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Mindfulness – A blog by East Cheshire Hospice’s Lindsay Dobson

Today I’d like to explore the analogy that our thoughts can be like traffic.  Sometimes the roads are clear and everything flows beautifully, other times maybe its like a traffic jam in there, everything feels stuck and heavy, but more often than not, perhaps its more like a busy motorway, thoughts zooming by.

I like to imagine that rather than being in that flow of traffic, I’m at the side of the road, watching it flow past me.  If a shiny car distracts me, I just notice and come back to letting the traffic just pass me by.  We might find that, without even noticing we have jumped on a bus and started on a journey….. that’s fine, we can gently notice and jump back off again.

You see, our thoughts are really nothing more than a momentary electric impulse, our neurons in our brain fire off, it takes less than a second (the car flashing past) and yet, for many of us, that thought of feeling can stay with us for a lot longer!!  Why?  Well speaking for myself, its usually because I hold on to it, I’ve jumped on that bus and I’m off on that journey!!  But if I remember that I don’t need to stay on this journey (especially if its a stressful one I’m not enjoying!), I can jump off . How do I do that, for me its coming back to my breath, or it might be focusing on a physical sensation, doing something energetic, a walk, a run, something to just help me take my mind away from where its gone.  The more we practice , the better we will get at jumping off the thought bus, by just noticing we are on it!!

If you like visual meditations, you can use this to help you practice.  Sit, stand, lie down, however you prefer to practice. Breath in, breath out.

What is the traffic of your mind like now?

Just notice it, watch it.

Don’t try to change it, allow it to be as it is.

Imagine you are sat at the side of the road, just watching the traffic of your mind flow on past.

If you find yourself on a vehicle going for a drive, just jump off,… come back to the side of the road

You can use any picture you like, sometimes I like to imagine my mind as the clear blue sky, the sky, the calm is always there…….but sometimes storm clouds hide it from my view.  My thoughts are the clouds.  So imagine that im lying back cloud watching, not trying to change them, I cant push them away faster than nature will allow, so I sit back and watch them pass by.  Eventually the blue sky will return.

Sometimes I’m sat on a rock in the middle of stream, and my thoughts are the leaves passing by, my thoughts float by and continue down the stream….

Maybe your thoughts are a cinema screen, they play out in front of you, but your not an actor on the screen, your an observer sat watching the drama.

Or maybe your thoughts are sound, a radio, playing in the background, again your listening, observing, rather than the radio presenter.

Maybe your mind is the weather, you can take a moment to see what the weather of your mind is like today, to stand at the window of your mind and watch it play out.

You possibly see a theme here? We are practising anything that lets you take a step back, from the thoughts and feelings. We are definitely not trying to stop them being there, we are just finding a way to step back and let nature and your mind take its own course. Why? Because it takes some of the energy and stress out of it, instead of being carried away with the stream of emotion, we can imagine we are standing calm, whilst the storm continues around us, but we are steadfast, strong and calm.

The more we practice this, the better we get at noticing when we are being carried off by a thought or feeling and are able to stop and come back to being the calm in the storm, rather than the storm itself! Sometimes will be easier than others!!  I’ve been practising this stuff pretty much constantly for over a decade and I’m certainly nowhere near perfect, the more I have to juggle the harder it is! But, I also know that all those years of practice have most definitely helped me maintain some semblance of calm at very difficult times.

I can only imagine right now, how much it may feel like a storm is raging all around, and how much for each other, and those in your care, you need to be the calm place.  But if we push away that we are also feeling it can come back to bite us.  This way we notice and acknowledge it, we just try to find a way of standing strong and calm whilst we allow that to happen.

I will leave you with the words from a meta meditation often used in Buddhist practices

May we all be healthy and strong

May we all be safe and protected

May we all be filled with love and kindness

May we all live with free and easy hearts

Lindsay x

Mindfulness – A blog by East Cheshire Hospice’s Lindsay Dobson

This time round, Id like to explore the idea we don’t have to be seated to be mindful or meditating.

