Hodges' Model: Welcome to the QUAD: national

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 ...

Showing posts with label national. Show all posts
Showing posts with label national. Show all posts

Sunday, July 12, 2026

Level Headed Questions about Identity

individual
|
INTERPERSONAL
: SCIENCES             
humanistic ------------------------------- mechanistic
SOCIOLOGY : POLITICAL   
|
group

Individual - Person
IDENTITY
 Personality
Character
Traits
 
Spiritual identity
 
Religious identity


brain in a vat 
thought experiment
  
SPIRIT level
 
 
'LEVEL HEAD'

Social identity (cohesion)

Collective & Cultural identity
 
Role & Family identity
 
Relational identity
Languages

media(-ted) identities

Local / Regional identity

National identity:
North-South :: West-East divide

Organisational / Inst. identity
Political
 
GLOBAL
NORTH:SOUTH 

 

The Legend of St Edmund and the Wolf

Source: 'The Bay Horse' local pub and Coffee House.

Previously: 'identity' : 'philosophy' : 'alcohol' : 'South' : 'language'

Monday, June 22, 2026

Maker-field: More than just a point* on a map

Ashton-in-Makerfield has been in the news of late. With Andy Burnham MP championing the communities of the north; local issues, socio-economic gaps, needs and everyday lived experience up North.

But Makerfield holds much more as a veritable rabbit-hole supporting lifelong learning, character development, reflective practice and critical thought:

 'maker' - 'field'

* - a political constituency.

Previously: 'map'

Saturday, May 16, 2026

RCN Congress 2026 & RCN North West Multicultural Group (NWMG)

England's North West is certainly in the news at present, on two counts:

  1. The current Labour party machinations in the Makerfield ward;
  2. and RCN Congress in Liverpool.

 As I attend Congress a key focus is the debates and how I can relate these to Hodges'model - (with some links to previous posts):

1. Nursing as a STEM profession
Matter for discussion submitted by the Eastern Board
That this meeting of RCN Congress discusses the recognition of nursing as a STEM (Science, Technology, Engineering, and Mathematics) profession, valuing the scientific, technical and analytical expertise of nurses.

STEM - science : technology : engineering : mathematics

2. Safe, ethical, person‑centred nursing
Resolution submitted by the Cheshire Branch
That this meeting of RCN Congress calls on RCN Council to urgently develop and implement a UK‑wide framework for realistic person‑centred care, ensuring that nursing practice is safe and ethical.

safe : ethics : person-centred 

3. Regular redeployment
Matter for discussion submitted by the Wiltshire Branch
That this meeting of RCN Congress discusses the impact of the daily redeployment of nursing staff on morale, team work and patient safety.

re- deployment

4. Unpaid hours
Matter for discussion submitted by the North East London Inner Branch
That this meeting of RCN Congress discusses the culture of nursing staff missing breaks and working beyond their contracted hours.

work

5. National safety standards for lone working
Resolution submitted by the Health and Safety Reps Committee
That this meeting of RCN Congress calls on RCN Council to lobby for the implementation of national safety standards for lone working, ensuring access to appropriate safety equipment, technology and protocols to protect staff across all care settings.

lone working

6. Accountable, compassionate and psychologically safe leadership
Matter for discussion submitted by the Cheshire Branch
That this meeting of RCN Congress discusses how the RCN can help create a culture where accountability, compassion, and psychological safety coexist, enabling managers to lead effectively while ensuring all staff feel respected and protected.

accountability : compassion : leadership 

7. Misinformation in health care
Matter for discussion submitted by the Women's Health Forum
That this meeting of RCN Congress discusses misinformation in health care and the impact this has on the nursing workforce.

misinformation : information disorder

8. Confidence to address racism
Matter for discussion submitted by the South West London Outer Branch
That this meeting of RCN Congress discusses how to build the confidence of nursing staff in addressing racism.

confidence : racism

Once again the North West Multicultural Group will have a stand:

The RCN North West Multicultural Group (NWMG) creates a community for members across the region from multicultural ethnic backgrounds to connect with each other, share their lived experience, knowledge and diverse ideas that help drive change around racism to ensure that their various organisations is the best place to work.

