Evidence sent to Cumbria Police about 61 baby deaths at church-run home c/o ITV News

'Some babies born with disabilities were denied medical help because they were judged unadoptable, as ITV News Social Affairs Correspondent Sarah Corker reports

---

Evidence has been submitted to Cumbria Police in connection with allegations of historical abuse at a church-run mother and baby institution where more than 60 newborn babies died, following an ITV News investigation.

A new report by Dr Michael Lambert, an historian of the welfare state at Lancaster University, has outlined a high infant death rate at St Monica’s home in Kendal.

The report concluded that the deaths were due to a combination of failings, including inadequate facilities, malpractice and poor care from those delivering babies and a lack of oversight from the church and state.

Analysis of public health records, alongside birth and death certificates, indicated that children with disabilities born at the mother and baby home were deemed "un-adoptable" and denied modern medical care, according to the new research.'

◇

individual

|
INTERPERSONAL : SCIENCES             

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

SOCIOLOGY : POLITICAL   

|

group

emotional neglect and abuse  grief, trauma and guilt  shame	physical neglect and abuse  high infant death rate inadequate facilities malpractice
mother and baby   social / societal punishment  public health	institutions  criminal investigation  records

Source: ITV: NW News and https://www.itv.com/news/2026-06-09/evidence-sent-to-cumbria-police-about-61-baby-deaths-at-church-run-home

Call for Participants: Survey on Trauma-Informed Archival Practice

Dear all,

My name is Emily Hill, I am a current master's student at the University of Glasgow completing my dissertation titled: 

 

To what extent is Trauma-Informed Archival Practice understood and used within the Archival Sector? How effective are the methods of support available to Archivists? 

The aim of this dissertation is to explore the breadth of knowledge within the Archival sector surrounding Trauma-Informed Archival Practice, where professionals have learned about Trauma theory and if the mental health and secondary trauma support available is accessible and effective. There is no prior knowledge of Trauma-Informed Practice needed to participate, as these concepts are explained within the Participant information forms. 

Participation in this survey will take approximately 15 minutes, including the Participant Information and Agreement forms which should be viewed and signed before participation in the survey questions. 

All survey responses are received anonymised, with the data being analysed in correlation with other respondent data on a question-by-question basis. 

I would be very grateful for your participation in this survey, and if you have any questions or concerns you wish to address prior to participating, please email me at 2650467H AT student.gla.ac.uk. 

You can access the survey here. 

Thank you in advance for your participation!

Best wishes, 

Emily Hill.

My source:
To view the list archives go to: https://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=RECORDS-MANAGEMENT-UK

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.

'Loud' noises and silences - Martin Luther King

INDIVIDUAL

|

    INTERPERSONAL    :     SCIENCES               

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

SOCIOLOGY  :   POLITICAL 

|

GROUP

... We are confronted with the fierce urgency of now. In this unfolding conundrum of life and history, there is such a thing as being too late. Procrastination is still the thief of time. Life often leaves us standing bare, naked, and dejected with a lost opportunity. ... We may cry out desperately for time to pause in her passage, but time is adamant to every plea and rushes on. Over the bleached bones and jumbled residues of numerous civilizations are written the words, "Too late." There is an invisible book of life that faithfully records our vigilance or our neglect. Omar Khayyam is right: "The moving finger writes, and having writ moves on."     -DR. MARTIN LUTHER KING, J.,     Beyond Vietnam - A Time to Break Silence

My source: https://www.americanrhetoric.com/speeches/mlkatimetobreaksilence.htm

The invention of language

7 After the Fall

'Adam's one task in the Garden had been to invent language, to give each creature and thing its name. In that state of innocence, his tongue had gone straight to the quick of the world. His words had not been merely appended to the things he saw, they had revealed their essences, had literally brought them to life. A thing and its name were interchangeable. After the fall, this was no longer true. Names became detached from things, words devolved into a collection of arbitrary signs; language had been severed fom God. The story of the Garden, therefore, records not only the fall of man, but the fall of language.' 

