Hodges' Model: Welcome to the QUAD

- provides a space devoted to the conceptual framework known as Hodges' model. Read about this resource for 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 as I finalise my research question with part 2 starting in 2016. See our bibliography, archive and please get in touch [@h2cm]. Welcome.

Monday, August 03, 2015

SEMEOTICONS: Reflecting self-care

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



My source:
Dean, J. Smart mirror will reflect the state of your health. The Times, July 29 2015. p.13.

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Sunday, August 02, 2015

'Noah' meet Cecil?

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


METROLYRICS - Frank Sinatra: Noah

United Nations Conference on Climate Change (COP21/CMP11) Paris Nov-Dec 2015

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Saturday, August 01, 2015

Open Resources for Nurse Educators (OR4NED)

Since 2004, Bangladesh Health Project volunteers have been supporting nurse education in Bangladesh.

We have learned that the global shortage of nurses is made worse by an even greater shortage of capable nurse educators. When we started the BSN program in Bangladesh, we had to develop all curriculum materials ourselves. Since then we have shared our materials with similar projects in Bangladesh and elsewhere. To avoid others’ reinvention, we decided to offer  our BSN curriculum as an Open Educational Resource [OER] to support novice nurse educators in less developed countries.

We will post on the internet all our English-medium resources – PowerPoint lectures, student and teacher references, exams and assignments, clinical checklists and policies. It is true that there are many medical and nursing OER materials already. However what is unique about our project is that we have created an integrated package linking components from our own and other sources with field-tested educational goals and graduate competencies. This is not intended to be an off-the-shelf solution- the OER will need some tailoring to suit the local context. Under the Creative Commons license, the OER materials can be adapted and used freely by educational institutions offering nursing degrees, and by associations, councils and other groups that provide continuing professional development for nurse educators. We have posted at www.or4ned.com two sample courses and a Teachers’ Guide for beginning educators when using the OER.

Since we are self-financed, we are seeking volunteers to assist us with editing the OER materials. We would also like advice about potential partners or funders for this task. And of course we are happy to share the course content that we have already developed.

Future phases of the work will include enhancing the OER with multimedia resources; evaluating use of the OER in various settings, and developing a community of practice to update the OER.

Our OER website provides more information. We welcome your suggestions and advice. You can contact us at info AT or4ned.com.

Alex Berland RN MSc
Director, Bangladesh Health Project
Senior Adviser, Health Sciences, IUBAT, Bangladesh
Adjunct Professor, School of Pop'n and Public Health, UBC, Canada
t: (Canada)
e: aberland AT telus.net
skype: Alex.Berland

My source: HIFA2015

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Friday, July 31, 2015

Workshop & CfP: The post-Fordist Care Regime

A workshop series organised by the Centre for Philosophy and Political Economy (CPPE), School of Management, University of Leicester, UK
Workshop 1: The Business of Care

Keynote Speaker: Silke Roth (Southampton)

Convened by Vanessa Beck, Steve Brown and Fabian Frenzel

CPPE, School of Management, University of Leicester, UK

Date: 10th December 2015

Certain transformations in our political economic landscape can be distilled according to regimes of care. Fordist care was provided primarily by female ‘free labour’ within the family context, while the state played a large role through institutions like schools, pensions, prisons and hospitals. By contrast the private sector role was rather limited although, of course regimes are uneven and varied across different countries and social sectors. The post-Fordist regime of care was triggered, in part, by a rebellion against the invisible and unvalued nature of female ‘free labour’ in the care domain, for example in housework or child care. Demands for more autonomous, neither market nor state based forms of care were made and realised in new social and urban movements that pursued attempts to create new forms of social reproduction and care in communes, housing co-ops or self organised childcare. Despite the progressive impetus of many of these initiatives, it is possible to see, with hindsight, how demands for autonomous care were subsumed within the general move away from state provision and towards privatisation as well as individualisation of care responsibility. In the post-Fordist regime the provision of care is increasingly organised around the needs of capitalist valorisation. This drive towards privatisation is ostensibly about efficiency and budgetary restraint, the underlying motives, however, may well be more diffuse, pointing to the opening of new sources of surplus value capture for a growing sector of market oriented care provision.