Membership is open to RCN members of Royal College of Nursing from multicultural backgrounds and their allies.

Mission statement: 

The aim of the North West Multicultural Group is to stand against racism and discrimination by using members lived experiences, encouraging organisations to be anti-racist and with the support of allies.  

Aims and objectives: 

  • To raise the issues around race, discrimination and equality in the workplace and to find potential solutions. 
  • To challenge misconceptions about people from different ethnic backgrounds.
  • To recognise the skills and contribution to care for people from all backgrounds make.
  • To acknowledge that racism is a social construct that needs to be eradicated together.  Together we are stronger.
  • To be a platform for black, Asian and minority ethnic staff and allies to work collaboratively to address racism in practice.
  • To help amplify the voice black, Asian and minority ethnic staff.
  • To be role models, set examples as allies and develop confidence.
  • To provide training and support about anti-racist practice.
  • To work with the RCN to support campaigns to make sure communication is fit for purpose and acknowledges any cultural differences. 

Your executive team:

Chair: Olanike Babalola
Vice Chair: Susan Owen-Naz
Communications Officer: Mark Anthony

9. Advanced nursing practice
Resolution submitted by RCN Council
That this meeting of RCN Congress agrees that the RCN will act upon attempts to undermine advanced nursing practice.

advanced : practice : theory

10. Protecting nurse education
Resolution submitted by the Education Forum
That this meeting of RCN Congress asks RCN Council to lobby UK governments to protect nurse education from university sector economic pressures.

protect

11. Quality of clinical placements
Matter for discussion submitted by the Students Committee
That this meeting of RCN Congress discusses ways in which the quality of clinical placements can be ensured and consistent across all 4 countries.

quality : placement

12. Bank rates
Resolution submitted by the South Yorkshire Branch
That this meeting of RCN Congress demands that employers pay nursing staff bank shifts at their substantive rate.

pay

13. Are external reviews meaningful?
Matter for discussion submitted by the Midwifery Forum
That this meeting of RCN Congress discusses whether external reviews and inquiries are genuinely driving meaningful improvements in safety across health and social care.

inquiry : review

14. Improving acute mental health crisis services for children and young people
Resolution submitted by the London Board
That this meeting of RCN Congress calls on RCN Council to lobby UK governments to improve the provision of services to children and young people presenting in acute mental health crisis.

children : mental health

15. Access to specialist pain services
Matter for discussion submitted by the Pain and Palliative Care Forum
That this meeting of RCN Congress discusses access to specialist pain services and the role of the registered nurse in caring for those in pain.

pain

16. Palliative and end-of-life care
Resolution submitted by the Pain and Palliative Care Forum
That this meeting of RCN Congress calls on RCN Council to lobby UK governments to ensure everyone living across all 4 nations has access to specialist palliative and end-of-life care.

palliative

17. Accessible and affordable travel
Matter for discussion submitted by the North Central London Inner Branch
That this meeting of RCN Congress discusses what accessible and affordable travel means for the nursing workforce.

18. Uptake of physical health checks
Resolution submitted by the Public Health Forum
That this meeting of RCN Congress requests RCN Council to lobby UK governments to improve the uptake of physical health checks for people with learning disabilities and serious mental illnesses (SMI).

serious mental illness (SMI)

19. Eye donation
Matter for discussion submitted by the Greater Glasgow Branch
That this meeting of RCN Congress discusses the role nursing has in eye donation in end-of-life care planning.

eye : vision

20. 35-hour week
Resolution submitted by the Lothian and Borders Branch
That this meeting of RCN Congress calls on RCN Council to instigate a campaign for a maximum 35 hour working week for the nursing workforce.

21. Inappropriate delegation
Matter for discussion submitted by the Berkshire Branch
That this meeting of RCN Congress discusses the delegation of health care tasks to school staff and non-health care professionals.