    Paul Auster

In, Robert C. Stalnaker (2008) Our Knowledge of the Internal World. Oxford, GB: Oxford University Press. hb. p.132.

Auster, P. (1985) The New York Trilogy (New York: Penguin Books). p.52.

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'

Bridging Gaps in Oral Health Frameworks: Mapping With Hodges' Health Career - Care Domains - Model

 ABSTRACT

Objectives

Despite decades of national and global strategies, persistent inequities in oral health outcomes, access, and service provision remain. Existing frameworks often fail to integrate clinical and behavioral factors with social, cultural, and political determinants. This study aimed to map and evaluate oral health frameworks using Hodges' Health Career—Care Domains-Model (HCM), a meta-framework that spans clinical, behavioral, sociological, and political domains. The goal was to identify conceptual gaps and opportunities for greater integration.

Methods

A structured scoping review was conducted using MEDLINE, CINAHL, EBSCO, and search engine Google Scholar (1995–2025) to identify oral health-related conceptual frameworks. Frameworks were eligible if they addressed oral health determinants, behaviors, policies, or interventions. Two reviewers independently screened records and analyzed full-text articles. Frameworks were categorized by theoretical orientation and mapped against the four HCM domains to identify patterns of emphasis or omission.

Results

Of 226 identified records, 21 frameworks met inclusion criteria. These were classified into three thematic groups: balanced (addressing all domains), clinically led (focused on clinical/behavioral aspects), and policy/public health-focused (emphasizing sociological/political factors). Seven cross cutting themes emerged, including health promotion, systems integration, social justice, and cultural safety. While many frameworks promoted equity and policy reform, few offered implementation guidance or had been empirically validated.

Conclusions

HCM proved useful for systematically comparing frameworks and revealed consistent underrepresentation of political and structural domains. It offers a practical tool for oral health professionals, educators, and policymakers developing integrated oral health models that align with equity, sustainability, and universal health coverage goals.

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

Share your voice: IRMS New Professionals Award

- entries close 31 January 2026

Dear students, apprentices and new professionals,

What are you up to between now and 31 January 2026? How about sharing your thoughts on anything to do with Information, Data or Records?

If you’ve not come across it, the Alison North New Professionals Award was set up by Alison back in 2010 to support emerging talent in our profession. 2025 marked its 15th year and the award continues to recognise and champion new voices.

Over the last fifteen years, entrants have offered everything from light‑hearted reflections to deeper insights into how we do what we do. Every applicant adds value, winner or not, helping the profession see familiar challenges in new ways.

What’s new for 2026:

We’re making submissions more flexible. Previously, you had to write an 1,000 word article.

This year you can still submit a written piece or you can record one instead (audio or video). As long as your entry covers 1,000 words’ worth of content it’ll be accepted and shared with the panel for consideration.

Why bother?

We know you’re busy studying or finding your feet in new roles. But for a little time and creativity, successful entrants will receive:

• A funded place at the IRMS Conference 2026—a brilliant opportunity for content, networking and professional contacts. (IRMS 2026 is scheduled for 17–19 May at the Celtic Manor Resort, Wales.)
• Publication of your winning entry to our 1,000+ members, and sharing across our partner networks and the wider profession.
• Plus additional support to help you settle into—and thrive in—our fabulous profession.

So, ignore the inner imposter that says you’ve nothing to say. Set aside some time over Christmas and the New Year, and share your ideas.

For inspiration, our Patron, Scott Sammons, even interviewed recent winners on his podcast to explore why they applied—and why you should too.

(See https://theiglighthouse.podbean.com/e/special-episode-irms-new-professionals-award-carys-hardy/?token=dd9fdcd3d516c13f4874d8baca1c7b64 )

How to apply:

Deadline: 31 January 2026
Format: Written (1,000 words) or recorded (audio/video) equivalent
Details & submissions: https://irms.org.uk/professional-development/awards/new-professionals-award/

What’s stopping you?

Not a new professional yourself? Please share the application page with people who’d be a great fit and encourage them to apply—every little helps.

