Hodges' Model: Welcome to the QUAD

- provides a space devoted to the conceptual framework known as Hodges' model. Read about this tool that can help integrate HEALTH, SOCIAL CARE, INFORMATICS and EDUCATION. The model can facilitate PERSON-CENTREDNESS, CURRICULUM DEVELOPMENT, HOLISTIC CARE and REFLECTION. Follow the development of a new website using Drupal (it might happen one day!!). See our bibliography, posts since 2006 and if interested please get in touch [@h2cm OR h2cmng AT yahoo.co.uk]. Welcome.

Monday, May 15, 2017

SUPPORT: Global Health - Health Support - Support Change

humanistic ----------------------------------------- mechanistic



My source: Halcyon Gallery

Artist: Lorenzo Quinn https://twitter.com/artistlorenzo/status/863282451212374017

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Friday, May 12, 2017

What does professionalism mean to you? c/o NMC - #IND2017

Dear Peter

We are writing today to wish you a happy International Nurses’ Day – a chance to celebrate the exceptional professional contributions of nurses across the world.
The professionalism of nurses and midwives has always been essential to good care. We all know professionalism when we see it – but there’s never been a single definition for what it means in nursing and midwifery.
So we wanted to use the opportunity of International Nurses’ Day to tell you about a new tool we have developed, Enabling professionalism in nursing and midwifery practice, which defines professionalism in nursing and midwifery for the first time.
We hope it will help you to explain and strengthen your own professional contribution as a nurse or midwife, as well as being a tool you can use to reflect on your practice when you revalidate.
We have each shared what professionalism means to us, and we would love to hear your stories too. Share your views on what professionalism means to you through this form or through the NMC’s Twitter account @NMCnews using #professionalism.
Best wishes, and happy International Nurses’ Day.
Jane Cummings, Chief Nursing Officer, England
Charlotte McArdle, Chief Nursing Officer, Northern Ireland 
Fiona McQueen, Chief Nursing Officer, Scotland
Jackie Smith, Chief Executive and Registrar, Nursing and Midwifery Council
Jean White, Chief Nursing Officer, Wales

I will investigate this tool and reflect - post about it in the near future as appropriate.
To nurses and carers the world over Very Best Wishes for #IND2017.
Please look after yourselves too!!*

*The 1st rule of 1st aid.

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Thursday, May 11, 2017

Mental Health Awareness (Second) ... (Hour) (Day) Week (Month) (Year) (Life) (History)

humanistic ----------------------------------------- mechanistic

Thoughts Beliefs Emotions Mood...
Motivation, Confidence
Memory, Experiences, Trauma, Grief

Mental Health - Reasons for Referral


Self-help     Self      Self-stigma

Learned Helplessness

Psychological Theories & Therapies

Sleep  Coping  Concentration

self-harm risk, specialist services

Surviving OR Thriving?

Debate: Ethics, Diagnosis, Philosophy of Care

Systematic diagnosis

Evidence-based Care, Treatments

Effective Treatment, Outcomes

Drugs, Side Effects

Local access (200+ miles for a bed?)

Demographics - Research

Data, Information, IT Records

Emergency (MH Crises) Services

Referrer's Knowledge of Care Pathways

Debate: Pathologizing,

Evidence Based measures


Group Therapies

Community Family Friends

Relationships - Social Network

Risk  Behaviour  Safety

Mental health as a Social Construct


Folk theory UNDERSTANDING Specialist

Sociological Theories
prediction uncertainty expectations

Social Norms      Conformity

Culture, Ethinicity, Education


Quality of Life

Power         Mental Health Law

Review of Mental Health Act?

WAIT! Government Policy Targets

 ? Funding of Services ?
??  Parity of Esteem  ??