22. Access to medicinal cannabis
Matter for discussion submitted by the Cheshire Branch
That this meeting of RCN Congress discusses the impact of current NHS prescribing practice on access to medicinal cannabis.

medicinal cannabis

23. SPA time
Resolution submitted by the Wiltshire Branch
That this meeting of RCN Congress calls on RCN Council to lobby for the inclusion of Supporting Professional Activities (SPA) time in all nursing job-plans.

See: https://www.rcn.org.uk/Congress/Agenda 


Are there any lessons from this exercise? Well, I have no posts tagged 'donor', or 'medicinal cannabis' - to make an important distinction. Something to correct and try to follow this week. 

See you there ...?

(I may need to reduce the link-count here.) 

Thursday, April 02, 2026

Launch of National Knife Crime Centre

INDIVIDUAL
|
    INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP
Is this a knife I see before me?
Or is it something else?
 
Am I being duped and taken for a fool?
But, nobody will bother me now!
I'm ready...!
 
I don't think this is right.
 
Either way, I'm asking for trouble?
 
Will anybody else listen? 


Should I risk trying to buy a knife?
How? Shop, or online?

Do I look 18?
I've seen the signs by the tills.

Can I pass as an 18 year old?
Should I pick it up and take it?

Or, do I leave it exactly where it is hidden?

Do I really need a knife, 
because he/she/they have one?

Can I ask a friend?
My cousin? No they'd grass on me.
Could I pay that 5th year?

Ben Kinsella Trust



NATIONAL CENTRE FOR KNIFE CRIME
 
Ronan's Law
 



My sources: BBC Radio 4 'Today' 2nd April 2026.

Previously: 'crime' : 'knives' : 'law'

Tuesday, March 31, 2026

Global health is ... c/o King & Koski (2020)

Use of the word 'global' in health care is common: from global assessment; global as in a pandemic, as per Covid which for a time closed down most human activity across the world; the global health workforce; and global health crises, that must include the climate crisis and pollution. Universal health coverage, allied with universal healthcare access, refers to (national and aspirational ...) global access to quality health services. 

Above, 'global health' has itself already occurred several times. I've posted about global health on a great many occasions on behalf of other parties.

Defining global health in the context of public health, King and Koski (2020) write:

'We propose the following definition:
global health is public health somewhere else.'

More specifically, they add: 

'Global health as a field is not distinguished by its aspirations, methods of research and practice, intervention strategies or even geographical area per se, but rather by a particular relationship between its practitioners and its recipients: a person engages in global health when they practise public health somewhere—a community, a political entity, a geographical space—that they do not call home.'


To apply Hodges' model to global health, there must be another definition.

King NB, Koski A. Defining global health as public health somewhere else. BMJ Global Health
2020;5:e002172. doi:10.1136/bmjgh-2019-002172

Friday, February 27, 2026

Rare Disease Day 2026 Official Video

28 February is 
Rare Disease Day


'Raising awareness and generating change for the 300 million people worldwide living with a rare disease, their families and carers.'

Manchester, UK https://www.rarediseaseday.org/event/light-up-for-rare-2/

Continued ... https://www.rarediseaseday.org/

Saturday, February 07, 2026

National Centre for Creative Health

Creative health is increasingly recognised as a driver of better care and better value in health and care systems. Integrating creative health into prevention, public and population health strategies, management of long-term conditions, treatment and recovery pathways contributes to:

  • Reduced incidence of preventable illness
  • Improved wellbeing of patients and service users
  • Reduced demand on services

Many Integrated Care Systems and providers already incorporate creative health in physical and mental healthcare, social care, and public health, delivering measurable social and economic value.

Find out more about implementing creative health in your service, organisation or system from [our resources the resources ... 

NCCH has worked in partnership with NHS England to develop a Creative Health Toolkit. The Toolkit support systems to work with the assets in their communities and to develop their own approach.

