Maggie’sMattersWinter Edition 2014

Eek, my Mummy’s got breast cancer Emma Sutherland shares her story

Depression: howMaggie’s can helpBy Lorrie Forsyth

Delicious party cooking From Hélène Darroze

Discovering London’s cultural, artistic and architectural delights in aid of Maggie’s

Culture Crawl

Page 2 Maggie’s Matters Winter Edition 2014

Culture Crawl, Maggie’s biggest annual fundraising event, took place in September (see page 10). It was inspirational to share this night with so many supporters of Maggie’s, and we’re so grateful to everyone who took part, raised money and helped to make this such a special event. We’re thrilled to say that the event raised £500,000 – enough to fund the running of a Centre for a year.

October saw the opening of Maggie’s Oxford, our 18th Centre in 18 years. The Centre will enable us to provide support for the 5,000 people in the region that are diagnosed with cancer each year, and their family and friends. To watch a Centre come into being is an incredible journey – one I have been privileged to share with every Maggie’s Centre built so far, but nothing compares to seeing the Centre filled with people benefiting from the support we offer (read more on page 9).

2014, our 18th birthday, is a special year for Maggie’s. Since our very first Centre opened in Edinburgh in 1996, we have grown a network of Centres across the UK, online and abroad, and currently provide support for more than 146,000 visitors to our Centres each year, including 16,000 people newly diagnosed with cancer.

As we approach 2015, we are looking forward to continuing in our work to build more Centres, and support as many people with cancer, and their family and friends, as possible. I would like to thank everyone for their ongoing support of Maggie’s. See you in the new year!

Laura Lee, Maggie’s Chief Executive

A new study published in The Lancet has established statistically significant links between obesity and ten types of cancer. Its dataset of 5.24 million people makes it the largest of its kind to date.

It found that the higher the BMI, the higher the risk of cancers of the uterus, gallbladder, kidney, cervix, thyroid, and leukaemia – with uterine cancer showing the most significant rise. It also found that liver, colon, ovarian and post-menopausal breast cancers were more prevalent in people with higher BMI, but in these cases the link was not linear and was complicated by other factors. For pre-menopausal breast and prostate cancers, conversely, it appeared that higher BMI lowered the risk. For lung and oral cavity cancers, the final two types of cancer which showed a link, higher BMI seemed to lower risk, however it was suggested that smoking (and its association with low BMI) explained the discrepancy.

Though previous studies have already established the cancers with linear relationships to high BMI (where the more overweight, the more the risk), the large sample size of this study enabled it to delve deeper into non-linear relationships (where the risk of certain cancers grows with BMI but

What's in the news?

A Macmillan Cancer Support study found a “postcode lottery” for cancer survival rates in England, with 38% of patients dying within a year of diagnosis in the worst performing healthcare areas (Barking and Dagenham) but only 24% in the best (North East Hampshire and Farnham). Early diagnosis and waiting time for treatment were both factors, with the Macmillan report calculating that “Around 6,000 more people could survive at least 12 months after being diagnosed with cancer every year if the average survival rate for the whole of England matched the top 10 percent of local healthcare areas in the country”.

Meanwhile, Professor Peter Johnson, chief clinician of Cancer Research UK, has warned that changes to the NHS in the past 18 months have left healthcare services “struggling to match the demand

A thought from Bob

Welcome

These findings on obesity and associated cancer risks are of considerable interest and add weight, if that’s not an inappropriate metaphor, to the argument the government tries to make for controlling the problem of obesity in this country.

For some cancers, the problem of added risk due to body weight has been apparent for many years. There are plausible biological causes, such as the fact that circulating oestrogens, which are known to promote uterine cancer, are present in significantly higher amounts in overweight women and this is particularly the case after the menopause. Conversely, the association of low body mass in lung cancer patients is almost certainly due to the indirect association with cigarette smoking, which itself is directly carcinogenic on oral cavity, lung, throat, and oesophagus and bladder cells.

“There has long been recognition of the relatively poor results of cancer survival in the economically deprived areas of our cities across the UK.”

On the postcode lottery story, there has long been recognition of the relatively poor results of cancer survival in the economically deprived areas of our cities across the UK. This has been carefully studied particularly in Scotland. Rates of survival are better in higher socio-economic groups for nearly all the common cancers and the incidence of some cancers (notably lung and cervix) is higher in economically deprived areas. One positive comment is that in some cases these differences are beginning to decrease.

There are probably multiple causes which result in cancers being diagnosed at a more advanced stage. Good access to diagnostic services is important for early diagnosis of cancer symptoms, and there is variance in this provision. Later diagnosis may also be in part due to lower rates of uptake of cancer screening programmes. Sadly, the overall rates (particularly in 12- and six-month survival) across all cancers in the UK reflect poorly on our health service provision compared to many similar economies in Western Europe.

Professor Bob Leonard, oncologist and Chair of Maggie’s Professional Advisory Board

for cancer treatment”. Johnson was drawing on a report entitled Measuring up? The health of NHS cancer services commissioned by Cancer Research UK and published in September, which highlighted key challenges for cancer treatment in the NHS, including a rising demand for services and a lack of capacity to respond to this demand; a loss of leadership due to the removal of the National Cancer Action Team; and a fragmentation of responsibilities and consequent loss of expertise.

One health professional was quoted in the report saying: “We need more funding. Instead of progressing/developing our cancer services which are already significantly underfunded, our services are actually being cut. It is becoming impossible to deliver all the new cancer targets and quality of care is deteriorating.”

Obesity and associated cancer risks

begins to drop off), and various other factors such as age, sex, smoking and menopausal status. An important suggestion in the study was that some non-linear results may be explained by late diagnoses in people with very high BMI.

The study calculated that of the 10 key cancer types, 12,000 cases per year can be attributed to obesity. It also warned that if a trend for rising weight saw a population-wide rise of just one BMI point, a further 3,790 people per year would develop one of the ten cancers. Lead author Dr Krishnan Bhaskaran, of the London School of Hygiene and Tropical Medicine, said: “The number of people who are overweight or obese is rapidly increasing both in the UK and worldwide. It is well recognised that this is likely to cause more diabetes and cardiovascular disease. Our results show that if these trends continue, we can also expect to see substantially more cancers as a result.”

Maggie’s programme of support includes exercise groups for all ages and abilities, including walking groups, tai chi and yoga as well as nutrition classes which cover treatment-related eating challenges and general dietary advice.

Recent reports find postcode lottery and deteriorating quality of care for cancer

Maggie’s Matters Winter Edition 2014 Page 3

Screen writer and director Richard Curtis opened the new Maggie’s Centre in Oxford in October. He discusses his latest work About Time and what inspired the film.

if we had one day left we wouldn’t want to do fancy things in fancy places with fancy people. We’d just want to have a normal day with the people we love in the places we know, and I thought I’d try to write a film that led to that conclusion. I then ended up taking a very circuitous, time-travel route to get there.

“I want to learn to travel in time, and go back and see the Beatles live.”

So did making the film influence you personally? As I was making the film I decided to take my own advice and so made up my mind to stop directing and give more time to normal life. I’d rather watch a film I love and didn’t make for two hours than spend two years making a film of my own.

In your recent film About Time (pictured below), Tim (Domnhall Gleeson) discovers that he can travel through time, just like his dad (Bill Nighy), whom he later discovers has terminal cancer. What are the messages behind the film? The final line of the movie is: “We’re all travelling through time together, every day of our lives. All we can do is to relish this remarkable ride.” I guess that’s the message.

