This blog "Welcome to the QUAD" is 20 years old

Yesterday, this blog celebrated its 20th birthday. That first post seems an age away now -

Welcome to the Hodges Health Career - Care Domains Blog

https://hodges-model.blogspot.com/2006/04/

Back then, I was full-time and on a secondment with the NHS's National Programme for Information Technology:

Independent report: Making IT work: harnessing the power of health information technology to improve care in England. Published 7 September 2016

House of Commons Committee of Public Accounts - The National Programme for IT in the NHS: an update on the delivery of detailed care records systems - Forty-fifth Report of Session 2010–12

In that first post, several links take you to the former website which is now archived, as per the note in the sidebar. Similar links have been updated to the web.archive.org site, but some may have been missed. Other links may be plain broke.

The blog began as an acknowledgement of the former site's limitations, hence all the posts on Drupal the content management system.* The intention was to create a stop-gap. So much for that! I still have the 'new' site in my head.

Personally, there's been much change: as ever in life, a mix of sadness and great joy. Regards the former, a manager from 1985 into the 90s, colleague and friend David McKendrick died in 2009. And coinciding with personal bereavements, Brian Hodges in 2022. I do miss chats with both of them.

With periodic backups of the blog's content (and old website 1998-2015), there been one effort at a spring clean. Posts that are poor (what was I thinking?), or items that are clearly time-limited - event announcements have been deleted. Many more no doubt remain with images - banners - that will be removed at some point. With 3381 (inc.) posts published, it is quite an onerous, yet rewarding task.

During the two decades I would like to thank researchers who have discovered Hodges' model, recognised (either) its value, utility, relevance and cited the model in their studies/projects.

Thanks too to several co-authors whose patience and understanding in working with me, their recognition of the model and value in their work, and assistance to assure open access is invaluable to bring Hodges' model and this project to the attention of a global audience and community.

If I can help you with Hodges' model - acknowledgement not a requirement(!): please let me know.

The online presence has been about the model, not business, or commerce, so there's a lack of analytics. There's a project for someone, as I notice 'Blog Analysis' as an online research method. 

People occasionally email and provide encouragement regards the content.  In a way the blog is my thesis*. 

Amid the time-dependent content, there may be much here that can demonstrate:

• the holistic bandwidth of Hodges' model
• the scope of application of Hodges' model
• the transdisciplinary potential of Hodges' model 
• how to apply the model, or at least this practitioner's use
• the visual appreciative dimension through the model's presentation to reveal the relational nature of the situation / context at hand
• many remaining questions are also to be found.

Thank you for your visiting! Here's to another 20 years ;-) !?

*I still live in hope: it's called dreaming.

Joining the digital dots across primary care and integrated care

My partner and I both received a letter today from our respective GPs. An invitation for a 'FREE LUNG HEALTH CHECK'.

Overleaf is an information sheet in landscape about the health check, plus three more sides of A4, similarly formatted - inviting trifold presentation.

After the 'Re. ......' an opening sentence asks: 'Have you ever been a smoker?'

Suddenly, I was dragged backwards through his-tory (some things don't change); not one history, but several:

INDIVIDUAL

|

    INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

GROUP

My personal and life experience  and not just since my teens . . .

The letter states: **If you have never smoked, you are not eligible for this service**

My mother and father  smoked when I was a child and my siblings.    They got the message early 1980s.    'Society' smoked back then!     Once old enough, I refused to go to the corner shop.   Into the 1990s, patients, smoking (some chain-smoking) on admission, long-stay and other clinical areas. As a community mental health nurse, I learned diplomatic and health promoting skills when in the car, giving a patient a lift to hospital. And, when visiting their home where I was, of course, usually, a guest.

I wondered what has happened to the GP's records? To the primary care clinical record ? The custodians of my health record, that they should need to ask that question?    Or, does confidentiality tie some bureaucratic knots?   Where is 'integrated care' and its driver 'clinical informatics'?  The letter included the NHS Number.    Don't get me wrong, I/we appreciate the obvious effort here, even if the chronology is confusing, or,  speaks of afterthought? The letters are dated 19/06/2025. I must admit I haven't accessed my GP record, checking it for accuracy.   If anything, this is a prompt to do so. And seek a general medical.

Previously: 'smoking' : 'winwick'

Publication list - Peter Jones

Previously, I used to maintain a publications list, one that runs from the year 'dot' (ego eh!). The bibliography in the blog's sidebar serves this purpose, also being (much) enriched by other papers that use/cite Hodges' model. 

I decided to revisit the exercise. Successful at interview late in 2019, for a part-time (variable hours) tutoring role, no teaching opportunities followed as COVID intervened.

Invited now to f/w an updated CV and covering letter, I realise that apart from several recent papers I did not include a 'comprehensive' list - as I'm sure is the custom in academe; no doubt listings with many more entries. Here's the list:

Publications by Peter Jones (#1-4 software; #37 website; #40 this blog)