Yet as the State outsources care jobs (in prisons, health, schools, etc), the organisation of markets has taken on specific characteristics. This includes the internationalisation of the care regime with transnational businesses of care, a transnational labour force and the expanding mobilities of care receivers. A further aspect is the increasing financialisation of care, which includes the creation of ever-new financial vehicles, from Private-Public Partnerships to social impact bonds that aim at ensuring efficiency in the care sector but often do the exact opposite. Both nationally and internationally we witness the renewed mobilisation of ‘free labour’. Unlike in the Fordist regime of care, this now aims at volunteers across age and gender groups and framings such as the ‘big society’ and 'international volunteering'. Beside this unremunerated work we see increasingly precarious conditions of labour in the care sector, often migrant labour, on zero hour contracts and minimum wages. The precise composition of this labour market is another area of interest. What novel forms of organisation are emerging in response to our present regime of care? And what resistance is emerging?

Finally, although price is often taken to be the primary concern of post-Fordist care provision, the quality of care cannot be ignored, though it is difficult to measure. Beyond a private industry of care provision we also find a new ‘industry of measurement’ that claims to assess the value and quality of privately administered care. The organisation of these new organisational patterns and industries of care are the subject of this workshop.

We invite papers that interrogate the shift to a post-Fordist care regime. We are interested in a variety of scales, from local to global in which this shift becomes visible and invite contributions from across care sectors broadly defined, from health (including mental health) to housework, from medicine to (social) housing, from education to welfare. We are interested in analyses of businesses of care, including care evaluation and financialisation, in investigations of the labour of care, national and international, waged, ‘free’ and precarious and the struggles of this labour. Finally we are also interested in receivers of care and their responses to the post-Fordist care regime.

The broad scope of the call is intended to allow for a comprehensive investigation of the post-Fordist care regime. Some of the threads of this workshop will be picked up in two following workshops that chart ‘Alternatives of Care’ and the ‘Cosmologies of Care’, to be announced separately in due course.

Please submit abstracts of up to 750 words to describe your paper. Invited papers will be presented in Pecha Kucha style. Presentations consist of 20 slides that have to be presented in 20 seconds each. (Follow this link to find more information on Pecha Kucha). The organisation of the day aims to encourage shared discussion and the format of Pecha Kucha allows for succinct presentations. Papers will be commented on by our invited keynote Silke Roth as well as the three workshop convenors. We also invite all speakers to submit outline papers (of about 2000 words) to be shared among participants prior of the workshop.

Dates:Please submit abstracts to ff48 AT le.ac.uk by the 30th September 2015. We will respond by mid October 2015. Presenters should submit an outline paper (of max. 2000 words) by the 1st December 2015 to circulate among participants of the workshop.

We also plan to facilitate a publication of full papers from the event.

The workshop is free of charge, and refreshments and lunch will be provided during the day. A limited number of travel bursaries is available. They will be targeted at presenting PhD students and researchers without access to institutional funding in the first instance. Please indicate if you would like to be considered for a travel bursary as you submit your abstract.

Dr Fabian Frenzel
Lecturer in Organisation
PRME Officer
School of Management
University of Leicester

My source:
Dr Vanessa Beck via ESA-ALL AT JISCMAIL.AC.UK (some extra text also emboldened as relate to Hodges' model).

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Tuesday, July 28, 2015

Rose Report: "Create a short NHS handbook/ passport/ map summarising in short and/or visual form the NHS core values..."

Department of Health 16 July 2015:
Lord Rose June 2015, p.49.
The second prerequisite condition is cultural. The NHS needs to create a values-based culture. A large and complex organisation can be made more effective if all of its people behave in ways that are ethically consistent, and in ways that show they share the same values and base what they do on those values. There is already the ground work for this: the NHS Constitution includes a Staff Handbook, and Trusts communicate the NHS values contained within it in a variety of ways. But there needs to be a consistency in approach. Values must be easily and quickly understood across the NHS. Great leadership must be understood and fostered in staff at every level; the three military services are good examples of how this can be achieved across an organisation. A new and more visual format will promote this. 
R2: Create a short NHS handbook/ passport/ map summarising in short and/ or visual form the NHS core values to be published, broadcast and implemented throughout the NHS.

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Monday, July 27, 2015

BBC Radio 4: NHS regulation, leadership, training, careers...

Edited from BBC Radio 4: "Today, 27/07/2015, NHS constantly feeding regulatory beast"

Lord Stuart Rose has produced a report -

Better leadership for tomorrow: NHS leadership review

- looking at how to improve leadership in the NHS.

