Tag Archives: health

Spoilt for choice…

This coming Wednesday are the elections for the ‘Tweede Kamer van de Staten Generaal’ – the lower house of parliament.

All over the country, boards have appeared with the 24 political parties. In large cities and towns each party has its own board. In small towns, like mine, the one shown.

On Friday, a pale grey sheet of A1-sized paper arrived by post: names of candidates for the 25 parties. So much detail: it’s essential to orient yourself beforehand. Otherwise, you’d spend too much time in your cubicle on the day, and there will be queues. When I voted in the last elections (November 2023), I couldn’t fold the paper back into its original roadmap shape…

The Dutch are famed for their tolerance. I find that puzzling, but then I spent most of my life outside The Netherlands.

A few months ago, a new political party ‘Vrede voor Dieren’ (Peace for Animals) was established. They split from the original ‘Partij van de Dieren’ (Party of the Animals) because the leader of the PvdD (initially pacifist) changed their views and now supports re-armament. The new VvD rejects re-armament in principle.

You don’t need to have read Animal Farm to think that an animal’s view of pacifism is probably Will I be eaten or not? (paraphrasing a Dutch novelist).

Confidence in politics and politicans

Confidence in politics is at an all-time low. In the August 2025 polls it ranged from 4% – 9%. Some 25% of those polled were floating voters. There are several reasons for that.

Photo credit: MabelAmber via Pixabay

Time lost in the polder…

  1. The ‘polder’ model is the pragmatic recognition of pluriformity. Time is needed to achieve consensus: people will need to polder. However, this verb has a negative connotation in relation to politics. An election will be followed by months of sitting and talking, walking and talking. A ‘formateur’ will facilitate the process. Meanwhile, the previous coalition is just ‘care taking’ and keeps things ticking over.

It also takes several months to organise an election, typically four to five.

The coalition Rutte II was the first cabinet that completed its full four-year term since 1998. Its starting date was 5 November 2021. Since then, just over two years were spent on forming the next three coalitions.

Not lasting the course

Rutte III – the full cabinet resigned over the child benefit scandal. A parliamentary enquiry had found that officials had knowingly and systematically deprived people who were legitimate claimants. Thousands of people have still not been compensated.

Rutte IV – resigned over fundamental disagreements regarding immigration measures.

Schoof – An unstable coalition from the start: two parties (the Boer Burger Beweging or BBB) and the NSC (Nieuw Sociaal Contract) both new to government and both struggling to get enough credible candidates for their seats. With Wilders of the PVV (Partij voor de Vrijheid) who’d walked out of an earlier coalition government. Seen as a ‘bunch of amateurs bickering amongst themselves.’

Not tackling the crucial issues

The Hague is a long way from the northern province of Groningen where thousands of people have been waiting for over a decade for compensation. (The subsidence caused to properties caused by fracking. Another parliamentary enquiry.) Just an example.

This time I’m a floating voter. So, I’ll go and have another coffee, inspect that grey form a little closer!

Having Her Cake


It is a pleasure and a privilege to share three poems from Wendy Klein’s new pamphlet Having Her Cake, published by Grey Hen Press. The pamphlet is dedicated to Barbara Cox (1943 – 2019). Several poems give us vivid details about their lifelong friendship. However, the focus is Barbara’s ‘physician assisted’ death. The opening poem starts: Barbara never knows what time it is in Britain. California calling ends: the kindly California law / on assisted dying / I tell her I’m coming.

Having her Cake

The chocolate cake, left over
from her annual pre-Christmas do
sits on a large white china plate,
dwindling in size day by day,
an unwashed fork lying next to it,
a temptation to any passers-by,
though no one ever sees
anyone else eating it
and it would have been sacrilege
to open the cutlery drawer,
select a clean fork,
place the used one in the sink
or the dishwasher, but someone
on the third day I’m there removes
the plate, crumb-covered and sticky,
replaces it with a tidy paper version
tucking the now over-large piece
of cling-film around the edges
clumsily, carelessly, as if
it no longer mattered, as if
at any moment it could be binned
plate and all.

What you can’t wake

The dead. No, not even the dogs,
grumbling at being shut
in their crates, beside her bed
peering through the grate, eyes
full of reproach.