In fact, when I am very distressed moving is sometimes where i find the most comfort.  On my yoga mat, going into sensing my body, rather than thinking, allowing myself to feel my grief or anger, but constantly bringing my mind back to the feel of my body, when it starts to wander into thoughts.  Walking in nature is another way I love to find peace, to feel my body as it moves starting at the ground, feel of my sole on the floor, how it touches the floor, when the weight moves into my other foot, seeing how far up my body I can sense that having an impact.  Walking slowly slowly, trying to observe as much as I can about how my body walks.

When working, we don’t have the luxury of always being able to stop and breath, so to be able to breath and focus on the tasks at hand can be useful.  Ever done something, something you know you can do, only to find your minds talking a million to one at you and your shakier than normal?

I was once asked to do a yoga demonstration at the yoga show in London.  I used to do a lot of yoga dance and was chosen because when I moved it was graceful and effortless (I want to add it was before kids and exhaustion!), however on the stage all I could do was, see the people with cameras, hear snatches of conversation, hear my own mind worrying about what I was doing….. needles to say I nearly fell of the stage, one of my teachers laughed and asked what on earth I was doing!!  I had to take a moment to regroup, to breath, and to drop my awareness down in my body, to phase out all else, except my breath and my body.  To choose where I put my awareness, so it worked for me, not against me.  I’ve no idea how it went but it felt good.

Sometimes this comes naturally, and sometimes it takes practice.  I remember on one of my little girls admissions, I was told the paramedics were held up with an RTA, I was in the middle of nowhere and despite her oxygen levels being very low it took nearly an hr for that ambulance to arrive,  It took a lot of focus, to will myself to focus on the task at hand, to keep her breathing until help arrived, but I knew that the other option, was to delve into my thoughts of what if and worry and catastrophise, and prob be of no use to me or her , or the paramedics when they arrived.  So I focused on my breathing, I focused on the tasks I needed to do to get us safely into the next moment, and the next and whenever my mind wandered to where the **** is that ambulance, I brought it back to what I could control, to breathing. When help arrived was out of my control, what I did until then, how I allowed my emotions and thoughts to spiral was under my control!  Sometimes we need to let go of that things outside of our control, and bring our whole focus on to those bits that are.

The more we practice a skill, the easier it is to use under even those circumstances (I wont lie it wasn’t easy but it did definitely help!)

So my suggestion this time round is to find a form of movement you enjoy, yoga, walking, running, brushing your teeth, having a shower, whatever it is – and whilst you do it, drop your mind into your body, experience, notice as much about that movement as you can, both the good and the less comfortable.  It can be as brief as walking down the corridor on the ward, or as long as an hours exercise outside.  And your mind will definitely wander at some point, notice it has, bring it back to the feel of your body doing what its doing and every time you do , the ability to call it back, to choose your focus will be strengthened , then when you need it, its there.  On those days when worries and fears start to overwhelm you, you can drop into your body, sense your body and how it feels and give your space some breathing space and your body a chance to relax and let go of some of the stress.

Take gentle care

Lindsay x

Mindfulness – A blog by East Cheshire Hospice’s Lindsay Dobson

In today bite size piece of mindfulness, Id like to explore reaction vs responding.

Its good to react, we need to react quickly in some situations, reaction is our natural immediate impulse. So if we step into the road and a bus is coming towards us, our reaction is to get out the way quick, and thank goodness it is!!!

Responding however, is a more thoughtful, its when we take the time to think about what we want to do next, so definitely not as useful in the bus scenario!!  But what if its a distressed person yelling at you??  Our reaction may be to shout back, or run away, or freeze – all normal human reactions to someone yelling at you – brought about by our stress response.  However they might not be as useful in this scenario as being able to take a moment, to remember this person is very upset, confused, perhaps feeling very alone and scared and its not personal,…and then responding from a place of calm compassion.

