Margaret Grand from Wingham grew up in Canterbury. With a keen interest in singing and theatre, she did choral singing at school and sang in choirs later in life – including with Ann Robertson, Pilgrims Hospices’ founder, who Margaret knew from her village community.

As a teenager, Margaret was offered the opportunity to study at the prestigious Italia Conti performing arts institution, but her mother wouldn’t let her go; Margaret was an only child, and her mother was afraid she would move away and not return home.

Margaret instead began working at Boots in Canterbury city centre, where she met her husband, John, who was also a musician. Together, they played in bands and performed locally.

In 2021, Margaret was diagnosed with cancer and received a life-limiting prognosis. Since being referred to Pilgrims Hospices, she has had a second chance to flex her theatrical prowess through a project with the Marlowe Theatre – showing how hospice care is not only for those at the end-of-life, but also empowers people to live well, and fully, in the time they have left.

Margaret said:

“I’d had problems with my leg, I kept getting cellulitis; I was going to the GP surgery regularly to have dressings on. The nurse noticed a spot on my leg, which started to change colour, so she asked the doctor to check it and he did an urgent referral. A biopsy at Kent & Canterbury hospital showed that I had Merkel cell carcinoma, a rare type of skin cancer. The nurses explained that I’d need to go to Queen Victoria Hospital in East Grinstead for treatment, and have scans for five years.

“In 2022, I started to get large tumours on my leg, and I got upset every time I had it dressed. I remember the nurse, Bonnie, saying: “Margaret, I can understand why you get upset, because most people don’t see their tumours.” They just got worse and worse. I was sleeping on the sofa at home because I was so uncomfortable.

“Later that year, I went to see Les Miserables at the Marlowe Theatre with my daughter, Michelle. During the interval, I had to leave because I felt so unwell. A week later, I collapsed at home – I was just like a puppet. I called out to John, but he couldn’t get me up, so he phoned for an ambulance. I asked the paramedic to put me on the sofa and assured them I’d be OK, but they took my temperature and it was sky high, so they had to admit me to hospital, where I was diagnosed with sepsis. I was there for about a month, and I also caught COVID!”

Michelle added:

“Mum was discharged shortly before Christmas and was due to see her consultant around this time, but as she had been so unwell, I attended on her behalf. I explained what had happened, and the consultant was concerned. She said: “I can tell how ill your mum must be. I really think she needs palliative care, so I’m going to do a referral.” That was a massive shock; I came out of the appointment shaking. To me, palliative care meant Mum was at the end of life, on a downward spiral. But then things turned around very quickly; she was quite stable, and she started chemotherapy in January 2023.”

Margaret continued:
“They told me the chemo would be potent, could potentially make me very ill, and would cause me to lose my hair. On the whole, I was actually quite lucky; l didn’t feel sick at all and I pretty much sailed through the treatment. When I came out of hospital, they gave me a hospital bed at home, which made things a little easier. It was around this time that Pilgrims got in touch with me.”

Alongside pain management and symptom control, Margaret has benefitted from a range of wellbeing services at Pilgrims, including acupuncture and Wellbeing groups, through which she and other patients were involved in a musical theatre project with the Marlowe Theatre.

She also joins regular virtual meet-ups via Zoom, which offer an opportunity to connect with other patients from the comfort of their own homes.

In November 2023, John lost his balance and fell backwards at home, hit the back of his neck, severed his spinal cord and died within a week:

“Just like that. I couldn’t believe it; he’d been out cutting the grass that afternoon. He was 80. Since I’d been diagnosed, we’d always thought it was going to be me who went first – exactly a year before, when I was hospitalised with sepsis, it certainly looked that way.”

Pilgrims supported Margaret’s family through this very difficult time; her granddaughter, Holly, was offered counselling support as she struggled to cope with John’s sudden death.

Margaret was also invited for a Christmas meal at the Ashford hospice, where she could experience the environment in a relaxed, informal way.

She said: “I feel like everyone at Pilgrims is a friend, it’s a lovely community.

“I’ve got nothing but praise for the staff; they must see so many people, but they still know your name.

“Chatting with Palak from the Wellbeing team, I mentioned my love of singing and my interest in theatre, and she told me about a Hamlet-inspired project for patients that Pilgrims was facilitating with the Marlowe.

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Margaret took part in Hamlet workshops with the Marlowe Theatre at Pilgrims Hospice Canterbury

“When I was at high school, I had a marvellous music teacher – Mr Sellers – who saw my potential. He put me in every single play, and I even sung in Canterbury Cathedral. I was also part of the Young Marlowe Theatre Playgoers; we’d do readings and put on the odd play, but it was more of a training programme. It was completely free to attend, but in return, we would go to the Marlowe and give out refreshments to the actors.

“My best friend, Catherine, was also into the theatre. Her father offered to pay for both of us to go to the Italia Conti performing arts school in London, but my mum wouldn’t let me go. And because I couldn’t go, Catherine wouldn’t go – I messed up her chances, too! I still feel guilty about that!

“We used to have village shows in Wingham, and I always took part in those. I also sang in a band with John on guitar and our friend, Dick; we’d go out gigging round the local pubs, we had so much fun. Whenever Michelle and I go to the Marlowe now, I always say to her: “I wish that was me on the stage”.”

In 2024/25, Pilgrims organised a musical theatre project with the Marlowe, open to patients, families, staff and volunteers, which helped Margaret to realise her dream. Workshops were held at the Canterbury hospice Therapy Centre, facilitated by local performers Tom Adams and Lillian Henry, with guest speakers from the Royal Shakespeare Company (RSC).

This culminated in the group writing and performing a song based around Shakespeare’s Hamlet, and a special event at the Marlowe in April 2025.

Margaret read a sonnet on stage and was invited to talk about her history with the theatre. She was also delighted to sit with an RSC representative during the event.

Margaret performing at the Marlowe Theatre in April 2025

She said: “I’m so touched that the RSC, and people like Tom and Lillian, will give their time to Pilgrims to create experiences like this for patients.”

Pilgrims continue to work closely with the Marlowe, and are planning another creative project in the near future.

Margaret added:

“Before I got involved with Pilgrims, I thought a hospice was a place you go to die. Now I know it’s so much more than that, and I tell everyone!

“I remember sitting in the Thanet hospice reception waiting for my acupuncture appointment. It wasn’t until my last session that I spotted the wards, which goes to show that hospices aren’t just beds on a ward.

“It’s totally different to what people think.

“Pilgrims don’t just offer end-of-life care, but also a whole range of wellbeing services and groups. It’s really opened my eyes.”

For more information on Pilgrims Hospices’ Wellbeing Programme:

• Visit pilgrimshospices.org/wellbeing
• Email [email protected]
• Call the Pilgrims Hospices Advice Line on 01233 504 133

Each year, Pilgrims Hospices care for thousands of people across east Kent, with services provided from its three hospice sites in Ashford, Canterbury, and Thanet, as well as in patients’ own homes. It costs over £17.2 million annually to run these services, much of which comes from the generous support of the local community.