Best wishes,

Carys Hardy (She/Her)
Communications & Marketing Officer
Information and Records Management Society Ltd (IRMS)
Email: info AT irms.org.uk 

My source and list archives at: 
https://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=RECORDS-MANAGEMENT-UK

Auction: Twenty-two photographs of psychiatric patients at the Surrey County Lunatic Asylum [1850s]

DIAMOND, Dr Hugh Welch (1808–1886)

Twenty-two photographs of psychiatric patients at the Surrey County Lunatic Asylum [1850s]

Estimate - GBP 100,000 – GBP 200,000

Christie's London - December 10th 2025

https://www.christies.com/en/lot/lot-6564110?ldp_breadcrumb=back

Asylum patient by Hugh Welch Diamond, c1850-58
Hugh Welch Diamond (English, 1808-1886)
Public domain, via Wikimedia Commons

'The women Iook out at us across 170 years of history with a variety of expressions - bold and shy, serene and distressed. Yet all of them were regarded at the time as "lunatics". These faces were the  subjects of a pioneering project by the 19th-century psychiatrist Hugh Welch Diamond, superintendent of the female division of an asylum in London and the world's first photographer to take pictures of patients for the purpose of diagnosis and therapy.

Twenty-two of Diamond's asylum portraits - the largest surviving group - will be put up for auction on December 10 at Christie's in London, as part of a sale of books, manuscripts and photographs from the library of The Royal Society of Medicine. If they achieve their estimated prices, RSM, a membership charity, will raise more than £2mn to invest in physical and digital infrastructure.' ...

'Diamond was working at a time when society's views of people suffering from mental illness were changing. The earlier practice of shutting patients away in secure "madhouses" was giving way to more humane treatment. Diamond seems to have believed that photography would help doctors both to diagnose and to treat patients. His diagnoses were based partly on the idea, popular in Victorian medical circles, that an individual's physiognomy - their physical features, particularly the face - could reveal their mental state.

"He wanted to make people better and put them back into the world," says Sharrona Pearl, a medical historian at Texas Christian University who has studied Diamond's work. "He also enjoyed experimenting and liked the idea of bridging his expertise in medicine and photography.' p.32.

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group-population

Mental Illness PERSON - SUBJECT Patient's names not recorded Portrait - Consent?	Diagnosis and Treatment person - DATA - SUBJECT Photography as records Eagerness to classify - label
Social history Change in social attitudes Stigma and fear of mental illness Current relatives?	Confidentiality Institutional change Power imbalance Shift from 'custodial' to health care

My source:
Clive Cookson, Mind Hunter, FT Magazine, November 15, 2025, 1151, pp.30-34.

I have noticed Prof. Brendan Kelly is a regular FT respondent, as with this article:

'These photographs were likely to have been taken without meaningful consent and in the context of power imbalance. Yet publication can reclaim their individuality, address historical injustice and underscore our common humanity. Compassion, respect and humility should guide decisions. 

 Proceeds should support medical, educational, or justice-oriented programmes. Most importantly honouring forgotten patients of the past demands better care for people with mental illness today, who often languish, neglected, in homeless hostels or prisons. We can do better.'

Brendan Kelly Professor of Psychiatry, Trinity College, Dublin, Ireland.

Letters, FT Weekend. 22-23 November 2025, p.10.

See also: 'asylum' : 'photos'

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

12TH ANNUAL TANZANIA HEALTH SUMMIT 2025 (reminder)

THEME: "Harnessing Data Utilization and Technologies to Accelerate Universal Health Coverage"

