Hodges' Model: Welcome to the QUAD: Search results for landscape

Hodges' model is a conceptual framework to support reflection and critical thinking. Situated, the model can help integrate all disciplines (academic and professional). Amid news items, are posts that illustrate the scope and application of the model. A bibliography and A4 template are provided in the sidebar. Welcome to the QUAD ...

Showing posts sorted by relevance for query landscape. Sort by date Show all posts
Showing posts sorted by relevance for query landscape. Sort by date Show all posts

Sunday, February 01, 2026

'First came the landscape' c/o Eden project & Resurgence & Ecologist

Ingela Ihrman - First Came the Landscape

Beech wood

'First Came the Landscape is a giant stick skeleton made from the trunk, limbs and branches of a single beech tree that was blown down during Storm Eunice in 2022. . . .'

https://www.edenproject.com/visit/things-to-do/first-came-the-landscape

◇

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


 






My source: Anna Souter & Ingela Ihrman. 'First came the landscape'. Resurgence & Ecologist, May/June 2023. 338: pp.44-46. 

See also: https://www.edenproject.com/visit/things-to-do/first-came-the-landscape

Previously: 'landscape' : 'ecology'

Friday, March 06, 2026

The land speaks through Bears & Peoples: Together

Figure 2

ABSTRACT

Landscape genetic analyses of wildlife populations can exclude variation in a broad suite of potential spatiotemporal correlates, including consideration of how such variation might have similarly influenced people over time. Grizzly bear (Ursus arctos) populations in what is now known as coastal British Columbia, Canada, provide an opportunity to examine the possible effects of a complex set of landscape and human influences on genetic structure. In this collaboration among the Nuxalk, Haíɫzaqv, Kitasoo/Xai’xais, Gitga’at, and Wuikinuxv First Nations and conservation scientists, we characterized patterns of genetic differentiation in the grizzly bear, a species of high cultural value, by genotyping 22 microsatellite loci from noninvasively collected hair samples over a 23,500 km² area. We identified three well-differentiated groups. Resistance surfaces, which incorporated past and present human use, settlement, and landscape resistant features, could not explain this pattern of genetic variation. Notably, however, we detected spatial alignment between Indigenous language families and grizzly bear genetic groups. Grizzly bears sampled within an area represented by a given language family were significantly similar to those sampled within that language family (P = 0.001) and significantly divergent to those sampled outside the language family (P = 0.001). This spatial co-occurrence suggests that grizzly bear and human groups have been shaped by the landscape in similar ways, creating a convergence of grizzly bear genetic and human linguistic diversity. Additionally, grizzly bear management units designated by the provincial government currently divide an otherwise continuous group and exclude recently colonized island populations that are genetically continuous with adjacent mainland groups. This work provides not only insight into how ecological and geographic conditions can similarly shape the distribution of people and wildlife but also new genetic evidence to support renewed, locally led management of grizzly bears into the future.

INDIVIDUAL
|
    INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP
'This work is dedicated to the late Nuaqawa (Evelyn Windsor), who taught us that people learned their language and way of life from the bears.'

Geographic distance

Spatial overlap

Grizzly bear (Ursus arctos)

Population genetic structure

Landscape genetics

 

Biocultural diversity

Indigenous language families

Human linguistic diversity

Awareness - Respect


 [What price the future? pj]


Henson, L. H., N. Balkenhol, R. Gustas, M. Adams, J. Walkus, W. G. Housty, A. V. Stronen, J. Moody, C. Service, D. Reece, B. M. vonHoldt, I. McKechnie, B. F. Koop, and C. T. Darimont. 2021. Convergent geographic patterns between grizzly bear population genetic structure and Indigenous language groups in coastal British Columbia, Canada. Ecology and Society 26(3):7.
https://doi.org/10.5751/ES-12443-260307

My source:
Roman Goergen. Grizzly spoken here! Resurgence & Ecologist, July/August2023: 339: pp.10-11.

See also: https://iaac-aeic.gc.ca/050/documents/p21799/85674E.pdf

Previously: 'landscape' : 'ecology'

Friday, August 06, 2021

Book: "Systems convening"

A crucial form of leadership for the 21st century


"Social learning across complex landscapes requires a certain kind of leadership, which we have called systems convening. Many people do this kind of work without any label, often unrecognized, and sometimes not even particularly aware that they are doing it. 

