- 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 - one day). See our bibliography, posts since 2006 and if interested please get in touch [@h2cm OR h2cmng AT yahoo.co.uk]. Welcome.

Friday, October 31, 2014

Metamorphosis (Ste p e-learning [curve?] )

I'm walking over ground of a gradually steepening pitch. At a certain point, I pause and start using my hands; the real mountain begins. I am climbing. Do I, as soon as my back slopes forward, return to the state of the quadruped? Almost: my body transforms; feet become hands and my two manual grips secure balance. Homo erectus, the standing man, of recent date, reverts back to the one from whom he is descended: the archaic quadrumane. This thunderbolt recollection became so black, in me, that I no longer fear to speak of the beast; I remember who we were (p.3).
Michel Serres (1999) Variations on the Body, Univocal.

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Thursday, October 30, 2014

Health Education England Technology Enhanced Learning Programme Bulletin - October 2014

Sent: 22 October 2014 14:37
Subject: HEE TEL Programme Bulletin - October 2014

HEE TEL Programme Bulletin
October 2014
Welcome to the first edition of the TEL programme bulletin.
This is published monthly to provide an overview of progress with the programme projects, a snapshot of regional TEL news, as well as any current issues or hot topics.
If you have any feedback, want to add something to this bulletin or would prefer not to receive it, email hee.tel AT nhs.net 
In this issue…

-       User needs research
-       TEL Hack Day 2015
-       Programme Review
-       TEL @ conferences this month
-       Regional news and views…

User needs research
Following the completion of a desk study in May to effectively scope out existing TEL platforms and resources, additional research is currently being carried out to provide further evidence that there is a real need for a fully integrated TEL hub.

A questionnaire was sent out across the programme networks on 17 October and can be accessed at: https://www.surveymonkey.com/s/JCC9D2C

The survey will close on 3 November 2014. Please tweet about it too #HEETEL

All results will be triangulated with the desk study and other existing data from previous meetings and events and the results will inform the final Government Digital Services (GDS) business case.


TEL Hack Day 2015, 6 – 8 March
A TEL specific hack day is planned in 2015, aimed at developing ideas and IT solutions to support healthcare students, staff and educators.

This weekend event is planned to take place from 6 to 8 March 2015 in Leeds. More details to follow shortly.


TEL Programme Review
A review was undertaken of the TEL Programme during August 2014 and the TEL Steering Group has now agreed the projects that are being progressed in order to deliver the Programme aims. Clearly the main deliverable of the TEL Programme is the TEL hub but there are 10 additional projects that the team is committed to building on. Each of the objectives, outputs, outcomes and benefits were discussed at an all groups’ meeting on 21 October and more detail will be shared over the coming weeks.

1. Digital literacy
2. Horizon scanning
3. Expert groups
4. Commissioning guidelines
5. Barriers and solutions to IT in the NHS

6. TEL in curricula and training pathways
7. Effective stakeholder involvement
8. Communities of Practice
9. User needs research
10.Integration with other HEE hubs

TEL @ conferences and events this month 
November will be busy month for the TEL team with presentations, workshops and stands planned at key upcoming events:
Updating on elderly medicine for FY and CMT doctors Geriatrics for Juniors (G4J) conference
8 November, Birmingham
Improving how humans and systems work together in healthcare
Annual Association for Simulated Practice in Healthcare (ASPiH) annual conference 2014
11 to 13 November, Nottingham

Education and Training Forum
Health Education Yorkshire and the Humber
26 November, Leeds

NHS-HE Connectivity Forum
Quarterly meeting
26 November, London

Regional news and views…
There continues to be an exciting range of TEL projects and initiatives being implemented regionally and this section of the newsletter is designed to provide a snapshot.

e-Learning Boot Camp Experience
Developers and others who support the delivery of e-Learning in the North West are benefitting from a new capability and capacity programme – the e-Learning Boot Camp Experience. Managed by the North West e-Learning Support Service, this programme is providing access to introductory and advanced skills in e-authoring, project management and quality assurance.