How do we do this?  Well sometimes it will just come naturally, but other times, when we are already stressed, maybe we have dealt with a lot of difficult things already today.  for me maybe the kids already destroyed one room, spent all morning fighting and are now tipping all the food on the floor to ‘experiment’- I need a moment to be able to find a calm space to respond to, to be able to see this from their point of view, they are bored, they have very little space to do what five year olds need to do, which is move, explore burn off energy added to that, they are stressed and worried and their impulse control is very slim!  However by this point so might mine be!!  My reaction is to yell, threaten, possibly even cry!

So

I stop… I feel my feet on the floor – maybe I even take a moment to notice my body, how tense it is,

I notice my breath

I allow my exhale to lengthen and my body to relax a little

Im in a better place to respond now!

To empathise, to calmly put in place the boundary about not using all our very hard to find shopping as an experiment, but that maybe we could go out into the yard and use some ingredients I give them to cook something up

(yes if your wondering this has happened on more than one occasion!)

For you it might be a patient, who is scared and alone, facing their death and in pain, their impulse control is very low and they start to yell at you for some tiny thing that is not even your fault!!   You naturally may want to tell them to shut up, to point out, that you are in fact risking your own health and life to care for them , to cry, to yell at someone else whose fault it it was!!  All normal human responses.  And prob for the most part what you do is respond calmly but then carry the tension with you for the rest of that day.

But if we stop.  Feel our feet on the floor, notice any tension in our body.  Feel our breath.  Take a moment to lengthen the exhale , let the tension go.

Then we can feel calmer, more empathetic or at least hold it together long enough to go take a breath of fresh air outside J

But we can actually start setting this up earlier in our day and week.  You see, our brain is designed to notice and remember stressful or dangerous, negative situations better than positive ones.  Its hardwired in from our cave man days, when to forget that that wriggling thing in the grass is a snake could be fatal – so we clock and remember the bad stuff!

We also have another handy cognitive ability that we need – which is autopilot. Ever drove to work and wondered how the heck you got there?  Washed the dishes and not noticed a second off it?  Its pretty useful ability as if we noticed everything of our day we would be overloaded, we need to switch off and use autopilot from time to time.  However when we do it without choosing it, we also miss the good stuff

Those two things combined mean we have a tendency to notice and collect negatives rather than positives.  Causing us more stress.

So my challenge to you , two fold .  Pick an everyday activity, eating  a snack (or a whole meal), brushing your teeth, washing the dishes ….. or anything else! And when you do it, really do it, notice all you can about it, when your mind wanders, gently bring it back to noticing all you can about the activity.  This trains our brain to stay focused when we want it to, and it trains us to notice we are on autopilot and either choose to be, or choose not to be.

The other part of this challenge is to notice the positives in your day, really notice them, make a mental or physical note of them, so we train the brain to pay attention to the good in this world not just the stressful.

I start every day (ok well almost everyday!) listing what I am grateful for.  Right now, its that Im at home with my children, the fact they can fight, and cry and literally climb walls and doors (and out windows!) means they are healthy and well  – mostly im grateful that we are all together and safe, that outside the window the sun shines and the world grows without me.  That adventures will be awaiting.  Yours may feel harder to come by, but even if you can only find one, it helps you feel that tiny bit less stressful.

And goodness knows, right now there is enough to be scared and stressful about in this world, to find one little bit of joy is something we all need.

I hope you find that bit of joy

With love Lindsay x

Mindfulness – A blog by East Cheshire Hospice’s Lindsay Dobson

Today’s little exploration of mindfulness is about how we worry.

Lets start by just breathing,  Id like you to just notice your normal breath…

After doing that for a few breaths, Id like you to count, how many seconds you breath in for, how many you breath out for.  No right or wrong,  we will all be different (its interesting to notice how we will breath at different speeds at different times of day or activity also) and its no completion.  Just notice.  Once you have done this for a few breaths, as long as you can stay relaxed and its not a strain, add a second to the outbreath.  If thats comfortable and not a strain add another second to the out breath.  Just the out breath,  keep the in breath the same.  Keep doing this until you reach a point that feels like the out breath is comfortably longer than the in breath.  We don’t want to go so far as it being a strain though, as that takes away the benefits.  Breath like that for as long as you like before carrying on reading.

