Hodges' Model: Welcome to the QUAD: May 2022

Hodges' model is a conceptual framework to support reflection and critical thinking. Situated, the model can help integrate all disciplines (academic and professional). Amid news items, are posts that illustrate the scope and application of the model. A bibliography and A4 template are provided in the sidebar. Welcome to the QUAD ...

Tuesday, May 31, 2022

Key Safeguarding Legislation [UK]

I have been catching up on mandatory e-learning for work, which included safeguarding. This included a review of forms of abuse:

Physical abuse
Domestic violence or abuse
Sexual abuse
Psychological or emotional abuse
Financial or material abuse
Modern slavery
Discriminatory abuse
Organisational or institutional abuse
Neglect or acts of omission
Self-neglect  [SCIE]

In addition to the list of legislation below, readers may wish to relate these forms of abuse to the care (knowledge) domains of Hodges' model. 

Remember the model is an idealisation, but it is a very useful starting point for reflection, critical thinking, problem solving, analysis and synthesis.   [ Re. (self) - see below. ]


INDIVIDUAL

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 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP

(self)

(self)


"Care Act 2014

Mental Capacity Act 2005 / Court of Protection

Human Rights Act 1998

Domestic violence crimes and victims act 2004  (amended in 2012)

Mental Health Act 1983

Safeguarding vulnerable groups act 2004 amended by Protection of Freedoms Act in 2012

Sexual Offences Act 2012"
(list not exhaustive)


As a means to help understand a situation, the model is applicable in risk and public safety more generally. In assessing risk students often recognise 'risk to self' and 'risk to others', but self-neglect can be a key part of the picture.

 
My source/prompt: E-learning


https://twitter.com/imathematicians/status/1530724466073952261?s=20&t=eF1XRD9HbkSJ2XWWbIk2qQ

Monday, May 30, 2022

1+1=2

INDIVIDUAL
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 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP

belief
my purpose


1+1=2

0,1 ...
society
social groups
social networks
1+1= ?

"When people talk about how math is or should be apolitical, because "1+1=2" does not depend on politics and neither does the Riemann hypothesis, it seems that the only math that they can think of is pure math. This line or argument completely falls apart for applied math.@imathematicians [thread]


My source:

https://twitter.com/imathematicians/status/1530724466073952261?s=20&t=eF1XRD9HbkSJ2XWWbIk2qQ 

Previously: 'maths' ,  '2 + 2 = ?'

https://twitter.com/imathematicians/status/1530724466073952261?s=20&t=eF1XRD9HbkSJ2XWWbIk2qQ

Tuesday, May 24, 2022

A Panopoly of Panopticons

INDIVIDUAL
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 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP


Cognitive (Care) Panopticon:

You're looking at the whole thing now

'a' mind ...


PANOPTICON:
Architectural design
Lines of in-sight

Digital Currency Electronic Payments
[DCEP]


The primary Panopticon:

The community ...

"Jeremy Bentham, an 18th century philosopher and social theorist, envisaged a building designed to allow all prisoners of an institution to be observed by a single security guard. It was called a Panopticon; and in today's world the equivalent will be digital - the emergent property of a swathe of various technologies welded together by a regime intent on total control of billions of minds."

 Panopticoin  [DCEP]



My source:

"China's new 'panopticoin', What Investment, Dec. 2019. p.50.

Saturday, May 21, 2022

Book - "Criminal: How Our Prisons Are Failing Us All"

INDIVIDUAL
|
 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP

LIFE CHANCES

LIFE SKILLS

(mental) health
learning disability
acquired brain injury
post traumatic disorder
...



Personalised medicine:

"If you use substance 'x' or this class of drugs, then there is a 'y' probability that 'z' will happen." ...
... future ...?

Traumatic Brain Injury Screening
Collective Life Chances

Society ...?

Life Skills 'fit' for 21st C.