 Community Care - Beds - In-patients

Mental Health Services

Primary, Secondary, Tertiary

Mental Health Professionals

Human Resource Planning


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Tuesday, May 09, 2017

"Global Mechanism - Your analysis and ideas?" c/o COMMINIT.com

I have posted some items c/o The Communication Initiative Network previously, but that was quite a while ago. Having just contributed to an ongoing discussion I thought it might help me and readers new to COMMINIT to post some background and add to my comment over coming weeks. The topic begins on COMMINIT:

UNICEF, with Rafael Obregon (Chief, Communication for Development, UNICEF New York) leading and The Communication Initiative, through Warren Feek (Executive Director) are holding a series of consultations, to gather views, opinions and ideas on what kind of global mechanism could be helpful for supporting advancements in the scale, sustainability, relevance and influence of programmes, strategies and organisations that develop and implement initiatives rooted in communication and media development, social and behaviour change. 
The global development tapestry has seen the growth of a series of such mechanisms seeking to advance particular fields of work. For example, WASH for All; the Global Partnership for Education and, the Global Partnership on Violence Against Children, amongst others.
As we have reviewed these mechanisms it is clear that there are a range of differing goals and roles including:
  • Raising technical standards;
  • Advocating value and impact;
  • Engaging in policy debates and dialogue;
  • Coordinating action;
  • Accrediting data;
  • Expanding funding levels; and,
  • Acting as a legitimate global point of contact for policymakers, funders and other major global players in development.
What kind of mechanism - priority, strategy, structure?
The major question for the social and behaviour change, communication and media for development field of work is what kind of mechanism – focus and structure - could help to advance our field of work. Consequently, there will be 3 major themes to the consultation that we will be holding. From your perspective and experience:
  1. What priority goals and themes would you propose as the focus of such a possible mechanism?
  2. What strategic approach should such a possible mechanism take to work towards those goals?
  3. How would you recommend that such a mechanism be structured and organised?

There was a meeting last year in London but I could not attend. I was prompted to write following a brief comment by Lorenzo Vargas...

Communication... also as a right (and more in Hodges' model)

I have copied and will further develop my ramblings as follows...

Dear Lorenzo and All,
'Communication' needs to be considered as not just a com-plex concept (process, social, practice, research, purpose, policy, reality...) but a com-pound phenomena too.
I have raised the potential of Hodges' model previously and in your few lines Lorenzo you also highlight how this (open) model might help integrate and provide a generic foundation for the whole health care agenda, locally, globally and glocally - through technology and culture.
First I quite agree to 'communication' being a Right: definitely and even when claims of rights has been described as a 'rights-fest'. In some contexts communication is a privilege, when cultural and historical structures accord a speaker - the 'stage'. Communication as much an innate ability. So the work of Paul Watzlawick needs to taken into account. The primacy of communication is made explicit in the first of Watzlawick's axioms of communication: "One cannot not communicate." Stepping over several axioms, number five brings us to the health context: "Inter-human communication procedures are either symmetric or complementary." This communication dynamic is the pivotal point of entry for communication as a right. The politics of axiom 5 is why we focus so closely on advocacy, engagement, safeguarding, guardianship, best interests, translation services and other measures that might include others acting as a proxy. If these are legal so much the better, if recourse to law if needed is accessible and affordable for example. In health, gender and development contexts a mix (compound) of qualities, characteristics and outcomes must be taken into account:
  • being heard (physically, linguistically, politically, educationally - literacy, culturally ...)
  • and being able to hear (physically, politically, language, environment, educationally - literacy ...)
We must also include choosing not to communicate (verbally, non-verbally, vote) and such acts ?
I'm sure we can all add our own experiential, personal, and professional emphases on the above.
The link below (should... ) outline Hodges' model - a generic conceptual framework.
What is 'spiritual' encompasses the whole model.
As a 'right' like human rights we can place this conceptually in the POLITICAL domain. The scope of 'communication' and its dimensions can then be reflected upon and made more explicit. 
There are a number of 'gifts' in your comment beyond the obvious one in C4D :-)
We are aware of the skills needed in the sciences and many clinical treatments in handling instruments. The history of science is full of them through to the fact of robots deftly and with mm accuracy (and less) assisting in surgery.
For communication to be a right, this should necessitate a series, or at least one 'policy instrument'. 
In Hodges' model the SCIENCES and POLITICAL domains are associated with what is usually considered MECHANISTIC (physical).
This is not merely word association, but a tool that imho can help this and related communities.
With communication as a right, Hodges' model can help stress the need for the many identified and debated literacies to be made a reality. Or if they are not realised, then those who control axiom 5 (and other key factors - social media?) can be held to account?
Just to close I am presenting Hodges' model in London on the 18 May - there is a link on the blog's sidebar.
Thank you for your comment Lorenzo.
I hope this helps your deliberations?
Kind regards,
Peter Jones
Jones, P. (1996). Do we need an overarching theory of health communication? Health Informatics Journal, 2,1,28-34.

