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THE FUTURE OF BONE MARROW TRANSPLANTATION

units built by the National Society for Cancer Relief within the grounds of National Health Service hospitals and subsequently administered under that Service. Care of the dying by doctors and nurses is greatly aided, however, in a setting in which there is a strong religious as well as a humanitarian incentive. Many hospices, like St Christopher's, are "religious and medical foundations", sometimes Roman Catholic, but usually interdenominational. They are registered as charities, are not run for profit and are essentially independent of any external authority such as a government department, so that the appointment of staff and general policy are in line with their primary purpose. To take an example, St Anne's Hospice in Manchester was founded by the late Dr William Greer, then Anglican Bishop of Manchester. Its VicePresidents include two bishops (one Anglican and one Roman Catholic), the President of the Free Church Council, and the Jewish rabbi. Once the purpose of the hospice was appreciated, the citizens of Manchester gave them whole-hearted support, both financial and emotional. Indeed, during the ten years following the first public appeal in 1968, £1 500 000 ($3 000 000) were donated, mostly in relatively small amounts by individuals, churches and organizations such as Rotary. There is no charge to patients or relatives, but the National Health Service bears some of the revenue expense by a contractual arrangement. Chaplains of all denominations visit the hospice, but perhaps the main spiritual help to the patients comes from its dedicated staff, not so much from what they say but from what they are, what they do, and how they do it. It is absorbed by patients and their relatives by a kind of spiritual osmosis.