No, you can’t wake the dead,
but the not-quite-dead
are too awake, their eyes
peeled until the last,
their flesh jumpy,
their muscles braced.

Beneficiary

Released from the need to worry
for herself, she frets
about the falling stock market
on behalf of her beneficiary,
a willowy young hairdresser,
the daughter she never had,
who will inherit everything:
the rambling shambolic bungalow
with its million and one flaws:
the water pressure that shuts down
the whole system when the shower is on,
necessitating bouts of shouting,
water, water if someone so much as
turns on a tap to rinse a cup,
brushes teeth, flushes the toilet
in any other part of the house —
a second-hand Honda Jazz,
a rusting dishwasher, a dog run
which looks like a concentration camp
for canines, meant to be protection
from ‘critters out there,’
and the stock market falling,
falling, falling.

Biography


Widely published and the winner of many prizes, Wendy Klein is a retired psychotherapist, born in New York and brought up in California. Since leaving the U.S. in 1964, she has lived in Sweden, France, Germany, and England. Her writing has been influenced by early family upheaval resulting from her mother’s death when she was nine months old, her nomadic years as a young single mother and subsequent travel. She has published three collections: Cuba in the Blood (2009) and Anything in Turquoise (2013) from Cinnamon Press, and Mood Indigo (2016), from Oversteps Books., plus a new and selected, Out of the Blue (2019) from The High Window Press. Her first pamphlet Let Battle Commence (2020) from Dempsey & Windle, was based on her great grandfather’s letters home while serving as a Confederate Officer in the US Civil War. She shares her work on https://www.cronepoet.com.

Sub/urban Legends

Pam Thompson

It’s an enormous pleasure to introduce this month’s guest poet Pam Thompson. Pam and I met 13 years ago on an extended writing course. You can find her biography below the poems. These are from Pam’s prize-winning pamphlet and show the range of her writing. The Paper Swans pamphlet competition was judged by John McCullough: ‘Sub/urban Legends gripped me because of the way it marries poignancy with a really bold imagination and stylistic flair’. The intriguing cover image is also by Pam.

Explorers, Antarctica, 1901

The leader sits on the sledge.
He never does this.
It’s against the rules of the expedition
but now there are no rules.

Two huskies – the two
remaining huskies, they ate the rest –
sit either side like imperial lions.

The ship is stuck in frozen waves.
The crew are starving or dead
but this photo will be evidence
that they reached their destination.

The photographer in the black hood.
Stepping back. Pulling the cord. The flash.

Self Portrait as Fulang Chang

Freedom, chica, is all. I’ll wear
the mandarin’s hat and silk waistcoat,
eat all the honeyed grapes,
to stay favoured, like a first-born.

I perch on her left shoulder,
always on guard, never at ease.
I bare my teeth and scream,
at Diego and the village dogs.

I am the brush passer, ear
for her secrets, but I am all chat,
you know, teller of her tales
though she isn’t one to keep schtum.

The bloody hearts we paint
will drip onto the Blue House floor.

Fête Galante

Take the bus from outside the Water Margin Chinese restaurant—or from where it used to be in 1974—allow plenty of time. You’re at work in Lewis’s, folding up school shirts badly, cramming them back in their packaging; in a History of Art lecture looking at a slide of Fragonard’s ‘The Swing’. The bus will be full, people will be smoking on the top deck, so will you. This must be your stop. Is it everybody’s stop? You join the flow—you think of Tracy Emin’s tent with the names of all the people she ever slept with, or is it her messy bed you’re thinking of. All the beds you ever slept in. Lewis’s. All the shops you ever worked in. And the canteen in the factory where the men always patronised you. Here—you say to the tiny chef—you scrub the bloody burnt pans. All the patronising men you ever worked for—they all get off the bus. You watch them cross London Road. You haven’t moved very far. The Water Margin is the water’s margin and you wonder how this pond, this lake, this sea, arrived in the city. There are willows, and, over there, a fête galante, a woman on a swing, being pushed and pulled, higher and harder, by all the people she ever slept with.