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Monday, May 08, 2017

Hodges' model: Parity of Esteem - ic ic ic Integrated Care

humanistic --------------------------------------- mechanistic

Mental Health Care

Parity of


Physical Care



My source:
Log-in or Institutional access required to access the paper.

Mitchell, A.J., Hardy, S. & Shiers, D. (2017). Parity of esteem: addressing the inequalities between mental and physical healthcare. BJPsych Advances, May 2017, 23 (3) 196-205;
DOI: 10.1192/apt.bp.114.014266

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Sunday, May 07, 2017

HIFA discussion on Systematic Reviews: Begins 15 May 2017

Supported by TDR, WHO and The Lancet

What are systematic reviews? Why are they important? What are their strengths and weaknesess? How can systematic reviews and local research be used more effectively to support evidence-informed policy and practice in low- and middle-income countries?

Starting 15 May, HIFA is hosting a major thematic discussion on Systematic Reviews, supported by the Special Programme on Tropical Disease Research (TDR), the World Health Organization, and The Lancet.

The discussion will take place here on the HIFA forum (English, 10,000 members in 176 countries). Parallel discussions will be held on CHIFA (child health and rights), HIFA-French, HIFA-Portuguese, and HIFA-Zambia.

The discussion will last for 6 weeks and will deep-dive into the following questions (let us know if you have questions to add):

1. What are systematic reviews? Why are they important?
2. What are the strengths and limitations of SRs (to guide policy and practice in LMICs)?
3. What is the role of (global) SRs versus (local) single research studies (to guide policy and practice in LMICs)?
4. What can be done to increase the relevance and usefulness of SRs (to guide policy and practice in LMICs)?
5. What can be done to promote the production, interpretation and synthesis of SRs in LMICs?

A synthesis of the discussion will be presented at the Global Evidence Summit in Cape Town, South Africa, 13-16 September 2017.

This is the third major discussion in the 2016-2017 series, from the HIFA Project on Evidence-Informed Policy and Practice.

Please forward, tweet and facebook this URL to your networks


and invite everyone to join HIFA today! http://www.hifa.org/joinhifa

Best wishes,
Coordinator, HIFA Project on Evidence-Informed Policy and Practice

Let's build a future where people are no longer dying for lack of healthcare information - Join HIFA: www.hifa.org

HIFA profile: Neil Pakenham-Walsh is the coordinator of the HIFA campaign (Healthcare Information For All - www.hifa.org ) and current chair of the Dgroups Foundation (www.dgroups.info), which supports 700 communities of practice for international development, social justice and global health. Twitter: @hifa_org FB: facebook.com/HIFAdotORG neil AT hifa.org

HIFA: www.hifa.org/joinhifa
CHIFA: http://www.hifa.org/join/join-chifa-child-health-and-rights
HIFA-Portuguese: http://www.hifa.org/join/junte-se-ao-hifa-portuguese
HIFA-French: http://www.hifa.org/join/rejoignez-hifa-francais
HIFA-Zambia: http://www.hifa.org/join/join-hifa-zambia

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Friday, May 05, 2017

11th Int. Conference on Networked Learning in Higher Education, Lifelong Learning and Professional Development

Dear colleagues

We are pleased to announce the Call for Papers for the Eleventh International Conference on Networked Learning in Higher Education, Lifelong Learning and Professional Development.