1. 1982 CAPA: COMPUTER AIDED PATIENT ASSESSMENT, Sinclair ZX81, advertised in Nursing Mirror (see below) provided on audio cassette tape.
2. 1983 THE NURSING PROCESS – Computer Aided Learning program, BBC Micro, published by Open Software Limited (OSL)
3. 1984 HAEM. Blood Groups Computer Aided Learning program, BBC Micro – (OSL). (see below)
4. c.1989 SHADES OF GREY, Computer Aided Learning program, BBC Micro. Simulation of nuclear weapons, Based on Fanchi, J. Local effects of nuclear weapons, BYTE, Volume 11. Issue 13. Dec., pp. 143–155. Computer Aided Learning program, BBC Micro, published by Open Software Limited. (see below).
5. Jones, P. (1986) Computing in Nursing NEWS. Computerised Patient Assessment. Nursing Times. 85: 5. Sep 3-9;82(36):63-5. PMID: 3532039 (Describes 'CAPA', a BBC microcomputer program for student nurses.)
6. Jones P. 1988 Thunderbirds are Go? (Impact of technology in society, disasters, macro-engineering). Popular Computing Weekly.
7. Jones, P. 1989 Modems are Cheap, it's the phone bills that hurt. Popular Computing Weekly.
8. Jones, P. (1989) Computers in Nursing NEWS. Creating a Program. Nursing Times. Feb 1-7;85(5):66-8. PMID: 2648342 (Describes 'HAEM', a BBC microcomputer program for student nurses on blood and blood groups.)
9. Jones, P. (1989) Information Technology is Good For You! (Effects of information technology) IT in Nursing, BCS-Nurs. Specialist Group. 1,1
10. Jones, P. (1990) Creating a Community Mental Health IS (Creation of a community mental health resource centre - a multidisciplinary research project). IT in Nursing and Paper at BCS NSG Conference. 2,4
11. Jones, P., Beckingham, D. (1991) The Ins and Outs of a small mental health Information System. Healthcare Computing 91 Conference Paper.
12. Jones, P. (1992) Nursing: All in the mind and machine? (Models of nursing and computing). British Computer Society -Nursing Specialist Group Conference Paper
13. Jones, P., Beckingham, D. (1992) Community Mental Health: IT in the Buffer Zone. Healthcare Computing 92 Conference (Poster).
14. Jones, P. (1993) Computerised Models of Nursing. (Data types in nursing - opportunities and problems). Healthcare Computing 93 Conference Paper.
15. Jones, P. (1993) Using a Semantic Network to Represent Nursing Terminology (project for B.A. (Joint Hons. Computing / Philosophy). Supervisor J Kirby - Medical Informatics Group. University of Manchester). BCS-NSG Conference Paper.
16. Jones, P. (1993) Nursing: All in the mind (and machine?). IT in Nursing, 5,4.
17. Jones, P. (1994) An Enthusiast's View of CAL. (Problems in production of CAL - Simulation effects of Nuclear Weapons - conversion of GWBASIC to BBC BASIC from BYTE - with original author's permission - J Fanchi). IT in Nursing. 6,2.
18. Jones, P. (1994) IT with Records in Mind (Mental Health CPA and Record types - idealised, cognitive, CBR, Distributed), IT in Nursing. 6,4.
19. Jones, P. (1996) Humans, Information, and Science, Journal of Advanced Nursing, 24(3),591-598.
20. Jones, P. (1996) An overarching theory of health communication? Health Informatics Journal,2,1,28-34.
21. Jones, P. (1996) Nursing Technology and Elephants - Part 1: Technology as a beast of burden. IT in Nursing. 8,1,4-6.
22. Jones, P. (1996) Nursing Technology and Elephants - Part 2: Technology as a serpent. IT in Nursing. 8,2,5-7.
23. Jones, P. (1996) Nursing Technology and Elephants - Part 3: Technology rope to save humanity and health care, IT in Nursing. 8,3,5-7.
24. Jones, P. (1997) Providing Mental Health Care: Getting A Purchase On Information. IT in Nursing. 9,3.
25. Jones, P. (1997) IT: The ubiquitous Research Tool (The use of IT in research - to access; transform; transcribe and disseminate information). IT in Nursing. 9,4.
26. Jones, P. (1999) Visualization in Nursing: Workshop report, IT in Nursing, 11.1.
27. Jones, P. (1999) It's time to master the latest tools and Hodges' Health Career Model, IT in Nursing, 11.2.
28. Jones, P. (2004) Viewpoint: Can informatics and holistic multidisciplinary care be harmonised? British Journal of Healthcare Computing & Information Management, 21, 6, 17-18.
29. Jones, P. (2004) The Four Care Domains: Situations Worthy of Research. Conference: Building & Bridging Community Networks: Knowledge, Innovation & Diversity through Communication, Brighton, UK.
30. 2005. Bursary Award Poster: Introduction and Scope of H2CM. HC2005: Harrogate. With thanks to the BCS Health Informatics Forum and my manager(s).
31. 2005. Mental health and geography: questions and issues for a mental health trust organised using Hodges' four care domains GEOMED 2005. Cambridge – Poster.
32. Jones, P. (2008) Exploring Serres’ Atlas, Hodges’ Knowledge Domains and the Fusion of Informatics and Cultural Horizons, IN Kidd, T., Chen, I. (Eds.) Social Information Technology Connecting Society and Cultural Issues, Idea Group Publishing, Inc. Chap. 7, pp. 96-109.
33. Jones, P. (2009) Socio-Technical Structures, the Scope of Informatics and Hodges’ model, IN, Staudinger, R., Ostermann, H., Bettina Staudinger, B. (Eds.), Handbook of Research in Nursing Informatics and Socio-Technical Structures, Idea Group Publishing, Inc. Chap. 11, pp. 160-174.
34. Jones, P. (2012). Exploring several dimensions of local, global and glocal using the generic conceptual framework Hodges's model. The Journal Of Community Informatics. 8(3). Retrieved from https://openjournals.uwaterloo.ca/index.php/JoCI/article/view/3034
35. 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. http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2850.2012.01961.x/abstract
36. 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.
37. 1998-2015 Website devoted to Hodges' model p-jones.demon.co.uk Now on web.archive.org:  https://web.archive.org/web/19990501185433/http://www.p-jones.demon.co.uk/index.htm
38. Jones P. Exploring the relationship of threshold concepts and Hodges’ model of care from the individual to populations and global health. Rev Cuid. 2017; 8(3): 1697-720. http://dx.doi.org/10.15649/cuidarte.v8i3.464
39. Jones P, Wirnitzer K. Hodges’ model: the Sustainable Development Goals and public health – universal health coverage demands a universal framework. BMJ Nutrition, Prevention & Health 2022;0:e000254. doi:10.1136/bmjnph-2021-000254
40. 2006- Ongoing This blog - Welcome to the QUAD.

