When Kate Middleton, Princess of Wales opened the Together at Christmas carol service at Westminster Abbey on December 6, 2023, the hushed hall filled with more than 1,600 guests, a televised audience of millions, and a striking illustration by British artist Charlie Mackesy. The illustration—friends strolling arm‑in‑arm through a snowy scene toward the ancient stone doors—bore the words, “How did I help? You were by my side, which was everything,” echoing the Princess’s personal mantra after a year of chemotherapy. The ceremony not only marked a festive gathering but also a symbolic step in Kate’s gradual return to public duties after her cancer diagnosis earlier in the year.
Background: A year of treatment and resilience
In March 2023, Prince William, the future king, announced that his wife had been diagnosed with cancer. The revelation stunned the nation; the royal household released a statement saying the Princess would step back from engagements while undergoing treatment. Over the summer, Kate completed a rigorous course of chemotherapy, a process her husband later described as “brutal.”
Medical experts note that a return to high‑profile events after such treatment can be both physically demanding and emotionally charged. For Kate, the pressure was amplified by the public’s desire for hope and normalcy. Her first major appearance since finishing treatment was the Christmas service, a carefully chosen platform that allowed her to highlight themes of love, empathy, and community support—values that sustained her through the illness.
The "Together at Christmas" service and its symbolism
The service, officially titled Together at Christmas, was staged inside the historic Westminster Abbey, a venue that has hosted royal coronations, weddings, and funerals since 1066. A spokesperson for Kensington Palace explained that the event’s theme—"the power of being by someone's side"—was chosen to reflect the Princess’s own journey of receiving unwavering support from family, friends, and the British public.
Television crews captured the moment Kate entered the abbey flanked by her husband and their three children, a sight that sparked a wave of applause across the nation. The service featured traditional carols, a brass choir, and a spoken‑word segment in which the Princess reflected on the year’s challenges, saying, "Kindness can be a quiet act, but its echo lasts far beyond the moment".

Charlie Mackesy’s illustration: a visual of kindness
British illustrator Charlie Mackesy was commissioned to create a bespoke piece for the Order of Service. Mackesy, best known for his 2019 bestseller The Boy, the Mole, the Fox and the Horse, has built a reputation for simple yet profound sketches that speak to universal human emotions. In an interview, he said, "Love, empathy and kindness are important messages for us all. As the theme of The Princess of Wales' Carol Service this year, it was very special to have been asked to create the illustration for the Order of Service. I hope it reminds us of the beauty of being there for each other at Christmas."
The artwork, printed on the program handed to every attendee, shows a group of friends—each rendered in Mackesy’s signature ink‑like strokes—walking arm‑in‑arm through gently falling snow. The caption beneath reads, “How did I help? You were by my side, which was everything.” The phrasing mirrors a line from Kate’s earlier public statements about the support she received during treatment.
Reactions from guests and the public
Among the notable attendees were Olympic champion Sir Chris Hoy, who praised the service’s focus on community, and Lindsey Burrow, a long‑time royal aide, who described the atmosphere as "intimate, hopeful, and profoundly human." Social‑media feeds lit up with images of the illustration, many users sharing personal stories of how a simple presence helped them through illness or loss.
Polling data released a week after the event showed a spike in public confidence in the royal family, with 68% of respondents saying the service made them feel more optimistic about the Princess’s health. Analysts at a London think‑tank noted that the event successfully combined tradition with a modern message of mental‑health awareness—a balancing act that resonated with younger audiences.

What’s next for the Princess of Wales?
Following the service, Kensington Palace issued a brief statement indicating that Kate will continue to ease back into her royal schedule, with upcoming engagements that include a patronage visit to a cancer research charity and a state dinner later in the spring. Sources close to the household suggest that the Princess is also considering a public campaign to raise awareness about the role of emotional support in cancer recovery.
In the meantime, the illustration will be donated to the Royal Foundation’s archives, where it will be displayed alongside other historic pieces from previous royal events. The hope is that it will serve as a lasting reminder that, even in the darkest winters, a hand held firmly can be the brightest light.
Frequently Asked Questions
How does the illustration reflect Kate Middleton’s health journey?
The artwork’s caption—“How did I help? You were by my side, which was everything”—mirrors Kate’s own words about the support she received during chemotherapy. By showing friends walking together through snow, Mackesy visualises the idea that simple companionship can be a lifeline during illness.
Who attended the "Together at Christmas" service?
Around 1,600 guests were present, including members of the royal family, Olympic champion Sir Chris Hoy, charity leaders, and senior officials. The audience was a blend of royalty, public figures, and ordinary citizens invited to celebrate the holiday season.
What significance does Westminster Abbey hold for royal events?
Westminster Abbey has been the site of British coronations, royal weddings, and state funerals since 1066. Hosting the Christmas carol service there links the Princess’s personal recovery to centuries of national tradition, underscoring continuity amid change.
What message did the Princess aim to convey through the service?
Kate emphasized the power of empathy, kindness, and presence—values that helped her endure a "brutal" year of treatment. By focusing on "being by someone’s side," she sought to inspire a collective spirit of support during the holiday season.
What are the Princess’s upcoming royal duties?
After the Christmas service, the Princess plans to attend a charity event for cancer research in February and a state dinner in the spring. Kensington Palace notes she will continue to regain her full schedule over the coming months.