How do you feel now?  Hopefully nicely relaxed, because when our out breath is longer than the in breath, it sends a signal to our brain, that we can relax now, we are safe.

So from there, let me explore with you the idea we have two modes of mind (we actually have many, but these are the two I want to explore today J ) thinking and sensing.  They are a bit like a see saw in that when we are in thinking mode, and that is the one at the top of the see saw, sensing is less active and at the bottom, and vice versa, they can both be online and working at the same time but they do balance each other out.

So what are they, well thinking is the analytical part of your mind, the planning, working out, busy busy thoughts part of your brain.  Its the bit that talks to you – or it does me anyway, that incessant voice in my head telling me all about my day!

Sensing is the part we just used to to the breathing, its the part that knows how the keyboard feels under your fingertips, or the feel of sun on your skin.  Its how we notice our shoulders are tight, or the difference between grass or sand under our toes.  Its the physical feeling part of the body.

We can use this to our advantage, as the more we can drop into sensing the quieter the mind becomes as thinking is less active.

Whilst thinking can do wonderous and amazing things, it can also be the part we get stuck in when we are worrying and scared.   Its also the part that can be a bit of a nuisance when we are trying to sleep!!   Especially right now, when there is so much to worry about, but our sleep is so important!!

Let me take you through a scenario….

Your collegue from work walks past you in the street, you say hi.  She does not respond and just keeps walking….. What do you think?

Well we may all think many different things so lets look at two examples;

We think bloody hell, ignorant miss, what did I do to upset you!!!

We feel angry, upset (as perhaps deep down we are also worried we did to something to upset her and wondering what it was!)

We get tense in our body

We perhaps avoid her at work next time and act a little cool

So same thing happens, but this time we think, “oh gosh, is  she ok, she didn’t even seem to hear, I wonder what has happened and if she is alright?”

We feel compassion, concern for our friend

Our body softens

We go after her or we text her to see if she is ok

So same situation, but our mind makes up a very different story about it, dependent on many factors.  The thing is, its a great strategy to be able to fill in missing bits of information when we need to, but, the tricky bit is, sometimes we don’t even notice the information was missing, and presume that we are definitely right and it does not cross our mind, that it could be giving us false conclusions!

We can then easily get caught in over thinking mode – maybe it stays with us all day!!  What did I do to upset her, was it that time at work when i went on my break and didn’t tell her, what it x y z , has she heard about me moaning about her, and on and on and on, it might even start to catastophize – oh gosh works going to be awful now, she wont talk to me, what if everyone else takes her side……

When actually for all we know, her relatives just rang to say someone is sick and she  was preoccupied wondering about how she felt about that!!

By bedtime its become so hard to let go off, we find it hard to sleep!!

So one thing we can do is remember that our mind is not always right!!

The other is anything that takes us deeper into the sensing mode!

That might be anything, I love doing my yoga practice to help me do that, or a swim feeling the water on my skin, a walk allowing myself to really feel each step, and the sun on my face, wind in my hair – another lovely way, especially at bedtime is do a progressive muscle relaxation like Gill has on the wellbeing hub, or one of the yoga nidras Ive recorded.

Because the more we drop into our body and use sensing mode the quieter the mind becomes

Its very human right now, to find ourselves stuck in thinking and worrying mode, but the more we practice dropping down into sensing the more we strengthen that ability and the easier it gets.  Take gentle care and enjoy some time in sense mode today.

Mindfulness – A blog by East Cheshire Hospice’s Lindsay Dobson

Sometimes our mind seems to have a will of its own. It’s like a monkey jumping from tree to tree, as it won’t stay focused on one thing, but swings uncontrollably through many emotions.

