Friday, 20 March 2020

Britain, besieged by the coronavirus, is no country for old doctors enlisted, but poorly equipped to fight a deadly foe

Four days ago the The Guardian published an article entitled :


It made the point that doctors are angry about Public Health England’s new advice issued last week, which reduces the level of the personal protective equipment (PPE) that staff need to wear. Medics believe the change in advice was driven by the lack of equipment rather than a change in the clinical evidence about the risks from the virus.

Previously, staff were told to wear full PPE, comprising:

FFP3 masks, which offer high levels of respiratory protection 
visors 
surgical gowns 
two pairs of gloves

However, the new advice recommends only :
a standard surgical face mask 
short gloves 
a plastic apron. 

Staff have dismissed this as "totally inadequate” protection and FFP3 masks and visors appear to be in particularly short supply.

Apart from their own fear of catching the disease because of poor protection, they fear that they could pass the infection on to other patients. Doctors who are dealing most closely with Covid-19 patients – A&E medics, anaesthetists and specialists in acute medicine and intensive care – are most worried. A doctor in an infectious diseases ward of a major hospital, who is treating patients with Covid-19, said : “I am terrified. I am seriously considering whether I can keep working as a doctor.”

Mr Nick Fletcher, a Consultant Anaesthetist and Intensive Care Specialist at St George’s Hospital in London, said : “There is a high death rate for medical first responders. If they don’t have the protective kit, this increases their risk of death. What we are going to have to use is likely not fit for purpose. There really needs to be a big effort to ensure PPE for medics and nurses is made an absolute priority.”

When the Government first mooted the idea of recruiting retired NHS doctors and nurses at the beginning of this month, the majority of 120 former NHS employees, who responded to a Guardian callout, were resistant and in some cases hostile, to the idea.

Many expressed concern that returning to work would put them at risk of contracting the disease and that their lack of recent practice could put patients at risk. Seventy-one said they would not be happy to return to work, with many expressing their reluctance in vehement terms. Many respondents said  they did not want to a return to a working environment where they suffered stress, bullying, burnout and even breakdowns. They were against returning to work to help tackle coronavirus, with many saying it would threaten their physical and mental health.

The Government confirmed contingency plans on Tuesday to call back to work NHS “leavers and retirees” to help relieve pressure on an NHS workforce that is expected to be overwhelmed by the virus. 


Monday, 16 March 2020

Why is Britain, besieged by coronavirus, deaf to the pleas of an old Professor of Global Health called Anthony Costello ?

The Professor, who is 67 years old, trained as a doctor in Paediatrics and Neonatology at University College London in the 1970s. In his early 30s he lived for two years in Baglung district in western Nepal, two days walk from a road, he was interested in challenges to mother and child health in poor, remote populations. When he was 46, in 1999, he published his pioneering book on how to improve newborn infant health in developing countries and from 2015 to 2018 he was 'Director of Maternal, Child and Adolescent Health' at the World Health Organisation in Geneva. He is strongly critical of the Government's approach to the Coronavirus crisis :

"Ultimately, we need a vaccine and vaccine creates herd immunity, not a disease which kills 400,000 people. So we've got to mobilise the country and I thought that's what they were preparing over the last month and they were obviously not doing it."

He was interviewed by Channel 4 News yesterday and when asked by Matt Frei : "Are we going to be Italy in two weeks from now ?" 

He answered : "Yes. Look, you can't fight a virus if you don't know where it is. The basic principle of the World Health Organisation is that you find, test and isolate and treat every case, to break the chains of transmission and the UK policy is worrying because they announced at the press conference that they're going to stop population testing. That's crazy. That's not going to delay the epidemic, its going to accelerate it and we will certainly be in the same situation as Italy, whether its in 10 days or 2 weeks or a bit further. I don't have any problem with worrying or arguing about social distancing and mass gatherings and the timing of that, but we must be getting the data and what's happening and everything in the WHO Report from China is doable here. Why can't we do it ?

Matt Frei : "What should the Government be doing now ?"

The Professor : "They should be :

mobilising the country

setting up mobile testing centres


getting the test results down, like China, from 12 days to 3 days


identifying family clusters and getting them isolated


looking after people who can't look after themselves in isolation centres


getting CT scans out into the communities or into populations where they can get them quickly if they've got pneumonia


and obviously do the treatment the the NHS can provide, but you've got to prevent and we can get this down. It's worked in China. It's worked in Korea. It's worked in Singapore. Giving up now and saying : "Well, we're just going to let this rip. It's going to cause a catastrophe."

When asked about Italy he said :

"They're trying to cope like China did with the explosion of cases in Wuhan and when they realised they'd messed up, they put in place all of this structure Iv'e described and it took 7 weeks, but after 7 weeks they had it under control and more, if it is going to flare up again, when they loosen things, they've got a nation wide system in place and they've got the data, they've got the mechanism and they loosen it gently and then dampen it down again. Ultimately, we need a vaccine and vaccine creates herd immunity, not a disease which kills 400,00 people. So we've got to mobilise the country and I thought that what they were preparing over the last month and they were obviously not doing it."

Matt Frei : "Can we turn this round at this stage ? Yes or No ?"

The Professor : "Yes, I think we can. It's going to take time. It'll take 2 months at least. But why not ? Why can Asian countries do it and we can't ?"

In 2018 Anthony published his book 'The Social Edge. The Power of Sympathy Groups for our Health, Wealth and Sustainable Future.' It explained why a new science of cooperation is needed and suggests twenty two social experiments which use sympathy groups for resolving 21st century problems.