Curation of posts on W2tQ

     Curation: Quote(s) to follow?

Several years ago I reviewed the blog's posts starting from post #1 in April 2006. Some posts, such as, journal calls for papers, conference announcements ... were clearly of time-limited value, even as to the degree they may document the history of ideas. The exercise also highlighted my adopted role of curator, which had not occurred to me before. 

Previously, tentatively, I tried to weigh the value of content. The value to scholarship of Hodges' model, and not wishing to sound grandiose - nursing theory (someone should - given the vacuum over the past 20-30 years?). There are person-centred items, with some that make me cringe (the personal ones, the ones premature and not quite 'fully-formed'), while others stand the test of time (I think). 

Eighteen years is not long and yet the change in several dynamic histories is very obvious, across society, politics, ecosystems, policy, education, nursing and of course technology. Many posts were deleted, others with:

• too many links (for which you can be penalised?)
• broken links;
• missing images / videos;
• typos ...

- where updated accordingly.

Revision #2 beckons in the near future, an effort to rationalise the wheat from the chaff.

It is - same old, same old regards the elephant in the room: that is, the missing new 'platform' - as it keeps reminding me.

W2tQ - "Welcome the the QUAD" - this blog.
Book image: Waterstones.

Identity - a combination of forms and (hence) experiences

Continuing to sort books, magazines ... I realised in the autumn that I'd need to return to issue #72 of The Philosopher's Magazine and its theme of  '50 New Ideas'. ...

INDIVIDUAL
  |

     INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

GROUP

"Who are you? Who am I? Are we persons and if we are, are we the same persons we were yesterday? What does our being persons consist in? These are the sorts of questions philosophers try to answer on the nature of personal identity, the persistence question. The persistence question is often considered the question of personal identity: what are the conditions under which a person who exists at time t1 is identical to a person who exists at time t2?" p.51. "A new wrinkle in this debate is owed to Lynne Rudder Baker: the not-so-simple view of personal identity. Baker identifies persons with 'the first-person-perspective'. The answer to the question 'who am I?' is that I am the perspective I have of myself, and my persistence conditions are first-personal." p.52. [Grain, K.]

"Microscopes have revealed an invisible world to us and whether from secondary school science or probiotic yoghurt adverts most of us are now familiar with the idea that our bodies host a plethora of variously beneficial bacteria. These tiny creatures, which live inside us, contribute to our lives; they help us digest food and bolster our physiological defences against harmful presences - other bacteria and viruses. These 'endo-symbionts' participate in our living activity, just as we contribute to theirs in providing them with nutrients and a stable environment. The philosophical question this raises - belied by the talk of 'our' bodies and 'our' insides - is: where exactly do our organic boundaries lie?" p.49. [Ferner, A.M.]

Social foundation / scaffold

Political foundation / scaffold

Ferner, A.M., Organic identity, pp.49-50 - and 

Grain, K., Personal identity, pp.51-52 -

In The Philosopher's Magazine, "50 New Ideas", 1st Quarter 2016. Issue 72.

There is a 'simple' take-away message (thought!) here. It is the way, through its structure that Hodges' model provides a means to reflect, critique, debate and relate the self with the collective: and situate them and other concepts.

See also:
Nov. 2023: Hodges' model - as 'a' philosophy c/o TPM

Brian E. Hodges (1942-2022) RIP Creator of Hodges' Health Career Model

The end of 2022 and start of 2023 brought loss, reflection and change in terms of family, friends and educational ties. My children said goodbye to their grandmothers in the space of two months. 

Brian E. Hodges c/o Family.

Then I was contacted by Brian Hodges’s daughter Sarah, with the news her father had died. November through to January saw me attend three consecutive funerals. I’m grateful I was able to visit Sheffield and say goodbye to Brian and meet his extended family.

Yes, it has taken a while to post this. For six months I have been sorting, clearing, rationalising books, papers with a house-sale now imminent, liaising with Brian's family too. 

It is fitting to share this sad news now and celebrate lives well-lived, cast in the promise of a new academic year. I think Brian would have liked this - the potential, and prospects for students in the semesters to follow, lecturers wrestling with how best to communicate and engage their students.

I first met Brian in 1987 when he was a Senior Lecturer at Manchester Polytechnic - which is now Manchester Metropolitan University. Brian taught on the ENB 911 Care of the Mentally Ill in the Community Certificate course. On the course Brian explained his eponymous model. This was more than a decade before Project 2000 made nursing an undergraduate programme. Brian created the model as a response to this. Brian’s qualification in Learning Disability Nursing is key to the inclusion of individual, group (carers) and the POLITICAL domain.

The model contributed to our assessment on the course, which required we complete a case study applying the model to a client/patient on a placement which was conducted with another service. Seconded from Chorley my placement experience was at Bolton. I still have my case study and a set of Brian’s original lecture notes.

Straight away I knew there was something special about Brian’s model. I suspect I’d been primed after watching Tony Buzan’s TV programmes in the 1970s, ‘Use Your Head’ and related books on mind-mapping. By the time I joined the Internet-age it was 1997. I’d written some microcomputer programs on the ZX81 and BBC Micro ‘B’: Nursing Process, Computer Aided Patient Assessment; HAEM; and Shades of Grey. Several were published by Open Software Library (no longer operating).