A systems convener or systems convening team sets up spaces for new types of conversations between people who often live on different sides of a boundary. For example, a geographic, cultural, disciplinary, political, class, social boundary. These conveners see a social landscape with all its separate and related practices through a wide-angle lens: they spot opportunities for creating new learning spaces and partnership that will bring different and often unlikely people together to engage in learning across boundaries. A systems convener takes a “landscape view” of wherever they are and what they need to do to increase the learning capability of that entire landscape – rather than simply the capability of the space they are standing in. Importantly, a systems convener is someone who has enough legitimacy in different worlds to be able to convene people in those different worlds into a joint conversation."

 

My source:

https://twitter.com/WengerTrayner/status/1423577543152656384?s=20

Previously on W2tQ: 'landscape'

Tuesday, March 12, 2024

Landscapes, Maths, Line of Sight c/o Penteado & Skovsmose Eds. (2022)




The care / knowledge domains of
Hodges' model as landscapes:
as 'initial sketches'?

'Line of sight/thought?'




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

reflection

critical reflection

cognitive/conceptual landscapes


maths and sciences =

hard subjects ?


"We understand that mathematics is especially relevant in knowledge processing, and operates in the process of globalisation,4 i.e., it interferes in several aspects that integrate with society. We admit that globalisation refers to all aspects of life and that, depending on how it is questioned and operationalised, it may or may not be beneficial. Therefore, globalisation “has to do with the construction, codification, and distribution of knowledge that turns into goods for sale” (Skovsmose, 2014, p. 130). This way, mathematical knowledge is involved as part of the foundations of society, making it necessary to question its position in this laborious civilising equation (Civiero and Bazzo, 2020). In this context we delegate some power to critical mathematics education (CME) by considering that it can contribute to the formation of critical individuals by promoting reflection on this process. Bazzo (2019) considers us to experience a civilising equation whose variables need to be discussed in schools." pp.296-297.

"The word citizenship, a contested concept, emerges in different discourses that can hide contrasting interests. Differences in its meanings are enhanced with the changes in society through history. This chapter presents a discussion about mathematics education for citizenship and its outcomes. School presents itself as a stage of dispute and a space for expressing different ideologies that can configure ways of thinking and structuring an education on the topic of citizenship. Mathematics education is shown to be supportive of different citizenship discourses. In a globalised world with deep inequalities, a type of mathematics education for citizenship that matches with inclusion and diversity is required; one which considers global issues. The proposed landscape of investigation Global Visibility Matters is a possible support aid for mathematics classes, based on enabling students to develop global citizenship. By reading and interpreting a social situation as being open to change, it becomes possible for the students to be recognised as—and to act as—global citizens." p.133.



Chapter 8 Global Citizenship, Manuella Carrijo, pp. 133-147.

Chapter 18 Critical Mathematics Education in Action:  To Be or Not to Be. Paula Andrea Grawieski Civiero and  Fátima Peres Zago de Oliveira. pp. 295-321.

Penteado, M. & Skovsmose, O., editor. (2022) Landscapes of Investigation: Contributions to Critical Mathematics Education. Cambridge, UK: Open Book Publishers. [Pdf] Retrieved from the Library of Congress, https://www.loc.gov/item/2021385926/

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

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

'line of sight'
https://hodges-model.blogspot.com/search?q=line+of+sight

Friday, December 23, 2022

What precedes/follows mis- dis- malinformation, fake news...?

"Sartori (1970: 1034) put it well when he wrote almost fifty years ago: ‘We badly need information which is sufficiently precise to be meaningfully comparable. Hence we need a filing system provided by discriminating, i.e., taxonomic, conceptual containers. If these are not provided, data misgathering is inevitable; and statistical, computerized sophistication is no remedy for misinformation.’ Turnheim et al. (2015) agree when they write that a structured dialogue among practitioners of different approaches is needed to better understand processes and pathways of sociotechnical change. Similar calls for more inclusive, comparative, cross-disciplinary research have come recently from many researchers (e.g. Castree, 2016; Sovacool et al., 2015; Stern et al., 2016; Viseu, 2015; Webster, 2016)." p.704.