Might this time of crisis be just the time for sympathy groups to be formed ?

Sunday, 15 March 2020

Britain, besieged by coronavirus is no country for old men about to be sacrificed on the altar of Herd Immunity

'Herd immunity' is a phrase normally used when large numbers of children have been vaccinated against a disease like measles, reducing the chances that others will get it. As a tactic in fighting a pandemic for which there is no vaccine, it is novel and because it is untested and alarming. It relies on people getting the coronavirus and becoming immune as a result. However, controlling the progress of the disease by allowing the population to build up immunity in this way could increase the risk to the most vulnerable and the largest number of these is old men and women with underlying health problems. This approach stands in stark contrast to the widespread testing, tracking down the contacts of every case and isolating them, that many other countries in Asia and Europe have chosen to do.


According to Sir Patrick Vallance, the Government’s Chief Scientific Adviser, to reach herd immunity, about 60% of the population of Britain would need to get ill and become immune. The calculations behind this are that for every 2.5 people you sneeze on, you want 1.5 to already be immune. Herd immunity for coronavirus, then, is 1.5 divided by 2.5, or 60%. If indeed it is the Government’s belief that the coronavirus cannot be stopped until we gain herd immunity, then that seems, at least superficially, to be an astonishing admission : an acceptance that more than 40 million people will get the disease. With even a 1% fatality rate, that is 400,000 deaths.

Scientists who understand the strategy are anxious. Martin Hibberd, Professor of Emerging Infectious Disease at the London School of Hygiene & Tropical Medicine said : “I do worry that making plans that assume such a large proportion of the population will become infected, and hopefully recovered and immune, may not be the very best that we can do.” 


Professor Anthony Costello, a paediatrician and former World Health Organization Director, said that the British Government was out of kilter with other countries in looking to herd immunity and quoted the Director General of WHO, Dr Tedros Adhanom Ghebreyesus, who has said : “The idea that countries should shift from containment to mitigation is wrong and dangerous.”  Costello also said the Herd Immunity might not even last : “Does coronavirus cause strong herd immunity or is it like flu where new strains emerge each year needing repeat vaccines? We have much to learn about Co-V immune responses.” Vaccines, he said, were a much safer way of bringing it about.

Richard Horton, Editor of 'The Lancet' is the most prominent medical critic and citing desperate pleas from Italian doctors has said : “The UK Government — Matt Hancock and Boris Johnson — claim they are following the science. That is not true. The evidence is clear. 

The Government is playing roulette with the public. This is a major error. The UK is on the edge of an avoidable calamity. 

In addition to deaths preventable by more aggressive Government action, it will be health workers who absorb the brunt of Government complacency. I am not being alarmist. What is happening in Italy is real. Our government is not preparing us for that reality. We need immediate and assertive social distancing and closure policies. We need to prepare the NHS.” 

One possible method of avoiding sacrificing Britain's old men and women on the altar of Herd Immunity may be seen in the fact that the 60% who need to get it, need not be a random sample of the population. Instead, with sensible measures and “cocooning” of those most at risk, it may be possible to protect the old and sick, even as the virus sweeps through the healthy. In other words, the prescription for old men and women in Britain is :

REMAIN COCOONED IN YOUR HOMES FOR THE NEXT 3 - 4 MONTHS AND VENTURE OUT AT YOU PERIL 


Saturday, 14 March 2020

Britain, besieged by coronavirus and time to honour Professor Graham Ayliffe, the Prince of Hand Hygiene.

Page views : 775

Graham’s death at the age of 91 in 2017, more or less, passed without note. Apart for one or two short obituaries in medical journals, he received no mention in either the Times, Telegraph, Guardian or Independent, yet his 'Ayliffe Technique', a
 six step hand-washing technique he helped to formulate in the 1960s, to reduce the spread of infection, was adopted by hospitals and endorsed by the World Health Organisation in 2009. It is impossible to verify how many lives have been saved as a result of its implementation, but it is probably safe to assume that that the figure runs into hundreds of thousands.

With Britain in 2020, besieged by the coronavirus, with hand-washing being seen as the best method to avoid the acquisition and reduce the spread of the disease, it would appear to be the appropriate time to honour Graham's memory and achievements in medicine. In addition, at this point in time, it might be useful to see the technique used by hospital staff.
https://www.futurelearn.com/courses/influenza/0/steps/9795

In the 1960s, when he was in his forties, Graham had worked as Consultant Microbiologist at the 'Hospital Infection Research Laboratory' at the City Hospital, Birmingham, in the team led by the extraordinary pathologist, clinician and poet, Professor Edward Lowbury. It was funded by the Medical Research Council and Regional Health Authority. He recalled that Lowbury "was working on burns patients in Birmingham. He found in the 1950s that resistance emerged rapidly to tetracycline, erythromycin and ovobiocin and there was really little else left at that time for treating staphylococcal infections. The use of combinations only delayed the onset of resistance."

Under Lowbury he contributed to one of the first large 'Prevelance Survey of Hospital Infection,' involving 30 hospitals in the West Midlands and undertook a detailed assessment of an isolation ward in the prevention of the spread of staphylococal infection, the emergence of antibiotic resistance and surgical site infection and explored the necessity of hand hygiene, .