The conference is Hosted by Zagreb University of Applied Sciences at the Hotel Dubrovnik, Zagreb, Croatia, on the 14th - 16th May, 2018.

Keynote Speakers:

Peter McLaren – Chapman University, California, USA and
Laura Czerniewicz – University of Cape Town, South Africa

Since 1998 the biennial Networked Learning Conference has been an opportunity to participate in a forum for the critical examination and analysis of research in networked learning – particularly in Higher Education and lifelong learning. Networked learning has become a broader area of inquiry over the years bringing together research in education and organisations spanning formal and informal learning settings. It is a conference that has been particularly concerned with critical perspectives, theory, pedagogical values, analysis, practice based research and designs for learning. The focus of the conference has been research and practice that addresses relational and interactional aspects of learning and development with an emphasis on dialogical learning, collaborative and cooperative learning and learning in social networks.

This conference is considered a major event in the international 'technology enhanced learning' conference circuit, and provides a friendly, collegiate context for meeting researchers and practitioners in networked learning.

All submissions are peer reviewed, and accepted papers published in conference proceedings

NOTE: Full papers must be submitted for peer review by Wednesday 4th October, 2017.

Pre-conference Online Seminars (Hot Seat discussions) and PhD workshops preceding the conference will be announced at a later stage - http://forum.networkedlearning.net/

Full Conference details can be found at: http://www.networkedlearningconference.org.uk/

Maarten de Laat & Thomas Ryberg
MA., PhD, Professor mso
Faculty of Humanities (http://www.hum.aau.dk) ICT and Learning
E-learning Lab - Center for User-driven Innovation, Learning and Design
Rendsburggade 14
DK-9000 Aalborg

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Thursday, May 04, 2017

Global Health Sim & Facilitator Course July 2017


Global Health Sim is a movement committed to developing free open access resources for global health learning. Resources focus on peace, global health, ethics, and humanitarianism. Global health issues, both locally and internationally, are some of the most complex concerns facing society. Through engaging role-playing simulations in-person and online, we work to help students and practitioners better understand these complexities. 


Open-access simulations and teaching materials
Consulting work to run engaging simulations for your group, organization or conference
E-Sims: to open access to global health education around the world


The Global Health Sim website was made possible through a grant from the Canadian Physicians for Research and Education in Peace.

To support our work, please consider making a donation (note: we are a non-profit registered in Canada. We are NOT able to issue tax receipts for your donation, but it would be very much appreciated!).

My source via HIFAThomas Piggott, MD, Twitter / LinkedIn
Resident Doctor, Public Health & Preventive Medicine

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Tuesday, May 02, 2017

Looking at Clouds from Two Domains ...

humanistic ----------------------------------------- mechanistic

"Humanitarian Applications"

2. "Estonia's entire government IT systems have been uploaded to the cloud and stored on international servers, so the country could be relocated at a moment's notice if needed."

"Good things can come from innovative tech"

1. "The Estonian government is nervous. ... British and American troops are located on the border, as part of a "trip-wire strategy" to get NATO mobilised. If the worst happens, the Estonian government has a rather ingenious contingency plan. ... A government in exile could relocate, boot up the cloud systems and serve the 1.3 million citizens as before."

Cloud for Business, Raconteur, Estonian Defence Plan. 12/03/17 #0439, p.5.


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Monday, May 01, 2017

The Body and the Space - GIANNI COLOMBO

humanistic --------------------------------------- mechanistic



My source: Exhibition notice by ROBILANT+VOENA in FT Weekend 2015

Photo source:

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Sunday, April 30, 2017

Top 4 Branding Tips: "Between MIND and BODY lies the soup"


Full of holistic & integrated goodness
Colouring agents & agency guaranteed
Quality Additives Assured QAA 

humanistic ----------------------------------------- mechanistic

You would like some soup.

We should start here.
[For as the ancients recognised:
"In-between MIND and BODY lies the soup."]

As we can (and do) debate exactly 'where' and 'when' action begins.

Do you know you're hungry?
Do you know you want soup?
Do you know where it is?
Did you buy some three days ago?