INTRODUCTION 

Healthcare systems are evolving worldwide through the integration of health data and technologies. This integration is crucial for advancing Universal Health Coverage (UHC), particularly in developing nations. Data forms the foundation, encompassing patient information, treatments, and outcomes. Technologies on the other hand serve as tools like cloud storage, IoT devices, and blockchain that enable efficient data collection and processing. AI, a subset of digital technologies, then transforms this data into actionable insights through machine learning and predictive analytics, improving healthcare delivery and decision-making. The healthcare AI market's projected growth of 36.8% CAGR from 2025 to 2030 (Matsukatov, 2024) reflects its potential to revolutionize healthcare delivery, from diagnosis to resource allocation. Tanzania exemplifies how this integration impacts developing healthcare systems - with its UHC service coverage index expected to exceed 48% by 2025, the country is working to bridge healthcare access and quality gaps (WHO, 2025). The upcoming 12th Tanzania Health Summit will address how these components work together in low-resource settings. The focus will be on practical applications: health technology platforms for data management, technology infrastructure for connectivity, and AI-driven analysis for disease prediction. This integrated approach shows how developing nations can leverage technologies to accelerate progress toward comprehensive healthcare coverage despite the current resource constraints. 

CONTEXT 

Tanzania's healthcare system exemplifies both the challenges and opportunities in leveraging digital technology to achieve Universal Health Coverage in sub-Saharan Africa. With a doctor-to-patient ratio of 1.3:10,000 (against WHO's recommended 1:1,000), the country has strategically embraced digital innovation to bridge critical healthcare gaps (WHO, 2025). The Tanzania Digital Health Strategy (2019-2024) serves as the blueprint for this digital transformation, focusing on three key areas: health information systems, electronic medical records (EMRs), and data-driven decision-making (Ministry of Health, Tanzania Digital Health Strategy; 2019-2024). This initiative has shown measurable progress, with EMR deployment reaching 66.57% of healthcare facilities nationwide (PORALG, 2025). The implementation of DHIS2 (District Health Information System 2) has enhanced national health data collection and analysis, notably improving disease outbreak response capabilities.

Conference details 
Text: Concept note

BCS - AI Health 2025 - Artificial Intelligence SG (reminder)

Date and time: Friday 7 November, 9:30am - 4:30pm

Location: BCS, The Chartered Institute for IT, Ground Floor, 25 Copthall Avenue, London, EC2R 7BP

Price: 42 - 108 GBP

Synopsis

BCS-SGAI, the BCS, The Chartered Institute for IT's Specialist Group on Artificial Intelligence, was founded in June 1980. Its mission is: "To foster achievement, capability and awareness in both business and research in Artificial Intelligence, and to promote the interests of the related community". It is one of Europe's longest-established groups working to support the community of artificial intelligence developers and users and is the organiser of one of the longest-running annual series of AI conferences in Europe: the AI-20xx series.

In England, 189 out of 208 (91%) hospital trusts are using electronic health records (EHRs) bringing opportunities and challenges and for Artificial Intelligence (AI). In the morning, there will be a session about EHRs with speakers from UK (animal health records), France (European Health Data Space infrastructure for the use and exchange of EHRs), and Spain (personal health records). Before lunch break, there will be a brief 101 hands-on tutorial about Neuro-Symbolic AI with short exercises. In the afternoon, there will be a session about clinical decision, exemplifying the use of AI-based healthcare technologies. Come along if you are interested in AI and its potential in healthcare.

• A comparison between open-source biomedical LLMs and general-domain LLMs (e.g. DeepSeek, Gemini, Claude, and ChatGPT-4)
• How to lower the technical skills overhead (understanding of AI and programming code) needed to use open-source LLMs for content generation and content analysis of text, images and audio
• Exploring the plausible benefits of neuro-symbolic AI, combining neural AI (to process and extract patterns for health issues from unstructured data) with symbolic AI (explicit representations of background knowledge)

There will be Certificates of Attendance for those who register and attend the event.

We hope that you will come and join us, and that you enjoy this new offering from the BCS SGAI.

Speakers

Programme

More details and registration ...

(I look forward to attending.)

My source: BCS SGAI mail list.