EDUCATION
EDUCATION
EDUCATION

Pre-School!
Pre-School!!
Pre-School!!!

equity

Social Justice

 


I heard Angela Kirwin being interviewed about her book on Times Radio earlier today.

Prisons have changed. Haven't they? Prison reform 'happened'. It is a fact of history after all - Elizabeth Fry et al.? At least according to Social and Economic History GCSE in the 1970s.

Mental asylums changed. They have closed. 

Prisons have (apparently) changed markedly since the 19th - 20th century.

With the 'asylum system' of institutionalised 'care' they share a few things in common..

The 'estate' was Victorian (Winwick Hospital is long gone - leaking, cockroach infested, red carpet at the main entrance - with frequent reference to custodial care and how to change - challenge this.).

Now community care, or care in the community (take your pick) holds sway. 

We are a fifth of the way into the 21st century - can you believe it?

Decades from now will they look at the prison system now and see it as archaic as we see the 'lunatic asylums' pre-20th century (terrible for much of the 20th in fact), and yet we often forget the rationale for their original establishment?

From a mental health perspective what do the social determinants (of health) mean?

Mechanistically speaking, it seems determinism is very much doing its work - too many enter the political system and it's not the one - to represent the community in Parliament.

I've viewed Hodges' model as a resource to highlight parity of esteem at an individual level (physical AND mental health).

Increasing in relevance, I can see its utility in the pursuit of collective parity of esteem.

The most troubling commonality here: care in the community is unfinished. It sort of got started. It fledged, but never took flight.

There were many compassionate, caring, professional staff in the asylums. Exceptional role models. They saw the theory - practice gap. Pointing it out. Aptitude - Attitude. They were the heart in the Victorian shell, even as science struggled (and still does) with the ghost in the machine.

Historically speaking the ‘workhouse’ is closer than we think.

The UK rightly lauds its National Health Service, created in 1948. The Poor Law was also abolished in 1948 (Hillam and Bone, 1999).

Prisons, mental health care, preventive health, health education and community care .. so much still to do.

This sounds an interesting new book too! :-)

Hillam, Christine., and J.M. Bone. THE POOR LAW AND AFTER: workhouse hospitals and public welfare. Liverpool: Liverpool Medical History Society, 1999. ISSN 1364-999x


Friday, May 20, 2022

Join us 6/16 - Virtual tour of The Healing Project's new digital archive

"Join us on Thursday, June 16, 2022 from 12-1p PT / 3-4p ET for a virtual tour of The Healing Project’s brand new digital archive! We’ll discuss what the art, stories, and realities of incarcerated people in the US mean for health professionals’ work to advance health equity in the context of historical and contemporary social justice movements."
 
INDIVIDUAL

|
 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP

(mental) health equity*


(physical) health equity*

arts
social justice
history
social health equity^
healing communities

incarcerated people
detention
police
health workers
political health equity^


 

*individual (lived) experience

^collectively experienced (and also 'lived')

Where does violence sit, stand, shout, strike, stun ... in h2cm?

My source: 

Spiritof1848 Listserv WWW.SPIRITOF1848.ORG #Spiritof1848

Thursday, May 19, 2022

Finding motivation ...

INDIVIDUAL
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 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
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GROUP

INTRINSIC

EXTRINSIC
INTRINSIC

If 'you' activate the intrinsic motivation of a people 'here' by extrinsic means, be prepared to suffer the consequences.

 

Previously:

Conveying the Message: Channel, Noise, Redundancy, Information ...   

Social care ... 

 

Saturday, May 14, 2022

New book: "Talking with a Map"

- A Cognitive Analytic Approach
to Everyday Conversational Awareness

 INDIVIDUAL
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   INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
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GROUP

MENTAL MAPS

PSYCHO-THERAPIES


MAPS

PHYSICAL-THERAPIES






META-COGNITION

 

Fingers-crossed please! 

I've contacted Pavilion Publishing and Media Ltd with a review copy request of this new book - available for pre-order:

"Talking with a Map takes cutting-edge techniques for structuring and navigating conversations out of the therapy room and into everyday life, describing a versatile method that anyone can use to develop better skills, interactions and relationships."