NCCH publishes a monthly creative health newsletter created for professionals working across health and care.

Source: Email and National Centre for Creative Health 

Monday, December 08, 2025

Remember (if you can) in each care domain ...

... there is an elephant in the 'room'!


individual
|
INTERPERSONAL : SCIENCES
humanistic -------------------------------------------  mechanistic
SOCIOLOGY : POLITICAL
|
group-population
'If there is one product that symbolises the absurdities of the EU's single market in goods, it might be a cuddly elephant. The Djungelskog toy from Ikea may only be 12cm tall and cost less than €2, but it has a 20cm-long label protruding from its behind.

Environmental rules from France and EU textile legislation account for much of the length. But the elongated label reflects a strategic even a philosophical, problem for Europe as its companies battle to compete globally.

The single market in goods should be the EU's crowning achievement. Compared with free movement of people, services or capital, it is the area that has come furthest in more than 30 years since the common market was established.

Yet there remain small, often invisible barriers to trade that, taken together, amount to what the IMF estimates is a drag on Europe's economy equivalent to a tariff of 44 per cent.'


RICHARD MILNE - OSLO and SAM JOINER - LONDON, Elephant in the room hampers frictionless EU trade, FTWeekend, 6-7 December 2025, p.6.

Related?

Jones, P. (1996) Nursing Technology and Elephants - Part 1: Technology as a beast of burden. IT in Nursing. 8,1,4-6.

Jones, P. (1996) Nursing Technology and Elephants - Part 2: Technology as a serpent. IT in Nursing. 8,2,5-7.

Jones, P. (1996) Nursing Technology and Elephants - Part 3: Technology rope to save humanity and health care, IT in Nursing. 8,3,5-7.

Friday, October 31, 2025

Bio-Psycho-Social model: The L-shaped room

Qualification, induction, together with continuing professional development and mandatory training should see all health professionals having due regard for the 'political' in their respective roles. The 'Law and the Nurse' session, used to be, and remains a welcome reminder; also appropriately scary for this time of year. While at work the meaning of 'political' is nuanced with so many aspects and dimensions, e.g.

Public Service
Safety - Statistics - Quality
Zero tolerance - Never events
Leadership
Operating Procedures
Audit - Reports
churn of policy cranked by governments / parliaments
cost - savings - budgets - the plan
pay negotiation - Unions, Professional Organisations
Litigation
Administration Human Resources
Recruitment & Retention 
Disciplinary processes
Planning
Estates - Procurement - Supplies
The organisational tree - communications
structures - providers, commissioners, integrated
News: NHS, private sector, Social Care, Gov. 'Papers'
organisational (footprint) footprint
sustainability, green initiatives
signage - national - local
combined local policy initiatives and national emphasis e.g.
equality, equity, inclusion, 
management of violence abuse in the workplace, bullying, 
managing complaints, confidentiality
changes in reporting incidents, data returns,
information systems, governance and records management)

Is it me, or do the medical model, bio-medical model and the bio-psycho-social model somehow seem lacking?^

Individual
|
      INTERPERSONAL    :     SCIENCES               
HUMANISTIC =========================  MECHANISTIC      
 SOCIOLOGY  :    POLITICAL 
|
Group




psycho



bio
    


social




    


?





In surgical terms, how is the political domain best realised within a model of health and social care: anastomosis or transplant?

^As seen by a certain lens.

Previously: 'models' : 'bio-psycho-social' : surgery

Tuesday, August 12, 2025

Revisiting the G7 ... G20

'Under the Trump administration, the US is retreating from the global leadership role it has played since the end of the second world war. The world is bedevilled with challenges and there is a desperate need for stability and co-ordinated solutions to global problems. Where will the leadership to solve them come from? 

Some have argued that we are now in a "G zero" world in which no one is in charge. There is great uncertainty and the powerful dictate solutions to smaller players. Others say we are moving to a regional carve up - a G3 where the US. Russia and China have spheres of influence in a modern day version of the Three Emperors League. 
Some version of a new multi-polar order may yet take shape. But it also seems clear that a G minus one world is starting to fill the vacuum in some domains — with countries coming together to find solutions to global problems without the US.' p.11.
 