“If we had one day left… we’d just want to have a normal day with the people we love.”

How did the idea for the film come about? It was after a conversation with my best friend Simon, when we both decided that

A few words

You’re currently working on a film of Roald Dahl’s Esio Trot. What drew you to this project?I love Roald Dahl and this is one of my favourite of his books. I’d always wanted to write a film about my mum and dad, and suddenly realised that this was my way of doing so. My dad would be thrilled that he’s turned into Dustin Hoffman and my mum would be very satisfied with Judi Dench.

What’s the one thing in life you’d still like to achieve? I want to learn to travel in time, and go back and see the Beatles live. If I can’t have that, I’ll settle for spending a week with my family on the Isle of Mull.

What are your favourite feel-good films? What a lovely question. Elf, 500 Days of Summer, White Christmas and The Parent Trap. Photograph ©Rich Hardcastle

Stills from About Time

The central philosophy of Maggie’s is to create havens for cancer patients and their families where they can find peace away from the austere, clinical environment of the hospital. Though the architecture of the Centres themselves is perhaps the most obvious manifestation of this, a desire for connection to the natural world was there at the beginning of the Maggie’s story.

In fact, garden design played a big part in Maggie Keswick Jencks’s life, not least with her 1978 book on Chinese gardens, which remains a classic. It was published in the year of her marriage to Charles Jencks, and together they worked on the magnificent Garden of Cosmic Speculation at her family home near Dumfries, which remains a site of pilgrimage for garden lovers when it occasionally opens to the public.

It is no surprise, then, that gardens are factored in at the very start of the process of creating the Centres, with the architectural brief stressing the need for “a continuous flow between house and garden” and Maggie Keswick Jencks’s own stipulation for “thoughtful lighting, a view out to trees, birds and sky”.

Perhaps the most direct interpretation of these thoughts is in the brand new Oxford Centre at the Churchill Hospital, which

officially opened in October. Designed by twice RIBA award-winning architects Wilkinson Eyre, it is a wood-framed treehouse on stilts, built on a steep bank, facing out into the woodland of the Boundary Brook nature reserve. Landscape architect Flora Gathorne-Hardy was on board from the early stages of planning to make sure that there was a clear vision for the sensitive site. “My approach is about ecology, both in terms of community but also what we consider conservational habitat ecology,” she says, explaining that many local groups with intimate knowledge of the area were consulted along the way. She describes a building that is “completely responsive to the site”, its three wings embracing the trees, taking a lead from the landscape. “The whole building projects into the woods, and walking into it the feeling is that you’re suddenly in the canopy, surrounded by oxygen and leaves and birds.”

As for her design, “The planting plan was to restore what we found on site,” she says, “but also bring in appropriate native woodland herbaceous plants, shrubs and trees as well as, for instance, to include scented shrubs that provide blossom in winter, thinking about people crossing into the Centre and wanting something to lift their spirits.

“It’s not a garden,” she says. “It is more of a woodland habitat, but with an understanding that this is also a human space.”

The planting is the work of Richard Bennett, of nearby nursery Babylon Plants. As the Centre has recently opened, he has been “concentrating on establishing the new wildflower schemes, and controlling the more aggressive weeds such as thistles, nettles and burdocks which are intent on reclaiming the place.

“The relationship between inside and outside is important. A house protects you from the outside, and equally the ‘outside’ of a garden is a buffer to the real ‘outside’.”

“There will be a great show next summer of wildflowers and grasses.”

A woodland garden designed for Maggie’s got plenty of attention at this year’s RHS Flower Show Tatton Park, where Best Show Garden was awarded to the creation by

Page 4 Maggie’s Matters Winter Edition 2014

Being in a natural environment has been shown to have a positive effect on wellbeing, improving mindfulness and reducing stress levels. Maggie’s gardens are an integral part of the architectural brief, playing a key role in creating the warm, welcoming and uplifting environments that are vital to Maggie’s programme of support, as Kimon Daltas explains.

Amanda Waring and Laura Arison named ‘Maggie’s Forest Garden’, elements of which will be installed at Maggie’s Clatterbridge. Taking healthcare as its theme, it featured a selection of edible and medicinal plants, from echinacea, foxglove and sage to black elder and ostrich fern. The designers describe it as “layers of planting within a forest setting, creating a productive and sustainable environment that induces feelings of wellbeing and connection with the natural world”.

Returning to the architectural brief which each Maggie’s Centre seeks to fulfil, a particular function of Centre gardens is highlighted: “The relationship between inside and outside is important. A house protects you from the outside, and equally the ‘outside’ of a garden is a buffer to the real ‘outside’,” the brief suggests, and crucially, “We also want to consider how a garden can help to invite you in through the door from the street.”

This idea of gardens as pathways to the Centres emerges particularly strongly in Dan Pearson’s design for Maggie’s West London, at the Charing Cross Hospital. From within the hospital grounds, the Centre is approached via a planted woodland walk and a courtyard surrounded by magnolia trees. In Maggie’s Cheltenham meanwhile, a 27-metre long sculpture of

Gardens and

Garden of Cosmic Speculation, DumfriesDesigned by Maggie Keswick Jencks and Charles Jencks

Centre visitors at Maggie’s West London

‘Maggie’s Forest Garden’, RHS Flower Show Tatton ParkWinner of the Gold Medal, designed by Amanda Waring and Laura ArisonPhotograph ©RHS

Maggie’s Matters Winter Edition 2014 Page 5

polished stainless steel and rippling water, designed by William Pye, leads visitors from the road to the Centre’s entrance (see page 6). Such thinking, through various imaginative iterations, is a running theme – the garden as a place of transition between the outside world, or the world of the hospital, to the welcoming embrace of the Maggie’s Centre.

The point is made by Angela Butterfield in her recent PhD thesis for Falmouth University, entitled Resilient Places? Healthcare Gardens and Maggie’s, where from extensive interviews with Centre users, she notes that “Once there, the garden spaces provided a particular type of sanctuary, taking people away from the hospital into the different world of Maggie’s, and conversely preparing them for the real world and home following a visit. Thus the gardens provided a buffer zone for entering and leaving the Maggie’s buildings.”

As well as contemplative and aesthetic experiences of gardens – which can include organised activities offered at the Centres, such as tai chi, relaxation or exercise classes – there is a significant body of thought which suggests that gardening itself, getting one’s hands dirty, can have beneficial effects, and a number of Centres find ways to get people involved. Maggie’s Swansea, for instance, features an allotment as well

as the gardens designed by Kim Wilkie which surround Japanese architect Kisho Kurokowa’s building overlooking Swansea Bay. Gardening groups offer a way of feeling connected to the Centre itself but also bring people together in a communal activity.

“Gardening can have a positive impact on the physical and emotional wellbeing of people with cancer and their family and friends. At Maggie’s our gardening groups give people the chance to be active without realising it, to meet other people who are in a similar situation and to learn new skills.”

Ann-Louise Ward, Maggie’s Programme Director, says: “Gardening can have a positive impact on the physical and emotional wellbeing of people with cancer and their family and friends. At Maggie’s our gardening groups give people the chance to be active without realising it, to meet other

people who are in a similar situation and to learn new skills in a fun way.”