Biography

Pam Thompson is a writer, educator and reviewer based in Leicester. She is a Hawthornden Fellow. Her works include The Japan Quiz (Redbeck Press, 2009) and Show Date and Time, (Smith|Doorstop, 2006). Her collection, Strange Fashion, was published by Pindrop Press in 2017. Pam was winner of the 2023 Paper Swans Pamphlet Competition and her winning pamphlet, Sub/urban Legends (Paper Swans Press) was published in March 2025.

Chalking the Pavement

It is a great pleasure to introduce this month’ guest poet Kate Noakes. Kate and I met during the first lockdown on Zoom (a group set up by a fellow poet). Kate Noakes’ most recent collection is Goldhawk Road (Two Rivers Press, 2023). Her website is www.boomslangpoetry.blogspot.com. She lives in Bristol.

Earlier this month Kate’s poem The Sick Spring appeared on the blog. It is from her pamphlet, Chalking the Pavement, published by Broken Sleep Books in 2024. At the heart of the book is Field Notes 2020. Field Notes has 65 entries: observations of life during the first lockdown in the form of prose poems.

I’ve chosen five, from the beginning and end of the sequence. All of them show Kate’s acute attention to detail as she ‘captures the soon-forgotten details of the changes to our lives’.

Field Notes 2020

Children are rediscovering, or discovering, the pleasures of chalking the pavement with hearts and messages of love for the NHS. Hopscotch has the thrill of the new, but neither the girl nor her mother knows how to play it. I look around for a handy stone. None are at arm’s length.

*

The slates pathing my garden are sleek with wet. Dust is dampened. This morning after weeks of early summer-in-spring is a change and a good one. I’ll rest indoors trying not to dwell on my friend’s friend: just two years older than us and dead. All day the blackbirds have busied about the garden in search of nesting materials. Such industry, even in the constant day-drip of rain.

*

My neighbour tells me he’s been scaled back to three days a week with attendant pay cut, yet considers himself lucky; most staff in his firm having been let go, along with eight percent of those in hospitality.

*

A windy day for children to learn or relearn the small pleasure of flying a kite. Prescriptions need at least a week’s notice and the pharmacist tells me there is some drug rationing. We have learned that a life is worth sixty thousand pounds; in case you’re ever wondered. And again there is no surprise in discovering that some people believe rules only apply to others.

*

I want my day to always start with a fishing heron and a cormorant drying its wings on the foreshore near the bridge, the tide running out, and the sun brilliant on the water. White stripes on the river path every two metres are a constant presence that it is hard to ignore.

Saved by bankruptcy

Photo credit: Pieter van Marion, NL

I had booked return flights Manchester – Exeter to visit my poet friend Kathleen. My trip was going to be in the third week of March 2020. On the 5th of March Flybe filed for administration and ceased all operations immediately. I lost £65, but I was very relieved: If I had flown to Exeter, I might well have been stuck in Devon as that first lockdown started…


On Sunday 15 March I learned the British government was considering a compulsory quarantine. The next day I emailed the owner of the campsite asking if I could arrive early. He replied immediately. I booked a flight, transferred money, packed, agonised over which poetry books to take to my ‘desert island’ near The Hague. I flew to Schiphol on the Wednesday. The local buses already had the area near the driver closed off with white-red plastic.


Here are two poems about that first lockdown:

The departure

Half a century condensed into Brexit, pandemic.
At the threat of a four-month’ compulsory
quarantine I fled to my bolthole in Holland.

Six months of safety in a static caravan,
waking to birdsong each morning,
shielded from the sun by the golden elm.
I walked my daily rounds on the grass lanes.

Forsythia, tulips, narcissi, rhododendron,
pyracantha, salvia, rock rose, asters:
the seasons’ steady markers. From a distance
I waved to neighbours finally arriving.

In the cupboard of the spare room
lay the letter confirming my ‘settled status’
on the other side of the North Sea.

The undertakers

A double spread in the paper
features a large photo.

This man, in his thirties, a narrow
horizontal moustache, soft smile.

He sits in a wooden boat, his right hand
resting on a plain white coffin.

People are asked to email text and selfies.
Made into cards, these are placed on the coffin.

He is based in Amsterdam, will transport
you safely through the canals.

