The professional status of UK healthcare chaplains remains partial, with voluntary accreditation effective in achieving around 50% registration. This study set out to elicit reasons for this by surveying healthcare chaplains working in Scotland. An online survey was created to gather demographic details and chaplains' opinions on the importance of five key elements of professional status: A body of knowledge that underpins practice; A code of professional ethics; An occupational organization controlling the profession; Substantial intellectual and practical training; and Provision of a specialized skill or service. Most respondents (38/43) agreed that chaplains should belong to a professional body in order to maintain standards, ensure accountability and formalize professional development. A negative minority felt that the professionalization agenda was not for them, but the majority stated that registration reinforced their professional status, added credibility and a clear governance structure to protect the public. Due to the wide interest in this issue, further UK and international studies into the professional status of chaplains are planned.

Starting with a personal account of his own experience as a Hospital Chaplain, working in both the psychiatric and acute sectors of health care, Iain Macritchie makes observations, and draws some comparisons between these two areas of Chaplaincy. Healthcare Chaplaincy, in general, is seen as a dialogue between faith and suffering. The differences between acute and mental health Chaplaincy are highlighted by examining the nature of the theology and of the suffering in either case.

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In November of 2003 a more proactive approach to Chaplaincy was instigated in a Renal Unit. Rather than wait for referrals, the Chaplain visited round the unit, asking patients about their experience of renal care and dialysis. The result was a hugely increased number of patients and staff involved in spiritual care, and a greater awareness on the part of the staff of the work of the Chaplaincy Team. This article is an examination of the process whereby Chaplaincy became an integral part of the care given on this unit and reports the results of a survey of staff regarding this process. This also contributes to current debate about the professionalizing of Chaplaincy and the allocation of spiritual care resources.

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