The Dundee gardening group is particularly active. Led by a gardener trained in therapeutic gardening who has his own prostate cancer experience, the group meets every Wednesday and looks after parts of the Centre’s garden, landscaped by Arabella Lennox-Boyd, and also has allotments in which vegetables, herbs and spices are grown. The group got together for its first birthday in September and cooked a celebratory lunch with the fruits of their labour. The members each had their own experiences, but friendship and accomplishment are recurring themes in their responses to what the group offers them, as one Centre visitor explains: “Gardening is a great way to get exercise, fresh air and produce something. An unexpected benefit of the group has been the lovely new friends I have met”.

In fact, “gardening is the mother of all therapies,” according to Cleve West, a veteran designer with four gold medals and two Best in Show awards at the Chelsea Flower Show under his belt, who is working with Dow Jones Architects on a new Maggie’s at the Velindre Cancer Centre in Cardiff. “It is encouraging to see that gardens are making a comeback in healthcare, having been sidelined from hospitals during the early 20th century.”

Gardens andwellbeing

Maggie’s Dundee

Visitors to Maggie’s Centres know all about the central human tension between vitality and vulnerability. That is why William Pye’s ‘Arroyo’, installed in the garden at Maggie’s Cheltenham, is so appropriate. Made of polished stainless steel, and measuring approximately 27 metres, it has been constructed to withstand the inevitable vagaries of the British climate. At the same time, though, Pye is fascinated by water as a medium in his sculpture. He wants ‘Arroyo’ to collect the rain until, “the overall level is up to the brim”. Pye delights in allowing the water to flow down to a container resting on the ground, allowing visitors to relish the rain falling from the sky and follow its gradual progress into the earth.

The natural world has always been a fascinating source of inspiration for Pye; his observations of natural forms, combined with a creative use of geometry, lie at the heart of his work.

Developed in close collaboration with the late Sir Richard MacCormac (see page 12), architect of Maggie’s Cheltenham, and landscape designer Christine Facer, the sculpture runs along the pathway from the road to the entrance of the Centre. As Pye explains, “I have designed something that represents my own interpretation of a water course, as distinct from a conventional rill. The geometry of the sculpture has been devised to harmonise with the topography of the garden, providing an interplay with the grassed areas.

“At one point the form divides, branching off into a sigmoid curve. The serpentine, mirror-polished forms reflect the imagery of grass, sky and surrounding trees. Those approaching the Centre will first encounter the source of the water course, rippling over a series of terraces and then follow it as water is mysteriously funnelled into the pipe element of the piece, reappearing at the far end onto a circular table of overflowing water. In order to realise this piece, artifice has been used to intrigue those who are puzzled by how it works. It will not be immediately clear how it can work, since the water travelling up and down from one end of the site to the other appears to defy gravity.”

On experiencing the sculpture, Centre visitor Ginny Ring says: “I arrive outside the Maggie’s Centre in my car and there is the water feature. It leads me down to the Centre, it makes me feel calm as it flows downwards, and I feel I am coming home to where I feel safer.

“After all water is vital for growth and life, and so Maggie’s has become a vital part of my life.”

Pye explains how the relationship with MacCormac and Maggie’s came about: “Richard was a good friend whom I knew since the sixties when he lived in Clapham.

Above, ‘Arroyo’, Maggie’s Cheltenham; above right, sculptor William Pye

He often talked of collaborating with me, so it was a delight when finally the opportunity arose for me to contribute to his beautiful scheme at Maggie’s Cheltenham. Design meetings proved to be more fun than any I have ever attended, with time for anecdote and laughter. Richard was a very fine architect and despite enduring much at the end of his life he will be remembered for many well-deserved architectural triumphs.”

“It leads me down to the Centre, it makes me feel calm as it flows downwards and I feel I am coming home to where I feel safer. After all water is vital for growth and life, and so Maggie’s has become a vital part of my life.”

Born in London in 1938, Pye studied at Wimbledon School of Art (1958–61) and subsequently the Royal College of Art (1961–65). He was elected Honorary Fellow of the Royal Institute of British Architects in 1993. Pye’s early works of the 1960s and 1970s established his reputation as a significant British sculptor and since the 1980s he has become internationally renowned for his innovative work with water, consistently using the medium as a major sculptural element in his work, wrestling with the science of hydraulics and celebrating the aesthetic aspects of engineering design. The natural world has always been a fascinating source of inspiration for Pye; his observations of natural forms, combined with a creative use of geometry, lie at the heart of his work.

Page 6 Maggie’s Matters Winter Edition 2014

The art selected for each Maggie’s Centre – both in the Centre and the surrounding landscape – helps to create the uplifting and inspiring environments that have been proven to reduce stress and anxiety. Ruth Garner, Maggie’s Publications Manager, introduces ‘Arroyo’, sculptor William Pye’s water feature in the garden of Maggie’s Cheltenham.

Our art

#maggiesart

Hi. My name is Emma. I’m now 14 and I live with my mum Rosie, step-dad Scott and little sister Kate. We had a normal happy life, did normal things and were a normal family. Until Friday 3 February 2012 when my mum told us she had been diagnosed with breast cancer.

Whooooosh! My head was spinning. “Is this actually happening?”, I thought. I was confused; my mum doesn’t get cancer. It happens to other people. Cancer?

““Is this actually happening?”, I thought. I was confused; my mum doesn’t get cancer. It happens to other people.”

As my sister and I sat listening to my mum I felt every emotion inside me drain away – I was numb. My mum went on to tell us about possible treatments and that she still had lots of biopsies and tests to have as they didn’t know how bad the cancer was. She didn’t know the outcome and we were all scared. My mum was on the cancer conveyor belt and she couldn’t get off until the hospital said so. I wanted to ask questions but I was afraid I would make my mum upset. So I didn’t ask.

My mum ended up taking us to visit Maggie’s as I wasn’t coping with my emotions and feelings very well. I sat with a specialist who told me all about cancer in a way I could understand – no baby books or scary adult language. I now had

Rosie, Emma and Maggie’s Edinburgh Centre Head Andrew Anderson

a perfect understanding and knew exactly where cancer came from, why it came, what happens in the body and how my mum was being helped by the hospital. The biggest thing I learned is that everyone’s cancer is different – no two journeys are the same.

Maggie’s is a really bright, vibrant, friendly place to go. At first I thought you had to have cancer to walk through the door but anyone can visit. They make tea and scones, there are newspapers and a computer. There are little rooms with bright cushions on the sofas. There are tissues too.

I decided to write a book for teenagers about my journey and breast cancer as I didn’t want other people to suffer like I had. I am now proud to say that there is a copy of my book, Eek My Mummy Has Breast Cancer, in every single Maggie’s in the UK.

“Once you have walked through Maggie’s door you gain a few more friends.”

I am proud we have survived this journey and we never take each other for granted now. The surgeon at the hospital may have saved my mum but the cancer specialist at Maggie’s saved me. Knowledge is power and she gave me the knowledge to cope with this horrible disease being in our family.

My mum and I still visit to say hello now and again. Once you have walked through Maggie’s door you gain a few more friends.

Maggie’s Matters Winter Edition 2014 Page 7

In 2012, after visiting Maggie’s Edinburgh, Emma Sutherland’s book, Eek, My Mummy’s got Breast Cancer, was published. Telling the story of her mum’s diagnosis with breast cancer, the book is now on the reading lists of 28 Edinburgh libraries and won a 2014 Diana Award, which recognises ‘inspirational children committed to improving their communities’.