'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 

AI Health 2025 Friday November 7th 2025

AI Health 2025

Friday November 7th 2025

At the BCS London Office
Ground Floor, 25 Copthall Avenue, London, EC2R 7BP (near Moorgate underground)

Organised by BCS-SGAI

BCS-SGAI, the British Computer Society Specialist Group on Artificial Intelligence was founded in June 1980. Its mission is: "To foster achievement, capability and awareness in both business and research in Artificial Intelligence, and to promote the interests of the related community". It is one of Europe's longest established groups working to support the community of artificial intelligence developers and users and is the organiser of one of the longest running annual series of AI conferences in Europe: the AI-20xx series.

In England, 189 out of 208 (91%) hospital trusts are using electronic health records (EHRs) bringing opportunities and challenges and for Artificial Intelligence (AI). In the morning, there will be a session about EHRs with speakers from UK (animal health records), France (European Health Data Space infrastructure for the use and exchange of EHRs), and Spain (personal health records). Before lunch break, there will be a brief 101 hands-on tutorial about Neuro-Symbolic AI with short exercises. In the afternoon, there will be a session about clinical decision support, exemplifying the use of AI-based healthcare technologies. Come along if you are interested in AI and its potential in healthcare.

There will be Certificates of Attendance for those who register and attend the event.

We hope that you will come and join us, and that you enjoy this new offering from the BCS SGAI.

Dr. Mercedes Arguello Casteleiro (BCS SGAI)*

https://www.bcs-sgai.org/health2025/

Please see link above for programme and speaker details.

*.. And my source - BCS SGAI.

Entry to the Theatre of Nursing & Space

I do understand that reading theatre related texts, joining a theatre group, my writing a play is still pi in the sky. It's the journey, that's all. In Hodges' model I've differentiated between structure and content. This is the center of the stage about which Hodges' model turns. In the guided discovery by which students and audiences can discover the model,  these are the bases to touch in turn.

Sir Alan's focus on construction in writing: is narrative, time, location, characters (p.12). The overall message for me is, the frequently uttered - less is more. I must take heed and listen. During Ayckbourn's career, he has encountered the full retinue of writers and directors young and 'experienced'. Reading this, it is nice to be both 'new old-er' -

'Then there is the new old playwright. Far more difficult to deal with. They have probably nursed this script for twenty-five years and they're damned if you're going to mess it up for them when they've waited so long. Especially someone your age who wasn't even born when their harrowing play about World War Two was still raging, dammit.' p.110. (My emphasis in bold.)

Thinking about 1959 and the start of Sir Alan's career, his reference to WWII, made me recall nursing assistant and student nurse studies and placements at Winwick Hospital in 1977. On the geriatric wards for entertainment it was WWI songs were often sung, or records played. Long players, indeed.

In health we are usually accustomed to stopping before the 'true' end, with the exception of palliative care, although even then the ending should be 'better' than what it would otherwise have been.

If I am nursing Hodges' model, I've been doing so ever since 1987-88. As Sir Alan also observes of writers, while passionate about the utility of the model - my project - not my model; I am filled with self-doubt. Is this an over-valued idea - in my hands (and mind!)?

In other reading - Stagecraft. The Complete Guide To Theatrical Practice, by Griffiths Trevor R. 1982, I came across the word 'proscenium'.

'Incidentally, when we came to stage [the play in question is 'Woman in Mind' PJ] the London proscenium version this was far more difficult to achieve. Proscenium theatres generally make scenic statements whether they want to or not; the round makes none unless called upon to do so.' p.32. 

There are many insights into sets, design, and the various pros and cons. In May and earlier this month, with three other cast members I performed a role 8-9mins in a Living Newspaper (40-50 mins in total). It was fascinating to watch the various aspects developing from the initial reading in January. With Hodges' model an idea, the question of set design is not straight forward. But as with over-valued ideas, I am probably over-thinking (as usual) making things more complicated than necessary.

One golden nugget of advice, is if you are the writer and write well, well you don't have to think the set design. That is a problem for someone else to solve. Hopefully you will be impressed by the interpretation and realisation (often in film credits) of your work.

That is, unless you're unlucky and find yourself on the receiving end of Obvious Rule No. 13:

Beware of competitive set designers, particularly those with a 'concept'.

