In 1864 our Founder, Thomas Stevens, planned to build a Sanatorium to cater for the fledgling school’s then population of 150 boys and sought advice for its facilities from Florence Nightingale.

Her reply was characteristic. “I have not much experience among young sick of the educated class of men…in any building for 150 we should consider seven beds an ample allowance and be very indignant if they were all filled.”

In a time of Scarlet Fever epidemics Florence stated, “If they really ever have such an amount of Scarlet Fever or of any sick as 25 to 150, there should be most serious enquiry into the sanitary state of the school.”

In the ensuing century and a half the school has expanded and evolved to reach a capacity of over 800 but Florence’s notion of ensuring that pupils are appropriately cared for so as not to need so many beds is shared by the Medical Centre staff of today.

 

Our aim is to assist and help pupils to understand the issues they might face whether they be physical, mental or something else entirely.

victoria piekarz, healthcare manager

For them, healthcare itself has evolved from dealing with the physical and visible to incorporating the mental and invisible.

The name ‘Medical Centre’ doesn’t quite do justice to the full range of services provided in modernised healthcare, something Healthcare Manager Victoria Piekarz points out is part of Bradfield’s vision.

“That name medicalises mental health but we are not solely about medical intervention here. Our aim is to assist and help pupils to understand the issues they might face whether they be physical, mental or something else entirely. What we do is geared more towards wellbeing and healthcare.”

Clinical Nurses Julie Gregory and Pauline Kenyon have seen how that transition has happened in the school over the last decade.

“We’ve developed as the school has grown. When we joined the school was predominately populated by boys and the majority of what we were dealing with was physical injury, mostly sport related. Our team has expanded a lot since then as the school went fully coeducational with girls in all year groups and its now close to an even mix thanks to our first year boarding house.”

 

The Matrons in the Houses are outstanding when it comes to providing support, to parents as much as to the Medical Centre.

 

The introduction of Faulkner’s has led to a steady increase in pupils numbers which in turn, naturally, has led to an increase in footfall for our healthcare staff.

It is key therefore that strong partnerships exist between the Medical Centre and the pastoral care provided through the boarding Houses.

For Clinical Nurse Nicola Small, a former parent and one of the newest members of the medical team, those partnerships were key in seeing pupils integrate well within the boarding environment and helping them to enjoy their time at Bradfield.

“The Matrons in the Houses are outstanding when it comes to providing support, to parents as much as to the Medical Centre. I saw it first-hand as a parent, particularly in Faulkner’s, the team there were phenomenal. From dealing with the initial homesickness to caring for each individual so that the Medical Centre is utilised when necessary and nurses are well-informed is crucial for success.”

As clinicians they have adapted to that healthcare evolution and the College has adapted to get more specialists and increase its level of support.

Victoria Piekarz, Healthcare Manager

The internet boom in the early 2000s led to an information explosion which in turn led to more of a shared understanding of how mental ill health presents itself. Victoria points to this as a turning point for the sector in terms of realisation and response to the way healthcare needed to evolve.

“If you go back 15 years, it’s not that these cases didn’t exist and all children were perfectly healthy, it’s just that healthcare became driven by education and access to information which enabled people to interpret their own bodies and their own health.”

Under her guidance the Medical Centre continues to provide outstanding care and she puts it down to the adaptability of those she works with.

“It is a key part of their skillset. As clinicians they have adapted to that healthcare evolution and the College has adapted to get more specialists and increase its level of support.”

That team of specialists is now approaching 30 people and includes a nursing team, physiotherapists, clinical psychologists, CBT therapists and counsellors, all available to provide the best solution for the healthcare needs of each pupil.

The Medical Centre will rapidly evolve again to deal with the changes brought about by COVID-19 and their expertise and resourcefulness will be key to ensuring the school continues to provide a safe environment during a global pandemic.

In many ways it will mean an increased visibility for the nursing team as they will spend more time in boarding Houses and work even closer with the Matrons than before.

Non-urgent appointments will now be booked in advance of arrival to replace the ‘drop-in’ system without altering the quick, same day access to nursing consultations that has always been provided. Routine appointments and prescription reviews can also now be offered by remote triage via the Microsoft Teams platform which will help save time and limit unnecessary physical contact.

While these are tricky times for healthcare, we have no doubt our teams will rise to the challenge as they continue to deliver outstanding care for all.