An ongoing interest developed in nursing theory and models of care, from reading about the nursing process. An early thought about creating a computer program about Hodges’ model crystallised in March 1997 when I came across the Nursing Development Site. This was hosted by the University of Alberta, Canada. Seeing that Hodges’ model was not listed, I contacted the site’s administrator. The response was: “Why don’t you create something and let us know.” Brian was very patient and offered his thoughts via email exchanges (saved, but in Turnpike format). In 1998 I finally got in touch with Alberta and they added a link.

The notes below are from the resulting website (1998-2015 now archived). The product of an interview with Brian at Manchester Polytechnic and my interpretation of model:

“Brian thought up HCM on the then British Rail train service, commuting between Sheffield and Manchester in 1983. He was stimulated by the need to impose structure on a curriculum for a BSc Nursing Studies course. Having defined the model in 1983 a scheduled teacher was unable to take a class, providing an opportunity for Brian to share the model and his thoughts with students. Despite this impromptu start, within a short time academic colleagues recognized the value of HCM in curriculum design and development, in addition to clinical practice.

 
A problem for practitioners has always been ensuring a comprehensive assessment has been made. The HCM facilitates that process, as an aide-mémoire, especially critical when faced with child care / abuse assessment and care evaluations. HCM was adopted as a tool for use by students on courses. Not surprisingly a key area of application is Health Visiting. Other nursing fields includes the use of case studies in post-basic education - Community Psychiatry Nursing Certificate; community and mental handicap - now learning disabilities.

 
Key phases in development

 
The main development work following initial conception, was up to 1987. Due to illness in 1990 Brian has been unable to engage in in-depth development work with the HCM. Hence Brian's bemused surprise at my contacting him. Despite this there are many educators, clinicians and no doubt health care managers who having been exposed to HCM carry it, like myself, as part of their mental toolkit. So if you have taught or used HCM in the past, or (even better) use it currently Brian and I would be delighted to hear from you. Given the duration of courses at Manchester then of course many colleagues in other parts of the north west of England have heard of HCM, used the HCM, or possess a college set of notes on HCM. Do you?” . . .

<> 

Sarah and family have kindly forwarded the eulogy which includes:

“Dad was born on 30th January 1942 to Vera and Gilbert Hodges, he was the eldest of three with a sister, Rita and younger brother Philip. He grew up in Kingswood, a suburb of Bristol and attended the local Grammar school. He loved being a Scout and was a member of the YMCA.

When he left school, he went to work for Boots the Chemist, telling us often about his’ behind the counter’ days. However, a conversation with a colleague led him to rethink his career and he applied to train as a nurse at a hospital for patients with learning difficulties. Being a male nurse in the 1960’s was quite ground-breaking, and so typical of Dad who was always pushing boundaries and taking the ‘road less travelled’.

Dad realised that he enjoyed teaching the students and became determined to raise the profile of nursing those with learning difficulties. This led to him to taking a year’s teacher training at Bolton College and with his new qualification he was determined to make an impact on nursing. In 1972 this lead to the move to Sheffield to set up a nurse training course at Sheffield Polytechnic and Middlewood hospital. He loved this job and the impact he could have on training nurses, alongside this he embarked on an Open University Degree and also developed the Hodges Health career model for nursing, which facilitated integrated care, person centredness, reflective practice and helped to bridge the theory and practice gap. He was very proud of this work, and it remains in use. 

Alongside his work interests Dad decided that he would learn to sail, and not only how to sail, but also how to build a boat. The boat started life in the hallway of the house in Meadow Grove Road, and whilst it amused me and Sarah, there must have been a moment where Mum asked him to move it somewhere more suitable. He successfully built the boat and taught us all how to sail.

Back to his work life he was offered a job as a lecturer at Manchester University and later became Head of Nursing Studies there. He loved his job and invested a lot of time in encouraging his students with his indomitable wit and zest for life. Always wanting to learn more, he also studied for an MSc in Health Education, which meant he travelled to London and loved to tell us about his walks around Chelsea.

Life changed dramatically in 1990 when aged only 48 Dad had a severe stroke which led to a left side paralysis; and a medical assessment that he would not walk again. His sheer determination meant that he did in fact walk, although never regained use of his left arm, which made a lot of day to day tasks very difficult. He had no hesitation about asking strangers to help on his trips to London in his electric wheelchair.

Although Dad returned to work a year after the stroke, he found he could no longer do the job the way he wanted to and took early retirement. Being Dad, he did not stop working and continued to do some teaching, and travelled to other education centres as an external examiner. He also took up a number of volunteering activities which could make use of his skills. He became really involved in health care improvement through service user input and ultimately Chair of Shop Mobility in Sheffield.

One volunteering opportunity led to many and he took up a number of positions in both Sheffield and London. He loved to travel to London on his own on the train, where after his meetings, he would meet Sarah for dinner. He always said ‘focus on what you can do’ so that is what he did. After the stroke he learned to swim again and joined his grandchildren in the pool at Centre-parcs, and played badminton on one of his much loved family holidays.

He did not let the stroke stop him travelling at all and visited France, Florida, Barbados and even St Petersburg in his wheelchair. He also loved trips to Chatsworth for ice cream.

He loved listening to jazz music and rock, had learned to paint and draw. He loved the theatre and bird watching and was an avid reader. In fact, he was interested in everything, knew so much on any topic you could choose, and always more up to date than those around him, often much younger, on all the latest thinking or technology.

His philosophy of life meant that even after the catastrophic event of the stroke, it did not mean an end to living and he found other opportunities which he grasped enthusiastically.

So many people were amazed and inspired by Dad for what he achieved. He was one of life’s cheerleaders always encouraging and supporting others to fulfil their ambitions and this is what we will take with us. When we are not sure in our lives going forward we know we will think ‘What would Brian / Dad / Grandad say’. He had many sayings which we will remember and whenever anyone was facing difficulties or challenges, he would say ‘You will be alright’, and we will be alright because he has have taught us to be so.