Working with two co-authors three papers will hopefully (yes - cross them again) be complete soon. Then I can resurrect the piece on case formulation, diagrams and Hodges' model. 

If anyone is interested please get in touch:

peter.jones AT h2cm.info

Previously on W2tQ:

map :: therapy

Thursday, May 12, 2022

LMIC: Opportunity to get involved with the National Institute for Health and Care Research, UK

Hello,


We have an exciting opportunity for people with lived experience based in low and middle income countries to get involved with the National Institute for Health and Care Research (NIHR) as funding committee members and reviewers, and we’d very much appreciate your help.


The NIHR is funded by the UK government and is a major funder of high quality global health research. Our next research programme is the Research and Innovation for Global Health Transformation (RIGHT) Call 5 , which is focused on strengthening health service delivery and resilience in low and middle income countries (LMICs) in the context of extreme weather events.


Would you be interested in joining us and giving your recommendations on which research proposals to fund? We are looking for people with lived experience of extreme weather events. Your insights and ideas can help shape research that is important to people living in LMICs, and improve healthcare services for some of the most vulnerable and marginalised communities.


The role of public committee member or reviewer involves reading funding proposals and providing a written summary of reflections. We pay a fee for involvement as a way of thanking you for your support. 

Please complete the Expression of Interest Form and submit this to us by Monday 16 May 2022.

If you have any questions or would like to discuss this in more detail, please get in touch with Razina Hussain at ccfcei AT nihr.ac.uk. 

Thank you and best wishes,

Razina

Razina Hussain

Programme Manager, Community Engagement and Involvement | PPI and Engagement | NIHR Central Commissioning Facility (CCF)

e. razina.hussain AT nihr.ac.uk
Central Commissioning Facility
Grange House
15 Church Street
Twickenham
TW1 3NL

My source: HIFA

Wednesday, May 11, 2022

Social care [ Not... ]

 INDIVIDUAL
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   INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
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GROUP








"No minister,
a “protective ring”
was not thrown around care homes"

 

McKee M. No minister, a “protective ring” was not thrown around care homes doi:10.1136/bmj.o1116

Monday, May 09, 2022

Social care ...

INDIVIDUAL
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 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
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GROUP











A monument for Taras Shevchenko is symbolically protected by bandages in Borodyanka, northwest of Kyiv.

Nickolai Hammar / NPR

 

My source: Schama, S. "Who controls the past?", FT Weekend, Life&Arts, 7 May 2022, p.1.

Photo: https://www.opb.org/article/2022/04/09/this-is-what-a-ukraine-town-looks-like-after-russian-troops-withdraw/


Global opportunity for midwives & nurse-midwives to contribute to 'Midwives in Focus' research

Dear Colleagues,

In partnership with Coventry University and Jhpiego (with support from the Nursing Now Challenge) we are hosting the 'Midwives in Focus' programme.

We need to recruit 1000's of midwives and nurse-midwives from around the world to participate in our global survey exploring professional identity, midwifery leadership and the representation of midwives around the world.

Survey link here - please complete and share

Survey Link: https://bit.ly/3uERMmZ

Please complete this and share with colleagues.

Thank you

Dr Sally Pezaro 

My source: GANM (Global Alliance for Nursing and Midwifery).