Individual
|
      INTERPERSONAL    :     SCIENCES               
HUMANISTIC  --------------------------------------  MECHANISTIC      
 SOCIOLOGY  :    POLITICAL 
|
Group
imaginary -

*You cast your vote and get the 
global leadership we all deserve. ...

- numbers




... Discuss.

G20
G7
G-0?
Goto*



My source: 
Minouche Shafik, How to live in a G minus one world, Opinion, FTWeekend. 26-27 July 2025, p.11.
https://www.ft.com/content/7b884f20-e44e-4afe-9c0c-0c602f76b3f6

Previously: 'G7'

Tuesday, December 10, 2024

Webinar: 11 December - Universal Health Coverage (UHC) Day 2024

"The UHC Compass and Social Participation:
empowering patient organisations to hold governments
 accountable for universal health coverage"

Register for the UHC Compass launch!

To mark Universal Health Coverage (UHC) Day 2024, IAPO will officially launch the UHC Compass at an exciting webinar titled "The UHC Compass and Social Participation: empowering patient organisations to hold governments accountable for universal health coverage" on 11 December 2024, from 11:30 to 13:00 GMT via Zoom.

The webinar will be conducted in English with simultaneous interpretation into Spanish.

Panellists include:
  • Dani Mothci – International Alliance of Patients’ Organizations (IAPO) 
  • Dr Pamela Cipriano – UHC2030 & International Council of Nurses
  • Lara Brearley – Special Programme on Primary Health Care Universal Health Coverage - Life Course, World Health Organization
  • Dumiso Gatsha – Success Capital NGO & Civil Society Engagement Mechanism for UHC2030 (CSEM)
  • Nicola Bedlington – Global Patient Think Tank & Millwater Partners
  • Smitha Sadasivan – Global Patient Think Tank, Inclusive Health Policy, Disability Rights India Foundation & CSEM 
  • Paul Mendoza – Psoriasis Philippines and Psoriasis Asia Pacific & IAPO
The UHC Compass is a dynamic tool created by patients for patients, empowering local leaders and communities to advance universal health coverage (UHC). In the context of the World Health Assembly resolution on social participation and UHC Day 2024, this session will explore how the Compass can serve as a tool to hold governments accountable for investing in UHC.

Co-created by the Global Patient Think Tank (GPTT), a diverse group amplifying the patient voice in the UHC movement, the Compass is proudly hosted by IAPO. Our mission is to ensure this resource reaches and benefits our global network of patient organisations.

Join us to discover how the UHC Compass can help make UHC a reality for everyone!

Learn more & register [https://www.iapo.org.uk/node/15686] Share https://iapo.cmail19.com/t/d-fb-sfiudt-iuqjytrli-o/ Tweet https://iapo.cmail19.com/t/d-tw-sfiudt-iuqjytrli-b/ Share [https://iapo.cmail19.com/t/d-li-sfiudt-iuqjytrli-h/]

[http://www.iapo.org.uk]

The International Alliance of Patients’ Organizations is registered in England and Wales as charity no.1155577 and company limited by guarantee no.08495711.

Registered office: Hounslow House, 7 Bath Road, Hounslow TW3 3EB, UK.

It is also the IAPO's 25th Anniversary.
More details at:

https://www.iapo.org.uk/node/15687

I will post again in the New Year.

My source: HIFA

Previously: compass : UHC : patients

Saturday, April 13, 2024

'Political sovereignty' by JFK


Individual
|
      INTERPERSONAL    :     SCIENCES               
HUMANISTIC  --------------------------------------  MECHANISTIC      
 SOCIOLOGY  :    POLITICAL 
|
Group


John F.



Kennedy


"Political sovereignty is but a mockery without the means of meeting poverty, illiteracy, and disease."