Working with Babb and Quoraishi, he developed  the six step hand-washing technique, known as the 'Ayliffe Technique' which was soon adopted by hospitals throughout Britain. He said that it evolved when it became evident that parts of the hands were being missed, particularly the thumbs and fingernails. One of his students had long thumbs and it was proving difficult to clean effectively, which is why the Technique included the action to rub the thumbs separately. With self-deprecating modesty, Graham said it just happened his name began with 'A' and that he was just one of three practitioners, 'A', 'B' and 'C', who invented the technique.


* * * * * * * * * 
Graham was born the son of Winifred and Arthur in the small village of Hambrook in Gloucestershire in 1926 and between the age of 11 and 18 was educated at Queen Elizabeth's Hospital School, an independent school for boys in Clifton, Bristol.

Founded in 1586 it was situated in the centre of town with a Charter granted by Queen Elizabeth I in 1590 when it was specifically charged with 'the education of poor children and orphans.' In fact, the school had nothing to do with medicine, with the term 'hospital' used to denote a charitable institution for the needy scholars who wore poor, blue coat uniforms.

After leaving school he joined the Royal Navy in 1945 and did a three year stint serving as a sick berth attendant and medical lab technician. It was his first taste of the world of medicine and was probably on board ship that his interest in the spread and prevention of infection was first ignited.

He took his initial step towards building a medical career when he graduated from Bristol University with a BSc degree in 1951 and then built his qualifications incrementally, with Bachelor of Medicine and Bachelor of Surgery degrees in 1954. Armed with these he gained his first medical appointment as a 'Tutor in Clinical Pathology' under Professor William Gillespie at Bristol Royal Infirmary Hospital where he worked for three years before moving to London.

With Lowbury, in 1975, he published 'Control of Hospital Infection : A Practical Handbook' and after Lowbury's retirement, he crowned his career as Director of HIRL and Professor of Medical Microbiology at Birmingham University's School of Medicine for eight years until 1989. He developed a practical course for medical students and focussed his own research interests on the control of MRSA, biological safety and endoscope decontamination.

In 1980 he became a founder member of the 'Hospital Infection Society', now 'Healthcare Infection Society' and chaired its Committee and edited its journal for its first four years and served as its President for six years until 1994.

In the last phase of his career, Graham worked as a consultant for the World Health Organisation until the age of 75 in 2001 and for the rest of his life was recognised Emeritus Professor in Medical Microbiology, University of Birmingham. In 2003, with Mary English, he published 'Hospital Infection: From Miasmas to MRSA', a wide-ranging survey of the long ­history of hospital-acquired infections and the battle against them which proved timely when the spread of "superbugs" was posing problems on a worldwide scale. Its contribution to the subject was recognised in 2004 when the Society of Authors and Royal Society of Medicine gave it the Award for the 'Best New Medical History Book.'

At the age of 87, he had the pleasure of seeing the 'Graham Ayliffe Training Fellowship' established in 2013. Its purpose is to enable trainees currently working in the field of infection prevention and control to take a one year paid leave of absence to pursue their specialist area by broadening their knowledge base and imparting that knowledge to the wider scientific community.


In life, wittingly or unwittingly, Graham had lived up to the motto of his old school, Queen Elizabeth's Hospital :

'dum tempus habemus operemur bonum'
           'Whilst we have time, let us do good'          

Thursday, 12 March 2020

Britain, besieged by coronavirus, is neither a country for old men nor an old Professor of a Public Health and Turbulent Priest called John Ashton

Coronavirus is a greater threat to old men and women because their immune systems work less well because they are old and they are more prone to underlying serious health conditions because they are old and there are a lot of old people living in Britain.

Those aged 65 and over are a large and rapidly growing group – there are currently more than 11.9 million of them, about 16% of the total population. A sizeable minority are very old. There are 3.2 million of them aged 80 and of them 1.6 million are aged 85 and over. They divide up as 45% men to 55% women.

Professor John Ashton is 73 years old and has a long career at a high level in Public Health and most recently as President of the Faculty of Public Health.

When he was interviewed about the coronavirus 38 days ago, on 3rd February, he was reasonably sanguine about the control of the disease : https://www.youtube.com/watch?v=-m_YjOUQavQ

However, when he was interviewed last night by Emily Maitlis on BBC TV's Newsnight, he was far from sanguine.

Emily : "Professor Ashton, does it sound to you as if we are ready for this and as if the Delay Phase has come at the right time ? too early ?  or a bit late ?"


"Well, I'm tearing my hair out really with this. I'm very frustrated here. I'm with Richard Horton, the Editor of the Lancet and with Tedros, the Director General of the World Health Organisation."

The Professor was 'with' Dr Richard Horton who had tweeted :



He was also 'with' Dr Tedros Adhanom Ghebreyesus, who yesterday, had said : 
" There are now more than 118,000 cases in 114 countries, and 4,291 people have lost their lives. Thousands more are fighting for their lives in hospitals. In the days and weeks ahead, we expect to see the number of cases, the number of deaths, and the number of affected countries climb even higher. WHO has been assessing this outbreak around the clock and we are deeply concerned both by the alarming levels of spread and severity, and by the alarming levels of inaction. We have therefore made the assessment that COVID-19 can be characterized as a pandemic."

"We have called every day for countries to take urgent and aggressive action. We have rung the alarm bell loud and clear." 

"We cannot say this loudly enough, or clearly enough, or often enough: all countries can still change the course of this pandemic. If countries detect, test, treat, isolate, trace, and mobilize their people in the response, those with a handful of cases can prevent those cases becoming clusters, and those clusters becoming community transmission."