"Borrowing from a mix of disciplines, including history, evolutionary economics, institutional theory and STS, the approach suggests that diffusion or transitions occurs through interactions among three levels: the niche, the regime, and the landscape. The niche refers to a radical innovation that is emerging to gain diffusion or adoption, to move from invention and innovation to viable market introduction (Grin et al., 2010). The regime refers to the incumbent sociotechnical system that the niche is potentially affecting or replacing; such regimes contain cognitive, regulative, and normative institutions (Geels, 2004). The ‘landscape’ refers to exogenous developments or shocks (e.g. economic crises, demographic changes, wars, ideological change, major environmental disruption like climate change) that create pressures on the regime, which in turn create windows of opportunity for the diffusion of niche-innovations."

Sovacool, B. K., & Hess, D. J. (2017). Ordering theories: Typologies and conceptual frameworks for sociotechnical change. Social Studies of Science, 47(5), 703–750. https://doi.org/10.1177/0306312717709363

"Users online tend to acquire information adhering to their worldviews, to ignore dissenting information and to form polarized groups around shared narratives. Furthermore, when polarization is high, misinformation might easily proliferate."

Cinelli, M., Quattrociocchi, W., Galeazzi, A. et al. The COVID-19 social media infodemic. Sci Rep 10, 16598 (2020). https://doi.org/10.1038/s41598-020-73510-5
[Reference numbers removed in quotation.]

 See also:

'landscape'

'socio-technical'

'habitus'

Sunday, June 01, 2025

RCN Congress 2025 iv - AI & quality improvement

Discussion: Artificial intelligence in nurse education &
Discussion: The role of nursing staff in quality improvement


We'll cover two agenda items in this post. First, resistance is futile in the apparent rise and ubiquity of artificial intelligence.

Discussion: Artificial intelligence in nurse education

Here is, another thing 'we need to get right'. Without checking, I'm sure I posted/tweeted about 'essay factories'. Now Generative AI has put the automated generation of academic essays on steroids. If a student is not motivated to learn, enthusiastic about their seemingly chosen course of study and the professional reward to be earned, then we are in trouble. Public and patient safety are at risk. AI, is however is here to stay - change and help us prosper(?). AI and GenAI are tools, just another step forward, an advance on finger tips, palms, stick, chalk, pencil, and pen. The brief for the discussion includes, with specific points emboldened:

'... Additionally, AI-driven simulations and virtual reality scenarios can provide hands-on experience in a controlled environment, enabling students to practice and refine their skills with greater confidence. 

Creating an engaging and supportive learning environment is key to helping nursing students embrace AI. HEIs can introduce AI concepts early in the curriculum and provide ongoing training and resources. Encouraging collaboration and open discussions about the benefits and challenges of AI can further enhance students' confidence in using these tools.

By taking these steps, nursing education can seamlessly integrate AI, ensuring future nurses are equipped to excel in an evolving health care landscape.

To effectively integrate AI into nursing education, RCN Wales, for example, advocates for higher education institutions (HEIs) to equip students with the skills to continually enhance their digital and biotechnological literacy, ensuring they meet their programme outcomes.

HEIs can incorporate regular assessments and feedback mechanisms to monitor a student’s progress and determine where AI tools add the most value.' . . .

Computer-aided learning has matured greatly since the 1980s and 1990s. AI and GenAI mark the seeming leap in progress over the past two years, with governments, professional bodies and society having to adjust and quickly. We need to watch how simulation, and virtual reality and other approaches to learning are applied, to assure the quality, safety and learning experience provided to students. There appears to be a risk in mental health nursing curricula being 'diminished'. Interpersonal skills are critical in psychiatric and psychological care. This might afford the advocates of technically-laden solutions to side-step the nuances of face-to-face human interaction. Amid the pursuit of what is mechanistic, let us value the humanistic also.

The biotechnical, is one a several literacies to keep sight of. AI, is of course bound up in bio-political concerns, that are still emerging. The 'health care landscape' is plural too: consider the patient's home, a ward, out-patient department, e-consultation, e-learning intervention, brief psychotherapy, occupational health, carceral care, and field hospital, veterans, migrant - refugee health and the homeless.