The name Ayckbourn is synonomous with The Stephen Joseph Theatre, which is in the round:

'The Round provides a truly unique experience as the audience is seated all around the stage. Not only does the audience see the performance from every angle, it also brings the actor into the same space as the audience.'

"Let’s have the actors in the same room as the audience, let’s have four front rows, let’s get really excited about this acting business!"

Stephen Joseph, 1959 - https://sjt.uk.com/about-us

From the mid-1980s and 90s I used to visit Bolton's Octagon quite regularly. Performances were frequently in the round. Last month, Abigail's Party was too (the last night).

Whatever, the staging, set, I'd be interested to see the 'concept'. On directing:

'As regards interpretation. you may need to tread more warily. As I said earlier, many playwrights are not naturally theatre creatures - certainly they are rarely visual theatre creatures, I have seen them sit there and watch their play physically anfold with a look of total amazement. pordering sometimes on delight, sometimes on dismay. What was in their head has been made three-dimensional flesh.' p.111.

Space has been and remains fundamental to my thinking about Hodges' model. Even pushing the envelope to topology, this is well beyond my ken. But not other gifted researchers. Hodges' model provides inter- multi- transdisciplinary bridges: we need to Before the time of schools becoming fenced and patrolled sites, we used to play cricket, tennis and football. There was a large wall at front of a former school, great for tennis, but not return of serve. Now a projection shared in the round - so everyone sees the same thing (yes, another rule!) might hold potential. There's acknowledgement that technology moves on too (p.123). And room for comedy, Ayckbourn's starting point. 

'Designers, it has been said, even the best of them, sometimes get hold of the wrong end of the stick. ... Always get to look at drawings, ground plans and, most helpfully, scale models of what they intend.' p.120.

The Crafty Art of Playmaking by Alan Ayckbourn. Faber, 2004, softcover, ISBN 0571215106.

https://www.concordtheatricals.co.uk/s/45898/the-crafty-art-of-playmaking

Online: Hodges' model in Safety presentation

Later this week I've an online presentation to deliver. The brief is to introduce Hodges' model and relate the model to the matter of safety - some thoughts ...

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group

PATIENT safety Task: Attention - Concentration Rest - Sleep psychological environment - safety to ERR is human HUMAN as weakest link risk to SELF Cognitive support - lists, names, informational analysis of environment Critical thinking Situational awareness Therapeutic - OBSERVATIONS ethics- video surveillance

PATIENT - PROCESS safety  - e.g. diagnosis, handover physical safety: 1st law 1st aid. SELF-harm : SELF-neglect Assessments, Plan, Evaluation environment:safety, construction, buildings occupational/disciplinary safety Comms - Information theory  safety as security: lone working signals - alarms, protocols medical safety: medicines, devices risk reduction - management Human factors Human- Computer/Tech/AI Interaction Research - Records Interfaces Public Health Safety: Food, Pollution

risk to others stereotypes - assumptions risk from others - bullying social media teamwork: simulation PRACTICE safety

Law - Health & Safety Reporting - Statistics Transparency Mandatory Training / Learning Whistleblowing safety standards ISO safety organisations The Learning Organisation Other sectors e.g. Aviation, Formula 1 ... Risk of 'groupthink'

 Is it a risk to assume parity of estem in patient safety? What of 'a' patient's safety?

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

Consultation: CHANGE NHS

 
Our NHS is broken, but not beaten. Together we can fix it.    [ c/o https://change.nhs.uk/en-GB/ ]

The NHS has been there for us for over 76 years. But to make sure the NHS is here for the next 76 years, doing all it can to support the health of everyone, we need your help.

We want to have the biggest ever conversation about the future of the NHS.

It doesn’t matter whether you have a lot or a little to say. Your views, experiences and ideas will shape a new 10 Year Health Plan for England. 

This is open to everyone. If you are a member of the public or someone who works in health and care in England, 'Start Here', to tell us how the NHS needs to change.