Now, at this time, for example we may feel many many things, fear, anger, sadness, frustration, how damn unfair it is, gratitude, love, compassion, loss, back to fear… and on and on it swings.

I know sometimes my frustration, stress, anger, fear can all become to feel a bit like an elephant that’s trampling all the little new growths of gratitude under its unstoppable feet!  Or my happiness feel like a butterfly that’s flitting around everywhere, smelling the flowers but so so fragile.

Right now, all that is so human, the world is scary, and there is so much grief and loss, and of course, I certainly know some people who seem to think none of this applies to them….. and when you are dealing with the very real consequences of that, how human to then feel incredibly angry !!!

But science has shown us, those emotions, like anger and fear, compromise our immune systems, and we all want that working at its best right now!!

But how do you stop and unstoppable elephant?

The answer is perhaps you can’t!

But how much energy to you expand trying?  The more we try to stop something, the more energy we give it.  Energy our immune system could be using!!

So, what can we do?

We can practice kindness with ourselves!

Do you ever watch wildlife documentaries?   Have you noticed how, in those, nobody interferes, they let nature unwind as its going to.  They don’t jump out and say run zebra run, that lion’s going to eat you!!!  And try to stop the lion.  They watch, observe, don’t judge and let nature run its course.

That is how we can be with our emotions.  Put another way, if it’s raining outside we don’t go out and shout at the storm to stop! (Well my kids might, but they just get wet! And it keeps on raining anyway!)  sometimes we do go dance in the rain, but sometimes we shelter inside and just wait for it to pass. Our emotions are a bit like that, some we might dance in others we just ride it out.

That way we don’t feed the emotion our energy.  As emotions are just energy in motion. So the more energy we give it by fighting it, the longer it may last!!

So, perhaps we can be like the wildlife presenter, we can watch with kindness and curiosity as our emotions unfold, observe them and don’t judge them.

Close your eyes

Notice your feet on the floor, the feel of them, the weight of them, how the ground is holding them safe

Let that awareness travel up your legs, slowly slowly, until it reaches your seat on the chair, again just pause, notice the weight of you on the seat, let the awareness travel to your belly, notice your belly as it moves with your breath.

After a few moments, just let your awareness be with how you feel right now, any thoughts, any feelings,….. be curious – what is it like, how does it feel in your body, what is your mind caught up in.  Try to be like that wildlife commentator, notice, but don’t judge, let nature take its course.

If it ever becomes too much, go back to feeling your breath, or your feet on the floor.  Take your time.  Take as long or as short as you need.

I like to think of it as if I’m a boat in a storm, I can’t stop the storm, shouting at it and fighting it will just tire me out. So I drop anchor into my feet and body and breath and ride it out.  Remembering it’s natural and normal to feel all these ways, especially right now.

Remember it’s ok to feel however you are feeling and it will pass.  We will ride out this storm and yes we will be changed by it, and we will need the support of each other afterwards to perhaps get our ship all fixed up again.  But for now, we can look after ourselves by being kind and gentle and riding out whatever emotions are rocking our boat.

“The heart of man is very much like the sea, it has its storms, it has its tides and in its depths it has its pearls too”
― Vincent van Gogh, The Letters of Vincent van Gogh

There is peace, even in a storm.

Mindfulness – A blog by East Cheshire Hospice’s Lindsay Dobson

We are living through something none of us have ever experienced before. Through a time when fear and grief as well as kindness and compassion has brought the world together. It’s impossible to avoid or ignore this, especially when you’re working with those who need your care, or you yourself are at home, due to the risk you face.

Whilst I cannot be there in person and can only imagine the challenges you face right now.  I thought I would offer some of the things that have helped me face challenges.  Mindfulness is one I know most of you are aware I use daily to help me through.

So if it will be of help, I will offer what I know as some short bitesize practices you can use at home or work, at any time that emotions or life starts to feel to overwhelming to deal with and there is nobody to turn to. Mindfulness cannot take away our fear or grief, but it can help us hold it gently and learn to walk with the weight of it. It can also help us get back in touch with our compassion, when we are so worn down by grief that it threatens to consume us.