That undertaker has just opened a crematorium.
He also owns a chain of hotels.

The pandemic has cut the numbers allowed
to be in the room. There is livestreaming.

People, he says, are glad of it.
The intimacy makes it easier to speak.

At the end of September 2020, the campsite closed. I got a Covid test somewhere in the centre of The Hague and flew back to Manchester.

Late lockdown poem

I wake up and know, of course,
that I am not a morning person.
The sound of rain, of course,
and fewer sirens as people
are supposed to be at home.
My lifelines are the same, of course:
motto, comfort break, medication.
Of course, I think about exercise,
settle for Composer of the Week,
dead, of course.

Marie-Louise Park, Didsbury, Manchester, UK

A postage stamp, Joshua calls it

He’s right and there’s traffic noise
from the main road and people
with dogs on long leads,
but not all the benches
are dedicated to the dead,
Marie-Louise is a pretty name
for a park and the 43 Airport bus
is a hybrid and no-one much
was going to the airport
that autumn: I often had the bus
to myself, both ways.

Friday, 13 March 2020

Tuesday, 3 March 2020

As I was updating the website recently, I was reminded of the lovely interview that Andy N Poet did that very Friday. He came to the flat in Manchester where I then lived. On the 3rd of March I had launched a pamphlet and my second collection at the International Anthony Burgess Foundation. The launch was one of the reasons for the interview. Andy has now done several hundred interviews. You can find them all on Spokenlabel.bandcam.com Here is the link to my interview: SpokenLabel

When I listened to the interview this week, it felt spooky at times. Early February 2020 I had received confirmation of my ‘settled status’. I told Andy that I hoped to spend ‘most of the summer’ in my caravan in The Netherlands, that I couldn’t immediately tell him who my ‘desert island’ poets would be. At one point Andy mentioned the ‘virus’.

Here is a poem about that Friday from Kate Noakes who is our guest poet this month. The poem is from her 2024 Chalking the Pavement published by Broken Sleep Books.

The sick spring

Thirteenth March, a Friday with which comes
a most lauded play, Stoppard’s last contract:
Vienna, and a family succumbs,
fortunes and losses in Leopoldstadt.

I am treated to the stalls by a friend
of a friend, a nice man I do not know.
His cancelled cultural holiday ends
with a short email critique of the show.

I give him scenes, chronology, pictures,
timings avoiding history’s clichés;
how I stepped into busy Leicester Square
with foreboding that hurried me away,

and how I scurried home to a semi-death:
headache, sore throat, cough and struggle for breath.

A tribute

This post is a tribute to my brother Theo who died early on Tuesday morning in hospital. On the evening of Friday 28 June, he went out with his wife Ancilla to celebrate their 52nd wedding anniversary. After a lovely meal he had a fall in which he sustained serious brain damage. I spent time with him on the Saturday. Ancilla and my nephew were with him when he died.


It was only last autumn, when a MRI scan was taken for other purposes, that my brother learned that he had the rare condition of multiple cavernomas. This explains the paralysis and subsequent sudden hearing loss. The poem 1962 was published in my debut collection Another life.


My brother had a rich and full life. The photo was taken in 2019 when he and Ancilla both received honours (Member of the Order of Oranje-Nassau) in recognition of decades of charity and community service.

1962

Alexander Eduard (coppersmith
in the bible and van Beinum,
the famous conductor).
Our Irish setter had been given
the names of an unborn child.

A ward of six, our parent’s daily
drive, almost an hour each way.
Neurologist, paralysis,
lumbar puncture, nausea
.

Grandfather owned an electrical shop
(double-fronted on the main street),
gave my brother a beige-brown radio.

The specialist allowed our red
Irish setter to visit my brother,
celebrating his fourteenth birthday
in the academic hospital in Leiden.

Three months later he arrived home,
just in time for Sint Nikolaas.
My brother still limped and his crown
was marked by two scars at right angles,
the space between dipped and dented.
A few days later grandfather came
to take his radio back.

Cromer, June

Cromer Pier and Esplanade

As the church bells began ringing, we were off – like thoroughbreds out of the starting boxes. We’d arrived on Saturday, inspected the spacious and comfortable rental property. Then enjoyed a delicious fish dinner at No. 1 Cromer Upstairs.