Referring to the speech the Professor said : "It was a kick up the bottom, particularly for this country. We've got a complacent attitude. It feels wooden and academic. We've wasted a month when we should have been engaging with the public. If this now spreads they way it looks as though its likely to spread, then there will not be enough hospital beds and people will have to be nursed at home. We should have got a grip on this a month ago ... I want to know why why we are not testing ? Why we haven't tested those people coming back from Italy and who are now amongst us ? We've got a recipe for community spread here."

Emily asked : "What would you be doing now in terms of distancing measures ? As I speak we've got a Liverpool game going on. We've got people coming in overseas to that. We've got the Cheltenham Festival going on. Are these things you would say, immediately. should stop ?"

The Professor replied : "Well I didn't go to the game tonight. I just got so confused about what's going on, to be quite honest. But you've got Madrid where they're playing games behind closed doors and you've got 3000 supporters in town staying overnight in Liverpool, drinking in bars and a proportion of those will be corona positive. We will now have people being infected tonight in Liverpool because of that."


"The Government needs to get a grip and stop treating the public as children, which is what it's been doing and we need a pragmatic approach. We don't need this academic approach which we've been getting form London."

"The local a regional public health system is now very weak they've had cuts in budget of 30%. Since public health has been put into the town hall they've been ignored and neglected. There's no mention of local authorities today in the Budget. For the public health system the staffing is dramatically reduced compared with 2013 and they're going to have to do this. It's going to be a community issues. It's going to be a local and regional issue. It's not all run from London by people behind closed doors thinking they can pull levers and think things will happen. They won't. It's a battle against the virus which has to be run by everybody."

The Professor : https://www.independent.co.uk/news/uk/home-news/coronavirus-uk-cases-john-ashton-nhs-hospital-covid-19-budget-a9396211.html

PS

Friday 13th February :

The Professor in  the news again today in the Guardian :




and the Daily Mail :

Wednesday, 11 March 2020

If Britain is no country for old men, Turkmenistan is certainly one for them

I'm at a loss to explain a recent surge in interest from Turkmenistan with over 2,000 pageviews. Using Google translate, the title of my last post on the sculptor, William Mitchell, translated into Turkmen would have read : Angliýa henizem sement heýkeltaraÅŸlygynyň halk ÅŸazadasy William Mitçel atly köne heýkeltaraÅŸ bilen "HoÅŸlaÅŸ" we "Sag bol" diýmeli ýurt.


I must confess, I knew next to nothing about Turkistan : that its capital is Ashgabat, that almost 94% of its population of 5.8 million follow Islam and it declared its independence from the Soviet Union in 1991. However, after a bit of nosing around I came across an article published by Radio Free Europe in 2017 entitled :


It explained that Turkmenistan's 'rubberstamp parliament' was about to lose its rubber stamp, again. In his inauguration address Turkmen President, Gurbanguly Berdymukhammedov, said he would raise the status of the country's Council of Elders above that of Parliament. It meant that the group of "white beards," as they are known, all of them over 70 years old, were about to officially become the Legislative Branch of Government.


Despite this, I am still at a loss to explain the 2,295 Pageviews from Turkmenistan. I just can't imagine the Elders themselves checking out 'Britain is no country for Old Men' on their smart phones and ipads. But I might be wrong.

Monday, 9 March 2020

Britain is a country which still needs to say "Goodbye" and "Thank You" to an old sculptor called William Mitchell, the People's Prince of Cement Sculpture

Page views : 1652

Apart from two obituaries, one in 'The Telegraph' and the other in the 'Kidderminster Shuttle', Bill's death at the age of 94, at the end of January, has passed without regard, despite the fact that he produced a multitude of cement-sculptured masterpieces in the 1960's and 70's.

Many of us have seen at least one of them in the schools, hospitals, civic buildings and gardens, social housing, shopping precincts, underpasses and cathedrals, throughout Britain, which bear his mark. He fell out of fashion in the 80's, to the extent that some of his work was subsequently lost to demolition, but he lived long enough, to witness a revival of interest in post-Second World War modernist architecture and see much of his work receive the protection of Grade II listing. Public acclaim came in 2016 when Historic England defined him as  'A widely influential, prolific and innovative architectural sculptor.’

When Bill returned to Britain in 1956, after a year as a student in the English School in Rome, he didn't complete his last year of study at the Royal College of Art. He was already 30 years old and anxious to start a career and to that end he used the money from his student grant to lease for a shop in Forest Hill in South East London where he started his own business. Using the carpentry skills he'd picked some 17 years before, when working for furniture maker, Harris Lebus, at its High Wycombe workshop, he turned his hand to making bespoke wooden tables with stainless steel legs which he displayed for sale in his window.

In 1958 he answered an advert by the London County Council' Housing Division and was appointed as an artist who was to assist architects in decoration of its new buildings. It was now, working for himself for 2 days a week and the Council for 3, he turned his attention to the possibilities of cement render and began to create his hallmark carving in the wet cement. He relished the medium because : "Concrete is a flexible material. It's malleable. It doesn't come in slabs. It's in a bucket and you can put it in what you like and it will take the shape of that." 

Bill's first job for the LCC was in children's playground at Derby Hill, where his locomotive with painted sand and cement render was followed by work on the Horseferry Road tower block. Not long afterwards, in 1960, a British Pathé newsreel, entitled 'Cement murals', featured Bill and and his assistants at work in his Forest Hill workshop and showcased the mural they created for the LCC Dickens Estate, Bermondsey.