My story

Photograph ©Richard Seymour

Page 8 Maggie’s Matters Winter Edition 2014

New research commissioned by Unum, one of the UK’s leading providers of financial protection, in partnership with Maggie’s suggests that some men with cancer may miss out on the support available at work because they don’t anticipate how their everyday needs and role in the workplace may change, and so don’t talk about this with their employer.

Maggie’s and Unum are working together to encourage men with cancer and their employers to have an open and honest dialogue. For many men with cancer, work can play an important role in recovery by providing a sense of normality and purpose, as well as a focus beyond cancer.

Lesley Howells, Research Lead at Maggie’s and Dundee Centre Head, said: “A positive return to work can play an important role in recovery, yet many men with cancer find it difficult to admit that they need extra help in the workplace, either to themselves or their employer. They need support to acknowledge that their everyday needs in the workplace may change, and to ask for the flexibility and adjustments they need.

“That’s why Maggie’s and Unum are working together – to combine our experience of providing emotional and practical support with their expertise in workplace rehabilitation. Together, we want to encourage men with cancer and their

Maggie’s is working in partnership with Prostate Cancer UK to deliver bespoke prostate cancer support courses at Maggie’s Centres in various locations across the UK. The courses are based on a recent pilot at Maggie’s Fife which was supported by the Urology Service at NHS Fife.

Speaking about the pilot, Maggie’s Fife Centre Head Elspeth Salter, said: “On completion of the course, almost 90% of the participants now felt they knew what questions to ask of their healthcare team, thereby showing the course is encouraging men with prostate cancer to be active participants in their care”.

The aim of the courses is to support men with a prostate cancer diagnosis and their

Working beyond cancer

Maggie’s news

www.maggiescentres.org/working-beyond-cancer

Maggie’s launches prostate cancer support courses

Maggie’s worked with Virgin Media throughout October to support Breast Cancer Awareness Month. The initiative involved working to raise awareness of breast cancer and the support that Maggie’s offers across the UK. Virgin Media also made a donation of £20,000 to Maggie’s and staff were involved in fundraising activities across the UK.

To date this year, Maggie’s has had nearly 29,000 visits from people with breast cancer, which accounts for more than 34% of visits to our Centres. By working with Virgin Media we are able to increase our reach across the UK, furthering the support that Maggie’s can provide.

Maurice Daw, Chief People Officer at Virgin Media, said: “We’re delighted to be working

Maggie’s partners with Virgin Media for breast cancer awareness month

Heatherwick Studio will design the new Maggie’s Centre in Yorkshire due to open in 2016 within the grounds of St James’s University Hospital, Leeds.

Maggie’s Yorkshire will be built adjacent to the Bexley Wing at the hospital, a world-class oncology unit. The hospital sees more than 9,000 people newly diagnosed with cancer each year and provides specialist cancer services to a population of around 2.6 million across the Yorkshire region and beyond. Maggie’s and St James’s University Hospital are working in partnership to create cancer support of the highest quality.

Situated among a number of multi-storey buildings, the site demands a high degree of ingenuity to create the calm, uplifting environment so important to the people who visit and work in Maggie’s Centres.

Founded by Thomas Heatherwick in 1994, Heatherwick Studio is one of the most experimental design studios practising in Britain today. The studio’s work spans the disciplines of architecture, engineering, transport, urban planning, infrastructure and landscape. Notable works include the Olympic Cauldron for the London 2012 Olympic Games, the new bus for London, the award-winning UK Pavilion at the Shanghai World Expo 2010 and the highly anticipated Garden Bridge, a new public garden and pedestrian crossing set to span the River Thames in central London.

“We are honoured to be working with the Maggie’s team on a new Centre,” Heatherwick said. “Our role is to make a special place that will support and encourage people affected by cancer, and inspire the staff that work with them.”

Architect announced for Maggie’s Yorkshire

with Maggie’s and to be spreading the word about the support they offer. We employ thousands of people across the country and it’s fantastic that no matter where they are, our people and their friends and families can access the support that Maggie’s provides.”

Maggie’s continues to run support groups for people with breast cancer. During October several Centres organised pamper evenings, and Maggie’s Newcastle co-hosted a health and wellbeing event to support people living with and beyond breast cancer. Over the past year Maggie’s Swansea has also been working alongside their local Virgin Media Contact Centre team and together they have succeeded in raising more than £7,000 through a combination of activities.

Photograph ©Elena Heatherwick

Laura Lee, Chief Executive of Maggie’s, said: “We are delighted that Heatherwick Studio is designing the new Maggie’s Centre in Yorkshire. Great architecture is vital to the care that Maggie’s offers, and the studio is renowned for its inventive approach to design and its ability to truly get the best out of a space. This will be our first Centre in Yorkshire and we look forward to providing the vital help and support needed for people living with cancer in the region.”

Linda Pollard CBE, Chair of the Leeds Teaching Hospitals NHS Trust, added: “This is a tremendously exciting opportunity and we are looking forward to working with Maggie’s to make this fantastic project a reality. The philosophy behind Maggie’s fits perfectly with the holistic care and support we aim to provide for cancer patients from across Yorkshire, and it will be a wonderful and uplifting resource for them.”

families across a range of topic areas, and improve levels of understanding, confidence and quality of life. Courses will offer guidance, information and peer support, together with targeted activity to manage fatigue and stress.

Each course will enable sufficient individualised support and also encourage a sense of connection within the group. Courses will comprise eight modules over an eight-week period and will take place at the following Centres: Highlands, Glasgow, Dundee, Fife, Aberdeen, Edinburgh, Lanarkshire, Newcastle, Nottingham, Oxford, Cambridge, West London, Swansea and Cheltenham. For more information, visit our website or contact your local Centre.

employers to have an open and honest dialogue.”

Joy Reymond, Head of Vocational Rehabilitation Services at Unum, added: “When treatment is complete and the most obvious symptoms subside, it can be easy to assume that things will simply return to normal at work. But it takes time to adjust to the longer-term consequences of cancer, such as fatigue or memory loss.

“It can be tempting to try to jump right back in, but it’s important for employers and employees to agree positive, realistic goals and timeframes. Effective communication is key if employers are to understand the needs of staff with cancer, and put in place a tailored and flexible return to work plan to make sure they are providing the right support.”

Maggie’s and Unum have been working together for the past three years to provide support for people with cancer and their employers.

Free workshops are offered in Maggie’s Centres across the UK to educate and provide skills for employers on how best to support their employees with knowledge, empathy and understanding.

Maggie’s Matters Winter Edition 2014 Page 9

www.isncc.orgwww.ipos2014.comconference.ncri.org.uk

Maggie’s recently attended several international conferences. The International Conference on Cancer Nursing took place in in Panama, 7–11 September, and this year focused on the theme of ‘strengthening leadership, unity and compassion in cancer care’.

The Annual World Congress of the International Psycho-Oncology Society (IPOS) took place in Lisbon, 20–24 October. Providing an international forum for sharing research and knowledge in the field with the aim of driving change in the patient experience, this year’s event explored the theme of ‘integrating psycho-oncology into mainstream cancer care; from research to action’.

The National Cancer Research Institute’s Cancer Conference 2014 took place 2–5 November. Comprising an audience of clinical and academic medics, the event showcases basic, translational and clinical cancer research, and brings researchers together to share ideas and develop collaborations.