Sharing simulation scenarios
The North West simulation network have created a bank of evidence-based simulation scenarios to be made available across the region, as well as rolling out a quality assurance methodology to accredit individuals in the development of simulation skills, local courses using simulation techniques and centre-wide simulation.

Regional Simulation Network launched
Health Education North East (HENE) launched their Simulation Network last month, as part of the new Faculty for Patient Safety, within HENE. The aim is to bring together everyone who is interested in clinical skills, human factors and enhanced learning and education opportunities that effective simulation, research and innovation can deliver.


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Wednesday, October 29, 2014

3rd European Conference on Design 4 Health July 2015 UK

Design4Health2015 will be held at Sheffield Hallam University, Sheffield, UK from
Monday 13th to Thursday 16th July 2015.

Deadline for abstracts - Mon 5 Jan 2015

Design 4 Health 2015 provides an opportunity to reflect on how the disciplines of design and health might develop new ways of thinking and working, and how we might impact positively and sustainably on the social, economic and cultural factors within our communities and beyond.  We invite papers from researchers and practitioners across the areas of design and health in order to develop new dialogues and offer different perspectives.

The Call for Papers with full details of the conference themes is attached but they are summarised briefly here:

Design4Health2015: Synergies of Practice

key themes
Design encompasses a wide range of methodologies of practice and of research. Papers exploring the synergies of design and health methods are encouraged.

Design has strengths around envisaging both problems and solutions to help all stakeholders explore the world of health in new and exciting ways. Papers exploring innovative methods and case studies are encouraged.

The disciplines of design and health have different ways of both doing and defining ‘measurement’. Papers exploring the differences and opportunities around this area are encouraged.

areas of interest

  • Participatory approaches to design and research
  • Transdisciplinary working
  • Opportunities and barriers to innovation
  • Current and future landscapes in design4health
submission formats
This year, we are introducing some new elements to the conference and invite submissions in the following forms:
  • Abstract submissions: abstracts that address the conference themes, followed by short full papers before the conference
  • Poster proposals:  visually engaging poster describing research that address the conference themes
  • Exhibition proposals: creative responses to healthcare issues from across the art and design disciplines.
conference deadlines
Online submission opens: Mon 3 Nov 2014
Paper abstract deadline: Mon 5 Jan 2015 23:59 (GMT)
Submissions accepted: w/c 26 Jan 2015
Poster & exhibition proposal deadline: Fri 20 Feb 2015 23:59 (GMT)
Full paper deadline: Sun 8 Mar 23:59 (GMT)
Delegate registration opens: Mon 13 April 2015
Delegate registration closes: Mon 22 June 2015
Conference opens: Mon 13 July 2015

Online submission opens on 3 November 2014 at:

For announcements and news about D4H2013 [proceedings], please sign up to our email list at www.jiscmail.ac.uk/DESIGN4HEALTH or visit www.design4health.org.uk

Please circulate. Apologies for cross posting.

Kind regards
Kirsty Christer
Conference Organiser

My source:

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Tuesday, October 28, 2014

Patient-Practitioner disconnect c/o Healthcare Innovation by Design

https://www.linkedin.com/groups?home=&gid=2579818&trk=anet_ug_hmA post on a LinkedIn group I follow Healthcare Innovation by Design roused my interest -

What's the Source of the Patient-Practitioner Disconnect? 

Invariably on the web one item relates to another and so with this:

Doctors Tell All—and It’s Bad (The Atlantic)
A crop of books by disillusioned physicians reveals a corrosive doctor-patient relationship at the heart of our health-care crisis.

Just the above mention of corrosive suggests a great deal about the pressures on relationships in health and social care. Is there a mechanistic failure to follow? It sounds like metal fatigue, if not in the actual relationships then the financial systems that underpin them?

Stephanie Frederick's post also invited the views of other healthcare professions, recognising this is not limited to medics. My own experience would identify the disconnect as resulting from a preoccupation with assessment.