Bill demonstrated his unique process of producing 19-inch square concrete slabs cast in moulds containing negative designs in wet clay, then enhanced with coloured resins. Although the newsreel joked when the narrator said : "Anything tough enough to endure the rigours of our climate, such as auntie’s rock cake mixture, perhaps, might be substituted", it did, perceptively note that the link forged between artist and architect "augured well for the rapidly changing face of England".

When it came to Bill's own links with architects, he described the relationships he had them at the time as : "rabid. We used to have the most colossal rows. We were all working to a regular format" which he questioned and regarded as "criminal". Despite this, it was a time of great invention with his vacuum moulding machine giving him the ability to cast on site and his 1962 
sandblasting equipment, using 2,000 mph jets, the ability to blast holes in walls, having got the idea from an engineer removing rust from the Forth Bridge. He used the blaster to reveal the aggregate and for delicate work, used crushed walnut shells to get a surface polished effect from the walnut oil. For the majority of his exposed aggregate panels he used chicken feed mixed with fine aggregate and also used the same technique to etch glass.

An exhibition of his work at County Hall in 1962 and the attendant press coverage extended his reputation and saw him approached by architects like, Basil Spence, Frederick Gibberd and Ove Arup. He was also sought out by property developers and recalled : "They recognised I was as as entrepreneurial as they were and I was taking as many risks as they were." He didn't make the mistake of talking down to them and presented them with design possibilities. "Harry Hyams, Bernard Gold - big developer boys who had made their money and wanted the prestige of doing some art work."

For Bernard Sunley and his Manchester Piccadilly Hotel, Bill used a display of 6,000 light bulbs to create an advertising image onto the building by activating photocells with a beam which lit up big aluminium panels with reflectors from the car manufacturer, Phillips. Bill demonstrated it in action to a delegation from Manchester Council and was invited to demonstrate his invention in an episode of BBC TV's 'Tomorrow's World.'

In another episode he demonstrated his sandblasting technique and considered that he was an able tv presenter because he “could talk at the same time and didn't confuse people with art” and recalled : I got lots of letters from doctors saying I would die at a very young age as my lungs would be filled with dust and to stop what I was doing”. In another programme he balanced on a plank of wood above a building site in Croydon, where he is installing a textured concrete wall in an office block and recalled : “There were not many people in my line of work who would go out on the roof with the builders. That was unusual. If it was now I would have had to wear protective clothing I couldn't even get up the stairs in.” 

With his own company, 'William Mitchell & Associates', Bill now took up new premises on the South Circular Road in London and rented an old printers with working space of 6000 square feet and gradually expanded the staff to 40.

He also used the premises to house parties for children and adult parties with guests such as Princess Margaret and the gang leaders, the Kray Twins from East London and the Richardsons from South London. Their were so many party goers that the police complained about the traffic hold ups. Bill recalled that he was :"never burgled. I never lost a thing. Nobody dared come anywhere near that place, if they had done there would have been hell to pay from the Krays. They policed the whole area much better than anybody else ever did."

In 1962 Bill was approached by George Williams, Director of Industrial Design for British Rail, who asked him to design the train of the future, The result, his mock up, without wheels, was installed for the public to view at Marylebone Station in London. The later working train incorporated his instantly recognisable twin windowed front nose, round-cornered windows, little table lights, individual inlaid timber panels at the end of each carriage, adjustable seats "borrowed” from a Russian train, galley kitchen, overhead parcel racks “borrowed” from a VC10, a non touch lavatory flush system and all the door ironmongery. https://www.youtube.com/watch?v=djBDuPFI0X4&t=4m01s

Bill worked with architect Frederick Gibberd between 1960 and 1963, to create the, now Grade II listed,  'Civic Water Gardens' at Harlow New Town. Bill's two canals had a retaining wall clad in a startling blue mosaic and set with seven concrete abstracted ‘lions head’ bas reliefs, which disgorged water from their mouths.


In 1964 Bill created the 'listed' ceramic and glass mural at Islington Green School. He said that he chose the compass of Magellan for the mural because he, like the pupils, "was on a voyage of discovery." 



In the same year he made his listed Corn King and Spring Queen sculptures at the  Cement and Concrete Association HQ in Wexham in which he used bonded cast concrete sections in red and grey, with incised and applied decorations with ceramic, mosaic, flints and pebbles inserted into the concrete.



He also designed the, now demolished, exterior panels of Basil Spence's swimming pool at Swiss Cottage.


In 1965 he made the 'listed, large mural at the reception to Lee Valley Water Works in Hatfield. With his abstract concrete murals now in demand he was commissioned by Hatfield Water Company to design one for the hall in which their customers paid their water bills. Bill carved the design negatively into dozens of wooden blocks, which were then stacked while a fresh concrete wall was poured against them and created what was described as 'the largest single cast in art history'. When the building was demolished in 2014, he had the pleasure of knowing that the wall, at least, was preserved.


In the same year he made a series of up to 20 concrete reliefs attached to the podium of Quayside Tower, Birmingham.



He also created his concrete mural on the Winstanley Estate in 1963 and his children's play area was seen as cutting-edge enough for it to be featured in the journals 'The Builder' and the 'Architectural Review' in 1965 with a description of how he created the sculpted concrete walls and columns.

He also made the mural in the entrance hall of Clarke Lawrence Court which was the first housing block to be built on the estate.


By this time, at the age of 40, in his own words, Bill "was becoming a bloody plutocrat" with two companies in the USA in LA and San Francisco, one in north of England at Alston Moor and two in London. He expressed his philosophy at this time as : "To my mind there are far too many people calling themselves artists and art critics who want to keep the enjoyment of art and creative work restricted to a small clique. I dislike connoisseurs. To my mind everyone should be connoisseurs and have a choice to enjoy these things. I want everyone to see my work."