The official opening of Maggie’s Oxford – our 18th Centre in 18 years – took place on Monday 13 October. The new purpose-built Centre in the grounds of the Churchill Hospital was opened by television presenter and author Kirstie Allsopp, film director and producer Richard Curtis (see page 3) and writer Paul Mayhew-Archer.

The new Centre was designed by architects Wilkinson Eyre and developed by Maggie’s working in partnership with Oxford University Hospitals NHS Trust to enhance the cancer care and support offered by the hospital. A small interim Centre had been running in the grounds of the hospital since 2006 prior to the completion of the new building, and a full programme of support has been running at the new Centre since July 2014. The new Centre has more space and offers an enhanced programme of support for visitors.

Laura Lee, Chief Executive of Maggie’s, said: “I’d like to extend my thanks to everyone who made this Centre possible. From the team at Wilkinson Eyre who have created a wonderful building that captures the philosophy of Maggie’s, to those at Oxford University Hospitals NHS Trust for finding us the best location near to the oncology unit, and of course to all our supporters for making such a generous contribution to the Centre.”

Kirstie Allsopp said: “I feel extremely proud to support the excellent work Maggie’s does and I’m honoured today to be opening Maggie’s Oxford at the Patricia Thompson Building. Maggie’s Centres are warm places where you can find answers to questions and meet people who understand what you are going through.”

Catherine Stoddart, Chief Nurse at Oxford University Hospitals NHS Trust, added: “It’s fantastic to have this valuable service here on the Churchill Hospital site. We know that our patients will continue to benefit from the practical, emotional and social support provided at the Maggie’s Centre, now housed in an amazing new building which we are sure will be well-received by patients and their families.”

Maggie’s Lanarkshire has officially opened at the Elizabeth Montgomerie Building in the grounds of Monklands Hospital in Airdrie.

Designed by architects Reiach and Hall, the new purpose-built Centre will enhance the cancer care and support already on offer at hospitals in the region.

An interim service in the grounds of Wishaw General Hospital had provided support to the people of Lanarkshire for six years previously. The decision to build a Centre at Monklands Hospital was based on the decision by NHS Lanarkshire to centralise the majority of its cancer services there.

The Elizabeth Montgomerie Foundation, created by golfer Colin Montgomerie in memory of his mother, contributed more than £1.2 million to the cost of the build.

Maggie’s Lanarkshire is the second Maggie’s Centre to be built in partnership with the foundation, which also supported the build of Maggie’s Aberdeen. Grant-making organisation Walk the Walk also contributed to the building of the Centre.

Colin Montgomerie said: “I am hugely honoured to see Maggie’s Lanarkshire at the Elizabeth Montgomerie Building open. I feel immensely proud to have my mum’s name attached to a second incredible building in an area where I know Maggie’s is very much needed. The opening of the Centre is a very special day for myself and my family, and I want to thank everyone involved in making this dream a reality.”

NHS Cancer Services Manager Margaret Kelly said:“The whole of the cancer services team is delighted the new Maggie’s Centre in the grounds of Monklands Hospital is now open. The attention to detail of the Centre really reflects the awe-inspiring work carried out by Maggie’s staff.”

Maggie’s attends ICCN, IPOS and NCRI conferences

Maggie’s Oxford Centre opening

Maggie’s Lanarkshire Centre opening

At the conferences, Maggie’s presented the findings of a recent research project, conducted in partnership with Dundee Medical School, which explored barriers to accessing our programme of support.

On the research, Maggie’s Research Lead and Dundee Centre Head, Lesley Howells said: “This is hugely important in overcoming the myths about who does and does not use psychosocial support like Maggie’s.

“It is not about class, income or education; it is about whether key trusted people in the person’s cancer care, such as their doctor or clinical nurse specialist, recommend the use of Maggie’s and help them see it as personally relevant.

“This is important research for the wider cancer support community as there is an anomaly frequently encountered whereby research evidence and government policy recommends psychosocial support for people affected by cancer but people fail to access such support. Our research

highlights the importance of clinician recommendation as an answer to this anomaly.”

At IPOS, Maggie’s also presented research on family resilience and cancer, with the basis that understanding resilience, and positive adjustment following cancer treatment, is crucial to the promotion of well-being and recovery; the importance of architectural form and landscape design in the delivery of healthcare; and the effectiveness of familiar spaces, such as the kitchen area in Maggie’s, in empowering those with cancer at their time of medical need.

Psycho-oncology has grown and expanded its impact and role globally, and now has a place in mainstream cancer care. This was the first time that research on the value of therapeutic environment in relation to psychosocial care had been presented at the event.

Above, from left: Paul Mayhew-Archer, Mike Thompson, Kirstie Allsopp, Richard Curtis and Laura Lee at the opening of Maggie’s Oxford; top, Maggie’s Lanarkshire

Page 10 Maggie’s Matters Winter Edition 2014

Fundraising news

For details visit: www.arranaromatics.com/collections/maggies-collection

Friday 19 September saw more than 900 walkers take part in Culture Crawl, Maggie’s largest annual fundraising event. Curated by London-based designer Ab Rogers, this night hike of seven or 15 miles explored an exciting selection of London’s cultural, artistic and architectural delights.

Riz Lateef of BBC London News and architect and TV presenter George Clarke (right) were at Victoria Embankment Gardens to welcome participants and mark the start of the event. Walkers were cheered along the route by more than 150 volunteers and received tasty treats to keep them fuelled throughout the night, all thanks to our generous friends at Costa, Innocent, Rococo Chocolate, Kabuto Noodles, The Berry Company and Munchy Seeds.

Highlights along the route included a performance by Royal Ballet dancers at the Foreign and Commonwealth Office (left); Janet Ellis welcomed walkers to Maggie’s West London, where messages from walkers were displayed on bunting; Rebecca Louise Law created an installation in the chapel at Fulham Palace; and walkers were welcomed over the finish line at the Southbank Centre

Maggie’s Cheltenham visitor John Hughes (pictured below, far right, at Maggie’s Cheltenham) has completed his challenge to become the first person to cycle to 14 Maggie’s Centres across the UK in memory of his wife Carol. The 1,000-mile trip took three weeks, starting at Maggie’s Swansea and ending at Maggie’s Highlands in September.

John said: “My late wife, Carol, developed breast cancer in 1983 just after we met. Carol had five episodes of the cancer and it once again reared its head late last year. Following this last episode, the cancer spread to her kidneys and she lost her long brave battle in April of this year. I myself had bowel cancer in 2009. Fortunately all appears well with me and my last scan was clear. I decided to do a bike ride to all the Maggie’s Centres in the UK for two reasons: firstly to celebrate Carol’s life and how she lived with cancer so bravely over the years, and secondly to raise funds for Maggie’s to ensure others continue to receive the benefit of the support they offer.”

Jane Fide, Centre Head at Maggie’s Cheltenham, added: “We’re all so proud of John. Both he and Carol have been huge supporters of us here at Cheltenham and it is a fitting tribute to Carol that John decided to take up this challenge and raise funds for us by remembering Carol’s life in this positive way.”

John has so far raised more than £2,700.

Chelsea Apps Factory has developed a mobile app, iCukoo, to support a number of charities including Maggie’s.

The app has been designed so that every time someone hits the snooze button on their mobile phone alarm they donate a small amount to one of five charities – Maggie’s, National Literacy Trust, Parkinson’s UK, Prostate Cancer UK or Starlight. iCukoo will be available on iTunes to begin with, and an Android version will follow shortly.