As community mental health nurses this is what we do. Risk assessment is the critical focus. Collectively we assess, problem solve, evaluate and draw upon the resources of the community team and many other agencies then discharge the patient back to the GP general practitioner. There is little or, no time for therapeutic intervention.

You could say empathy and rapport have been reduced to gestures. This would be fine if it's technology we are gesticulating to: but it isn't.

It's a unique individual, a person trying to manage a new or recurrent problem. With them may be family members also struggling to make sense of a disruptive situation that may also be life-changing. If they have no family what then?

It isn't that I'm missing the custard creams with the coffee, it's the frustration of reading about the need for new models of care. Of course, many of these calls are for new financial, commissioning and organisational models; but other models are essential to negotiate the shift to self-care. And yes, I would advocate for Hodges' model as a candidate here.

Who is going to do this? 
Do what? 

Well, restore person-centered care to what it should be: more than a policy gesture.

We need to finally address the health services - health promotion AND the educational issue contained in each.

That's one source of disconnect... or ok several...

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Saturday, October 25, 2014

EAST-WEST: meetings of minds, bodies and souls

? WEST ------------------------------------------- EAST ?
"The Philosopher" by Ludwig Deutsch (1905) from the collection of Shafik Gabr.

Image source and title link:
NY Times Robin Pogrebin November 29, 2012
Seeing Orientalist Art as an Aid to East-West Dialogue

My source:
Financial Times 23 November 2013, p.6

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Saturday, October 18, 2014

Call for Articles: “Social Representations, ICTs and Community Empowerment”

Call for Articles for a Special Section of Semiotica, the Journal of the International Association for Semiotic Studies on the theme of “Social Representations, ICTs and Community Empowerment”.

This special section will provide an overview of the use of Social Representations Theory (SRT) (Moscovici, 1961), for empowering local communities, with a specific focus on the role of Information and Communication Technologies (ICTs), such as the Internet, desktop and mobile devices, radios, etc.

Interested researchers are invited to submit an abstract proposal (word file) of about 500 words via e-mail.

Abstracts should be accompanied by the following information about each of the authors:

  • Name
  • Position
  • Affiliation
  • Contact Information
The deadline for abstracts submission is November 21st, 2014.

Inquiries and submissions can be forwarded electronically to:

Dr. Sara Vannini
Università della Svizzera italiana, (USI Lugano, Switzerland)
sara.vannini AT usi.ch

More information can be found here:

Thank you so much for your help!

Sara Vannini, PhD
Visiting Researcher - TASCHA
Executive Director - NewMinE Lab
PostDoctoral Researcher - BeCHANGE Research Group
sara.vannini.usi AT gmail.com
website: http://www.saravannini.com

My source: ciresearchers AT vancouvercommunity.net

Additional link [pj]: Wikipedia - Social representation

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Thursday, October 16, 2014

Blog Action Day - Inequality (and Inequity)

When time permits I will try to identify some of the dimensions of inequality against Hodges' model. In the meantime:

In addition to supporting the above as initiatives are underway to introduce the internet and smart telephony to the millions who are e-unequal, it may be worth reflecting upon the e's.

Oxfam - Even it Up: Time to end extreme inequality
Need, Equity and Equality - Health Economics, University of York

Credit Suisse Global Wealth Report 

Fortune.com: Bill Gates' solution to income inequality

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Wednesday, October 15, 2014

Glen Campbell - I'm Not Gonna Miss You

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

Music video by Glen Campbell performing I'm Not Gonna Miss You. (C) 2014 Big Machine Records, LLC.

Glen Campbell and Jimmy Webb have produced some truly age-defining music. A memory I hope to cherish all my days of these tunes was September 17 1979 flying Wardair from Manchester to Calgary. We chased the sun all the way over Iceland, Greenland ... with Glen singing along. A magical experience and holiday.

Thanks Mr Campbell!

May the nursing care you now receive be as person-centered as your music is to me and countless other people; and may high quality care be available to all who need it.

Thanks to Randy Roberson for this news.

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Tuesday, October 14, 2014

c/o [hifa2015] Stop the .health!