My morning flight from Schiphol landed at Norwich. The views of the coast and the Broads reminded me of other times. The poem was first published in The Pocket Poetry Book of LOVE (Paper Swans Press, 2018).

With love to my five talented poet friends…

Cromer, August

Curved around Cromer Pier a twitching mass of legs,
sturdy calves, socks, sandals. Fathers scoop up bait,
wind black thread onto pink plastic spools.
An old couple, in matching anoraks,
watch a thin man, wheelchair-bound.
He shakily lifts his thermos flask.

I thought of you then and the creaking stair lift,
the plastic roll-up seat, raising her in and out of the bath.
The small wooden cart you made
so she can travel through the orchard
inspecting the new fruit with her crooked hands.

Too Much Mirch

It’s an enormous pleasure to introduce our guest poet. Safia and I met on a Poetry Business workshop a few years ago.

Safia Khan is a newly qualified doctor and poet. Her debut pamphlet (Too Much Mirch, Smith | Doorstop) won the 2021 New Poet’s Prize. Safia’s full biography can be found below her stunning poems.

Dave

Let’s discharge him today.
We’re wasting a bed keeping him here,
I know a lost cause when I see one.

No need to biopsy, it’s clearly end-stage.
Sadly, not much we can do at this point,
best to discharge him today.

He’s asked, but don’t bother with a referral
to Addiction Services – he won’t engage.
Trust me, I know a lost cause when I see one.

Before you book his cab, tell him he needs
to break the cycle. Record it, otherwise
we can’t discharge him today.

His notes say no fixed abode. He mentioned
a daughter. I doubt she’ll take him in this state,
that’s a lost cause if I’ve ever seen one.

Social services have called twice now.
The daughter asked why she wasn’t contacted.
I said they told me to discharge him,
they knew a lost cause when they saw one.

On Placement

I donned mask, visor, and apron,
washed my hands the right way,

correctly identified an osteophyte
at the acromioclavicular joint,

imagined the right diagnosis,
asserted the wrong ones,

was humbled like pines after avalanche,
inspected behind the curtain,

tried not to register relief
when hers looked like mine,

translated incorrectly, blamed my parents
for speaking English in the house.

I donned mask, visor, and apron,
washed my hands the right way,


noted an antibiotic prescription
for a young wife’s sudden death,

and a son’s hanging decades later,
ate fish and chips during a discussion


on seven-year old M, presenting with
pain down there (by his cousin),

taken into care after being removed
for witnessing Mum’s self-immolation.

After, I wiped
the mushy peas from my mouth.

I donned mask, visor, and apron,
washed my hands the right way,

vaccinated death in a red dressing gown,
touched its eggshell, auscultated its yolk.

I have heard ghosts blooming like spring mist
through my stethoscope.

River
(After Selima Hill
)

Other people’s mothers
shout at them in public,
I cry in the car on the way
back from dinner.
Other people’s mothers
don’t cremate their
daughters with a look.
My mother opens
like the seed of a tree.

I am sorry, she says.
You are right. But
other people’s mothers
had the chance
to be daughters.
Other people’s mothers
were softened by rivers.
I had to be bedrock
all my life.

I am sorry
you can feel silt
in my love,
but know you are
water to me.
Wherever you run
I’ll run under you,
holding the current
like no one else can.

But where are you really from?

Clay. A shapeshifting clot of blood. A kernel inside the first shell-
breath of God. Primordial soup, reduced to its atoms after being
brought to boil. The same place as the stars and birds, where
everything that ever existed was wrapped in tin foil and microwaved
into being. An iron ballerina, pirouetting round the Sun and sweating
out the Oceans. Mountains formed in an ice tray mould. A patch of
grass that drifted from elsewhere. A patch of grass still drifting. Like a
refugee with amnesia, I cannot recall home, though once in a while, I
catch its fragrance on the wind.


Biography:

Safia Khan is a newly qualified doctor and poet. Her debut pamphlet (Too Much Mirch, Smith | Doorstop) won the 2021 New Poet’s Prize. Her work has been published in various journals and anthologies including The North, BATH MAGG, Poetry Wales, Introduction X: The Poetry Business Book of New Poets (New Poets List), We’re All in It Together: Poems for a disUnited Kingdom (Grist), Dear Life (Hive), Surfing the Twilight (Hive).