There's more, and references and a reading list are also provided on the above link.

'Quality improvement is about making a difference to patients by improving safety, effectiveness, and experience of care.

All nursing staff should have the abilities and support to become involved in addressing health care pressures, utilising their expertise in the profession as leaders, not only in care delivery, but also within the system. However, the work of nursing staff to deliver quality improvement is often limited to opportunities that are dependent on staffing, seniority and availability. 

Nurses’ willingness to attend training is often superseded by patient demand making attendance impossible. Other health care colleagues undertake work on research and service improvement alongside their role and as a requirement for their revalidation, this is not the case for nursing staff who don’t get these opportunities.

Consider the benefits of the nursing workforce undertaking quality improvement, conducting local research, reorganising working environments, translating or updating patient materials, trialling novel approaches to care or addressing health inequalities. These skills would not only improve the quality of care we provide but also prepare the nurse to influence and change systems throughout their career.

This is relevant UK-wide. Scotland's 2030 vision for nurses, states an intention to equip nurses with quality improvement tools and support, but only nurses in non-hands-on roles. NHS Wales offers quality improvement training through e-learning  via the ESR to health care professionals, in Wales. In Northern Ireland training is available, but only for Band 7 and above.'

What is the role of all nurses to get involved in quality improvement?'


There is a point with IT security that if it was 100% assured with all the prospective log-ins of an average user, would we ever get any 'real' work done? Does the same apply to research? I have heard this as an argument in practice; and a response to a drive for quality improvement too. Data takes time to collect, especially to answer new questions. Such arguments were also fielded when models of nursing were spoke of with eye-rolls and sighs of experience. Quality improvement is a fight, opportunities and resources can be found, especially if a culture of research is nurtured and sustained. What questions does a ward, unit, team have currently? What queries might new starters, newly qualified, students, and placement candidates provoke? If my reference to fighting seems strong; the fight is for time. The raw truth is in the NHS that quality improvement, research and supervision (in its various forms) are in competition, in the absence of coherent integration.

In bold above, the discussion includes:

'trialling novel approaches to care or addressing health inequalities'.

I wonder what that springs to mind? More seriously, we need be aware of what happens to 'quality'; in whatever educational form it is encountered and experienced. 

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

interpersonal skills

informal / formal education
QUALITY
lifelong learning

biotechnical

landscape

quality improvement - clinical supervision?
inequity

social preparedness for AI/GenAI


management supervision?


Wednesday, April 04, 2018

Paper: IJIC - Building Competencies for Integrated Care: Defining the Landscape c/o Miller & Stein

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

"Transformation does not only involve gaining new knowledge and skills but a more fundamental* shift in our conceptual paradigms about our roles, responsibilities and relationships." [RRR]


Clinical integration (mental health) through person-centred care of someone's health and wellbeing

building blocks 1. Electronic health records,

Functional integration (data, information)

Uni-professional education
 
Clinical integration (physical health) through person-centred care of someone's health and wellbeing
through the active engagement of
service users as partners in care



 
 Act-ions - Practice

[RRR] social change

[ My obs.: Health literacy
- need for a generic framework -
for health education arbitration -
as there is a sociopolitical dispute]

Professional


through the active engagement of
service users as partners in care



2. Budgetary processes,
3. Governance structures

[RRR] political change (inc. policies, professional bodies...)


Organisational & Systemic integration



integration

Normative integration

*There's that word again...

Q. Reflect upon the following using the above model - not only the text but the model itself:

"To achieve the transformation required by integrated care, this means three things: we need to include the principles of integrated working into our formal education and training systems; we need to recognize that learning continues in our workplaces; and accept that we ourselves will be informal educators throughout our careers."