Bill knew that his working-class background "provided the armoury of good humour" that could turn scepticism and ribbing of builders into "interest and practical helpfulness". He knew he needed a good relationship with contractors to ensure the quality of the concrete, but also because he had to create a studio for himself in their yard. He also felt that an artist on a building site needed to demonstrate that he could use the tools of the builders’ trades and work effectively with them. He regarded the site as "the most exciting place for an artist – and one where he can fight to regain the artist’s old integrated position in society."




The year 1966 saw him create the wall of the, now listed, sculptured silver-faced nickel panels in the Curzon Mayfair Cinema in London.


For the Three Tuns public house in Coventry City precinct in 1966, he created his, now listed, large decorative cast concrete wall with the comment : "Those Victorians knew a thing or two. Why not show the thickness of a wall?" Bill cast the structural concrete inside and out in one operation, including the window apertures in a method he evolved from the process of constructing the door apertures in the lift halls at Winstanley Estate.


The following year he made his Minute Men sculptures at Salford University, in Manchester which saw him set fire to his plastic moulds to get them off. He commented that they were "Big figures cast in concrete. The minute men landed on prepared landing ground." He also said : “I wanted to do something with the material which was not indicative of trying to be something else. As it was new, let it be new. It had as much to do with the practicality and being outside. I also had to take into account : Was it waterproof and was it vandal proof?”

Perhaps the first critique of the concrete trio was by Prince Philip, who in 1967, when he opened what was then the Technical College, exclaimed : “What the hell is that?”  Bill's three figures cast concrete were designed in an Aztec style and inset with mosaics. Each figure, sometimes referred to as 'Faith, Hope and Charity', stands 15 feet in height and weighs around 5 tons. Bill's reaction was : "I don't give a hoot if you don't like them, just as long as you look at them."

The year l967 also brought the 'listed' cold cast bronze sliding doors for Liverpool Metropolitan Cathedral, with his designs, which had to be signed off by the Pope, inspired by the Old Testament and Book of Revelations and were, in his eyes, "almost barbaric." He also created the Cathedral's bell tower. 




In 1968 he created his Erith Riverside Swimming Pool Mural in glass and epoxy resin. He was proud of his design for Richard Seifert's and had investigated historic content and the background to Erith. When it was moved to the middle of the town he said : "It became an identity disc in Erith, keeping its identity in local government reorganisation. It was public art, but not something you were supposed to some deep hearted satisfaction in. It was part of you and where you lived. That to me is what public art should be about."



His Spirit of Brighton, in Churchill Square, Brighton was also created in 1968 and demolished in 1996 and his cast concrete climbing wall under Hockley Flyover, Birmingham was also created in the same year.



1968 also saw his 'listed' Sculptural Wall, London Road, Manchester and listed Story of Wool sculptural mural at the Wool International Development Centre, Ilkley.




In 1971 he created his abstract concrete mural above the entrance to the Turnpike Gallery, Leigh and 1973 his 320 metre long decorative cast concrete retaining wall along a section of the Kidderminster Ring Road. 

In 1973 he executed his controversial carved stations of the cross for the doors at Clifton Cathedral in Bristol. When interviewed by the BBC and asked how he felt 'about the fact that his depiction of Christ being whipped was cruel ?'  he replied :
"So you get this chap, you tap him on the shoulder and you arrest him. You take his clothes off. You beat within an inch of his life. You then cram some crown of thorns on his head and then you get him to carry this large piece of wood and you nail him on it. I can't believe why anybody would think this was cruel." He was unable to attend the consecration ceremony because he was in the USA, but when the tv clip was shown on a screen "There was a stunned silence. This wild-haired bloke who said "I can't understand why they would say that was cruel." 

Bill based each of his stations on a charcoal sketch and had to execute each one within 2-3 hours. Anything longer and he would have lost the image in his mind : https://www.youtube.com/watch?v=05EGsyrhBh8&t=5m38s

His 1977 spherical corten steel fountain commissioned by Ford was nick named The Pineapple, by local people. It was a fountain made from hand-cut, rusted steel which was installed outside a Basildon office block and was removed and stolen, possibly by metal thieves in 2011.

Although his prolific period was coming to an end he still produced his Structural Column at Leon House, Croydon, Tapton Hall entrance mural wall at Sheffield and the Frieze at first floor level of the Emanuel House flats, Rochester Row, Victoria, London.



Bill was proud that his housing work was considered as public art : "A lot of the work I put into these houses was cleaned by the people in the houses and if anybody was caught messing about they got their arse kicked out of it. So there was "this is ours". There was that feeling." He remembered "an occasion in Manchester where I was really up against it and I had to go to the Town Hall to talk to all these people with flat caps on and and it was as though I, as a plutocrat, had walked in into a meeting of Lenin and at the end of it we all understood each other. That was an attempt to put in front of people what actually was gonna be done and the reasons why and that should always occur in public art." He explained why he didn't sign his work by saying : "To me it was a form of boasting. I don't think it was in good taste to do it because a lot of people are involved in doing these things.  I would do them, but I didn't instal them."

Bill's stature in his profession was such that he gave lectures to structural engineers, spoke to the Pre-Stressed Concrete Society in the USA and gave talks in Seattle and to the Cement and Concrete Association in Britain. In the 1970s his travelling in the USA and lecturing on producing public works, led to varied commissions around the world, ranging from the BART (Bay Area Rapid Transit) system in San Francisco to Doha Zoo in Qatar.