Josh Hart, a partner at Chelsea Apps Factory, said: “We’re totally Cuckoo for iCukoo!

“We’ve spent the past four years mobilising blue chip businesses and we are now incredibly excited to be in the fortunate position where we can help some of these amazing charities with their wonderful causes.

“Mobile software is now so intrinsic to our lives – we all spend money with apps. This is one of those opportunities where we as consumers can take something we do every day, snoozing, and using an app, meld it with something we should be doing every day – helping others.

“And there’s the added benefit that we’ll be snoozing guilt free from now on!”

Maggie’s supporter Arran Aromatics have created a new range of products for Cromlix Hotel, Perthshire, in aid of Maggie’s. The hotel has undergone extensive refurbishment since it was bought by tennis player Andy Murray last year. Since it opened this spring, these exclusive products have been provided by the hotel for guests to use and 15% of sales are donated to Maggie’s.

Maggie’s Director of Fundraising in Scotland Sharon O’Loan said: “Maggie’s has been fortunate enough to benefit from Arran Aromatics’s outstanding support for many years. The whole company are genuinely passionate about what Maggie’s does and to now also be developing a relationship with Cromlix with the blessing of the Murray family is truly extraordinary.

New app supports Maggie’s

Arran Aromatics and Cromlix Hotel team up to support Maggie’s

Maggie’s has announced a new partnership with Rangers Charity Foundation in memory of footballer Sandy Jardine who died of liver cancer in 2014. Sandy visited Maggie’s Edinburgh throughout his treatment and the foundation hopes to raise £25,000 for Maggie’s in his memory.

The money will go towards funding two new pilot programmes at Maggie’s Glasgow. A Men’s Wellbeing pilot will focus on exercise, nutrition and stress management. A second pilot for extended opening hours at the Centre will enable increased access for carers, adults who work, and family and friends visiting the hospital. If successful, the scheme will be rolled out across all Scottish Centres, reaching more people affected by cancer.

with a medal and cheers from comedian Jarred Christmas.

Culture Crawl walker Tess Marias said: “I had the best time at Culture Crawl! I am so thankful to have found out about Maggie’s and intend to carry on with a small monthly donation as I really believe in what you’re doing.

“Culture Crawl is such a beautiful concept – you provide such wonderful and intriguing stops for everyone doing the walk which makes it a delight rather than a hideous slog!”

Culture Crawl

“Maggie’s receives no statutory or NHS funding and relies on donations to continue to provide our evidence-based programme of support at our Centres across Scotland and the rest of the UK, so for two companies such as Arran Aromatics and Cromlix to contribute so generously is so important to everyone who visits our Centres.”

Andrew Russell, Arran Aromatics Brand Director, said: “As long-standing supporters of Maggie’s and the tremendous service their Centres provide to anyone affected by cancer, we are delighted to come together with our partners Cromlix to continue to support a wonderful charity.

“We hope as many people as possible buy what we believe to be very special products to show their support of Maggie’s too.”

Maggie’s cycle challenge

Two Houses in Spitalfields By Richard MacCormac

This issue’s ‘Books and more’ contributor Kate Hopkins writes on arts and literature from the 19th century to the present day, and is Publications Officer for Opera at the Royal Opera House, and Editorial Assistant for Plumbago Books.

Page 12 Maggie’s Matters Winter Edition 2014

Books and more

The architect Sir Richard MacCormac and the writer and interior designer Jocasta Innes met in Spitalfields in 1979. Innes had just bought a wreck of a Georgian townhouse, No.5 Heneage Street. MacCormac was setting up an architectural practice nearby. He was sent to Heneage Street by a business partner, who told him that he’d seen a woman “dressed in a catsuit, swinging from a ladder and brandishing a blow torch” and feared for the safety of their office. MacCormac moved in with Innes two years later.

Theirs was a long and exceptionally rewarding relationship. Both were highly creative people. MacCormac’s many successful architectural designs included modern buildings for several Oxbridge colleges, the Ruskin Library at Lancaster University and Southwark’s striking tube station. Innes’s bestselling books The Pauper’s Cookbook and Paint Magic taught generations to eat and decorate affordably and well. The couple enjoyed collaborating, and worked together on the Maggie’s Centre in Cheltenham. MacCormac designed the elegant modern building, with its beautiful wood panelling and sense of openness created by large windows, while Innes designed the interior, with comfortable sofas, clear, bright colours and a generous kitchen space.

Another of the couple’s major collaborations was on their two houses in Spitalfields: MacCormac bought the house next to Innes’s, and linked them via a ‘secret passage’. Their home became a monument to their various passions, and their shared fascination with colour, light, and visual illusions and allusions. MacCormac writes: “The two Spitalfields houses, and our lives, were bound together, continually touched by our shared interests”.

Jan Baldwin’s stunning and detailed photographs accompany MacCormac’s text as he takes the reader on a tour of his home.

The couple’s main residency, ‘The Brewer’s House’, is a treasure trove of rich colours and beautiful objects. Highlights include the large kitchen (‘a country kitchen in the heart of London’), the snug dark-green study and the living room with its cloudy-pink walls sub-divided by exquisitely stencilled bands. Upstairs, the delicately patterned bathroom features a deep aquatic-blue Edwardian tub, while Innes’s mulberry-coloured bedroom is packed with souvenirs from her travels. In ‘The Secret House’ next door, bright colours contrast with surfaces painted dark silvery-grey. MacCormac used the unusual interior structure to create playful architectural surprises, including a hidden bathroom and a shuttered staircase. Most lovely of all is the eyrie at the top of the house, which MacCormac designated a place for writing and thinking. The couple’s eclectic interests are reflected in their massive library (more than 3,500 books) and in their impressive collection of art of all kinds, including oriental sculptures and a superb selection of prints.

MacCormac produced this book in the months between Innes’s death from cancer and his own death in July 2014. He planned it with the greatest care, even producing sketches of exactly what Jan Baldwin should photograph in each room. The result is a beautiful and moving tribute to the couple’s fruitful partnership and the lovely home they created together.

www.maggiescentres.org/twohouses

Modernist architect Sir Richard MacCormac at his home in east London ©Bryn Colton/Getty Images

100 Poems to See You Through Edited by Daisy Goodwin (Ebury Press, 2014)

Random Spectacular TwoBy St Jude’s design collective

Many people through the ages have found that literature has helped them through dark times. Writer and television producer Daisy Goodwin recently endured a dark period following her mother Jocasta Innes’s death from cancer. A visit to the Maggie’s Centre at Charing Cross Hospital inspired her to put together a collection of poems to help patients and their loved ones cope with illness and bereavement. She hopes the poems may provide emotional support similar to that offered at Maggie’s Centres.

Goodwin’s collection is divided into 12 sections tackling different aspects of illness, and contains poems by 72 authors. Readers will find classic favourites, such as Thomas Hardy’s ‘Heredity’, Christina Rossetti’s ‘Remember’ and Dylan Thomas’s ‘Do Not Go Gentle into That Good Night’, interspersed with poems by modern writers including Julia Darling (who died of cancer in 2005), Wendy Cope and Jo Shapcott, and surprise gems from authors less well known. European writers, including Osip Mandelstam and C.P. Cavafy, are also represented. A useful three-part index groups poems by emotion, first line or author.