My source: 

Alan Capps, Alexandria, VA, US - FT Letters.
https://www.ft.com/content/de67db92-3e7b-45ee-b39e-0140d582306a 

Saturday, December 09, 2023

Processing people ... in Nursing and Social Services

 When the nursing process was introduced in the UK in the late 1970s - early 1980s, the change was resisted to a degree with concern that patients were at risk of being  'processed': assessed, care planned, interventions delivered then evaluated, discharged or re-assessed. ...

 Individual
  |
     INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP
play 
my quality of life
my quality of care

Emotional, Health and Care Plans

Teaching Assistant provision

continuity of care 

'demand'

time
my quality of life
my quality of care

self-care - feeding
23% rise in demand 
for school transport

Human geography
'supply'

families

'informal carers'

needs that can (supposedly) be met at home

Government funding crisis

social inclusion

social capital

Care in the community

'demand'

£4bn overall funding gap in
children's services

Children and Families Act
Index of Multiple Deprivation
Needs-based funding?
Children with special educational needs and disabilites (SEND)

Parental resort to specialist tribunal courts: 96% legal challenges successful (2022)
National / local taxation
'supply'

'broken' social care market - "dysfunctional"


"The costs are rising inexorably," he said. "Children are very often being processed rather than looked after."

Williams, J. Children at sharp end of council funding crisis, FTWeekend, 2-3 December 2023, p.3.

🤔Just a thought - every supply has a supply' every demand a demand' potentially duplicated across the care domains.

Saturday, October 21, 2023

National Survey of the Mental Health Nurses aims to understand reasons behind record vacancies


Researchers from the University of Southampton working with the National Institute for Health and Care Research (NIHR) are launching a national survey of the mental health nursing workforce.

Led by Professor Jane Ball (Professor of nursing workforce policy), it is the first to explore the work lives and wellbeing of registered nurses providing mental healthcare in the UK.

More details: 



The survey is open to nurses on the NMC register providing mental healthcare to any patient group, in any setting, and for any health and social care provider. It is completely anonymous and will take 15-20mins to complete. https://tinyurl.com/MHNurses

 

Monday, July 31, 2023

Books: NHS 75

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





Our Stories: 75 Years of the NHS from the People Who Built It, Lived It and Love It

Fighting for Life - The Twelve Battles that Made Our NHS, and the Struggle for Its Future



Our Stories: 75 Years of the NHS from the People Who Built It, Lived It and Love It
https://www.england.nhs.uk/nhsbirthday/events-and-news/new-book-celebrates-nhs-staff-at-75/

Fighting for Life - The Twelve Battles that Made Our NHS, and the Struggle for Its Future
https://www.penguin.co.uk/books/321469/fighting-for-life-by-hardman-isabel/9780241504345

Wednesday, December 28, 2022

Paper - "The concept of legal space: A topological approach to addressing multiple legalities"

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

"5 An early reference to topology in psychology has been developed by Kurt Lewin, Principles of Topological Psychology (McGraw-Hill, New York, 1936). Linking literature and topology, Angus Fletcher, The Topological Imagination: Spheres, Edges, and Islands (Harvard University Press, Cambridge, MA, 2016). For an overview of philosophical approaches related to topology, see Daniel Parrochia, Mathematics and Philosophy (Wiley, Chichester, 2018) Ch 11. Using a topological approach to law, Müller-Mall (n 4). This last contribution constructs a topological approach for assessing perspectives in law (such as reflected in judicial decisions on a certain legal question) and situating them within ‘reference frames’ (in particular 117 et seq)." p.520.

"Law is fragmented ‘along issue-specific rather than territorial lines’, as exemplified by regulatory regimes for environmental and health issues or the private regulation of the cyberspace and of transnational commercial activities.20 Some authors have described this as a ‘deterritorialization’ of law.21 One reason for such a deterritorialization is the increasing amount of regulatory objects that cannot, or can only with difficulty, be linked to any territory – particularly salient in the case of digitalized data and its fluid location." p.522.