If you don't, do know how to make this happen?
Can you ask someone for help if needed?
Do you know where the kitchen is?
Is your kitchen, one that you can walk in
(also known as your's),
 or is it one of those "off-limits" designs
(see below right)?

Like many of the things we take for granted
Soup IS Knowledge

There you are! In the kitchen.
You are aok opening the can, carton.
Home-made excellent!
[And the bread! Wo!]

Can you reach for and open things?
Grip, twisting it is quite an operation -
fingers, hands, wrists, balance.

We don't want you to spin around do we?
Most have a opener of some sort,
maybe a drawer or a rack full.
Perhaps something to sit - perch on would help?

Can you read the instructions?
tiny print and poor eyesight

What about Imperial and Metric?

Take care with that can?
Safety first, cooker, gas...?
Are you up to date with Tetanus jabs?

Where's the plasters?
1st Aid Kit.
"Is there a Dr in the house! :-/ "
Quick - grab the ice!

How does the soup taste?
Yes it is  subjective ... but...

Are you on a big hike?
If so, it's the best soup you ever had?

Somehow it tastes better in company.
 Like its constituents soup is best crowdsourced.

Here is the place
and down the agees
 that the crowd (family-friends)
together with home-made
are ingredients made for each other.

Ah! They're here.
My Carer = company + soup ...

Thanks Stan your soup was delicious!

Whether a kitchen,
outside oven,
or camp fire this place is a powerful place.

Powerful too are foodbanks and soup kitchens.

Oh dear.
Yet another new carer = lost time
'dear' indeed.

Are those vegetables ok?
What's the BBE - Expiry?

Is there an Occupational Therapist in the team? What about a Physio, or do we have to refer on?

Who controls the labelling
on this product anyway?

"Kitchen - Catering

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Saturday, April 29, 2017

What does improving population health really mean? c/o The King's Fund

humanistic --------------------------------------- mechanistic
Individual as a Person#
Individual Lifestyle Choices

Mental Health

NHS AND Social Services*?

Motivation - PURPOSE

Unhealthy behaviours

Health Coaches

Local plans

Individual as a Person - 
Age, Sex, constitutional factors
Individual Lifestyle Choices

New Care Models* (and PROCESSES)

Pop. Health = Aggregated Data

Environmental conditions
(Does the colour of Gov matter?)

Public Mental Health

Health Care Demand in the community

 Living and Work Conditions
"Population health means the health outcomes of a defined group of people, as well as the distribution of health outcomes within the group."
Social and Community Networks

Social Care PRACTICE

Education (informal)

General Cultural and Socio-

NHS POLICY<-> Population Health

Sustainability and transformation plans (STPs)

"... health equity – the avoidable differences in health between different parts of the population – is a core part of understanding population health."
Education (formal)
Health Care Services
Water and Sanitation
Agriculture and Food Production

"In United States - Pop. Health
defines aims of health system"


-Economic Conditions

Within Hodges' model the * items are automatically included in all four care domains (five with the Spiritual), for reasons of brevity and presentation they are included in what I consider their primary contextual domain.

Individual as a Person# in the Sociological and Political Domains in a group context (From: dyad ... To: Current Human Population).

My source: Twitter @TheKingsFund

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Thursday, April 27, 2017

Marie Curie PhD Studentship in Mobile Applications to Support Emotion Regulation in Mental Health

humanistic --------------------------------------- mechanistic
personalised emotional 

self-measures and reporting

mental health

mania - hypomania mood depression

psychological measures

stress and vulnerability

patient selection / motivation

Bi-polar disorder

awareness of triggers, relapse

mobile mental state?


e-health  e-mobile

physical health impact on mood

medication side effects

monitoring, safety

Prototyping and Technical  Specification



assessment care planning evaluation

mobile physical state?


role of family, friends, support groups

Psychosocial Interventions

history (similar proposals)

patient and clinical collaboration


population benefits


Trinity College Dublin

AffecTech Consortium

eligibility to enrol

Funding and partnerships

Intellectual property

effectiveness criteria

salary and mobility allowance

Read online: http://www.scss.tcd.ie/Gavin.Doherty/2017/04/affectechesr5/
Additional tag: "A great opportunity!"