The Conservative peer and former Marks and Spencer boss said he found a great ethos across the NHS, but also change-fatigue and staff burdened by an enormous amount of data and bureaucracy.

“We have to have regulation with a light touch,” said Lord Rose. “There’s a lot of managing upwards, constantly feeding the regulatory beast.” ...

Release date: 27 Jul 2015


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Saturday, July 25, 2015

A headspace full of 'cans'

humanistic --------------------------------------- mechanistic
"My headspace

is 25m long."

join me!

Sport England: This Girl Can

Photo: PJ Bus stop WN4

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Friday, July 24, 2015

Mental Life and Death in Squares*

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



"Approximately half of all deaths in or following police custody involve detainees with some form of mental health problem. The IPCC is keen to get a better insight into the issues concerning mental health and custody. A key way in which individuals with mental disorder may have contact with the police is when they are in a public place and are believed to be in need of ‘immediate care and control. ... "
Please see: IPCC

'cost to...'

police custody

BBC: Custody deaths represent failure...

*or rectangular cells.

Doyle, M., Jones, P. (2013). Hodges’ Health Career Model and its role and potential application in forensic mental health nursing. Journal of Psychiatric and Mental Health Nursing. 20, 7, 631-640.

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Wednesday, July 22, 2015

Life (and death) in Squares*

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




BBC 2 Life in Squares
Drama mini-series by Amanda Coe. A story of the close and often fraught relationship between sisters Vanessa Bell and Virginia Woolf.

* Well OK 'rectangles'.

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Monday, July 20, 2015

Please help us to publicise Pre-Forum 2015: Access to Health Research [HIFA2015]

Dear HIFA colleagues,

Our thematic discussion on access to health research starts on HIFA tomorrow 20 July, sponsored by COHRED, APAME and The Lancet.

HIFA is constantly growing and already has more than 8,000 members. The current discussion on Access to Health Research is an opportunity to invite many more new members. Please help to publicise HIFA by forwarding this email widely.

Also, please ask your website manager to add (temporarily) a small publicity banner onto your site:

Pre-Forum 2015 discussion on Meeting the information needs of Researchers and Users of health research in low- and middle-income countries
(The width and height can be adjusted as needed, depending on the space available on your site)

With thanks to Nand Wadhwani (HIFA Steering Group member) for preparing this.

Best wishes,

Let's build a future where people are no longer dying for lack of healthcare knowledge - Join HIFA: www.hifa2015.org
(edited for Blogger)

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Sunday, July 19, 2015

Old news: Treasury considering health, care and welfare budget link :new reflections?

From: Health Service Journal

The Treasury is undertaking a quick turnaround project in the run up to the general election examining the potential savings from bringing together spending on health, social care and some welfare payments. ... p.10
This is old news now of course, but I would think that financial links/integration can be quite complex. After all when we usually speak of 'negotiation' what is the context?

Before grappling with finance when the impetus is austerity perhaps there is a dividend for (public) (mental) health, social care, welfare, education and housing from conceptual integration, or at least a shared conceptual framework?

In the same issue of the HSJ there is an additional rationale in the news item by Sarah Calkin:

Joining up care 'will not solve financial squeeze'. p.10.

I rest my four (five) domained case. 

A case you can carry in your head, a sheaf of papers, or device.

West, D. (2015) Treasury considering health, care and welfare budget link. Health Service Journal. 125, 6443: 24 April. pp.10-11.

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Friday, July 17, 2015

6th National Dementia Care Awards 2015

Dear CHAIN member,

We would like to draw your attention to the following opportunity.
Please circulate as appropriate. Thank you.

6th National Dementia Care Awards 2015

Following the continued success of the National Dementia Care Awards, the organiser - the Journal of Dementia Care - is delighted to announce that the 6th National Dementia Care Awards will take place during the latter part of 2015 culminating in an Awards Presentation Dinner on 13 November.

You can nominate yourself or a deserving colleague for the recognition of their excellent work.
There are 18 categories.