If you are contributing as a representative of an organisation, complete the organisation questionnaire. This is an early opportunity to share your insights as we begin an extensive programme of engagement to develop the 10 Year Health Plan. 

If you register your email address, we will stay in touch to seek your views as the 10 Year Health Plan develops.

[video no longer available]

'change' in Hodges' model

The NHS and people's health is more than 

a machine, more than a mechanistic thing 

that if broken can be fixed.

By definition you cannot be 'inclusive'
if you do not achieve balance
with the humanistic; and the
values of humanity and
 the spiritual as per context.

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group

purposes person-centredness personalised care experiences continuity mental state; mental health attitudes - mindset expectations (public education) my health literacy (all of them: education)	processes (care inc. 'writing' records, 'gates' access) demographically-driven care  define 'success' - metrics - data utilise evidence peak CO2 peak obesity physical health: chronological age - pathological age encourage self-care to support sustainability
social care social attitudes child support - support for families proven practices that delivers community as resource community: homes for living in - not profiting from Public involvement:  #NHSCHANGE #CHANGENHS Protect / Create green spaces for outdoor play	funding, finance, budgets, economics POLICY: FROM: National ill-Health Service TO: National Health Service  long-termism E3^ for all the literacies address: food quality,  air, water, noise, litter SOCIO-tech approach to applied technology Teach Hodges' model to teens, and prisoners as part of PSHE and rehab programmes

E3^ education, education, education - by literacies we include: information, emotional, media, finance, spiritual, cultural, scientific, religious, climate...

'delivers' includes: improved care experiences, integrated care (related to all the domains), patient, carer, public safety, cost effectiveness, research questions, accurate - valid reporting.

All health disciplines / professionals, social care, and APPGs ... share a common model - a conceptual framework for critical thinking and reflective practice.

Call for focus group participants: the records of adopted and care-experienced people -

– additional retention guidance for
record-keepers and care professionals

Could you help update retention guidance for record-keepers and care professionals by joining a focus group in November?

Care-experienced and adopted people, archivists & records managers and social workers are invited to participate in an online focus group to shape updated and detailed improvements in retaining care-experienced and adopted people’s records in England and Wales. This has been identified as a critical need by many recent reports including IICSA.

We recently published Guidance on the Records of Adopted and Care-Experienced People (Feb 2024) which sets out best practice, to improve consistency across England and Wales. We are a participative and inclusionary project led by members of the Chief Archivists in Local Government Group (CALGG), independent consultants and academics and professionals working in the records management, data protection and access to records fields, in the charitable and local government sectors. Some of our project members are adopted or care-experienced people.

Focus groups will take place on

Weds 13 Nov 11am-12.30

Mon 18 Nov 2-3.30pm

Thurs 28 Nov 2-3.30pm.

We will meet on Zoom: you will be able to join in your web browser, no zoom account or desktop app/licence is required.

Further information

The Guidance is aimed at people responsible for creating, managing, and providing access to care and adoption records. It includes the viewpoints of care-experienced people and adopted people to give practitioners a greater understanding of their experiences, needs and the challenges they face. The Guidance highlights that all organisations should have an up-to-date policy covering all records relating to children, young people and their families, together with procedures and plans to implement the policy including up-to-date retention schedules. Retention schedules recommend how long to keep different types of records. Each record type should have a retention period based on best practice, legislation, business need or a combination of these. Schedules also include how and when the retention period is triggered, and what should happen at the end of the period: typically either confidential destruction, or being kept permanently.

A retention period of [at] least 125 years from date of birth for case files and preferably 150 years as exemplary practice is recommended in the Guidance. However it also recommends the permanent preservation of these records with an option for people to opt out in the case of their own records.