Hi everyone,

Some of you may know about the research I and colleagues around the world have been pursuing on the new health-related domains published in the Lancet, JMIR, Globalization and Health, and featured by news outlets such as NPR, Kaiser Health News, the CBC, and others.  Right now we have the unique opportunity to make an impact by demanding that that public health interests are a priority in the future of the Internet.

Currently, about a dozen health-related generic top level domains (gTLDs) are being added to the Internet.  They include domains such as .healthcare, .med, .doctor, .clinic and MOST IMPORTANTLY a new .health.  Unfortunately, ICANN is now in the process of awarding this hugely important domain space that could shape the very future of health information online to a company that has no interest nor expertise in public health.  Basically, ICANN has ignored key stakeholders including the World Health Organization, World Medical Association, Save the Children, IMIA, France, Mali, and others who have expressed great concern about ICANN’s treatment of the .health.  This recently ended in a secret and private settlement to award the .health that was scheduled to go to a public bidding process.

This decision is important as it will impact global public health and the health of individual consumers.  As people increasingly use the Internet for health information and use that information to make crucial treatment decisions, the quality and trustworthiness of health information online has never been more important.  A .health that was properly governed, had sufficient participation from the medical and public health community, and that was structured as a global public good for the broader community, could have been a game changer for ensuing the reliability of health information online and improving health outcomes.  This has not happened, as ICANN has focused on economic and commercial interests over public health.

What you can do
We are now engaged in a last ditch push to make a real difference here and we have an opportunity to do so.  Right now ICANN is having their annual meeting in Los Angeles. After discussions with friends at WHO, other academics, and even those sympathetic to our cause within ICANN, we’ve learned that only the broader public health and medical community can make a difference.  For this reason, I am hoping you will join our coalition in letting ICANN know that the concerns of the public health community for the .health need to be addressed immediately.

You can make a difference by directly engaging in ICANN’s policy processes via an online public forum this THURSDAY, OCTOBER 16 - 14:00-17:00PM PDT.  Participation is easy and will not take much of your time:

All you have to do is visit the following URL (http://la51.icann.org/en/schedule/thu-public-forum), and then click the “Virtual Meeting Room Stream Live” link, click the option to participate as a guest, and you will be entered into an adobe connect chat room where you can participate and voice your concerns.  Some of the concerns that could be addressed are:

- why has ICANN ignored calls by the WHO, World Medical Association, France, Mali, and others about the .health
- why did ICANN award the .health with no transparency through a secret settlement?
- why has ICANN not responded to multiple letters sent to their board about the .health asking for a moratorium/suspension of the process?
- why does ICANN treat other domains such as .wtf, .sucks, with better safeguards than the .health?
- why has ICANN not listened to the public health community about the .health and other health-related domains?
- health is such an important issue, shouldn’t we have a place on the Internet where we can trust our health information?

I will be personally attending the ICANN meeting in LA and meeting with certain key ICANN officials to try to make an impact.  Please join us so that we can ensure the .health is a place to improve your health, not harm it.

If you have any questions feel free to contact me at anytime attmackey AT ucsd.edu.  Only with your help can we hope to make a difference.


References and Sources

Published articles:

News articles:

HIFA profile: Tim K. Mackey is an Assistant Professor at University of California, San Diego - School of Medicine. He is also a current term member of the Council on Foreign Relations. tmackey AT ucsd.edu

My source: HIFA: Healthcare Information For All: www.hifa2015.org

HIFA Voices database: www.hifavoices.org

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Friday, October 10, 2014

WMHD II c/o LSE: Investing in crisis care for people with schizophrenia makes moral and economic sense