It sounds like something amazing, and for some it can be. The research has shown, we can change our brains by how we think and what we do. Whenever we practice a relaxation or choose to sit with our feelings and thoughts, we change our brain. By the simple act of reading this, your brain will respond and change and be a slightly different brain than when you started. We know the more you do something, the stronger the connections in your brain will become. So the more you meditate or practice mindfulness the stronger you get at it and the more it will help.  So practice when you’re calm, so that when things are chaos, it’s there as a ‘go to’. What we practice becomes permanent, so practice peace and kindness with yourself and that is what you will become, not only for yourself but for others. But it’s hard – our brains are biologically wired to respond to fear and threat so that is what we will go to, as a matter of survival.  So we have to take the time out, to practice calm, to anchor it in our being so it’s there when the brain starts to tell us to panic!

I wanted to start by exploring the fact our body and our brain are intricately linked. How we act, how we stand and move and how we breath impacts how we feel and think and vice versa. In fact, science has shown us that one of the fastest and most efficient ways of calming down is through our breath. Sometimes we cannot force our mind to stop the thoughts that race through it, or calm down just because we tell it to. But, we can change our breath. When we are scared how do we breathe? Just take a moment, perhaps to check in right now with how you are breathing.

When we are anxious our body needs oxygen fast, we breathe fast and shallow into the top portion of our lungs, the in breath is longer than the out breath – useful to know if you need to energise yourself! Big deep in breaths energise the body and brain and get it ready for action! This can help when we are tired and worn down and need that boost of energy to get us through the next bit. But what if we need to calm down? Then we invite the breath to go deeper, into the belly, and we have a longer out breath.

You can try this now;

Start by just noticing your breath again, don’t try to change it, just notice it.

Count how many seconds you breath in for and how many you breath out for.

Gradually (but only if it feels comfortable, because any effort takes us back into action mode so we want this to stay relaxed and easy) add one second to the out breath only. Until you find a comfortable rhythm where the out breath is longer than the in breath.

How do you feel after doing that for a few breaths?

So that is one little tip that might help – when you notice you’re caught in a big emotions, become aware of how you’re breathing and just take a moment to adjust it – big inhales if you need energising because you can’t get off the floor and extend the exhale gently if you need to calm and centre.

Another support I have is remembering to just be in this moment, right now, however it is. We tend to worry about the things that happened in the past, and what will happen in the future. We miss out on now, and to be honest, that’s so easy to do in our current situation! I find myself worrying about how I could have done things differently before we were sent into lock down – “should I have gone to the hospital that day”? “Was my desk tidy”, “had I done all I needed to do?” “Oh gosh, we shouldn’t have taken that walk” blah blah blah or “what if my child gets this??” “How long will be here?” “Will we miss the whole summer?” – I’m sure you can see how those thoughts just wind me up to be more anxious? Yours will be just as bad, if not worse and about so many many things. I remind myself to be grateful for this moment right now! We are safe, we are well right now with this breath it’s all ok. I can’t change the past, and the future… well I can do what I need to try to keep us safe, but then it’s out of my hands. So to breath and just be in right now.

Of course we will have moments when right now is not even ok, when its all tumbling out of control, when the oxygen is not working and things are not improving and we don’t even have time to worry about past or future and then my breath is the only thing that helps me focus on right now and what needs to be done. I take a second to feel my feet on the floor, to breath in, and let the exhale slowly extend. I allow myself to feel however I am feeling and then do what needs to be done. If I have the luxury of doing that for as long as I need to I do! I take my time to feel the floor beneath me, how it holds me up, and to focus on my exhales and let them extend, but if I don’t, just doing that for one breath or two, can bring me back to a calmer place then I would otherwise be.