These recommendations are made because many care-experienced or adopted people reconstruct their personal histories by turning to the records created about them by social workers and care providers. Thousands of requests to view records for this purpose are made each year in England and Wales. The records – a “paper self” - have significant impacts on a care-experienced person throughout their life. However, accessing records is often difficult, both practically and emotionally, and can be traumatic and dehumanizing. Records have been kept inconsistently across the public, private, and voluntary care sectors, affecting outcomes for individuals. Across England and Wales the records of adopted and care-experienced people who are formally classified as ‘looked-after people’ should be kept for 100 and 75 years respectively, but there are no permanent preservation protections for records in law. Moreover, some care-experienced people are omitted from the requirement for records to be retained. In addition, there are now many records sitting in digital systems which do not have a proper data migration/preservation strategy.

My Source: To view the list archives go to: https://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=RECORDS-MANAGEMENT-UK 

British Computer Society: AI for One Health and Planetary Health

 BCS SPECIALIST GROUP ON ARTIFICIAL INTELLIGENCE (BCS SGAI)! 

AI for One Health and Planetary Health: Where Are We?

Friday November 8th 2024 - British Computer Society London Office (near Moorgate Underground)

Invitation to Register

http://www.bcs-sgai.org/health2024/

A full-day event with invited talks on the following topics:

• One Health and Planetary Health: the case for considering a unified health perspective
• Translational Diagnostics in Companion Animals
• Mixed AI approaches to surfacing information hidden in veterinary electronic health records
• Hands-on Tutorial: Low-Code/No-Code AI: Democratise AI for Text, Images, and Audio
• AI for One Health and Planetary Health: is there a generic framework?
• Low-Code/No-Code AI for Biomedical Image Classification: Visual Impairment as a case stud
• Low-Code/No-Code AI for Planetary Health: World Fisheries and Aquaculture as a case study

The  21st  century  brings  major  global  challenges,  including  climate  change  and  rapid  population  ageing, calling  for  transdisciplinary  involvement  of  diverse  sectors  and  stakeholders,  including  academics  and students, companies and societal organisations. One Health considers human health, animal health, and our shared  environment  as  parts  of  a  deeply  interconnected  system.  Our  environment  is  changing  and  it  is affecting  our  health.  Planetary  Health  emphasises  that  everything  is  connected:  "the  quality  of  the  air  we breathe and of the water we drink, the quality and quantity of food we produce, our exposure to infectious diseases, and even the habitability of the places where we live". Digitalisation is happening in both human and veterinary medicine. Human-AI collaboration can bring humans and AI together to gain more valuable insights  than  either  could  achieve  alone. The  event  comprises  a  number  of  talks  with  speakers  from  the Animal  and  Plant  Health  Agency  (APHA.gov.uk),  Veterinary  Health  Innovation  Engine  (vHive),  Small Animal  Veterinary  Surveillance  Network  (SAVSNET),  National  Health  Service  (NHS)  England,  and  UK universities.  

Low-code/no-code AI is on the rise with Large Language Models (LLMs) at its core, including multimodal LLMs that can produce content (text, image, video, or audio/speech) as output (generative AI). Come along to the hands-on tutorial if you are interested in content generation and content analysis of text, images and  audio  with  open-source  LLMs from  Google,  Facebook,  Microsoft  and  OpenAI  in  just  3  lines  of python  code  (low-code  AI)  and  LLM  prompting  (no  code  AI).  The  exercises  can  be  executed  in  1  to  5 minutes using Google Colab (free of charge for basic use and without setup to use).  

There will be Certificates of Attendance for those who register and attend the event.

We hope that you will come and join us, and that you enjoy this new offering from the BCS SGAI.

Full details are available at http://www.bcs-sgai.org/health2024/

Reduced delegate fees!!
The  delegate  fee  is  just  £50  plus  VAT  for  BCS  and  SGAI  members  and  £90  plus  VAT  for  others. This includes  attendance  at  the  event,  lunch  and  refreshments.  A  special  rate  of  £35  plus  VAT  is  available  for students. A Group Discount Rate is available for group bookings of three or more.

--------------------------------------------------------
To register for future mailings about SGAI events go to http://www.bcs-sgai.org/register/

Max Bramer
Chair BCS Specialist Group on Artificial Intelligence (bcs-sgai.org)