In 1971 he created mural at the HiSAM Sculpture Garden in Honolulu based on his vision of Polynesia and also created a two-storey waterfall sculpture for the U.S. Courthouse and Federal Office Building in Honolulu.


He also appeared on television's Sunday Night at the London Palladium where, live on stage, he gave a demonstration of his 2,000 mph sandblasting on a lump of polystyrene, in response to which the host, Eamonn Andrews, ran away and the show's American guest star, Hollywood actor, Edward G.Robinson, couldn't believe his eyes.


His last flowering as a sculptor came in 1991 when, at the age of 75, he became Artistic Design Adviser to Mohammed Fayed, with a seat on the Managerial Board at his Harrods Department Store in London. Bill saw the Egyptian Hall, which took shape in 1991–92, as an enormous challenge. He was inspired by the naturalistic, colourful art of the eighteenth dynasty in Ancient Egypt and its pharaoh, Echnaton. By connecting rooms on the ground floor and first floor, he created the Hall with almost 8m high pillars, reached via the attractive escalators. The intention was that visitors were to be overwhelmed by the facsimile reliefs presenting Egyptian life, sphinxes, fan-shaped lights on slender bronze pillars, elegant showcases and the light.

He later said : “This is the one project, which, without hesitation, or embarrassment, I feel I am able to call my masterpiece. My client, Mohammed Al Fayed was never in doubt and he was paying for it. Throughout the project he never queried, or questioned any part of it. He just looked at the sketch proposals and told me to get on with it."

"Looking back I think : 'My God, did I do that? Why didn’t I do something different?' I am critical of my work. It’s not my place to educate, if people are prepared to accept it then terrific."

* * * * * * * * * 
Bill was born in Paddington Infirmary in the Spring of 1925. His mother, had a hole in her heart and her health deteriorated after his younger sister was born to the extent that she was hospitalised and, as he said, "for many years. I never saw her". His father was a gas-fitter by trade, left-wing in politics and a strong trade unionist. His was a tough Dickensian childhood with a botched operation on his stomach when he was 6 weeks old, undertaken by a surgeon who was drunk assisted by a theatre sister, who reported him and was sacked. He then spent time in a succession of hospitals where parental visits were only allowed on saturdays and one hospital where he remembered the cruel regime where children were given 'THIS CHILD WETS THE BED' notices, was swept away by the doctor who performed conjuring tricks and acrobatic stunts for the children.

Reflecting on the fact that he had rheumatic fever as a child in the 1930s he thought he had been lucky to get away with his life. He stayed at St John's School for 'delicate children' a boarding school for a hundred boys run by Catholic Sisters, the 'Chigwell Sisters', adjacent to their Convent of the Sacred Heart near Woodford Bridge, Essex. Doctors gave their services free of charge. It was here that Sister Winifred had the greatest influence on him. She was : "A big rosy cheeked nun. Her face looked like an apple on top of this gown." He recalled that she read the children Dickens, a chapter at a time, 'Dombey and Son' and if they behaved, rewarded them with another chapter. He was taught to read, drew pictures on the blackboard and was played classical music played on a gramophone.

At the age of 11 he was moved to the Ashford Residential School for Boys funded by the London County Council, which Bill described as a "cross between a reformatory school and a school for underprivileged children. The borders were a little blurred." At night the school was staffed by ex-servicemen and by day by teachers who came in. The expectation was that all the boys would enter the Army or Navy. When it was suggested that Bill begin his training when he was 13 in 1938, he gave the first demonstration of being bolshie by refusing to go. He himself put this streak in his character to his uncles on his father's side who were London market place costermongers whose barrows he would 'decorate' with their fruit and veg.

When Bill was 14 his mother died. His father was unable to cope with children and Bill's sister was fostered with another family and he was lodged by the London County Council with a Mrs West in Maidenhead and an his apprenticeship arranged to an engineering factory, producing gauges for aircraft production.
 Bill took it upon himself to leave the company and join a London company making gardening furniture from which he was sacked because he wasn't registered by the Labour Exchange. It was now he worked for the furniture company Maples in Tottenham Court Road which he considered to be "very up market" and where he was "semi apprenticed" to mix paint in the refurbishment in old houses.

At the age of 15 in the second year of the Second World War and thinking he could see the world, he forged his father's signature and joined the Navy and started life as a radio operator first in Chatham Dockyard, then to Butlins Holiday Camp, surrounded by barbed wire at Skegness and finally onto the destroyer HMS Onslaught in Hull with his box of tools. His only experience on water before had been on the Woolwich Ferry and 70 years later he later recalled : "I was 16 and and a half. I don't even shave and I was 'the answer to the War'. I'd just arrived - cap all askew, what a mess ! Next two years on Russian convoy duty. Thrilled to be going to Russia - sleigh bells and music. It was very, very cold and very,very dangerous."

He enjoyed the navy esprit de corps because he'd never stayed long enough in one place to experience that, in fact, he saw the "Navy was almost like a finishing school." At the age of 19, in 1944, he was a petty officer and when assigned to further duty on the convoys which made the perilous voyage to Arkangel or Murmansk, he refused. He was sent to a navy doctor who asked him if he would like service in a warmer climate and arranged for him to sail to Australia. He laughingly saw a parallel between his own voyage and the exile of rebels like the Tolpuddle Martyrs.