This volume is never depressing, despite its central themes of sickness and death. The courage and dark humour with which the poets write about these topics makes them less frightening, more bearable to contemplate. Perhaps most impressive is the variety of emotions that Goodwin explores. She includes some expressive poems on suffering, but also many that celebrate the beauty of the world, the delights of friendship and the sense that somehow, something of us endures after death. Poems such as D.H. Lawrence’s ‘Pax’ or John Clare’s ‘The Thrush’s Nest’ remind one of the wonder and mystery of existence – and poetry can do few things more powerful. This is a lovely collection, which will comfort you at difficult times and generally enrich your life.

The journal Random Spectacular was launched in December 2011 by the Norfolk design collective St Jude’s, run by Angie and Simon Lewin. The first volume celebrated the arts, ecology, crafts and travel in articles accompanied by stunning illustrations from many gifted artists.

St Jude’s made more than £6,500 from sales, generously donating all profits to Maggie’s Centres. The 750 copies of Random Spectacular sold out within 48 hours.

However, don’t despair if you missed Volume One – Volume Two is out, and enthusiasts of all kinds will find much to enjoy. Lovers of the environment will relish such articles as Rob St John and Tommy Perman’s ‘Water of Life’, about an art-science project exploring Edinburgh’s waterways. For travel enthusiasts, there are Finn Beales’s dramatic photographs of Iceland, and Mick Manning and Brita Granström’s lovely illustrated tribute to their Swedish home. Traditional crafts are well represented, with articles on letterpress typography, stumpwork (raised embroidery) and Victorian crockery. The music offerings include an interview with duo Ultramarine and a piece on the Bow Gamelan Ensemble. Literature lovers will relish Margaret Steward’s article on Lucy Boston (author of The Children of Green Knowe) and the extract from John Andrews’s haunting memoir. And there’s a lot more besides.

The journal is beautifully illustrated, with more than fifteen artists participating. Among the many visual joys are Christopher Brown’s mischievous Random Alphabet, Mark Hearld’s playful animal pictures, Angie Lewin’s delicate representations of lichens, Eric Ravilious’s luminous World War II lithographs and Ralph Steadman’s haunting pictures of endangered birds. Ed Kluz and Emily Sutton provide delightful illustrations for the articles on stumpwork and crockery. The penultimate article, featuring the work of ten printmakers, is guaranteed to make you want to investigate St Jude’s and its artists further. This is a wonderful, zestful collaboration.

www.randomspectacular.co.ukwww.eburypublishing.co.uk

Proceeds of all books go to Maggie’s Centres

Maggie’s Matters Winter Edition 2014 Page 13

A recent UK study has shown that people with a cancer diagnosis are six times more likely than the general population to be clinically depressed. Lorrie Forsyth, Maggie’s Lanarkshire Centre Head and Clinical Psychologist, explains the reasons why and how Maggie’s can help.

Living with cancer can feel like experiencing an emotional earthquake. Our world is shaken and our reactions can change over time, ranging from feeling numb, to anger, anxiety, and intense sadness. Low mood in particular is often linked to feelings of loss, and there may be many losses when someone has cancer: loss of health; loss of a person’s role in the family or at work; loss within relationships; and loss of plans or expectations for the future. In particular, a loss of hope and a sense of helplessness can have a profound effect on our mood.

These reactions can at times feel overwhelming, but are usually quite healthy responses to really difficult and perhaps life threatening situations. At times of enormous transition and change it can be important and useful to take time to reflect, to question and perhaps withdraw a little as people work to make sense of and adapt to their new situation. This is often when people may drop in to a Maggie’s Centre; to begin talking through their experience, to get expert support from our Cancer Support Specialists and Psychologists, as well as meeting others to share very similar feelings.

These feelings usually settle over time and with support, but sometimes feelings of low mood can become more profound and persistent, and might develop into clinical depression. In that case, a person might feel persistently low in mood and have little interest in things they would usually enjoy. They might also have poor appetite; sleep disturbance; feel slowed, fatigued or agitated; feel worthless or guilty; have memory and concentration problems; and may have thoughts of death or ending life.

We perhaps expect people to feel low when they or a loved one has cancer, but often more severe depression goes unrecognised and help for this debilitating condition can be difficult to find.

That’s where Maggie’s can help. Meeting other people in similar situations can reduce the sense of loneliness or isolation often associated with cancer, which can sometimes lead to depression. Often people don’t want to worry loved ones by talking about how they are really feeling, and their fears and worries, but they can chat more openly with the Maggie’s team, or with others affected by cancer. Usually conversations start around the kitchen table, in the relaxed, calm and uplifting

environment of one of our Centres, or in our Online Centre.

Where a person’s low mood is more longstanding or complex, it might be considered as clinical depression, and a series of sessions might be arranged with one of our Psychologists. The first few sessions will usually help make sense of what has led to these feelings and begin the process of developing acceptance and understanding. Cancer doesn’t happen in isolation, and often issues that were around before diagnosis can resurface at this stressful time, when our sense of the world has been shaken and our coping skills are severely stretched.

The Psychologist might offer some individual sessions, working through feelings of loss or transition, addressing the role our thoughts and behaviour play in our mood, and developing coping strategies to help regain a sense of control. Issues are often complex, with the focus often not being the cancer itself, but issues earlier in life that may affect our ability

to cope with the added burden of cancer.

Jean came along to Maggie’s when she had been told her lung cancer was incurable. Her mood was very low and she was overwhelmed with a sense of hopelessness, feeling there was no reason to take care of herself or do the activities she would normally enjoy. Before the diagnosis she had been having serious family problems, which had left her feeling emotionally vulnerable. Jean had been due to gradually reduce her work hours as she was about to retire from her long-term career, but now she was faced with a more sudden retirement and all her plans for the future seemed meaningless. Some one-to-one sessions with the Psychologist have helped her begin to work through her diagnosis and make sense of her reactions. She has developed strategies to cope with the family stresses and is refocussing on living well day-to-day with her situation. Jean’s mood and outlook are beginning to feel lighter and she is planning to join our

Where Now? course to meet others with similar experiences, and to take an active part in her care and wellbeing moving forward.

We know that the social support and genuinely meaningful activity that Maggie’s provides can have a real impact on depression and low mood. At its most basic, having something fulfilling to engage in each day can help to lift mood and reduce isolation, while many parts of the Maggie’s programme can effectively address individual aspects of depression.

Depression often occurs alongside stress and anxiety, and several elements of the Maggie’s programme focus on understanding and managing anxiety. This can counteract the feelings of lack of control that people affected by cancer often describe, and have a wonderfully positive effect on mood.

Working through depression takes time, patience and kindness, but in a safe place and with the right support, change can be powerful and inspiring.

Dealing with depression

1 Gentle exercise has been widely shown to have a positive effect on mood, and our walking groups, tai chi sessions or Where Now? courses offer this at different stages following a diagnosis.

2 Feelings of loneliness, isolation and loss of control can be addressed with support groups focusing on particular stages in treatment or types of cancer.

3 Sleep problems are a common feature of depression, as well as occurring for other reasons. We can chat through approaches to sleep at any time, but Maggie’s sleep workshops can

help establish the causes and nature of sleep problems, and offer lots of practical suggestions to improve sleep.

4 Sometimes the loss central to a period of depression can be related to the death of a loved one. Profound sadness is a painful but healthy part of the grieving process, and the support of our connections group can be invaluable in reducing isolation, and making sense of grief and beginning to adjust.

When bereavement is more complicated we can offer individual psychological work.

