Hodges' Model: Welcome to the QUAD: July 2015

- learn about the conceptual framework Hodges' model. A tool that can help integrate HEALTH and SOCIAL CARE, INFORMATICS and EDUCATION. The model is situated, facilitates person-centredness, integrated - holistic care and reflective practice. A new site using Drupal is an ongoing aim - the creation of a reflective workbench. Email: h2cmng @ yahoo.co.uk Welcome

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).

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.

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


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

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.

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'.

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.

Friday, July 17, 2015

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. ...

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) ...

Many thanks,
Jill Riley - HANDI Health


(I have my ticket.)

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.

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

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 

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.

Thursday, July 02, 2015

ERCIM News No. 102 Special Theme: "Trustworthy Systems of Systems"

Dear ERCIM News Reader,

ERCIM News No. 102 has just been published at http://ercim-news.ercim.eu/en102

Special Theme: "Trustworthy Systems of Systems"
Guest editors: Poul Heegaard, NTNU and Erwin Schoitsch, Austrian Institute of Technology

Keynote by Werner Steinhögl, Programme Officer at the European Commission, Components and Systems, Directorate General CONNECT: "Trustworthy Systems of Systems – A Prerequisite for the Digitalization of Industry"  

Invited contribution by Andreas Wild, Executive Director of the ECSEL Joint Undertaking: "ECSEL JU Launches Research and Innovation Actions Strengthening European Competitiveness"

This issue is also available for download in pdf and ebpub    

Next issue: No. 103, October 2015 - Special Theme: "Augmented Reality"
(see Call for articles at http://ercim-news.ercim.eu/call)

Thank you for your interest in ERCIM News. Feel free to forward this message to others who might be interested.

Best regards,
Peter Kunz
ERCIM News central editor

Wednesday, July 01, 2015

Online Metaphor Map launched


Here at the University of Glasgow we have just completed a three-year-long project which traces metaphor over the entire history of the English language, creating the first ever Metaphor Map resource. It contains thousands of metaphorical connections which can be accessed through a visual or text-based interface.

If you're interested you can visit the site here:

Or you can read more below:

English language metaphors are “as old as the hills” – or 13 centuries old at the very least – researchers at the School of Critical Studies at the University of Glasgow have found.

They have just completed a three-year-long project which traces metaphor over the entire history of the English language, creating the first ever Metaphor Map resource which contains the thousands of metaphorical connections that the researchers have identified.

“This project is unique in its scope. While a considerable amount of work on metaphor has been done over the past 40 years, it has never been possible to achieve this level of comprehensiveness until now,” said Dr Wendy Anderson, Principal Investigator on the “Mapping Metaphor with the Historical Thesaurus” project.‌‌

The Metaphor Map is based on the data contained in the Historical Thesaurus of English, which took from 1966-2009 to compile, and its own parent resource, the Oxford English Dictionary. The researchers, who have been funded by the Arts and Humanities Research Council (AHRC), have been able to identify well over 10,000 metaphorical connections between different categories and track how language use has changed over the centuries.

“These findings support the view that metaphor is pervasive in language and a major mechanism of meaning-change,” said Dr Anderson.

“This helps us to see how our language shapes our understanding – the connections we make between different areas of meaning in English show, to some extent, how we mentally structure our world,” she added.

“Over the past 30 years, it has become clear that metaphor is not simply a literary phenomenon; metaphorical thinking underlies the way we make sense of the world conceptually. When we talk about ‘a healthy economy’ or ‘a clear argument’ we are using expressions that imply the mapping of one domain of experience (e.g. medicine, sight) onto another (e.g. finance, perception).

“When we describe an argument in terms of warfare or destruction (‘he demolished my case’), we may be saying something about the society we live in. The study of metaphor is therefore of vital interest to scholars in many fields, including linguists and psychologists, as well as to scholars of literature.”

The Metaphor Map is still a work in progress, but once complete it will also include tens of thousands of examples of words with metaphorical senses; to date, around a quarter of these have been put online.

The researchers plan to launch a parallel Metaphor Map for data from Old English (prior to 1150AD) in August, at the International Society of Anglo Saxonists conference in Glasgow. The team, led by Dr Anderson and Research Associate Dr Ellen Bramwell, is also working on another project, “Metaphor in the Curriculum”, to create materials on metaphor for schools. This is funded by the AHRC’s Follow-on Funding for Impact and Engagement strand.
Kind regards
Brian Aitken MA(Hons) MSc
Digital Humanities Research Officer
School of Critical Studies
Room 506
13 University Gardens
University of Glasgow
G12 8QJ

Email: brian.aitken AT glasgow.ac.uk
Web: http://blogs.arts.gla.ac.uk/digital-humanities/
My source:
Humanist Discussion Group, Vol. 29, No. 133.
Department of Digital Humanities, King's College London