 

'Supplication In Alabaster' by Wangari Mathenge

 INDIVIDUAL
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 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
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GROUP




 

Ack. Wangari Mathenge (and sources for a means to illustrate the 'self' and 'other' in h2cm)

My source and image: @tanita_tikaram

https://twitter.com/tanita_tikaram/status/1364293961184075781?s=20&t=Zn0-jlIRF_n_yyUVkW-f-g

Caption: "'Supplication In Alabaster' - detail, 2019 Oil on canvas 52” x 72.5” All works have been copyright protected, Wangari Mathenge © 2019"

Saturday, May 07, 2022

"The Ascendants XIV (She Is Here Too But Why Are You?)" 2021, by Wangari Mathenge

 INDIVIDUAL
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 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP






 

Ack. Wangari Mathenge

My source: FT.COM/HTSI "HOME is where the ART is".

https://www.ft.com/content/c02b4cec-005b-4fed-9fa2-bfaa648f10c6

Original image: https://www.houldsworth.co.uk/artists/44-wangari-mathenge/works/ 

Caption: The Ascendants XIV (She Is Here Too But Why Are You?), 2021, by Wangari Mathenge © Brian Griffin. Courtesy the artist and Pippy Houldsworth Gallery, London. © Wangari Mathenge 2021


Friday, May 06, 2022

22nd UKSS International Conference


20th & 21st June 2022
at Lancaster University

Joined-up Thinking  for a Disconnected World

In every age, there is a turning point, a new way of seeing and asserting the coherence of the world.  J. Bronowski

About this event

As we emerge from the Covid pandemic, it is abundantly clear that we, the human race, share the same ecological systems and have the same survival instincts. However, we treat things in a piecemeal fashion in our day-to-day existence and conveniently forget that all our lives are entwined. We, the human race generating waste and creating pollution, cannot blame anyone else. Never has thought in a joined-up way been more critical. It is appropriate this year that the conference is hosted at the University of Lancaster that, under Peter Checkland, has done so much to stimulate Systems Thinking and Practice. To this end, the conference committee agreed that the theme should focus upon the value of systems thinking and practice and encourage contributions from across the spectrum of human concerns where the notion of holism is at its core.

 
Planning to attend ... See you there?
 
Previously:
https://hodges-model.blogspot.com/search?q=UKSS

Wednesday, May 04, 2022

Triangulation: When is a light an axis?

 

...when there are two lights ...

32c St. Joseph single
https://postalmuseum.si.edu/object/npm_1996.2066.165

See also:

https://en.wikipedia.org/wiki/St._Joseph_North_Pier_Inner_and_Outer_Lights

 

Monday, May 02, 2022

Review ii - "Brainscapes: The Warped, Wondrous Maps Written in Your Brain―And How They Guide You"

Brainscapes

Now I know how Umami (p.87) an "example food magazine website to demonstrate some of the features of Drupal core" - got its name. I'm sure this was explained at a Drupal Meetup. Savoury indeed!

There had to be two! The brain has two strategies: brain maps and distributed codes.

"Representing information with a distributed code is entirely different from representing it with brain maps. In a brain map, neighboring neurons represent neighboring regions in space, frequency, time, and so forth. And brain maps essentially represent information using location, or where in the brain area the neurons are most active. In contrast, there is no consistent relationship between neighboring neurons in brain areas that use distributed codes. These areas represent information through the distributed pattern of activity across that entire region of the brain, rather than through the location of activity within it. This pattern of activity is a kind of code." pp.93-94.

This distinction is significant for Hodges' model, as the distributed codes act to deal with novelty, what is new - ongoing (lifelong) learning (p.95). Hodges' model can help distinguish between subjective and objective concerns. Schwarzlose unifies the two - via a catfish (also a goal here - but not necessarily with such an assistant).

"The map in the olfactory bulb is organised into odor zones based on molecular structure, an objective property of these compounds in the physical world. But the second map is organized into zones based on the significance of the odors to the animal." p.100.

Chapter 6 'On the Move: Brain Maps for Action' would have been useful as a student nurse at Winwick Hospital, the history in the book brings back many reminders - late 1970s. Epilepsy, then was less well understood, and managed. In describing the M1 brain map and movement I wondered about consent, but can see that is a distraction. Chapters -

6. On the Move: Brain Maps for Action | 107
7. Maps in the Making: How Brain Maps Develop and Adapt | 131
8. Knowing Again: Brain Maps for Recognition | 151
- offer much to relate to clinical encounters: movement, reaching, infant versus the brain in adults, the senses and catastrophic events such as cerebrovascular accident - stroke. Morphologically there is much still to learn (brain maps are 'primed' before birth), which perhaps is why we recognise the remarkable nature of gestation and birth. 'Maps in the Making' provides wondrous insights, including the need in hospitals to rethink the sensory environment and experience for premature infants.