Above all he will be remembered for his sense of humour, his huge sense of purpose and service to others and for the determination to live life to the full and never be stopped by anything or anyone. He was so proud of his family and all they have achieved. He was an inspiration and encouragement to everyone he met.

This is the final page of Dad’s life, but it is not the end. Everyone who’s life Dad touched, and all the people present here today carries a little bit of him with them, his humour, his smile, his sayings, his tenacity. So, he will live on with all of us, it is a fond farewell and not a goodbye.”

<> 

Train ticket 28/05/97 (also from 1st website)

Since the Community Psychiatric Nursing (Cert.) course in the 1980s and our initial interview 28th May 1997, Brian and I met on about ten occasions. As noted above, Brian enjoyed rail travel and in the interview I had this image of a train with thought bubbles - Brian's reflections with the model taking shape.

Image from 1st archived site

Brian’s passing and his family's observations prompted recollection of a trip to London in 1996; to an IEE Colloquium on Thinking with Diagrams (Digest No: 1996/010).

https://ieeexplore.ieee.org/xpl/conhome/5214/proceeding

I’m sure Brian met me there, demonstrating his independence, motivation and enthusiasm. I need to check but I’m fairly sure, even imagining he said he was meeting Sarah afterwards? My father accompanied me, we stayed with an aunt who lived near London Bridge back then. Happy memories for me too.

Brian knew of several sites across the UK, that used or took an interest in Hodges’ model. When the website went live in 1998, I’d hoped people with notes, insights, examples of application, pros and cons would come forward. Sadly this did not happen except for a few instances.

I’m so pleased to have met Brian and being able to carry his model forward. Even semi-retired, I rejoice in the freedom I have as a practitioner. As I believe Brian came up against many academic barriers in trying to validate, publicise and disseminate the model. There was no expressed cynicism in this however, but political realism about how the world – academia works. A lesson I know very well in trying to publish work.

I keep fretting about not completing the ‘new’ website, but perhaps I’m following Brian’s advice after all: “focus on what you can do”. Despite its limitations the blog is helping to spread awareness of Hodges’ model; learning each year of new publications citing the model. Hodges’ model isn’t just another 2x2 matrix—business/management consultancy style thinking tool.

The key is the model’s full title:

Hodges' Health Career - Care Domains - Model

‘Health career’ refers to ‘life chances’ and this was central to Brian’s values of person-centredness, advocacy, and ‘seeing’ the political in health, social care and his own educational development and health career. 

The work remains to take Hodges’ model forward, to pass on this ‘+’ shaped baton. I will reflect further, especially as I was initially determined to ensure that Hodges' model was not just left on the shelf. For me, Brian’s legacy is the increasing relevance of his eponymous model since its creation. Consider since the late 1980s developments in human rights, consent, mental capacity, safeguarding, protection of liberty, mental health act, prison health. Brian's model readily encompasses the person and the State - nationally and globally, access and provision to health services, primary care, sustainable development goals, the determinants of health. How do we switch from illness-directed to preventive, health educational services?

In addition, Hodges' model can conceptually represent all these - across time as a series of frames. Brian's model remains a gift to his students and today's learners; including, patients, carers, mental health and general nurses, district nurses, learning disability and health visitors. As suggested here - Brian's effort and work has proved a great gift to me (as friends, family and many student nurses on placement, mentored, signed-off will attest). Brian's model is not a be all and end all, he knew this. It is one of many tools, models and theories, but it can and must also help future generations: from self care, health care, to global health and planetary care.

Thank you Brian. RIP.

C/o Medha Cherabuddi & Intima: "Each quadrant houses its own diversity, ..."

... and these seem to converge in the middle beautifully." *

 INDIVIDUAL

|

 INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC   

SOCIOLOGY  :   POLITICAL 

|

GROUP

© The Common Thread by Medha Cherabuddi. Acrylic
Poetry and much more invited ...

Image: © The Common Thread by Medha Cherabuddi. Acrylic.

"Each quadrant houses its own diversity, and these seem to converge in the middle beautifully. This piece honors women's myriad of roles in medicine and their common thread. The constant throughout my life is art, especially when I find meaning in it.

Medha Cherabuddi was born and brought up in San Jose, California, and moved to Hyderabad, India, with her family at 9. After growing up with the best of both worlds, she completed medical school in India and moved to Detroit, Michigan, during the peak of the pandemic to begin her Internal Medicine residency at Henry Ford Hospital."

My source: Intima

Intima: A Journal of Narrative Medicine
36 N Moore St. #4W
New York, NY 10013
USA

*Yes they do! No endorsement implied.

Out of hand ...

This blog is a pain, as is twitter.

I've known for ages -

H2CM new website - A short-form project brief

Twitter on hold: Blog a trickle ... 

Dries! I promise ...  (Sorry!)

I've known since the start of W2tQ back in April 2006. The web - software is change.

 

Blogging and twitter are a distraction.

 

The blog has helped to frame ideas. I can see now though (hindsight eh!), how unprepared I was in 2014 for a PhD, not just financially (self-funded), but having a question. I've had a project since 1988, but what's the Question?

 

People get in touch (SPAM reaches the inbox) with web design, SEO service offers. They point to how 'ill' my website / blog is. No website/blog are specified, no business address, details, there's a personal/business name that doesn't reflect the email signature.

I know that 'analysis' of the blog reveals a pile of errors, missed opportunities. And, yes; there is a much better online solution to drive income ...?

So, after the past year and especially last month, 2023 will be much much quieter on W2tQ. What will be posted?

• Book 'reviews'
• Quotes, insights from books I'm clearing as relates to Hodges' model
• Occasional timely insights from press / media*
• Conferences, Calls for papers, Journal news
• Q&A with other people about h2cm; critique of the model (well you never know!)
• Update on draft papers, and new citations

So, yes similar threads but the volume must be much, much less.