"... the notion of legal space suggested here comprises various features that are guided by concepts from topology, a branch of mathematics that analyses the qualitative nature of spaces. This approach has been adopted in an interdisciplinary manner, including in various disciplines of social science."5(See above). pp.519-520.


Global Constitutionalism


Burchardt, D. (2022). The concept of legal space: A topological approach to addressing multiple legalities. Global Constitutionalism, 11(3), 518-547. doi:10.1017/S2045381722000041

Wednesday, October 26, 2022

Reflection = 'navel gazing'?

Individual and Collective reflection ...

THE NEED FOR HOLISTIC BANDWIDTH


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

Reflection

Critique of reflective practice

Risk of navel gazing




"GLOBAL BRITAIN"

'Rules-based order' in the 21st C?

Government - Governance

Preoccupation with COVID-19, Brexit ...

"We have not had enough bandwidth to deal
with International issues to use our position on the security council and in the G7 ..."
Jeremy Bowen

Risk of navel gazing*


BBC Radio 4, Today, 25 October 2022 c.0816. Jeremy Bowen, International Editor.


Related:

Horta, H., Veloso, F., & Grediaga, R. (2010). Navel gazing: Academic inbreeding and scientific productivity. Management Science, 56(3), 41.

Ronald J. Pelias. (2009). Pledging Personal Allegiance to Qualitative Inquiry. International Review of Qualitative Research, 2(3), 351–356. http://www.jstor.org/stable/10.1525/irqr.2009.2.3.351

*A constant consideration here.

 

Sunday, July 03, 2022

New WHO Quality Toolkit - 'Take ii"





Further to last months post, I've worried at times about the axes of Hodges' model and their status and function. Can I let the axis stand for itself?

INDIVIDUAL
|
|
|
GROUP

Do I expand (explode) the conceptual labels?

self - INDIVIDUAL - person
|
|
|
relationship - family - GROUP - community - population

There seems to be an asymmetry, when you traverse the axis - and its horizontal counterpart; from wherever you start. Perhaps, I worry too much as if the axis was regular then the generic property of the model overall would be diminished. Is this an axis at all?

The website for the Quality Toolkit at: https://qualityhealthservices.who.int/quality-toolkit

- explains the toolkit's scope that includes:

"This new online resource is a user-friendly toolkit to support action on improving the quality of health services at every level of the health system, from national and district to facility and community levels."

I have only scratched the surface here and hope to revisit again - in more detail. Please see below for reflections on the levels by which the toolkit can support action to improve the quality of health services. I have tried to suggest proximity and distance between the SOCIOLOGICAL and POLITICAL (policy). Perhaps, what is a 'clinic' has a name, that it is known by - a key part of the community. The community is closer to the people - to the would-be users of the facility. You can appreciate(?) here the challenge of getting the local community involved in their services. What is 'NATIONAL' should not be remote. Can people compare and contrast with what they are offered? 
 
On the website I note there are video presentations also. The prospect of regular updates for the toolkit is also welcome.

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

psychological access

'My' clinic

Trust, I feel safe)

(feeling safe)

Tell others - my experience..



physical access

clinic

(appearance, facilities, safety)

controlled environment

(cleanliness, sterile..,
or more social)



'the centre'

COMMUNITY

DISTRICT

national


facility
(policy translation / coherence?)

community

district

NATIONAL


Original source: Jules Storr, Independent Consultant, S3 Global & working with WHO as part of the Quality Toolkit development team - via HIFA

Previously: New WHO Quality Toolkit

'Take II'? Quality means getting it right first time (even as you persist in what you are doing - your aspirations and quality improvement). Vitally, this means you, the team make a positive impression for the person, the individual, client .. carer, group. 

If they need to - they will recognise their own ability, knowledge, follow advice, they will come back, they leave not to return soon as they can now self-care and care for others in their home, community ...

 Please note: This post and that previous is not intended to denote endorsement of Hodges' model.