The following dimensions are listed in the editorial and above :
  • Dimension 1. Person-centred care (i.e. the improvement of someone’s health and wellbeing through the active engagement of service users as partners in care)
  • Dimension 2. Clinical integration (i.e. care services are coordinated and/or organised around the needs of service users)
  • Dimension 3. Professional integration (i.e. existence and promotion of partnerships between care professionals that enable them to work together)
  • Dimension 4. Organisational integration (i.e. the ability of different providers to come together to enable joined-up service delivery)
  • Dimension 5. Systemic integration (i.e. the ability of the care system in providing an enabling platform for integrated care, such as through the alignment of key systemic factors like financing and regulation)
  • Dimension 6. Functional integration (i.e. the capacity to communicate data and information effectively within an integrated care system)
  • Dimension 7. Normative integration (i.e. the extent to which different partners in care have developed a common frame of reference of vision, norms, and values on care integration)

Miller R, Stein KV. Building Competencies for Integrated Care: Defining the Landscape. International Journal of Integrated Care. 2018;17(6):6. DOI: http://doi.org/10.5334/ijic.3946
 

Monday, August 17, 2026

'Becoming family with place' - Wooltorton et al. (2020)

The second R&E piece 'spoke' immediately of distance, peoples - their societies, culture, heritage and communities, plus place and connection to land, landscape, water, fauna, flora and sky.

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


Spirit

Sense of Belonging


PLACE


PEOPLE

family

Place and Planet 
are lost here.
Look at what 'country'
 means and does here.


Wooltorton, Sandra, Collard, Len, Horwitz, Pierre, Poelina, Anne & Palmer, David. (2020). Sharing a place-based indigenous methodology and learnings. Environmental Education Research. 26. 1-18. 10.1080/13504622.2020.1773407. 
https://www.tandfonline.com/doi/full/10.1080/13504622.2020.1773407.

My source: Wooltorton et al. (2020) 'Becoming family with place'. Resurgence & Ecology,  Issue 322. 2020. pp.34-35.

See also:

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.

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

Previously: 'Australia' : 'Indigenous' : 'South' : 'landscape'

Saturday, August 02, 2025

Maguire et al. - 'A systematic scoping review of the noma evidence landscape: current knowledge and gaps'

Abstract

Background Noma (cancrum oris) is a severe gangrenous disease of the mouth and oro-facial structures. Noma often affects young children living in extreme poverty, malnutrition and poor sanitation. Gaps remain in understanding its aetiology, pathogenesis, prevention and treatment.

Methods and findings We systematically searched databases for all primary research studies (clinical trials, cohort studies, case–control, cross-sectional, other observational studies, case studies/series) reporting noma patients of any age up to 7 December 2022. The 366 publications (published between 1839 and 2022) included in our scoping review describe 15 082 patients. Although 53 cohort and 29 cross-sectional studies were identified, enrolling 13 489 patients, interventional research remains extremely limited, with only six studies identified (101 patients, range: 7–26) and only one in the past decade, highlighting a critical gap in treatment evaluation. A total of 380 different treatment modalities were described, which underscores lack of a standardised practice. Disease aetiology remains unclear, with 117 microorganisms reported across 113 studies, yet none more consistently linked to noma development. Since 2000, 91.2% of cases have been reported in Sub-Saharan Africa, though occurrences outside the ‘noma belt’ and into Asia and the Americas suggest a broader risk. The 212 potential risk factors identified in 269 (73.5%) publications reflect substantial heterogeneity, complicating efforts to determine definitive causative factors. Additionally, the inconsistent definition and reporting of noma staging significantly hinder comparability across studies, with wide adoption of the WHO staging classification needed.

Conclusion This comprehensive review of the literature underscores the urgent need for robust, policy-driven research to address the vast knowledge gaps in the physiopathology of noma and the limited evidence currently available to guide therapeutic and preventive policies. Collective action and increased research investment are crucial, especially now that noma is officially recognised as a neglected tropical disease by the WHO.

Brittany J Maguire, Rujan Shrestha, Prabin Dahal, Roland Ngu, Lionel Nizigama, Sumayyah Rashan, Poojan Shrestha, Elinor Harriss, Paul Newton, Yuka Makino, Benoit Varenne, Philippe J Guerin - Systematic scoping review of the noma evidence landscape: current knowledge and gaps: BMJ Global Health 2025;10:e018023 https://gh.bmj.com/content/10/7/e018023