Twitter will likewise be less, but that doesn't mean - like many - I'm running elsewhere.

I'll be reading, writing, drawing 👍, following webinars and specific YouTube sessions ... studying and will pick up Drupal, github and Pharo. There's a hosting account to put to work, or at least experiment with. Over the past year my thinking about Hodges' model has (imho) progressed. I'm quite excited about what might follow. I'm also daunted, by the dual challenges of the 'development stack' (Drupal is at version 10 and counting...) on the one hand, and logic - relational analysis on the other.

Many thanks for your interest thus far.

HAPPY NEW YEAR TO ALL.

 

*Oh gee! I replied to a thread on #HIFA yesterday and tweeted this a.m.. It would be remiss of me not to pick this up, so post to follow soon.

... Feathers ... Light ... Corners

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

I love you mum You named me 'Peter' ... Grief, is indeed -	Yesterday, I saw a kestrel and a sparrow hawk .                          . - a thing with feathers
... but it was always you, you are still - the rock - my rock - the reason I'm a nurse ... family community humanity	... and why I will continue to explore and follow ...

"Using Hodges’ model to prove light can travel around all the methods corners" ...

I cannot see you but I know you are there Crux.

More pennies - drop ... A personal note

*

Quite a while back on twitter, someone took exception as I replied to a tweet. The specifics aren't important, what is, is how much I take for granted here. 

The suggestion was that h2cm is, gives credence to, accentuates ... the 'general' at the expense of the specific, specialist, advanced. This [Hodges' model] is BAD.

As regards Hodges' model this is plain false, wrong.

Are specialists, advanced practitioners 'born' fully formed?

As I have always tried to remember my days as a Nursing Assistant, we must remember students and across disciplines.

Some comments, by new students on placement also on twitter suggest this is sadly, not the case.

I think I replied again in the thread, highlighting h2cm's open, situated, context driven potential.

In reality people on twitter are patient; I'm muted; the cliques, click away; whatever. As I churn out the same images and phrases.

What I need to do [yes, I know!], and will from now on, is qualify 'generic conceptual framework' (which on a Saturday night [UK] is probably a turn-off for many 😘).

As your knowledge grows, and is pruned by new learning, experience (and time) so your conceptual knowledge and vocabulary changes - expertise.

Hodges' model can reflect this.

So, if you are a specialist - and new here - WELCOME! 

Here are four pools, choose yours and by all means: DIVE IN.

Don't worry. IT IS SAFE.

At least, you won't hit the bottom, and you may not even find the sides. 😉

If your field is theology, the spiritual - well, well, you are in for a real treat.

*I love this journey^

^to follow ...

 

Liminal spaces I & II c/o Nan Mulder

 INDIVIDUAL

|

 INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

GROUP

'A Liminal Space II' 21×48 cm mezzotint 2022	'A Liminal Space I' 21.5×48 cm mezzotint 2022

Learning, starting a course of study at whatever stage in life is often likened to a 'journey'. The term liminality is applied to this experience, with its spiritual and transformative connotations, an education rite-of-passage; also specifically in reference to threshold concepts:

https://www.ee.ucl.ac.uk/~mflanaga/popupLiminality.html

Images with thanks to Nan Mulder:

https://www.nanmulder.com/

See also: 'periplus'.

My source: Printmaking Today Summer 2022, 31:122, p.7.
https://www.cellopress.co.uk/page/printmaking-today

(Thanks also to Cello Press - looking f/w to 2023 issues.) 

 

Back to the Wires

Next week I'm heading back to Warrington (Cheshire, NW England) to work in the community.

A circle of sorts will be closed, as this is where I started in 1977. Heading south on the A49 peddling a 5-speed bike, then motorbike, to my first car [early years framed by modes of transport yet again]. I got booked - a caution (?) for speeding on that bike, one Sunday morning on a 0700 start. Passing the church in Newton-Le-Willows there's a downhill ... you see ...

As a nursing assistant and then from October that year, a student nurse [RMN back then] I heard of the areas, and villages where patients lived, listening and writing the details umpteen times on admission documents. As a 'county asylum' patients were also from a very wide area. Returning as a Deputy Charge Nurse, I witnessed the initial shifts for patients to be resettled, moving closer to their original 'home' as community services expanded and the closure of Winwick was also being planned and subject to debate:

https://edm.parliament.uk/early-day-motion/1935/closure-of-winwick-and-newchurch-hospitals

'Community care' remains an ongoing project.

Being hospital-based I went out on placement with the community psychiatric nurses, but that's a blur of course.

Now for a return visit. Whilst always braced, I'm really looking forward too.

Winwick Hospital:

https://en.wikipedia.org/wiki/Winwick_Hospital

Wire in Warrington: 

https://wmag.culturewarrington.org/local-history/the-wireworks/warringtons-wire-timeline/

Previously: 

https://hodges-model.blogspot.com/search?q=Winwick

"A Peculiar Shade of Blue" c/o Rowan Jacqueline

 

INDIVIDUAL

|

 INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

GROUP

personal grief ..	the facts of life, death and place ..

 

Rowan Jacqueline: https://www.spiderflower.org/

My source: https://twitter.com/artdotearth

"Room 5" BBC Radio 4

 

ROOM 5: BBC Radio 4

 

The Health Career Model has four obvious care (knowledge) domains,
but of course there is a 5th.

This is even clearer when 'health career' is seen as 'life chances'.

 

  Self - Individual - Person
|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

Community - Group - Population

Personal meaning / sense-making Whatever your beliefs there is a spiritual domain. *Who exactly 'were' you before?	diagnosis (as category, classification, ...) prognosis (... TI:ME .... into the future ..?) pre-morbid*
What does this <diagnosis> mean to others?	school span work span healthspan lifespan What sense do governments make of the above?