While reading - I was struck at the experience of the newborn and mothers in Ukraine. The 'health career' model concerns life chances - from birth to later life...

As a community mental health nurse I have found subtle and less-subtle impacts on a person affected by semantic dementia (p.204) and their family. Given the ongoing invasion and war, I also thought about people living with dementia and having to flee their homes. The multiple contexts that pertain in such a crisis situation when considering 'maps' and sense-making. Especially, when the need for action is preemptive - preventive and so must be explained and justified, not once but perhaps repeatedly?

We are all innate mathematicians even if we feel we have no ability. 

https://www.google.com/search?client=firefox-b-d&q=mathematics+in+catching+a+ball

I take some succor in this (p.127).

There's a hodgepodge in here too (p.161 hb). The myriad of objects we encounter and their recognition calls for the combination of brain maps and distributed codes. Chapter 8 is more psychological, touching :-) how we categorise objects, dimensions and scales, size and animacy. Galton's contribution is discussed, his ideas on eugenics also acknowledged. Visual perception, mental imagery and visual learning style remain subjects of note for researchers. I'm not sure why figure 32 stood out ( :-) - please pardon the quality of the photo. Paul Kim's illustrations are an excellent support for the prose.):

FIGURE 32 A comparison of visual perception and mental imagery in
the V1 visual map. Paul Kim

Somewhere I've saved an article on mental imagery from New Scientist I think, about this ability - the mind's eye and how it is missing for some 'brilliant' people (p.182) and posted previously:

In my mind's eye I can picture care: Frame by Frame

I might read Chapter 9 again, attention, action and perception in combination. 

Chapter 10 had me thinking again about 'Conceptual Spaces' (quality dimensions) and threshold concepts (not in the book - but this is a positive!):

"Many of the concepts that rule our financial, social, and emotional well-being have no shape, no color, no odor or weight. How do we grasp these intangible concepts? As it turns out, we often do so by aligning abstract concepts with physical dimensions and then putting our brain maps to work." p.191.

There is a 'mental number line', vertical too, and culture is a factor in how we learn and the brain associates space and quantities, in which L-R, low-high are also brought into play. The question remains here: Is Hodges' model culturally neutral? 

Still with h2cm - mind reading, writing and 'drawing' perhaps? p.236. In "Fortune-Telling with the Brain" we read about how fMRI is allowing us to learn how the brain maps employ teamwork. There is an architecture whose stability can inform predictions of future abilities - reading is described. Reading this you see ethical implications (as Schwarzlose warns p.238), but it may help to target personalised learning, as an adjunct to personalised medicine? I double checked (index) and the connectome is not mentioned, but the benefits of this research is still to be realised. In 'prison health' here in the UK (and globally?) it is long overdue but it is encouraging to hear about the focus on investigation for previous brain injury within the prison population. Remember - lead in fuel and the socio-economic impacts of pollution (ongoing - air and plastic pollution)?

Corporations have literally only 'scratched the surface' of the future potential to 'read' us individually. Through Hodges' model I can qualify and justify the model's increasing relevance. Technology and science not only call for SOCIO-technical approaches. The brain-computer interface and AI (p.239) demands we also consider the several forms of literacy and informatics that are needed in the 21st century: bio-informatics, bio-political, psycho-political and more.

This is very informative and timely read - the diagrams too. This is a book for all. For student nurses specifically, it will enable them to maximize learning in their practical placements and throughout their course of study.

Writing this review I can also see the important messages in chapter 12 - recognition of infancy and the opportunities this affords.

Many thanks to Rebecca Schwarzlose and Profile Books for my review copy.

