Rachel Clarke

"I am a junior doctor. It is 4 a.m. I have run arrest calls, treated life-threatening bleeding, held the hand of a young woman dying of cancer, scuttled down miles of dim corridors wanting to sob with sheer exhaustion, forgotten to eat, forgotten to drink, drawn on every fibre of strength that I possess to keep my patients safe from harm." How does it feel to be spat out of medical school into a world of pain, loss and trauma that you feel wholly ill-equipped to handle? To be a medical novice who makes decisions which - if you get them wrong - might forever alter, or end, a person's life?In Your Life in My Hands, television journalist turned junior doctor Rachel Clarke captures the extraordinary realities of life on the NHS frontline. During last year's historic junior doctor strikes, Rachel was at the forefront of the campaign against the government's imposed contract upon young doctors. Her heartfelt, deeply personal account of life as a junior doctor in today's NHS is both a powerful polemic on the degradation of Britain's most vital public institution and a love letter of optimism and hope to that same health service.

A Junior Doctor's Story

Your Life in My Hands

'A magnificent, tender book' Independent 'Her words are brimful of love, grace and kindness' Guardian 'She writes with a tender, lyrical beauty' Sunday Times From the Sunday Times bestselling author of Your Life in My Hands comes this vibrant, tender and deeply personal memoir that finds light and love in the darkest of places. As a specialist in palliative medicine, Dr Rachel Clarke chooses to inhabit a place many people would find too tragic to contemplate. Every day she tries to bring care and comfort to those reaching the end of their lives and to help make dying more bearable. Rachel's training was put to the test in 2017 when her beloved GP father was diagnosed with terminal cancer. She learned that nothing - even the best palliative care - can sugar-coat the pain of losing someone you love. And yet, she argues, in a hospice there is more of what matters in life - more love, more strength, more kindness, more joy, more tenderness, more grace, more compassion - than you could ever imagine. For if there is a difference between people who know they are dying and the rest of us, it is simply this: that the terminally ill know their time is running out, while we live as though we have all the time in the world. Dear Life is a book about the vital importance of human connection, by the doctor we would all want by our sides at a time of crisis. It is a love letter - to a father, to a profession, to life itself.

Dear Life

'I am a junior doctor. It is 4 a.m. I have run arrest calls, treated life-threatening bleeding, held the hand of a young woman dying of cancer, scuttled down miles of dim corridors wanting to sob with sheer exhaustion, forgotten to eat, forgotten to drink, drawn on every fibre of strength that I possess to keep my patients safe from harm.' How does it feel to be spat out of medical school into a world of pain, loss and trauma that you feel wholly ill-equipped to handle? To be a medical novice who makes decisions which - if you get them wrong - might forever alter, or end, a person's life? To toughen up the hard way, through repeated exposure to life-and-death situations, until you are finally a match for them? In this heartfelt, deeply personal account of life as a junior doctor in today's health service, former television journalist turned doctor, Rachel Clarke, captures the extraordinary realities of ordinary life on the NHS front line. From the historic junior doctor strikes of 2016 to the 'humanitarian crisis' declared by the Red Cross, the overstretched health service is on the precipice, calling for junior doctors to draw on extraordinary reserves of what compelled them into medicine in the first place - and the value the NHS can least afford to lose - kindness. Your Life in My Hands is at once a powerful polemic on the systematic degradation of Britain's most vital public institution, and a love letter of optimism and hope to that same health service and those who support it. This extraordinary memoir offers a glimpse into a life spent between the operating room and the bedside, the mortuary and the doctors' mess, telling powerful truths about today's NHS frontline, and capturing with tenderness and humanity the highs and lows of a new doctor's first steps onto the wards in the context of a health service at breaking point - and what it means to be entrusted with carrying another's life in your hands. 'Eloquent and moving' - Henry Marsh 'There have been many books written by young doctors... but none comes close to Clarke's' - Sunday Times 'From the very heart of the NHS comes this brilliant insight into the continuing crisis in the health service. Rachel Clarke writes as the accomplished journalist she once was and as the leading junior doctor she now is - writing with humanity and compassion that at times reduced me to tears.' - Jon Snow, Channel 4 News 'Dr Clarke has written a blockbuster, a page-turner, a tear-jerker. This is a "from-the-heart" front-line account of the human cost of the wanton erosion of a magnificent ideal - healthcare free at the point of need, funded through public taxation, available to all - made real in the UK for near 70 years. It is a love-song for the wonderful National Health Service that has embodied - to an extent equalled nowhere in the world - the principle that healthcare is not a commodity but a great duty of state.' - Prof. Neena Modi, President of the Royal College of Paediatrics and Child Health 'A powerful account of life on the NHS frontline. If only Theresa May and Jeremy Hunt could see the passion behind the people in the NHS, they might stop treating them as the enemy, and understand that without them we don't have an NHS worth the name.' - Alastair Campbell

Your Life In My Hands - a Junior Doctor's Story

When the once-in-a-century pandemic struck, it didn't matter that it was predicted and expected - nor even that we had watched it before, playing out in multiplexes over popcorn. We ambled, half-asleep, into disaster. In the first three months of 2020, perplexity drifted into mild concern that suddenly sheered into panic. Economies nose-dived. Schools workplaces closed. Populations hid inside their homes. Whole societies shut down. In most people's living memory, no crisis had caused such global upheaval so swiftly and so comprehensively. The scale and pace of the pandemic were stunning. As a palliative care doctor, Rachel Clarke found herself spending less time in the hospice and more in the hospital. Unable to convey the intensity of her days on the wards to friends and family, by night, she wrote about what she and her colleagues were going through. Breathtaking is her inside story of how the health service responded. But when she looked back over her writing, she found that what she had thought was an unrelenting stream of death and darkness was in fact illuminated by pinpricks of light. The curtailing of human contact, it seemed, was a reminder of precisely how precious it was, and just how far a little of it could go. Breathtaking depicts life, death, hope, fear, medicine at its most impotent and also at its finest, the courage of patients in enormous adversity, the stress of being torn between helping those patients and endangering your spouse and children, the long fretful nights ruminating over whether the PPE you wear fits the science or the size of the government stockpile. Faltering, fumbling, tenacious, undaunted, this is medicine in the time of coronavirus.

