- 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

Monday, April 02, 2018

c/o Nursing Times "Has healthcare lost its humanity?" or "Your subscription has expired"

I followed a link to this opinion piece from an email c/o Nursing Times. On their website the invite to comment was a reflex.

The subtitle -

Do you think healthcare has become just about systems and processes so that the individual - staff and patient - are just cogs in the ever-turning wheel?

- is a real tease of course. Hodges' model sees the cogs, hears them turn. The model can follow the implications - when they politically grind.

Is it me, or am I reading more about humanity, humanistic AND healthcare and nursing of late?

Logged in (after a great many months) my comment written - I 'submit'. There was a problem with the 'human test'. I tried again and was rewarded with:

"Your subscription has expired

Your access to this article has been denied because your subscription to Nursing Times has expired. To gain access to the content please renew your subscription."
My comment seemed lost: surely they can test and warn you of your status? Why allow you to write and submit? The two existing comments were anonymous. I'm happy to comment as 'peter jones'. I tweeted to NT; no (holiday) response.

Thankfully I'd copied my missive whilst writing so here it is.

Hello Kathryn,

The anonymous comment of "Wake up UK" rings true on two counts at least -

1. Nursing academia is falling far short in recognising the lessons of history and ignoring tools that can assist us in recognising so many of the points you raise from the event (which sounds excellent!).

2. The challenges of 21st C. care needs us to address health promotion and the health literacy of the public. Is there a need for a separate service - as with social care?

We protest at lists, box ticking, intentional rounding and yet some of the tools to help us argue the case for Nursing skills and humanity in care must utilise such heuristics and aide memoire.

Hodges' model covers the dimensions of care as defined and as you write Kathryn:


The HUMANISTIC (yes really!) aspects of why, how we care and the MECHANISTIC

These dimensions create a space for reflection across nursing as in the SCIENCES, POLITICS (crucial! for staff and the public we care for and teach to self-care), INTERPERSONAL the mental health care and SOCIAL - responding to culture and social trends and expectations.

This model can be used to help present and argue the case for humanity in care. In future balancing the application of technology whether software, hardware will be central to not just maintaining humanity in care but how it is perceived and defined.

The model is not just for nurses but across all health and social care. See the latest post on social workers and reflective practice:

Paper: How social workers reflect in action and when and why they don’t - mapped to h2cm

As mentioned in Kathryn Godfrey's post I wish the Point of Care Foundation and other groups would be open to a dialogue, presentation, workshop... on this model which is free, open and easy to learn and apply.

The number of 'health' and 'patient' agencies suggests a great deal of duplication of effort. They do have a role and are inevitable arising from Community Interest Companies (CICS) and Social Enterprises and sheer public goodwill. Perhaps, however, this duplication suits certain political agendas? As evidence-based care and staff support is sought and literature searched - still the quality of care is found wanting - the point and centredness of humanity - is difficult to locate and so experience?

Is there a hint of sour grapes? Yes, sure after 41.5 years they are mine and - I think - hard-earned - so hands-off ;-) Seriously, Hodges' model has increasing utility and relevance and my passion and compassion to improve care is undimmed whatever those in the ivory towers, the nurse theorists in their respective furrows and management fashionistas say...

There is a bibliography and more info at:


etc, etc close ...


The link may be accessible to you?

To close -
I don't submit.
The value here: Our values can and need to be learned, applied, tested, conveyed, assured and sustained.