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The main setting for this book is a new health clinic being set up in Dublin. It’s supposed to educate heart patients about self-care: nutrition, exercise, and what their different medications are for. The head is Dr Clara Casey who is still feeling a bit sore that she wasn’t offered a top cardiologist post at the attached hospital. She doesn’t really want to take on this new project, but, having agreed to do so, she throws herself into it. She is a determined person, and her ideas for open plan offices and bright decor are adopted despite opposition from some of the hospital board.
Clare has a good instinct about the staff she wants to employ, and she’s usually right. Declan is appointed as the main doctor on duty, with Fiona and Barbara as the nurses. It took me a few chapters to realise that Fiona is the nurse who was one of the main characters in the novel ‘Nights of rain and stars’, which I reread in March. It isn’t necessary to have read that first, but I very much liked catching up on her life, seeing her as a confident young woman who has moved on from a disastrous relationship. And a few of the other characters from that book appear towards the end.
As with many of Binchy’s novels, the plot digresses and the narrative rambles somewhat as backstories are told and different people introduced. It could have been confusing, or annoying; but Maeve Binchy was a master of this kind of storytelling. I loved seeing insights into Clara’s home life, hearing about her annoying ex-husband, and getting to know her eco conscious vegan daughter who is a teacher, and her indolent and rather selfish daughter Linda who is unemployed.
One of the new centre employees is a young woman called Ania who comes from Poland. She has quite a backstory too, which is explored in some detail. She’s been taking on a lot of menial jobs in order to earn enough to eat and pay rent, as well as saving for her mother. Clara takes her on as a runner - an office girl, perhaps - and soon discovers that she’s dedicated, very hard-working and loyal, and grateful even for the minimum wage.
As well as the people working at the centre we get to know some of the patients, too. Some are a tad caricatured. There’s the ultra-religious Kitty who believes the saints will help her more than any medication or lifestyle change. There’s the friendly Bobby who is married to a snooty, arrogant woman called Rosemary. And, later in the book, there’s an incident involving Aidan, who was one of the main characters in the book ‘Evening class’. And there are also several threads involving Father Brian Flynn, who was one of the central people in the novel ‘Whitethorn Woods’.
Oh, and the twins, Maud and Simon are part of this book too; now seventeen, they are taking on more responsibilities, and are hard-working and kind. But they are still devoted to each other and finish each other's sentences. Maud and Simon are in several of the books by this author, first appearing in ‘Scarlet Feather’, as far as I recall.
However, although I was delighted to encounter some of these folk again, it’s not at all necessary to have read any of the earlier books. ‘Heart and soul’ stands alone. And while Binchy’s characters are not quite as three dimensional or memorable as those created by Rosamunde Pilcher, they are very likeable. The ‘bad’ guys are mostly off stage, described in the past rather than involved in the present. And the two - one male, one female - who do take part in the stories, are rather to be pitied than despised.
I thoroughly enjoyed rereading this book, which I finished in just a couple of days despite it having around 450 pages. I would recommend it highly to anyone who has read others of Maeve Binchy’s novels, or who would like a warm, character-based novel that meanders through a year in several people's lives.
Review copyright 2025 Sue's Book Reviews