book is for you. 

If you know a midwife, this book is a gift for them. 

If you are an aficionado, or student of art, this book is a must have.

If you do healthcare, this is a novel read.


This wonderful book meets us at the intersection of midwifery, a foundation stone of the NHS. Curiosity, about history and the heritage-art of the world, and the progress of healthcare.


This book resonates with the challenges women worldwide, face today as mothers, midwives and leaders. 


If you're a born again pagan, don’t worry.

If you have no interest in art, relax.

If you know nothing about Midwiffery, so what.


If you delight in the unusual, the unique and intriguing…


… this really is a cuppa builder’s read for you.


You can buy it here.

------oOo------

Have the best weekend you can.

NEW- NEW - NEW

Podcast

In the latest podcast, Niall and Roy delve into the besieged world of nursing with

the leader of the world's largest nursing union


Prof Nicola Ranger


General Secretary and Chief Executive

Royal College of Nursing  


In a frank exchange, Nicola reflects on the crisis  of recruitment and retention, the fact that nurses spend too much of their time on pointless tasks, the unprecedented levels of low morale and the possibility of strike action.


And, she says there is an urgent need to reform nurse education, including in her personal view, a national exam for every nurse wanting to join the register. 


This is a clarion call for reform within and beyond the profession and a warning of an existential threat to the NHS if the government does not invest and start to value nurses. 

For all the previous

In the Loop

podcasts with

Tom Dolphin

Chair BMA

David Gregson

founder of BeeWell

Dr Charlotte Refsum

Tony Blair Institute

Rob Webster

ICB CHEx

Sarah Woolnough

CEO of the King's Fund

Sir Jim Mackey

Dame Jennifer Dixon

Lord Darzi

Professor Tas Qureshi

Dr Penny Dash,

chair NHSE

Richard Meddings,

former chair NHSE,

Sir Jeremy Hunt,

Sir Andrew Dilnot,

Paul Johnson IFS

CLICK HERE


-oOo-


Probably, the most listened to

Podcast in the NHS!

FREE!

Want to contact Roy Lilley?

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roy.lilley@nhsmanagers.net 

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Dr Paul Lambden


Glandular Fever


'... as kissing is likely to remain an enjoyable pastime for the young, we can expect it to remain a common infection of teenage and early adult years.'


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This is what I'm hearing, unless you know different. In which case, tell me, in confidence

__________


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