'Why is it so hard to find an NHS dentist?' BBC Radio 4 - Inside Health

'Dentistry is high on the public and political agenda. There have been dozens of headlines about access to NHS dentistry, with some people having to travel huge distances to find a dentist, or being put onto long waiting lists to get an NHS appointment.

In this episode of Inside Health, James Gallagher is joined by chairman of the British Dental Association Eddie Crouch, the Oral Health Foundation's Dr Rachael England, and consultant oral surgeon Tom Thayer. Together, they drill into the issues surrounding NHS dentistry. Along the way, they discuss possible solutions, whether contract reforms will help, and the potential future of dentistry in the UK.

Presenter: James Gallagher
Producers: Alice Lipscombe-Southwell and Thomas Hunt
Production coordinator: Stuart Laws
Content editor: Ilan Goodman'

Source & image: https://www.bbc.co.uk/programmes/m002r3nn

Latest paper re. Hodges' model:

S. Bettiol, P. Jones, H. A. Onyedikachi, and W. G. Kernohan, (2026) Bridging Gaps in Oral Health Frameworks: Mapping With Hodges' Health Career - Care Domains - Model, Journal of Public Health Dentistry. 1–14, https://doi.org/10.1111/jphd.70034

'The Trip' - learning about Kay Parley RIP

Five prompts drew me to BBC Radio's 'The Trip':

1. the ongoing tenor of 'discussion' on twitter;
2. the ongoing history and future development and evolution of psychoactive, psychedelic medicines as treatments, running concurrently, or not with psychotherapy and psychosocial interventions (PSI);
3. being mindful of keeping up-to-date;
4. what is the temperature within critical psychiatry / mental heath / mental illness / well-being?
5. and how does all this 'sit' within Hodges' model?

As a student registered mental heath nurse, we learned about the historical introduction of chlorpromazine and other drugs, the difference they made to 'care' and the side-effects.

Pharmacology is dynamic. Atypical antipsychotics are now available. But this series, as the title confirms is about psychedelics and history from 08:30.

The episode highlights the importance of how sessions are delivered. Key points, given the additional pressures (UK) upon intakes for student nurse places for learning disability and mental health, plus questions about the status of these courses within university-based nurse education. If not already aware, the episode concludes with the role of a mental health nurse who died in May. Have a listen about Kay Parley.

THE TRIP - BBC Radio

https://www.bbc.co.uk/sounds/play/m002gqxs

It would have been marvellous to meet, speak to Nurse Parley. The episode has it's objectives of course, but there are values here. We are all test pilots, researchers.

"The American Journal of Nursing February 1964:

No role, is so welcomed on our psychiatric unit, as that of sitting with a patient during LSD therapy. This indicates that the treatment has value." ...

"Kate Parley passed away in May, so our last words will be hers. Words she would say to her patients at Weyburn, all those years ago.

'You are off on a trip with no baggage, no destination and no compass. That's why I'm here. I can't go with you, but I can be your anchor.

Wherever you go, you'll always be able to see me. I'll be the nurse who sits beside your bed. Taking notes and playing your records.

You'll never lose touch with me. Seeing me, you'll know, you are really in hospital and that you'll be back to Earth about 4 o'clock. I will send you signals too, to encourage your explorations.

I will remind you of places you longed to revisit and events you hope to scan.'"

PARLEY, KAY. Supporting the Patient. AJN, American Journal of Nursing 64(2):p 80-82, February 1964. 

https://www.openurses.org/_files/ugd/52de8b_870deaa149e842d286e76131b1321285.pdf

https://andrewpenn.substack.com/p/in-memoriam-kay-parley-rpn-registered

Todd, Betsy MPH, RN. Supporting the Patient on LSD Day. AJN, American Journal of Nursing 121(6):p 42-44, June 2021. | DOI: 10.1097/01.NAJ.0000753656.16844.a9 

Rain, Library, and a Poem on a Neon Line

'It is raining in the library,

and leaking between theory and practice.'

Rain by Faroese poet and novelist Carl Jóhan Jensen

My source: BBC Radio 4 The Verb. Poetry and performance with Ian McMillan.