 

Call for Poems: Sexual and Reproductive Health Matters (SRHM) - Special Collection

Sexual and Reproductive Health Matters (SRHM) is calling for poems for a special collection to be published on our website. An event will also be held on Human Rights Day (December 10) where selected poets will be invited to talk about gender, sexual and reproductive health and rights through their poetry.

We believe that poetry is an accessible and powerful means of expression. It can serve as a bridge between personal or societal experiences and political activism and advocacy.

PARTICIPATION GUIDELINES
    
    * Poems must speak of gender, sexual and reproductive health and rights
    
    * Submissions are open internationally
    
    * All poems must have a title
    
    * All poems must be original, unpublished work
    
    * All poems must be written in English or be accompanied by an English translation
    
    * Poems of up to 80 lines in length are preferred
    
    * Maximum 1 poem per submission, per person

Poems will be reviewed anonymously by an international selection committee of supporters of SRHM. Selected poems will be announced just before Human Rights Day.

HOW TO SUBMIT
    
    * Submit your poem at info@srhm.org by 31 October 2021
    
    * Send your poem as an attachment (pdf or doc). The title of your document should be the title of your poem (not your name)
    
    * Include a short biography (up to 150 words) in the body of your email
    
    * Please indicate if you do not want SRHM to publish your name with your poem

http://www.srhm.org/how-we-work/journal/call-for-poetry-sexual-and-reproductive-justice/

My source: c/o Alexane Bremshey.

https://ibpnetwork.org/  

Workshop - Patient access to medical records: the patient's view

You may be interested in this online meeting/workshop for 3-5pm May 12th 

Patient access to medical records: the patient's view

It is open to all, free of course, and registration is here:

https://www.eventbrite.co.uk/e/patient-access-to-medical-records-the-patients-view-tickets-144456929565

The aim of the meeting is to add another little push towards getting this higher priority in the UK.  The assumption for the session is that most if not all who turn up will already be convinced of the benefits - but nevertheless it is useful to (re)hear some of those benefits from patients, and maybe one or two of the frustrations, and then get discussion from those present as to how it can be given higher priority by CCGs, Trusts, politicians, etc.

The meeting will be on Zoom and the provisional timetable is:

3:00-3.10            Ray Jones - Introduction (aim of the workshop, a little background, and welcome)

Short presentations taking questions and comments by the typed chat room

3:10-3.30            Liz Salmi - US experience of Open Notes

3.30-3.40            Jene Jinatun - experience 1 from Haughton Thornnley Medical Centre

3.40-3.50            Cheryl Ashton - experience 2 from Haughton Thornley Medical Centre

3.50-4.00            Fran Husson - experience of Patient Knows Best (London)

4.00-4.05            Nik Seth - comparing Patient Access in Estonia with the UK

4.05-4.10            Mar Soler-Lopez - comparing Patient Access in Madrid with the UK

4.15-4.45            Break out room discussion: how can patient groups help bring about better availability and uptake of patient access?

4.45-5.00            Feedback- 1 or 2 points from each group.

5pm                    Close

Please do register and come if you can, and please pass on to anyone and everyone. In particular if you have contacts in the media please invite them - given the need for patients to take control of their health information this should be topical and normally the media likes to take a 'personal story' approach.

Thanks

Ray

Ray Jones

Professor of Health Informatics, School of Nursing and Midwifery

Co-Facilitator for Centre for Health Technology

Research Gate

Email: ray.jones AT plymouth.ac.uk

University of Plymouth, Faculty of Health, PL4 8AA

__________

Source:

HIFA: Healthcare Information For All: www.hifa.org

Hodges' model - the pros ...

Having posted the cons, here are the pros with part of the initial twitter thread once again:

If it is not too confusing, by another - Peter Jones @innov8tor3

4 #h2cm can be a generic conceptual framework for all disciplines: health, education,
contexts: development, edtech, socio-tech*
So scope *global* (utopic?) – more pragmatically - a utility across communities of practice.
*Plus other domain 'bridges': https://t.co/SqzQQnYuKz

— Peter Jones (@h2cm) February 14, 2021

A further query followed:

"can be", but is it?

What would you say has stopped that from happening?

— Peter Jones (@innov8tor3) February 15, 2021

The short answer is clearly that Hodges' model isn't the generic conceptual framework, it follows that is not global either. The reasons why are many and I've posted about several over the years, indirectly and more recently in a more direct manner:

My Moon Mission? "The Stack"

Hodges' model and trial by vampires ... 

Continuing the post on 'cons' here are the 'pros' outlined again along the INDIVIDUAL - GROUP axis (some re-ordering may be needed). To state from the outset that research on Hodges' model is limited, but there is hope for a basic resource for all:

INDIVIDUAL

|

INTERPERSONAL : SCIENCES

HUMANISTIC----------------------------------------------- MECHANISTIC

SOCIOLOGY : POLITICAL

|

GROUP - COMMUNITY - POPULATION

h2cm complements mind-mapping 1. - a cognitive tool: the model has individual utility - formulating the - h2cm provides learners with a scaffold - h2cm can help integrate, understand forms of (health, reflective) literacy/informatics - overvalued? h2cm can encompass value & values - seek pilot study res care / student well-being - ownership: use 'health career model'? - reflection and critical thinking still vital - generation of ideas/associations IS the idea - situation/context bounds model use and scope of inferences - h2cm can be used for lifelong learning - h2cm's application changes with user's vocabulary - Peter's ready to pass this 'baton' - Yes, Nurse 1st -