My source and motivation:
Awareness of other research proposals and projects of this kind since 2006... and the application of psycho-social interventions in this field.

Originally posted to Caring Technology Research Announcement List:
Announcement archives:

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Saturday, April 22, 2017

Refugees: one word or two?

humanistic --------------------------------------- mechanistic

Now here


Old English wilcuma ‘a person whose coming is pleasing’, wilcumian (verb), from wil- ‘desire, pleasure’ + cuman ‘come’. The first element was later changed to wel- ‘well’, influenced by Old French bien venu or Old Norse velkominn.

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Tuesday, April 18, 2017

FROM: the couch TO: the courtroom | c/o BBC Radio 4

humanistic --------------------------------------- mechanistic 
 subjective --------------------------------------- objective
Inc. community - GROUP - the State  


Individual   Vulnerability

Psychological Trauma - Shock

Therapy    Recovery     Closure

motivation? - Catharsis - outcome?

Psychoanalysts uncover truth

Hidden Psychical Material

Emotion  PTSD

Forensic Psychiatry - Experts



Events - Time

True - Memories - False

Accounts - Re-Living

Rationality   Logic

(Objective) Truth

Analytic processes

Physical Trauma - Shock

From: War  Psychological  To: Domestic

'trauma' as a human and medical idea

(psychological AND legal)?

Public expectations


Public Values


Magistrates uncover truth

Law  Courts  Justice

Adversarial System

Closure - Compensation

Victims of crime

Psychiatric Reports




From the Couch to the Courtroom BBC Radio 4: 17 April 2017
Helena Kennedy QC asks if our legal system is becoming too influenced by the culture of psychotherapy.

The potential of Hodges' model as a generic conceptual framework has always been demonstrable through the distinction between the individual and the State. In this Radio 4 programme it is well worth also considering the diametric (potential) opposition of the person and their mental health (and therefore their physical state) as in applying the law in all aspects of healthcare and human welfare.

There are two references in the bibliography (sidebar) on the role of Hodges' model in forensic contexts.

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Monday, April 17, 2017

flight research #5 Rosemary Laing

humanistic --------------------------------------- mechanistic

Photo source: http://www.artnc.org/works-of-art/flight-research-5

Rosemary Laing

My source: Collecting, Art Basel Hong Kong. FT Weekend, 19 March 2016, p.2.

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Sunday, April 16, 2017

Psycho-Geography in Hodges' model

humanistic --------------------------------------- mechanistic


Psychogeography 66 2014 Dustin Yellin



Image source: Dustin Yellin

My source: several

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Saturday, April 15, 2017

Instrumental Person-a

humanistic --------------------------------------- mechanistic

My source: Fitzpatrick, M. (2014). FIRST PERSON Masami Orimo, 'My artificial leg doubles as a musical instrument', FT.COM / Magazine, 22-23 February, p.8.

Image: Pinterest

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Friday, April 14, 2017

Thursday, April 13, 2017

Wednesday, April 12, 2017

Health Services Research Summer School 3–7 July 2017

Growing excellence in healthcare research is a fundamental priority to ensure that patients benefit from improvements, and care is based on the best available evidence.

Who’s it for?:
Postgraduate research students/early career researchers who wish to access expert support in healthcare research and methodology
Healthcare practitioners who wish to develop additional research skills and gain new insights into subject-specific research and methodology and improve their career ambitions

  • Masterclass programme (Inc. Dementia, Health Economics, Service User Perspectives, Implementation & Realist Methodology) and other teaching sessions
  • Personal tutorial support and supervision (e.g. to support development of your Masters/PhD proposal, or critical review of a research programme)
  • Opportunities for networking and development of personal transferable skills
  • Visit an area recently voted 4th best place to visit in the world by ‘The Lonely Planet’
Full details are available on the Summer School Website.

Further information (and my source):

Dr Lynne Williams
lynne.williams AT bangor.ac.uk

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