Irina Johnston
CHAIN Administrative Assistant

If you wish to publicise information on the CHAIN Network please email your request to:
enquiries AT chain-network.org.uk

CHAIN - Contact, Help, Advice and Information Network – is an online international network for people working in health and social care. For more information on CHAIN and joining the network please visit website: http://chain.ulcc.ac.uk/chain/index.html

Follow CHAIN on Twitter: @CHAIN_Network ; Find us on Facebook; Connect with CHAIN on LinkedIn

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NHS HACK DAY 12 & 13 Sept, Manchester

Dear HANDI Member - you may be interested in the event below:-

NHS Hack Day - Manchester on 12th & 13th September 2015.

For those who aren't familiar with it, NHS Hack Day is a relaxed and free-form software development day, run as an unconference, and allowing participants to pitch their ideas and NHS problems to the audience of developers and Health IT specialists. After pitching, teams form organically and people start working on their solutions. On the Sunday, work continues, and then the work is presented to the judging panel. Prizes are awarded, but the main point of participation is the lessons learned, the community that has formed around NHS Hack Day, and the exhilaration of helping develop software over a weekend. There's lots more information here

What would a CCIO get out of it?

When you see how well developers work when they get chance to work directly with users is inspiring. Realising how rarely they get this opportunity certainly suggests some reasons why NHS IT often falls short of where we would like it to be. Understanding the user need, pitched by a patient or relative, can be an important experience.

At NHS Hack Day we often get excellent representation of junior health professionals, patients, and developers from Health IT and non-Health IT backgrounds. Unfortunately, representation at NHSHD of the NHS IT 'establishment' - NHS Trusts, HSCIC, IT managers, and NHS IT technical staff etc, is less strong. I'm hoping that with the right leadership from CCIOs we can change this.

Sign up here (it's free) https://nhshd11manchester.eventbrite.co.uk

Many thanks,
Jill Riley - HANDI Health

Support our work and take paid membership with us HERE

(I have my ticket.)

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Thursday, July 16, 2015

(Care) Finance (ta.....) Safety (taint..) Quality (tainted)

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

"There are two parts to the security system. The first is a mechanism for distinguishing safe data from untrusted, or tainted, data. ... Importantly, taintedness is contagious, so objects derived from tainted objects are also tainted." p.409.

"There is a risk the Care Quality Commission's new responsibility for rating hospital's efficiency could "taint" its focus on quality, senior health policy experts have warned." p.5.

Flanagan, D. & Matsumoto, Y. (2008) The Ruby Programming Language, Sebastopol, CA: O'Reilly. p.409.

Hazell, W. (2015) New CQC role may 'taint' quality remit, Health Service Journal, 17 June. 125: 6451, p.5.

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Tuesday, July 14, 2015

Reflections: Digital Health Summit and Exhibition Salford, UK

As posted previously I attended this summit on the doorstep in Salford. I took a days leave to attend which was well worth it. I've no slides as yet so the notes below may change.

The value lies in the combination of programme sessions, seminars in the afternoon and an exhibition. The first session Intelligent Linked Data- What it Means for Patient Centred Care was three in one with presentations and Q&A by Mike Farrar, Dr Mark Davies, and Prof. Simon Jones. Together they highlighted linked data, the need to join and integrate data sources and services, to facilitate the best evidence based care along the patient's (and carer's) journey.



social care

population health

What I did enjoy was the way empathy was contrasted with science. Now, this is what it is about and we've still not got this right. Parity of esteem is (left and) right there plain to see.

Outcomes and population health were also stressed as the question was posed: What is the NHS about?

I got the impression of distinct silos in the way that hospital, community and social care contributes to epidemiological modelling, this problem was raised by two speakers I think. Prof. Jones spoke about this and annualised budgeting and how other industries use push, but accentuate pull. Q&A brought up standards, which in a way have been dealt with in most quarters [ :-) ], transparency, skills in the public (I scribbled 'LITERACY!' at this point). The audience were invited to offer their take on the state of play: mindsets, leadership++, narrative, journey, health AND social care.

Adam Crevald on health and social services talked about Nottinghamshire and efforts in integration and obtaining an holistic view of patient information and data. As the person's journey unfolds what are the triggers and how can commissioning and procurement make the difference that includes efficacy and efficiency.

It is one thing to connect with people on social media but another seeing them speak in person. Lord Victor Adebowale [Turning Point] was informative, entertaining and provocative. His reference to systems and services struck a chord (h2cm above), especially in the specific contexts of Turning Point and substance misuse. As Lord Adebowale said, there is a need for patient infrastructure to support access and timely sharing of data. There seems to a dichotomy in people seeing that people do have smartphones, while others confirm a digital divide. I can at least see patient infrastructure and the orientation of staff (and the self-care agenda) as being supported in part by Hodges' model.