But for it to help most then, we need to practice it each day. So I invite you to find a time each day, it might be a certain time and day and you might practice it for five mins or just one. It might just be when you remember, or find yourself at a loose end. But if you can spend a moment or more each day, to notice your body, your feet on the ground, the touch of a hand, to notice your breath and let the exhale extend and to focus on whatever is in front of you right now in this moment. Because every time we practice doing that, we strengthen the brain’s ability to do it, not just in moments of calm but in moments of chaos too. So that soon it becomes a reflex that when things get tough your body and brain know how to calm and centre and become your ally.

Take gentle care of yourself.

Lindsay x

The BBC crew spent a day with our nurses in the Inpatient Unit and received first hand experience of what our fantastic nurses do on a daily basis.

This extremely moving piece shows the effect COVID-19 has had day to day, but how the resilience of the team allows us to continue to provide priceless palliative care and support to those who need it.

East Cheshire Hospice is turning to virtual fundraising to try to plug a £1m hole in its finances caused by coronavirus.

We are quickly making plans for a new online fundraising campaign to make up for a severe drop in income.

The Hospice was forced to cancel a host of events because of Covid-19 and will lose around a third of the £3m income it generates annually from fundraising and donations.

Rachel Allcock, Income Generation Director, said: “This revenue loss is a huge blow but we’re determined to fight back and raise the funds needed to care for our patients.

“That’s why we’re working on an ambitious virtual fundraising campaign which people can undertake while they’re at home.”  Visit eastcheshirehospice.org.uk/virtual-challenge for details.

Meanwhile, bedside visits to patients are limited to immediate family only, charity shops have closed and many staff are working from home.

Hospice staff checking in from home for their daily coronavirus conference call.

Edna Keefe (84), who has worked in the laundry room since the Hospice opened, reluctantly went into self-isolation.

Edna briefed HR colleague Sue Adams about her role as a contingency.

Sue said: “We’re one team and always help each other out. I’ve also learned about the reception duties and the most important thing is to give the best possible care to patients and their families.

“They’re at the heart of everything we do and we’re all pulling together, even though it’s going to be a bumpy ride for a while.”

Sue Adams helping out with laundry duties.

East Cheshire Hospice has suspended some of its services and postponed fundraising events because of the Coronavirus outbreak.

The Hospice has been forced to take the drastic measures to comply with government advice to prevent the spread of the virus.

Outpatient appointments at its Sunflower Centre are suspended until further notice along with Hospice day programmes.

The Hospice will use telehealth technology to look after its patients remotely.

Meanwhile, the Hospice @Home service and inpatient wards will use extra screening questions to protect patients and staff.

Families are being asked to limit visiting whenever possible to reduce the risk of cross-infection.

Reception and ward volunteers aged under 70 are being asked to report for their normal duties.

However, all other volunteers are being requested to stay away from the Hospice for at least two weeks from when the guidelines were issued (Tue March 17).

Non-clinical staff have been set up with equipment to enable them to work from home.

The Hospice has cancelled some of its fundraising activities which is a major blow to an organisation which needs to raise £7,500 a day to keep going.

The Hospice said it is experiencing financial challenges like many other charities and has thanked its donors for their ‘continued support during this exceptionally difficult time.’

Hospice Chief Executive Karyn Johnston said: “We must adhere strictly to government guidelines while doing our utmost to ensure our patients continue to receive the best possible care.

“That care continues during this pandemic, ensuring that our patients and their families still receive the same support which is so essential during end-of-life care.

“Our patients and families have been so accommodating in these are unprecedented times and we sincerely hope these measures will have the minimum impact on all those affected.

“They have been most understanding and so too have been our supporters and volunteers. We have received many messages of support which will provide us with great strength in the challenging weeks ahead.

“During these uncertain times it’s important that our local community continues to support its local Hospice. The loss of revenue from fundraising events is a severe blow, but our expertise and care will be needed more than ever, and we sincerely hope that our supporters will help us as much as they possibly can.”

East Cheshire Hospice Chief Executive Karyn Johnston.