Schwarzlose, R. (2021) Brainscapes: The Warped, Wondrous Maps Written in Your Brain―And How They Guide You". London: Profile Books.

Sunday, May 01, 2022

APPGs - All Party Parliamentary Groups (Revisited: One-By-One ...?)

Previously in "How many APPGs does your Garden Grow?", I wondered about the number and variety of APPGs related to health and social care. How do they integrate their work, the inputs, outputs and impact on legislation, policy, safety, standards, delivery of care and sustainability in the future? 

A selection of APPGs includes:

APPG on 22q11 Syndrome
APPG on Access to Medicines and Medical Devices

APPG on Acquired Brain Injury

APPG on Adult Social Care

APPG on Ageing and Older People
APPG on Air Pollution
APPG on Allergy
APPG on Antibiotics
APPG on Arts, Health and Wellbeing 

APPG on Autism
APPG on
Axial Spondyloarthritis
APPG on Baby Loss
APPG on Beauty, Aesthetics and Wellbeing
APPG on Black Maternal Health
APPG on
Bladder and Bowel Continence Care
APPG on Blood Cancer
APPG on Brain Tumours
APPG on Breast Cancer

APPG on Bullying
APPG on Cancers
APPG on Carbon Monoxide
APPG on Cardiac Risk in the Young

APPG on Carers
APPG on Cerebral Palsy
APPG on Childhood Trauma
APPG on Children of Alcoholics
APPG on Children who Need Palliative Care
APPG on Children, Teenagers and Young Adults with Cancer

APPG on Cleaning and Hygiene
APPG on Complex Need and Dual Diagnosis
APPG on Coronavirus
APPG on Dementia and Adult Social Care
APPG on Dementia
APPG on Dentistry and Oral Health

APPG on Disability
APPG on Down Syndrome
APPG on
Dyslexia and Other Specific Learning Difficulties
APPG on Eating Disorders
APPG on Extreme Poverty
APPG on Eye Health and Visual Impairment
APPG on Food and Health
[
APPG on Further Education and Lifelong Learning]
APPG on Gaps in Support
APPG on Global Health
APPG on Health
APPG on Health and the Natural Environment
APPG on Health in all Policies
APPG on Health Infrastructure
APPG on HIV and AIDS
APPG on Learning Disability
APPG on Multiple Sclerosis
APPG on PANS and PANDAS
APPG on Parkinson's
APPG on Terminal Illness
APPG on
Water, Sanitation and Hygiene
[APPG on Whistleblowing]
APPG on Yoga in Society

APPG on Young People's Health

There is a 'full' register at:

https://publications.parliament.uk/pa/cm/cmallparty/220323/register-220323.pdf

Revisiting the previous post and its list of APPGs, extended above, you can see some obvious potential sources of influence for several APPGs.

Scanning the register with the list of APPG by countries, I was disappointed not to see Earth, or Gaia listed. But then they are probably not recognised as 'political' entities? Which is the ongoing challenge in the climate crisis (recognition of ecocide?). 

What about, more reasonably 'Global Health'? This was not listed as a country, but further reading is rewarded. There it is - 'Global Health':

https://globalhealth.inparliament.uk/

[ The link in the register is currently broken. ]

I should have remembered this APPG having posted before:

https://hodges-model.blogspot.com/2016/10/triple-impact-nursing.html

On the radio this past week I heard mention of Transparency International and published recommendations to control lobbying, prevent corruption and malign influences of sponsorship.

See also:

"APPGs scandal: MP reveals how lobby firm tried to use her to influence Parliament"

https://www.opendemocracy.net/en/dark-money-investigations/appgs-scandal-mp-reveals-lobby-firm-tried-influence-parliament-alison-thewliss-snp/

This post also helps inform a paper on Hodges' model, Early Intervention in Psychoses and research.

There are so many APPGs related to health, and associated with the purposes of Hodges' model.

One discovery - I must follow the APPG on Health Infrastructure.