How Maggie’s can help

Page 14 Maggie’s Matters Winter Edition 2014

Something good to eat

Hélène Darroze, chef of the two-Michelin-starred Connaught in Mayfair, demonstrates how to make the perfect tomato, burrata and basil salad for that special occasion.

Tomato, burrata, basil with tomato jusThis dish is a staple on our menu at the Connaught, and the beautiful colours liven up any plate. Delicious served as a starter or as a side dish. If you can’t find different coloured tomatoes or basils, do substitute with red tomatoes and basil, and make sure you leave them out of the fridge to allow the flavours to develop as they warm up. I use taggiasca olive oil which has a buttery and herbal flavour, but you can use best quality that you can find.

Ingredients4 red tomatoes

4 yellow tomatoes

4 green tomatoes

Brioche or other bread to make into croutons

12 green basil leaves

12 red basil leaves

12 Thai basil leaves

12 rocket leaves

2 burrata

Drizzle of balsamic vinegar

Salt and espelette pepper to taste

For the marinade1 finely chopped shallot

A good glug of olive oil

5 green basil leaves

Salt and espelette pepper to taste

For the tomato jusThis makes 1.6 litres, which is more than enough for this dish, and you can freeze the rest to use another time.

35g basil

350g red onion

2 ea cucumber

20g garlic, pink

450g red pepper

4kg tomato trim

50g tomato paste

50g sherry vinegar

Salt and espelette pepper

GarnishFinely chopped tomatoes (a combination of red, yellow and green)

Toasted pine nuts

Baby basil leaves

Olive oil

Method1 Pre-heat the oven to 180°C. Using an apple

corer make the tomatoes into cylinders to remove the cores then place them whole into a tight fitting container together with all the marinade ingredients. Leave this at room temperature for an hour.

2 To make the croutons cut the brioche into thin slices and then cut into circles using a biscuit cutter. Place onto a baking sheet, brush both sides with olive oil, salt and pepper. Bake for 10–15 minutes, turning once so that they are nicely browned on all sides. Leave to cool.

3 Into a large bowl, weigh your soft butter and sugar. Using an electric whisk, or wooden spoon if you’re brave, beat it for at least 5 minutes, until fluffy and nearly white in colour. Once you’ve reached this stage, add the eggs, one at a time, beating well after each addition. Do not worry if it curdles.

4 Cut the burrata into chunks, depending on their size. Drain any excess moisture and season the cut side with salt, pepper and good quality olive oil.

Arrange the tomatoes and burrata on plates, garnish generously with basil and rocket. Add two croutons per person on each plate and finish with a few drops of balsamic vinegar.

5 For the tomato jus, roughly chop all the base ingredients and pulse in a blender, or use a pestle and mortar, but try to leave it quite coarse. Leave to marinate for two hours, then check seasoning and strain through a sieve.

Add in the pine nuts, olives and finely-chopped tomatoes, and place in a serving jug. Just before serving, pour the jus around the tomatoes and burrata. Garnish with a basil leaf and a drizzle of olive oil.

Maggie’s Matters Winter Edition 2014 Page 15

Puzzles

By Chris Maslanka

Across1 Athlete (7)

5 Freshwater fish; grumble (4)

7 Top of bin (3)

8 Animal – its name means ‘Earth-pig’ (8)

9 Era (5)

10 State of America (4)

13 Way (4)

14 Bouquet of wine (4)

18 Was Napoleon able ’ere he saw this? (4)

19 Spaghetti is made of this (5)

21 Extinct creature (8)

22 Enemy (3)

23 Snakes or feathery stoles (4)

24 Type of psychiatrist (7)

Number Conundrums1 If on Monday you receive 1p, and on

each successive day you get 7 times what you received on the previous day, when will you first have a whole number of pounds? How many pounds?

2 You put 3 pairs of white socks and 3 pairs of black socks into the laundry. Only 2 socks survive. What is the probability that they form a pair?

3 There are 60 minute divisions on a clock. How many minute divisions are there between the hands of the clock when it says 7.36?

4 The multiplication 12 x 483 = 5,796 uses all the digits from 1 to 9 inclusive once and once only. By rearranging the digits of the left-hand side only construct a second example.

5 You have a box which contains 2 boxes, each of which contains 3 boxes, each of which contain 4 boxes, each of which contain 5 boxes. How many boxes do you have all together?

Word Play1 Rearrange the letters of ENUMERATION

to make another word.

2 Identify the word from the letters given: ***ONGH***

3 Change WINE to BEER, with each move changing just one letter, and at each stage forming a valid word.

4 Enigma: In the morning I may be eaten And then I’m just a thing; But later on I may be drunk – Perhaps a person in the evening.

5 Which two continents have names without even a single letter in common?

6 Which vegetable contains all the five vowels A, E, I, O, U each once and once only?

Ask me Another 1 What is the most southerly capital of

mainland South America?

2 Apart from an early gas version installed outside the Houses of Parliament and which exploded in 1869 what made its first UK appearance in Piccadilly Circus in 1926?

3 Of which two metals is brass an alloy?

4 Ganymede is a moon of which planet?

5 Who is the current Children’s Laureate?

6 Which country lies between Poland and Lithuania?

7 On 19 June of this year, King Juan Carlos I of Spain abdicated in favour of his son, who ascended the throne as which monarch?

8 On what day of the week does Bonfire Night fall in 2015?

9 What three flavours are found in a block of Neapolitan ice cream?

10 Which country has a triangular flag?

11 Which two countries together constitute Hispaniola?

12 Pope John Paul II and which other pope were canonised by the Roman Catholic Church on 27 April of this year?

Down1 Old ships (8)

2 Asylum (8)

3 Native American (6)

4 It may be found at the end of a trouser leg (4–2)

5 Sturgeon roe (6)

6 Unusual (4)

11 Musca domestica (8)

12 Lying near (8)

15 Used to nudge with (6)

16 Country (6)

17 Home of Menelaus (6)

20 Italian greeting (4)

Maggie’s Matters Editor Ruth Garner Design Havas Worldwide London Layout Alice Snape Printing Wyndeham Grange We welcome any feedback or queries: matters@maggiescentres.org. To receive a digital edition, please email: contact@maggiescentres.org.

Chris Maslanka is a writer and broadcaster specialising in puzzles and problem solving. He presented BBC Radio 4’s Puzzle Panel (1998–2005). He is currently College Enigmatist for St Catherine’s College, Oxford, and writes puzzles for the Guardian.

If you have any queries regarding these puzzles, contact Chris Maslanka:odysseus@puzzlemaster.co.uk.

For solutions visit: www.maggiescentres.org/puzzleanswers

Notes

Puzzles

by Chris Maslanka

Quick Crossword

1_2_3_4=5_6_ _=_=_=_=_=_= 7__=8_______ _=_=_=_=_=_= 9____=0__a=b

_=_=_=_=c___ d__e=f=g=_=_ _=h___=i____ =j=_=_=_=_=_ k_______=l _ =_=_=_=_=_=_ m___=n______

Come with us as we head out walking into the night discovering cultural, architectural and artistic delights, raising as much as we can to support people with cancer and their family and friends.Register your interest online now for Culture Crawl 2015.

Maggie’s Culture Crawl

Friday 18 September 2015

The keys to the city...yours for one night only.

Maggie Keswick Jencks Cancer Caring Centres Trust (Maggie’s) is a registered charity No. SC024414

www.maggiescentres.org/culturecrawl In partnership with