“When someone has a mental health crisis, it is distressing and frightening for them as well as the people around them. Urgent and compassionate care in a safe place is essential – a police cell should never need to be used because mental health services are not available. For me, crisis care is the most stark example of the lack of equality between mental and physical health.” 
(The Rt Hon Norman Lamb MP, Care and Support Minister)
There is a strong moral and economic case for investing in innovative approaches that support people with schizophrenia to live independently in the community. Crisis resolution and home treatment teams and crisis houses can help reduce the need for expensive hospital admissions with some studies suggesting that the costs of care can be reduced by up to 30% through these service models. There is a clear potential for Clinical Commissioning Groups to make better use of their resources by investing in home treatment teams and crisis houses as approaches to crisis resolution.
My source: The London School of Economics and Political Science, Health and Social Care blog email

Hodges' model in recovery ...
Jones P. (2014) Using a conceptual framework to explore the dimensions of recovery and their relationship to service user choice and self-determination. International Journal of Person Centered Medicine. Vol 3, No 4, (2013) pp.305-311.

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World Mental Health Day 2014: or...



or - World Parity of Esteem Day 2014?

Mental health & Psychology resources
(Links I - Hodges' model)

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Thursday, October 09, 2014

Privacy: Open Data, Individual and Group

The vertical axis of Hodges' model is the individual - group, or self through to collective. Health and social care constantly negotiates this from the ideals and delivery of person-centred care to public mental health. So often for health professionals the emphasis is on the individual, the person's care needs, their strengths, their rights, outcomes and feedback on care received. The same individual focus is also ascribed to records and information. Protection of data, maintaining confidentiality is an essential duty of health care  professionals.  

Earlier this year the government's care.data scheme was placed on hold. 'Open' is the way of the world: open access, open source, open data and open government. Increasingly the group as an entity needs to considered in what may be a new way, as Floridi writes:

The idea that groups may have a right to privacy is not new, and it is open to debate, but it has not yet received all the attention it deserves, although it is becoming increasingly important.
Open data is more likely to treat types (of customers, users, citizens, demographics population, etc.) rather than tokens (you, Alice, me), and hence groups rather than individuals. But re-identifiable groups are ipso facto targetable groups.It is therefore a very dangerous fallacy to think that, if we protect personal data that identify individuals, the protection of the groups will take care of itself. p.23.

Luciano Floridi. Group Privacy. The Philosophers' Magazine. Issue 65, 2nd Quarter 2014. Pages 22-23.


Here is a related book (on my list) a BMJ award winner:

The Private Life, Josh Cohen

The war over private life spreads inexorably. Some seek to expose, invade and steal it, others to protect, conceal and withhold it. Either way, the assumption is that privacy is a possession to be won or lost.

But what if what we call private life is the one element in us that we can't possess? Could it be that we're so intent on taking hold of the privacy of others, or keeping hold of our own only because we're powerless to do either? ...

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Saturday, October 04, 2014

Bits of information in 2049

humanistic ------------------------------------------- mechanistic
Who?Kill the Moon
1 0
0 1

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Wednesday, October 01, 2014

Bits of information a-cross the centuries - Bad Tidings & The Love Letter

As noted previously on W2tQ the significance of information practically and as a concept is very obvious in health and social care. Not just the debate about assuring privacy and confidentiality of clinical records and professional disclosure, but the meaning of information to an individual. This is assuming that the person concerned has the mental capacity to recognise what a particular circumstance, event, item of news means; and not just this morning, but tomorrow...

A diagnosis, lab result, a date for this procedure or that operation all can be a major source of anxiety and stress.

This week's visit to Amsterdam also included a visit to the Stedelijk Museum, where I saw Jobstijding (Bad Tidings), 1932 / Carel Willink (1900-1983). On Saturday I marvelled at Vermeer's The Love Letter and many other great works at the Rijksmuseum. ...

Through art and these works in particular we can contrast the social impact of information, of news - its meaning past and present with our ongoing preoccupation with binary representation and the information age.

Snail mail may be less common and yet the impact of decisions, news, life events ... remains.

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

Vermeer - The Love Letter
1 0
0 1
Carel Willink - Jobstijding (Bad Tidings)

0 1
1 0

Image sources:
The Love Letter, Vermeer

Jobstijding (Bad Tidings), 1932, Carel Willink (1900-1983)Stedelijk Museum, Amsterdam, The Netherlands


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