- h2cm is easy to explain, best via workshop - there is a small bibliography [sidebar] - - 2020 two new independent papers (2. below) - research question is ongoing [ dhyb 3.] - there are ideas/theories h2cm can draw upon - invented here: NW could celebrate - literature still reflects on reflection - student nurses do 'hear of' models & theory - h2cm: as simple/complicated as needed? - - measure of holism, integration ...? - - can encompass all 'spaces' - h2cm remains a response to legacy issues - - person-centred care - - holistic care/ ['holistic bandwidth'] - - integrated care - 'exposure' to Drupal ongoing - learning+ - - Drupal distributions also an option? - 'Peter' is in 'Persistence' (Go Perseverance!)*

h2cm can assist in 1-1 collaboration - care planning - - case formulation - - and small group work - - re. ownership: more 'cost of adoption' not high - there is interest - Yes, time to stop blogging/tweeting - we need a tool to bridge lifespan, healthspan, health career, career span - many dialogues remain contested, patiency, recovery: try this 'space?' - h2cm can help represent the 'hidden' value of labour social, relationships, psychological -

- Safety via Assurance role? - - Spans Quality::Quantity of Care - sense of ownership - make it 'yours' - COVID-19 reveals need & role for h2cm - the model is CC [power to your elbow?] - funding for research would be a bonus - - partnership / studies always welcome - carry the model f/w to 'LeaveNoOneBehind' - - address SDGs at 'home' too - h2cm can also outline the scope of a discipline - an original purpose was in curriculum design - h2cm useful in evaluation/regulation - still seeking benefits: [yes] policy instrument? - reflection/r. practice stressed for nurse re-validation

Further additions / revisions may follow and to the cons post.

To expand on Drupal: the question of its appropriateness to build a new website/platform is not an omission. Drupal 9.0 - 10.0... appear to make the update process and overall experience for non-developers much more user-friendly. I'm looking f/w to a virtual DrupalCon North America in April.

A co-authored paper is on its third journal transfer. Then to address the two-part draft well advanced, related to a conference in July.

1. 

https://hodges-model.blogspot.com/search?q=mind-mapping

2.

Hayward, B.A. (2020), Mental health nursing in bushfire‐affected communities: An autoethnographic insight. Int J Mental Health Nurs. doi:10.1111/inm.12765

Iris Lohja, Yves Demazeau, Christine Verdier. A multi-agent system approach to dynamic ridesharing for older people: State-of-the-art work and preliminary design. 18èmes Rencontres des Jeunes Chercheurs en Intelligence Artificielle, RJCIA’20, Jun 2020, Angers, France. pp.52-59. ⟨hal-02897446⟩ 

3. Don't hold your breath!

*... and yes, at times my head hurts. 

⁺ ... I think and yes to be demonstrated. If not, I do have a 'requirement' and there may be value in that..?

Hodges' model - the cons ...

Following a thread on twitter:

4 #h2cm can be a generic conceptual framework for all disciplines: health, education,
contexts: development, edtech, socio-tech*
So scope *global* (utopic?) – more pragmatically - a utility across communities of practice.
*Plus other domain 'bridges': https://t.co/SqzQQnYuKz

— Peter Jones (@h2cm) February 14, 2021

A further query followed:

"can be", but is it?

What would you say has stopped that from happening?

— Peter Jones (@innov8tor3) February 15, 2021

The short answer is clearly that Hodges' model isn't the generic conceptual framework, it follows that it is not global either. The reasons why are many and I've posted about several over the years, indirectly and more recently in a more direct manner:

My Moon Mission? "The Stack"

Hodges' model and trial by vampires ... 

I thought it might be useful to outline the reasons here along the INDIVIDUAL - GROUP axis. 

 

INDIVIDUAL

|

INTERPERSONAL : SCIENCES

HUMANISTIC----------------------------------------------- MECHANISTIC

SOCIOLOGY : POLITICAL

|

GROUP - COMMUNITY - POPULATION

(Peter) overthinking - h2cm is an overvalued idea - formulating the - too much thought not enough action - sense of ownership (Hodges') not my model - too many ideas spoils the broth - is Peter holding on to this...? - evidence of a personal initiative ? - - Peter needs a mentor - calls for reflection/crit. thinking seem rhetorical - nurse 1st -

- SAFETY: - - where is the data, evidence, theory, proof? - 1980s - it is archaic - research question - not invented here: city, region, geography - academia has moved on (models out of fashion) - it is too simplistic - it is too complicated - where's the 'new' website/platform - how long does it take [former site 1998-2015*]? - a means to facilitate parity of esteem is missed - the project's Petered out!

sense of ownership - not our [CoP] model - not invented here: culturally non-neutral - rename the domains they're too 'academic' no interest, partners, collaborators - Jones needs to stop blogging/tweeting - it is a waste of time ... RT - not endorsement :: or even interest -

- sense of ownership - not our model - not invented here (inst./nationalism/political) - copyright? It's CC - Oh we see ... - funding for research / studies - - (MRES 2017 self-funded) - what are the benefits (across the model and spiritually)? - this approach smells of a tick-box approach, a means to a universal multidisciplinary worker? - Wigan Pier does not have a Jet d'Eau

 CoP - Community of Practice 

*Former website: (Web.archive: https://web.archive.org/web/20110903000318/http://www.p-jones.demon.co.uk/index.htm )

Moral injury: Individual - Collective: 'Global'

INDIVIDUAL

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

GLOBAL POPULATION

	A year ago, #COVID19 emerged & sparked a pandemic. Life-saving vaccines have been developed. What happens next is up to us. If we don't #ACTogether, the 🌍 is on the brink of a catastrophic moral failure & the price will be paid with lives & livelihoods in the poorest countries. pic.twitter.com/QkriFnNfEC — Tedros Adhanom Ghebreyesus (@DrTedros) January 18, 2021

Sources:

Several news sources.

Patient Safety Learning