8th June 2025. 1710-1750. https://www.bbc.co.uk/sounds/play/m002d88g

Previously: 'theory' : 'practice' : 'library' : 'poetry'

HIFA Discussion: Alcohol Use Disorders - Language 'being drunk'

----- Forwarded message -----
From: Peter Jones, UK <hifa AT hifaforums.org>
To: HIFA - Healthcare Information For All <hifa AT hifaforums.org>
Sent: Sunday, 25 February 2024 at 06:35:47 GMT
Subject: [hifa] Alcohol Use Disorders (86)

This morning on Times Radio UK, Hugo Rifkind 1000-1300 from 10.58:30 UTC:

 https://www.thetimes.co.uk/radio/show/20240224-26978/2024-02-24 

- there was mention of research in Germany on language, finding that there are over 540 words for 'drunkenness' being drunk. Apparently, the key is adding -ed to many words.

https://www.research-in-germany.org/idw-news/en_US/2024/2/2024-02-19__I_m_gonna_get_totally_and_utterly_X-ed.__OR__Can_you_really_use_any_English_word_to_mean__drunk__

This stood out for me as Hodges' model can potentially encompass the full corpus of a language, with the various contexts in which language is applied/used.

Significant of course informationally, in evidence-based practice, and research, were 'definition of terms' are (usually?) essential.

Also reminded of national variation in clinical/medical terminology. Scottish slang for injection includes 'jag'.

For health communication and HIFA, clearly language is fundamental and presents a real 'can of worms' (sorry!) in sense-making, creating 'noise' in the communication channels.

Should health services/systems effect a (gradual) change (shift) of emphasis to education and prevention - with the requisite policy support (utopic?) then this will need to be addressed.

In checking this news, it appears Germany has a more acute problem with alcohol. Can anyone 'local' - please shed any light on this?

I will post again about the HIFA discussion with a week ... left and highlight the above.

Many thanks

Peter Jones
Community Mental Health Nurse and Researcher
CMHT, Prescott House, Salford NW England, UK (Mon-Tues)
Blogging at "Welcome to the QUAD"
http://hodges-model.blogspot.com/
http://twitter.com/h2cm

h2cmuk AT yahoo.co.uk

'Health' is a Many-Splendoured Thing c/o BBC Radio 4

BBC Radio 4 - Money Box Live: Rental Health Special

 INDIVIDUAL
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 INTERPERSONAL    :     SCIENCES               

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

SOCIOLOGY  :   POLITICAL 

|

GROUP

Mental health, Well-being Quality of Life Lived experience Anxiety, Stress, Distress Debt fear Individual vulnerability	Life in Cities Built environment - Urbanisation Human Geographies (Social) Housing Air Pollution, Repair, Damp, Mould, Noise Access to Green S pac es Land-
Social Housing Community - Family, Social cohesion Social inclusion - Social justice Group - Population vulnerability Socio-Economic - Determinants of Health Social poverty 'Living' Wage Good/Bad Tenants/Landlords?	-Lords

Money Box

"Felicity Hannah and Winifred Robinson take questions on the legal rights of renters with experts Jasmine Basran from the housing and homelessness charity Crisis and Tessa Shepperson founder of the The Landlord Law Services she advises landlords of their legal rights and responsibilities.

The number of people renting across England, Wales and Scotland has more than doubled in the last decade.

The picture in Northern Ireland is similar with the numbers of people renting is up by nearly 2 thirds in the last 20 years."

See also: Rental Health

Read in FT Weekend - hopefully the link will work for you:
Lessons from Vienna: a housing success story 100 years in the making

Previous posts: 'Homeless'

"In all flat maps (and I am one)" - Donne

'Discordia concors' - 'Concordia discors' ... plus ... 'Site map'*

"Drawing both on the medieval Mappae mundi and the Ptolemaic tradition revived in the Renaissance, the recurrent cartographic motif in John Donne’s poetry well reflects the preoccupations of a revolutionary period in the history of Western cartography. Yet, for all its cosmic magnitude, Donne’s poems, both holy and secular, are turned, not so much towards an exploration of the world as towards an exploration of the Self as the ultimate object of reflection." [Abstract].

Ladan Niayesh, ““All flat maps, and I am one”: Cartographic References in the Poems of John Donne”, Études Épistémè [Online], 10 | 2006, Online since 01 October 2006, connection on 22 February 2023. URL: http://journals.openedition.org/episteme/955; DOI: https://doi.org/10.4000/episteme.955

 INDIVIDUAL

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GROUP

"Let us take as a first example one of the last poems written by Donne, "Hymn to God my God, in my Sickness", composed either during one of the poet’s serious illnesses in 1623 or alternatively shortly before his death in 1631 ..."