She has been commissioned to write poetry for the University of Huddersfield and The British Library. Safia has performed her work widely, including as a headliner for Off The Shelf Festival. She has delivered poetry workshops for The Poetry Business, and seminars for the University of Oxford on the role of poetry as patient advocacy. Safia has been invited to deliver a creative writing teaching series with Nottingham Trent University’s WRAP Program, as their featured writer for 2023. 



refugee with amnesia, I cannot recall home, though once in a while, I
catch its fragrance on the wind.

Review: Contrapasso by Alexandra Foessinger

Credit: Kev via Pixabay


Contrapasso is the title of the debut collection of Alexandra Fössinger. She is of Italian origin and currently lives in Northern Germany. She writes mostly in English. Many of the poems included have been previously published in the UK and elsewhere, in magazines such as Tears in the Fence, The High Window, The Journal. The cover design – a black bird against a stark white background – is by Daniel Lambert, Art Director of Cephalopress, established in 2018, providing ‘a voice for the marginalised and the voiceless’.


I do not know the author, though I attended her online reading with Q&A. There she explained the background to the poems: her attempt at survival ‘after the imprisonment in the UK of someone dear to me’. This sudden loss may, in part, have coincided with the pandemic and its lockdowns: creating an incarceration for the poet too.


In Dante’s Divine Comedy, contrapasso is the punishment of souls by a process either resembling or contrasting with the sin itself. The collection is in two parts, both preceded by a quotation from Dante’s Inferno. Part 1 covers the period of imprisonment, while poems in Part 2 were written after the person’s release.


Birds for someone who cannot hear is the title of the opening poem and birds appear throughout the collection, as messengers, omens, and symbols: the blackbird frozen in shock, the thrushes in hiding, along with magpies, sparrows, sky larks, great tit, kingfishers, herons, seabirds. The second poem is titled Cell, giving us just the bare numbers:
1,
5,
3,
4,
7,
1,
and ending:
bad luck has brought
and kept you here,
and whether
you’ll walk out

or
be carried in a coffin

is also entirely
a matter of chance
.

The poems are the author’s response to the sudden loss, despair, darkness, pain. We have no life apart from life apart (Sentence); How can I find dreams of oarweed and eelgrass, / bring currents to glide on, as I must, when half / of my body is entangled / on the wrong side of the sea, / how will I know when time says to dive? (Velut luna).

Fössinger has said that she ‘is mostly interested in the spaces between things, the tiny shifts in time, the overlooked, the unsaid.’ Throughout the collection, we find astute observations and statements: la vita assurda: the middle-aged couple / pushing their dog in a pram. (July); that emptiness is best hidden / by a display of tame beauty. (Ambulant).

The strongest poems are those which describe a specific situation, or which have objects as ‘animate scaffold’. The poem Ambulant is in two parts:
I
The house with the Christmas decoration,
and the magnolia tree in bloom,
and the blackbird frozen in shock,
and an ambulance parked in the front garden,

all stand completely still.
People walk by, averting their gaze,
a stoop hammered into their skin –
How many lives will they have lost before,
without ever noticing.

The orange light is beating on the windows
like rain.

Here is Fössinger’s close attention to the overlooked, effective personification, interesting use of language. Not all the poems are so securely grounded, sometimes abstraction obscures their meaning. Other poems would have benefited from being tighter, shorter. The book is a short collection of 31 poems with quite a few blank pages. Some readers might want ‘more poems’ for their ‘pounds’.

While the poems reflect the poet’s emotional and psychological response to loss and separation, she manages to maintain a careful balance: hope is not abandoned. The recurrent bird theme also provides a framework, an underlying structure. This theme returns in the short closing poem, The robin redbreast. The loved one appears in a dream, as tiny as a bird, and:

Then you grew a beak
with which to pick and sing
and transport worms and roses.

Contrapasso is a confident and authentic debut by a perceptive, astute poet. Her personal tale finds echoes in the reader’s universal story. However long and painful the journey, there can be closure and transformation.