Life and Death in a Time of Contagion

Breathtaking

'What a remarkable book this is; tender, funny, brave, heartfelt, radiant with love and life, and with the love of life. It brought me often to laughter and - several times - to tears' Robert Macfarlane From the Sunday Times bestselling author of Your Life in My Hands comes this vibrant, tender and deeply personal memoir that finds light and love in the darkest of places. As a specialist in palliative medicine, Dr Rachel Clarke chooses to inhabit a place many people would find too tragic to contemplate. Every day she tries to bring care and comfort to those reaching the end of their lives and to help make dying more bearable. Rachel's training was put to the test in 2017 when her beloved GP father was diagnosed with terminal cancer. She learned that nothing - even the best palliative care - can sugar-coat the pain of losing someone you love. And yet, she argues, in a hospice there is more of what matters in life - more love, more strength, more kindness, more joy, more tenderness, more grace, more compassion - than you could ever imagine. For if there is a difference between people who know they are dying and the rest of us, it is simply this: that the terminally ill know their time is running out, while we live as though we have all the time in the world. Dear Life is a book about the vital importance of human connection, by the doctor we would all want by our sides at a time of crisis. It is a love letter - to a father, to a profession, to life itself.

When the once-in-a-century pandemic struck, it didn't matter that it was predicted and expected - nor even that we had watched it before, playing out in multiplexes over popcorn. We ambled, half-asleep, into disaster. In the first three months of 2020, perplexity drifted into mild concern that suddenly sheered into panic. Economies nose-dived. Schools workplaces closed. Populations hid inside their homes. Whole societies shut down. In most people's living memory, no crisis had caused such global upheaval so swiftly and so comprehensively. The scale and pace of the pandemic were stunning.As a palliative care doctor, Rachel Clarke found herself spending less time in the hospice and more in the hospital. Unable to convey the intensity of her days on the wards to friends and family, by night, she wrote about what she and her colleagues were going through. Breathtaking is her inside story of how the health service responded. But when she looked back over her writing, she found that what she had thought was an unrelenting stream of death and darkness was in fact illuminated by pinpricks of light. The curtailing of human contact, it seemed, was a reminder of precisely how precious it was, and just how far a little of it could go. Breathtaking depicts life, death, hope, fear, medicine at its most impotent and also at its finest, the courage of patients in enormous adversity, the stress of being torn between helping those patients and endangering your spouse and children, the long fretful nights ruminating over whether the PPE you wear fits the science or the size of the government stockpile. Faltering, fumbling, tenacious, undaunted, this is medicine in the time of coronavirus.

Marcus Foth

Sara Heitlinger

Climate change, rapid urbanisation, pandemics, as well as innovations in technologies such as blockchain, AI and IoT are all impacting urban space. One response to such changes has been to make cities ecologically sustainable and 'smart'. The 'eco smart city' for instance uses networked sensing, cloud and mobile computing to optimise, control, and regulate urban processes and resources. From real-time bus information to autonomous electric vehicles, smart parking, and smart street lighting, such initiatives are often presented as a social and environmental good. Critics, however, increasingly argue that technologically driven, and efficiency-led approaches are too simplistic to deal with the complexities of urban life. Sustainability in the smart city is predominantly performed in limited ways that leave little room for participation and citizen agency despite government efforts to integrate innovative technologies in more equitable ways. More importantly, there is a growing awareness that a human-centred notion of cities, in which urban space is designed for, and inhabited by, humans only, is no longer tenable. Within the age of the Anthropocene - a term used to refer to a new geological era in which human activity is transforming Earth systems, accelerating climate change and causing mass extinctions - scholars and practitioners are working generatively by acknowledging the entanglements between human and non-human others (including plants, animals, insects, as well as soil, water, and sensors and their data) in urban life. In Designing More-than-Human Smart Cities, renowned researchers and practitioners from urban planning, architecture, environmental humanities, geography, design, arts, and computing critically explore smart cities beyond a human-centred approach. They respond to the complex interrelations between human and non-human others in urban space. Through theory, policy and practice (past and present), and thinking speculatively about how smart cities may evolve in the future, the book makes a timely contribution to lively, contemporary scientific and political debates on genuinely sustainable smart cities.

Beyond Sustainability, Towards Cohabitation

Designing More-than-Human Smart Cities

Assess reading fluency quickly and effectively across the school, from Reception to Year 6. Assess fluency in reading provides ready-to-use assessment sheets that can be administered by a teacher or TA to assess pupils' speed, accuracy, expression and understanding. The resource contains 60 fluency assessments mapped against age-related explanations. Assess fluency in reading supports teachers to: - Identify gaps so they can be targeted and closed - Measure and record pupil progress in fluency - Match pupils to an appropriate-level reading book

Rachel Clarke

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