"... Here the poet compares himself, as he lies on his sick-bed, or possibly his death bed, to a flat geographical map studied by his physicians who are compared to cartographers: "my physicians by their love are grown / Cosmographers, and I their map, who lie / Flat on this bed" (ll. 6-8), and later "In all flat maps (and I am one)" (ll. 14)."

The global Psycho-Social-Geo-Political legacies and future?

"Yet for all its symbolic Noachid and Christian background, Donne’s cartographic imagery has room for the latest scientific contributions. Newly discovered territories are directly named here: "is the Pacific Sea my home?" (l. 16), "Anyan, and Magellan, and Gibraltar" (l. 18). And if this metaphorical map is a flat one — "In all flat maps (and I am one)" — it is solely for the sake of commodity, as this flat shape actually stands for an acknowledged and accepted spherical reality: "west and east / In all flat maps (...) are one" (ll. 13-14)."

*I found some irony in 'site map' being the final map on the journal's webpage.

Sources:
 

London July 2022 Foyles, Waterstones and other bookshops:
Super-Infinite: The Transformations of John Donne (Hardback)

https://www.faber.co.uk/product/9780571345915-super-infinite/

BBC Radio 4 Super-Infinite by Katherine Rundell [Episode 3]

Previously on W2tQ: 'maps'

c/o Joan Didion 1934-2021: "Let Me Tell You What I Mean"

"All I know about grammar is its infinite power. To shift the structure of a sentence alters the meaning of that sentence, as definitely and inflexibly as the position of a camera alters the meaning of the object photographed. Many people know about camera angles now, but not so many know about sentences. The arrangement of the words matters, and the arrangement you want can be found in the picture in your mind. The picture dictates the arrangement. The picture dictates whether this will be a sentence with or without clauses, a sentence that ends hard or a dyingfall sentence, long or short, active or passive. The picture tells you how to arrange the words and the arrangement of the words tells you, or tells me, what's going on in the picture. Nota bone:

It tells you.

You don't tell it."

 INDIVIDUAL

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SOCIOLOGY  :   POLITICAL 

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GROUP

"Let me show you what I mean by pictures in the mind. I began “Play It as It Lays” just as I have begun each of my novels, with no notion of “character” or “plot” or even “incident.” I had only two pictures in my mind, more about which later, and a technical intention, which was to write a novel so elliptical and fast that it would be over before you noticed it, a novel so fast that it would scarcely exist on the page at all. About the pictures: the first was of white space. Empty space."...

My source: BBC Radio 4

Let Me Tell You What I Mean: A New Collection of Essays by Joan Didion

---

Episode 4

Book cover: goodreads.com

Text source:
New York Times archive - Why I Write, By Joan Didion, Dec. 5, 1976.
https://www.nytimes.com/1976/12/05/archives/why-i-write-why-i-write.html

Previously on W2tQ: Book: "The Empty Space"

In health, education, in work: We are all - Four Loom Weavers

"The author Michael Morpurgo (War Horse, Private Peaceful) explores the ways in which folk songs have reflected timeless human experiences, both in the past and today. 

Michael Morpurgo

With help from singers, songwriters and other passionate experts, Michael admires the indelible stories within classic songs that deal with migration, war, protest and love. Over the four themed episodes, Michael considers the locations and historical contexts that gave rise to much-loved traditional songs, and finds out how the same topics are inspiring new folk songs in the 2020s.

In the second episode, Michael considers a song of protest: Four Loom Weaver. 

With Professor Lawrence Goldman, Muireann Nic Amhlaoibh, Nancy Kerr, Karine Polwart, Nicola Kearey, Ian Carter, Blair Dunlop and Ashley Hutchings." BBC Radio 4

Michael Morpurgo's Folk Journeys

"Many Lancashire folk, can give personal testimony of relative having worked in such a role.

My maternal grandmother was a four loom cotton weaver until the mill, where she worked, in Rawtenstall, Lancashire, was closed and relocated to India in the 1920s approx. Mill workers worked their way up to four looms which were rented from the mill. Four was the maximum so my nan told me, so a four loom weaver was an indication of the level of attainment in the industry. So I think the title is probably correct and not a corruption of a poor loom weaver.

Will Lever, Malpas, Cheshire" Wikipedia

 INDIVIDUAL

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GROUP

BBC Reith Lectures 2022 - The Four Freedoms

 

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GROUP

FEAR	WANT
WORSHIP	SPEECH

Are fear and worship interchangeable? 

Can I follow my faith / beliefs?

