Changing the culture of dying, together

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Claire Bunday, community manager at Sue Ryder Palliative Care Hub, St John’s Hospice, writes:

Claire Bunday, community manager at Sue Ryder Palliative Care Hub in Bedford.

During Dying Matters Awareness Week, like many palliative care, end of life care and bereavement charities, Sue Ryder has been proud to stand at the forefront of a movement which seeks to transform how people in the UK experience death, dying and grief.

As a charity we are striving to create a shift that breaks down the barriers to talking about death and dying, and supports people to prepare and plan for their final days with dignity, compassion and choice.

So this year’s Dying Matters Awareness Week theme ‘The Culture of Dying Matters’ provided me and my colleagues at Sue Ryder with the perfect opportunity to speak, listen and reflect on the kind of culture we want to build around death.

Here are some of my thoughts and our reflections.

A culture that speaks

As the manager of a 24-hour palliative care hub, I’ve supported hundreds of individuals and families through the final stages of life.

Each journey is deeply personal, shaped not only by medical needs but also by cultural values, spiritual beliefs, and emotional priorities.

Yet, despite death being a universal experience, our society often avoids it.

In the UK, we tend to hold back from speaking openly about death until it’s unavoidable. We wait, we worry and sometimes we miss the opportunity to plan or to simply say the things that matter most.

Sue Ryder wants to change that. Through activities, resources and accessible information, we are working hard to normalise conversations about dying, whether that is at home around kitchen tables, in clinics, in classrooms or workplaces.

Because when we talk about death, we make space for people to feel heard, to feel safe, and to make choices that reflect who people are and what they value.

A culture that listens

As part of Dying Matters Awareness Week healthcare professionals are encouraged to offer support, information and, above all, an invitation to talk to our local communities.

As a result, I am sure over Dying Matters Awareness Week many people witnessed a number of powerful and engaging conversations with the people they support.

For many, just acknowledging death can be a powerful moment.

As healthcare professionals we need to create spaces where people feel safe to open up on their terms and at their own pace.

A culture that reflects

However, to truly change the culture around death, we need to understand how it’s currently experienced and that starts with listening.

That’s why we asked colleagues at Sue Ryder whether death and dying are talked about openly in their culture, family, community or faith. Some colleagues said “sometimes,” others “not often” or “it depends who’s there,” which reflects how personal and situational these conversations can be.

A culture that cares

More than ever, people are expressing the wish to die at home. At our Sue Ryder Palliative Care Hub based in Bedfordshire, we make that possible by offering coordinated care, emotional support and holistic planning tailored to each person’s needs wherever they are.

That means respecting different cultural and spiritual practices, talking to families early and making sure support services are visible and accessible.

This is why I would like to end this blog by acknowledging that, as healthcare professionals, it is vital we keep these conversations going. Not just during Dying Matters Awareness Week, but every week, every day.

We need to ask ourselves are we creating inclusive, respectful environments for people to share their wishes? What more can we do to encourage earlier, more open conversations?

By answering these questions we can support people to take the smallest and bravest of steps every day to hold these conversations, and together chip away at long-held taboos leading to greater understanding, planning, and peace of mind for everyone.

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