Where is the Centeredness of Care?

In trying to see Hodges' model anew, which is quite a challenge after four decades; what of the model's structure?

It is easy to get carried away with mathematical terminology:

One line, add another, and they intersect, at a 90 degree right angle. So is centeredness to be found at the intersection point? 

If I'm tying myself up in knots well there's another possibility! 😉 

As a whole it appears the axes of the model are a manifold and not - in the center?

What do you think?

See also: 'What Is a Manifold?'

https://www.quantamagazine.org/what-is-a-manifold-20251103/

New student? What's that? You're worried about your finals!

For a new student nurse, mention of your finals, as in, exams - seems a world-away. After a paroxysmal attack of fear (and motivation!), time resolves. "It's fine. I can relax. We're good!"

Especially so in the pre-Project 2000 days (Swaby, 2021), when nurse education was conducted in more local schools of nursing. You could be forgiven for feeling reassured that there's plenty of time; if your first step was to work as a nursing assistant (or cadet) prior to starting as a student.

Then all of a sudden, you can point to many wornout shoes. You've been busy; helped run a ward, a caseload, a team, and raised a family. And, while the NHS, nursing, society, and much else besides have continued their relentless pace of change, change and more change.

You blink,* look again and you're starting what will be your final 3-year period of nurse registration. What this will bring: who knows?

Kelly Swaby (2021) Did Project 2000 fulfil the intention set out by nursing’s leadership to create
a profession of highly educated practitioners. Thesis.
https://pure.hud.ac.uk/ws/portalfiles/portal/70492399/Swaby_THESIS.pdf

*'Blink' https://www.youtube.com/watch?v=4f0p5KqdU9U

Webinar “From Global to Local: Enhancing the UK Healthcare System with Lessons from CEI in LMICs” 10 February, 3–4PM (GMT)

The NIHR Patient and Public Involvement and Engagement (PPIE) team are pleased to invite you to our fourth webinar in the PPIE/CEI Bidirectional Learning Series “From Global to Local: Enhancing the UK Healthcare System with Lessons from CEI in LMICs”.

Date: 10th February 2026

Time: 3.00–4.00 PM GMT, London UK (Online via zoom)

Join us to explore how Community Engagement and Involvement (CEI) approaches developed in Low and Middle-Income Countries (LMICs) are actively shaping health research and service delivery in the UK. This session will demonstrate how global CEI principles —collaboration, equity, and shared learning - can be translated into local action to build trust and create more responsive healthcare systems.

What you will hear about:

- Global to local CEI strategies: Insights into how CEI strategies from LMICs can be used to strengthen community relationships and healthcare practice in the UK. 
- Driving Innovation through Reciprocity: Discover how a "virtuous circle of learning" between global and local systems enriches inclusion and equity. 
- Translate Insight into Action: Practical examples and expert perspectives on turning global health CEI approaches into practical, equitable healthcare solutions within the NHS.

Speakers include: - Farrah Lunat (Research Operations Manager at Lancashire & South Cumbria NHS Foundation Trust and Joint Lead Author of the NIHR ROSHNI-2 study) - Professor Nusrat Husain (Professor of Psychiatry and Director of Global Health at the University of Manchester and NIHR Senior Investigator) - Dr. Matthew Harris (Clinical Senior Lecturer in Public Health at Imperial College London and Honorary Consultant in Public Health Medicine)

Submit your questions & register via Eventbrite: 

https://www.eventbrite.com/e/from-global-to-local-cei-lessons-from-lmics-enhancing-the-uk-healthsystem-tickets-1976864265233?aff=oddtdtcreator

Sarah Betts

*Programme Manager (PPIE)* | NIHR Coordinating Centre

My source: HIFA

'Nurse Emmanuel' by The Unthanks

'Nurse Emmanuel by The Unthanks is taken from the album The Unthanks - In Winter, out now. Listen to the whole album here: https://linktr.ee/theunthanksinwinter The song is written by Vanessa Lampert and Adrian McNally, set to the tune of O Holy Night, and is in tribute to the NHS, the work that medical professionals did over Covid, and the message that the NHS is in our hands, to protect and appreciate.'

My source: 'X' @TheUnthanks

Prev. 'music'

Pick your corner carefully ...

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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group - population

Of all the corners you can pick* take care ...
	... some are even more 'political' and expressive of power, individually and collectively, than when exercised right here.

 

Ack. Source:

(1/) In hospital today, whilst in a lot of pain I spelled my name 3 times for a receptionist who kept sighing; eventually rolling her eyes she said loudly "You're confusing me with that name. Come explain it properly in that corner!" So many issues with what happened here...

— Adiba Sultan (@AdibaSultan) [No longer available.]

 

*I remember at school 1970s - our drama teacher highlighting the people who have social awareness and those who do not. 'Social awareness' covers a wide range of attitudes, behaviour, manners,  literacies, intelligences ... and with ongoing unrest, campaigning, activism, legislation, policy and human rights we  have made progress. A counterpoint and sadness in the 21st C. is that - as ever - there remains much to do: many people [still] can not exercise a choice in terms of the corners they would like to reach.

Poetry Health Service c/o HOME

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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group - population

Poetry Health Service The Poetry Health Service is now open! The PHS is a brand new, free, creative service offering contemporary poetry as a tool for connection and healing. Fill in a colour based flow chart and receive your own complimentary poem.

My source: HOME, Manchester