Many communities and groups live in fear.

Do the freedoms begin (and end!) with speech?

The ability to meet basic needs 'wants' - relies upon socioeconomic means; but basic needs are material in the first instance, through shelter, water, and food. All these depend upon security (locally, nationally, globally) as reflected in the Sustainable Development Goals (SDGs):

BBC Radio 4 The Reith Lectures

See also:
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

Reflection = 'navel gazing'?

Individual and Collective reflection ...

THE NEED FOR HOLISTIC BANDWIDTH

 INDIVIDUAL

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 INTERPERSONAL    :     SCIENCES               

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

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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.

 

"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
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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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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?

 

c/o BBC - Whiter than white ...

Individual
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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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Group

	"The Men in the White Coats"
	"The Man in the White Suit"

My source: BBC Radio 4 - Archive on 4

"All in the Mind" (and model): Ambiguous Loss

"Have you ever lost a loved one who was still a part of your life in some way? Did it leave you feeling confused or frozen about how to continue with life? Claudia Hammond examines the distressing phenomenon known as ambiguous loss – the enormous challenge of dealing with a loss when you aren’t sure what’s happened, leaving you searching for answers, unable to move on." 

BBC Radio 4 "All in the Mind" 1st December, 2020 (Available for one year)

 individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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group

psychological ambiguous loss ambivalence, grief, loss guilt, reality, meaning BOTH-AND thinking -	physical ambiguous loss a body is missing head injury - the impact of dementia on a person

 

Interactive Radio Drama Training - Theatre for a Change - Online

From: Ryan Borcherding

Learn how to produce Interactive Radio Drama (IRD) for a wide range of gender, SRHR, SGBV and COVID-19 behaviour change and advocacy objectives.

IRD is a unique social and behaviour change communication tool from Theatre for a Change. It has been used in multiple countries since 2010 to improve the sexual and reproductive health and rights of marginalised and vulnerable women and girls, with documented results.

IRD enables audiences to call in to the radio station and replace the main character in the radio drama, to show what they could do differently to change the story for the better. It enables behaviour change and advocacy to happen on a large scale. In Malawi, we reach over 550,000 listeners through interactive broadcasts each week.

We are now offering online training in our IRD approach to enable other organisations to use IRD in their gender, SRHR, SGBV and COVID-19 behaviour change and advocacy work.

To view the full course outline, including eligibility requirements, please see www.tfacafrica.com/online-training

For more information, please contact Ryan Borcherding on ryan.borcherding AT tfacafrica.com

Ryan Borcherding

My source:

The Communication Initiative Network

Individual :: Group - Please scratch my back!

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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GROUP

	< - Please, please scratch my back!
Oh, Yes! Lovely! Now I suppose I have to sratch yours...?! ->

 

Source: BBC Radio 4 Inside Science 8 October 2020

"Claudia Hammond looks at the neuroscience behind our sense of touch. Why does a gentle touch from a loved one make us feel good? This is a question that neuroscientists have been exploring since the late 1990's, following the discovery of a special class of nerve fibres in the skin. There seems to be a neurological system dedicated to sensing and processing the gentle stroking you might receive from a parent or lover or friend, or that a monkey might receive from another grooming it. Claudia talks to neuroscientists Victoria Abraira, Rebecca Bohme, Katerina Fotopoulou and Francis McGlone who all investigate our sense of emotional touch, and she hears from Ian Waterman who lost his sense of touch at the age of eighteen"

 

#FreePeriods - Period Poverty (Schools opt-in January 2020)

INDIVIDUAL

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INTER-PERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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GROUP

understanding awareness access	PERIOD
The RED box project Schools - must opt-in	POVERTY government funding

BBC Radio 4: 5 December 2019 [ from 20 mins...]

"After a long campaign from #FreePeriods, the Government agreed to fund a scheme to ensure all primary and secondary schools and colleges provided free period products to menstruating pupils. This was meant to start rolling out in September 2019 but has now been pushed back to January 2020. It is an opt-in scheme and so schools and colleges must sign up to receive free sanitary products. Gemma Abbott is a campaigner for FreePeriods and volunteer from the charity The Red Box Project, and Nadia Collier is a family support worker at a primary school in London, who has first-hand experience of how important these free period products can be."