David Haslam's [NICE] session "Too much? Too many? Too soon?" was fascinatingly up-to-the-minute informed by recent literature and figures, such as:

Epidemiology of multimorbidity and implications for healthcare, research, and medical education: a cross-sectional study

The rising tide of polypharmacy and drug-drug interactions: population database analysis 1995–2010

Residential care had a mention. A key point from Mr Haslam was that NICE's guidelines are -Guidelines. Not tramlines.

I'd opted for seminar choices 'D' and 'E' and was allocated 'F'. When a Wildcamp was announced I headed that way. Basically it was an open discussion and publicity for September's Health and Care Innovation Expo. In the discussion I pointed out the need for socio-technical approaches to projects and how we continue to miss learning from the lessons of history.

The broad ranging and vibrant exhibition was an opportunity to take health IT's temp and it is surely on the rise, but far from feverish (thank goodness).

Once again many thanks to Salford University and more offerings after the summer. A shout out too to the sponsors and supporting staff involved, a great job - delivered.

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Sunday, July 12, 2015

Memory rug

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

Source: Baker, H. (2015) A look worth cultivating, Interiors, FTWeekend, 4-5 April. p.9.
Caption: Shelter for Memory rug, price on request, alexkeha.com

Above image original source alexkeha.com

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Thursday, July 09, 2015

Demon's days numbered...

I've had the website for Hodges' model on Demon since 1998 and for many years things never changed in terms of the space provided for websites and facilities. That said I was never going to strain the bandwidth although I did fall foul early on with some traffic violations. For many years though it was 'steady'.

Over the past few months what is a static website - no database, no dynamic content - has totally given way to a static service and one that looks set to disappear in about two years according to discussion online. Demon has switched its web hosting to intY Limited.

The homepage was last modified in 2005, the links pages in the Spring. Now I've a reason to seek alternate hosting. It is good to know that past efforts are preserved back to 1999.

If there are any hosting services out there able to offer Drupal hosting, ideally UK based and at a reduced rate for an advert placed in the sidebar here and on any new web presence, please get in touch: h2cmng AT yahoo.co.uk 

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Friday, July 03, 2015

Vulnerability: In Art and Care (Ack: Benedict Rubbra)

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

Last weekend I helped my eldest son with some driving SW to Exeter in Devon. While he disappeared to help make a couple's wedding day special (which I understand it was), I spent Saturday morning at Royal Albert Memorial Museum.*

Serendipity soon arrived as one of the exhibitions was Benedict Rubbra: Eye to Image. I'm very grateful to the artist for being able to display 'Vulnerability' to help illustrate Hodges' model, taking the title literally here; that is, vulnerability within the mental health context plus vulnerable people in society and care.

I had never heard of Mr Rubbra, but I'm glad that I now know not just his work, but his way of working. The video 2/4 below explains the artist's technique:

There are actually several paintings that I could relate to h2cm and travels:

Singing Blackbird
A Wave in Summer
Pantheon (I waited for a plane...)
work that references Fra Angelico

Singing Blackbird and A Wave in Summer are not exhibited at RAMM but are illustrated in: 
Benedict Rubbra: point of balance || Jenny Pery

I've some new draft notes introducing Hodges' model:

The idealised nature of the model is obvious even upon brief examination. How are we intended to navigate the model's axes? Are both similar in this respect? Taking the individual-group axis first, we can see where the idealisation of person-centred care might be located. This is not just by virtue of labelling ('individual'), but is associated with the knowledge that it invites around it. The two upper domains of interpersonal and sciences represent the two forms of nursing care upon which all nursing is based; and around which a parity of esteem debate still rages (Millard and Wessely, 2014). These are mental healthcare (interpersonal) and physical care (the sciences). 

Within these domains we can conceptualise the various activities that make up being human and doing nursing. 

In addition the model as a whole can also be considered, according to need, as being found within a spiritual domain.

Millard, C., Wessely, S., (2014) Parity of esteem between mental and physical health. BMJ 349, g6821–g6821. doi:10.1136/bmj.g6821

*I did my general nurse training at Royal Albert Edward Infirmary - Wigan.

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