On his return to Britain at the end of the War, a chance meeting with an interior designer who'd worked at the Slade and had an "elevated view of what decoration should be" sent him the direction of becoming a painter decorator for the NAFFI, The 'Navy, Army and Air Force Institutes', which ran recreational establishments for the Armed Forces and sold goods to servicemen and their families and saw him work in Freetown, South Africa and Gibraltar.

On his last job, in the Portsmouth Naffi, he decided to apply for a place to study at the Southern College of Art, but on being interviewed by the Principal, W. J. L. Gaydon and on telling him he wanted to study art, in reply to Gaydon's : "Well, lots of people want to go" Bill replied : "No. 'I' wanted to go." Then, on being told he didn't have the entry qualifications he agreed to 'buy a place', he joined the Pearl Assurance Company and got a job as an insurance contribution collector, visiting clients on a bike in Portsmouth. After 18 months he took his savings in attache case of money to the Gaydon and said : "Is this enough ?" and recalled : "He thought I'd done a bank."

He chose to study for a Higher National Diploma in Design and not sculptor or painting, which  seemed, in his view, to be a social activities and not necessarily a serious business. Having said that, while selling insurance he had taken canvas on boards with oil paints and an easel to paint yachts in harbour between Portsmouth and Chichester and gave pictures to his landlady of the day. While a student at Southern College he did evening teaching for apprentices to earn money to support himself because he was without a grant. He started a class, based on the apprentices designing their own heraldic shields which initially had 15 and finished with 32.

It was his work with the City and Guilds that taught him that "craftsmen had integrity. I could watch somebody pick up a tool and I'd know they'd been trained. They'd gone through it. All they know, their work, their skill - I can tell, immediately." He received a prize for painting and decorating from the City and Guilds, but short of money, got a part-time job designing lettering on Goodwood Racecourse and wanted to leave the College after 18 months to set up a business decorating old
properties having got the idea while delivering charitable parcels to needy poor in living in run down council property.
However, at the suggestion of his tutor, he applied to the Royal College of Art and the 'School of Woods, Metals and Plastics' and a new course devoted to industrial design, which he thought was they way out to world wide work and seemed to be the coming thing.

In his first year he was approached by Professor Russell who had produced furniture for the Shah of Persia and asked Bill, as a student from "the right background" if he'd like to undertake some work to which Bill asked "How much ?" and after they struck a deal, the grant paid for Bill's bicycle holiday to Northern France and to him painting the stained glass at Chartres Cathedral.

He made another piece of furniture when the Duke of Edinburgh, the College's 'Royal Visitor', asked the Principal, Robin Darwin, to transform a large piece of wood, donated to King George V in India in 1911, into an entrance table for the College.
 When he met the Duke, Bill recalled, he asked Bill : "How are you getting on then?" I said : "Oh. OK. What about you ? To which he'd replied : "What about you ?" "Everything's OK". Bill thought that when people asked : "Who was the Duke talking to ?" They concluded : "It must have been that snot-nosed student." When Robin Darwin asked him if he'd "met the Prince before ?" He replied : "Oh yes Prof. I used to have tea with him, you know." Bill became a familiar face to the Duke and he recalled : "I got the medal. I got the scholarship I got the diploma and the Duke said : "You know, I'm getting bored looking at you." To which he replied "Yes, I can understand that."

His time at the Royal College heightened his appreciation of the Middle Ages. He reflected that : "The Renaissance, in a way, should never had happened because when you look at that the work that was done prior to it, that was so much more straight forward and beautifully interpreted. You look at the illustrations of biblical subjects, beautifully done, totally buggered by the Renaissance where things began to get mannered and  people say "I can't draw as good as that."

The fact that Bill was older, had a working class background and had Wartime experience : "I'd been in the water. I'd seen people die", set him apart from his fellow students. He recalled : "The Professor said that it would be utterly impossible for me to work with anybody and nobody would want to work with me." He himself conceded that he was "far too bossy without having the experience to be bossy" and that he "was already patronising."

In the mid 1950s, instead of his third year at the Royal College he was awarded the 'Prix de Rome' for a year's study at the
British School at Rome. When he asked Professor Russell "What am I going to do there ?" He answered : "You know you are a barbarian don't you ?" to which Bill replied "Yes I accept that". Russell continued :"When you return from Rome I will order the meal and you will order the wine. Two weeks later you will order the meal and me the wine. If that proves satisfactory, you would have spent your time well."

In Rome he didnt work in the studio which he said was "like being in a bloody artistic grammar school. At the weekends they left the place. It was like a monastery". In search of recreation he invited students from the American School to a party and as a result he was summoned to the Principal's office to explain the piano in the fishpond and the dead fish.

When the Principal remonstrated that the fish had been donated by Graham Sutherland Bill had asked : "What the same fish ?" The Principal went on : "There's no point in you remaining in this establishment any longer. I shall write to Robin Darwin, who should have known better and ask for you removed." 

Bill countered by asking the Principal why the School apparently had engraving students when the press had been broken for years? and from where he'd got the aircraft he'd used to carry out an archaeological survey in Southern Etruria ? A few weeks later Bill received a letter of introduction to the Italian architect, Geo Ponti and spent a few months working on the domes he was making for the 1960 Rome Olympic Games. That summer he returned to Britain and his career began.

“ Some of the projects I did were good, some were reasonable and most were controversial – none, however, broke the bank. These were the products of an exciting time, and one that I don’t think we shall see again. It was great to be part of it.”



Bill's range of work from his own website  and his work in Manchester.