Updated - Additional resource c/o RCN publications:

Promoting Menstrual Wellbeing

Publication Code : 007 856

"Menstruation is both a physiological and psychological milestone in a woman’s life. This publication has been developed to help nurses break down the stigma that can be associated with what is a completely natural process. It is important to use appropriate and flexible communication methods to ensure information on the menstrual cycle is delivered in an accessible format for women. This publication has a supporting promotional flyer (007 857) and both resources are supported by Hologic’s Wear White Again campaign."

Thought Cages: c/o BBC Radio 4

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group

Motivations Experience	"Elephant in the brain"
Friends, Family (+ the test) Receiving treatment Patient - Professional relationship	NHS Companies Health expenditure

Be Successful or Be Loved: The NHS Dilemma

Bliss + Symbols = Language for Care?

As I have written before on W2tQ the initial attraction of Hodges' model was its relation to brainstorming, mind-mapping, diagrams and the possibility of iconic languages. In addition, in the 1980s graphical user interfaces GUIs were introduced on microcomputers and PCs. There followed a rapidly expanding literature on icons, visual languages and interfaces. I had also heard of a Charles Bliss [ Charles K. Bliss (1897-1985) ] and Bliss Symbolics. So, to brainstorming ... we can add ideographs and pictographs.

This past week BBC Radio 4 explored the life and work of Charles Bliss and the application of Bliss in literacy, care and special needs education. The programme presented by Michael Symmons Roberts is available for 4 weeks. For its 30 minutes length the programme introduces Bliss himself, his life, aims, the challenges he and his wife faced and the ongoing legacy of his work. It could be argued - and has been - that this is a step backwards to hieroglyphs; but the programme is broader in its reference to 'care'...

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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group

'bliss'	Wikipedia - Portal:Constructed languages
BBC Radio 4 The Symbols of Bliss	Ideal of Universal - International Languages

In the 1990s I received some copies of a journal devoted to 'Unish' a constructed language. The link to unish.net does not seem to work, but the Wikipedia site below includes some details.

Health Inequality: TB, Trauma and Technology - c/o BBC Radio 4

One of the joys of working in the community is that while travelling I can often catch the radio. Being on a 10-6 today I was even better placed to listen to 'Start the Week'. Even though there's the web iPlayer ... sometimes maybe it's a case of real time - real thinking...

It is a very engaging conversation that - as I listened - spoke directly to Hodges' model: but I would say that (not sure about the real thinking though..!).

BBC Radio 4 Start the Week (19 June 2017) Health Inequality: TB, Trauma and Technology

BBC Radio 4 Start the Week:

Health Inequality: TB, Trauma and Technology

In reference to a book there is mention of organisational justice, which I will add to the post on the Grenfell Tower disaster.

I've a related post to follow after midnight UK on social determinants of health. Thank you for your ongoing interest.

Additional tags:

#psychiatry #information #basic needs #shelter #authority #uncertainty #friends #community #location #crisis #war #globalhealth #book #resilience #care #stigma #neglect #institution #community #technology #outcomes #research #services #internet

FROM: the couch TO: the courtroom | c/o BBC Radio 4

INDIVIDUAL

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INTERPERSONAL : SCIENCES

humanistic --------------------------------------- mechanistic 
 subjective --------------------------------------- objective

SOCIOLOGY : POLITICAL

|

Inc. community - GROUP - the State  

Pain Individual   Vulnerability Psychological Trauma - Shock Therapy    Recovery     Closure motivation? - Catharsis - outcome? Psychoanalysts uncover truth Hidden Psychical Material Emotion  PTSD Forensic Psychiatry - Experts PURPOSES	Pain Events - Time True - Memories - False Accounts - Re-Living Rationality   Logic (Objective) Truth Analytic processes Physical Trauma - Shock PROCESS
From: War  Psychological  To: Domestic Trauma  'trauma' as a human and medical idea Reparation (psychological AND legal)? Public expectations Community Public Values PRACTICE	Magistrates uncover truth Law  Courts  Justice Adversarial System Closure - Compensation Victims of crime Psychiatric Reports Unconscious Responsibility POLICY

From the Couch to the Courtroom BBC Radio 4: 17 April 2017
Helena Kennedy QC asks if our legal system is becoming too influenced by the culture of psychotherapy.

The potential of Hodges' model as a generic conceptual framework has always been demonstrable through the distinction between the individual and the State. In this Radio 4 programme it is well worth also considering the diametric (potential) opposition of the person and their mental health (and therefore their physical state) as in applying the law in all aspects of healthcare and human welfare.

There are two references in the bibliography (sidebar) on the role of Hodges' model in forensic contexts.