Individual
|
      INTERPERSONAL    :     SCIENCES               
HUMANISTIC  --------------------------------------  MECHANISTIC      
 SOCIOLOGY  :    POLITICAL 
|
Group
PSYCHOLOGICAL IMPACT
mental & emotional complications
WITHDRAWAL
LOST EDUCATION & LIFE CHANCES
DEPRESSION
PSYCHO-
malnutrition and poor sanitation
PHYSICAL IMPACT
LIMITED EVIDENCE - DISEASE KNOWLEDGE GAPS - AETIOLOGY
 knowledge gaps in the physiopathology of noma
-SOCIAL MANAGEMENT
SOCIAL IMPACT - LIFE CHANCES
STIGMA
SOCIAL EXCLUSION
extreme poverty, infrastructure
NEED FOR POLICY-DRIVEN RESEARCH
THERAPEUTIC - PREVENTIVE POLICIES
RECOGNITION

Previously: 'neglected' : 'noma'

My source: https://x.com/benoit_varenne/status/1950955812915982487

Thursday, January 16, 2014

Book review: Values-Based Commissioning of Health and Social Care

This book was a welcome change from the last review, being quite brief in comparison at 155 pages including the index. This isn't a criticism, it just helps in clearing the decks for other reading and distance learning.

The text is no lightweight, however; and should be mandatory reading for all health and social care personnel. Well maybe not all; but that is part of the problem. The clinical and social care workforce are trained to care. Commissioning (and clinical coding) is something done in another location, by other personnel.

If there is a recurring criticism of public services it is that they are cossetted, protected, removed from many of the financial realities of the world. The book, published in 2012, was written anticipating the structural and financial change brought in by the Coalition government and the need for austerity. Therefore, the public sector and clinical staff are not  immune from the vagaries of finance as might be assumed. For the past couple of years I've witnessed the regular shakes of the sieve and heard of the same within local authorities.

Christopher Heginbotham's book provides the background and tensions of commissioning and delivers much needed insight on several fronts by conjoining what so often seems remote. The lesson of the book for me is how distinct finance and commissioning are. I can sum this up as: if person-centred clinicians are concerned with sense-making for and with patients and their families, then commissioning is the sense-making of the available finance. Viewed this way you see the importance of commissioning.  Clinicians are concerned with evidence-based care, ethics, the health reforms, outcomes, quality, and of course values. Add to this patient involvement and public engagement and you have a read that opens a field that many clinicians dash by (in the public sector?*) as they manage various clinical priorities.

Chapter 1 and 2 set the scene of values-based commissioning, definitions, the fact-value distinction; and the post-Labour NHS. The health reforms (chapter 3) are central to the text, but despite the date of publication which the author acknowledges there is little loss of significance. The health and social care commissioning landscape is still taking shape, outcomes based commissioning (chapter 9) can make the news as implementation is delayed (Williams, 2013). Chapter 4 describes the seven fat years followed by seven lean years; an excellent overview with the major influences at work, The Wanless Reports and Marmot Review for example. It is salutary in these times to see NPfIT as a footnote, with IT benefits still to be accrued (p.32). The need to respond to the public health challenges are noted (chapter 6), as with the potential mental health impact of climate change.

The book's figures and tables are a great asset, very useful to educate student nurses about commissioning, value and values. There are a couple of references to colour (p.72) in what are black and white - grey illustrations. 'Reading' the diagrams you can follow them. The author's background comes across, as with location and mental health experience. The book is I believe relevant to readers across all sectors. Heginbotham also indicates that the book is one of a series by CUP, and points to Fulford et al. as a sibling. There are a couple of repeated words but otherwise the production is excellent.  I was a little surprised to find a catastrophe in the text - catastrophe theory (p.51). It is well deployed in explaining complexity and values. When I say surprised perhaps I would really like to see more on this theme of complexity and emergence, but Mr Heginbotham stays clearly on track.

My bias - Hodges' model - found the following standout points:

http://www.cambridge.org/gb/academic/subjects/medicine/medicine-general-interest/values-based-commissioning-health-and-social-careThe number of sentences and figures that describe the individual, group, community and population (the structure of Hodges' model). The way that values can act as a counterpoint and essential adjunct to evidence (subjective - objective; qualitative - quantitative).

Some situations are more biological than others - in certain sorts of surgery, for example - and some have a much larger values base - such as in psychiatry (p.40).

 Reference to (Cronje and Fullan, 2003):

The medical literature demonstrates an equivocal attitude which suggests a 'collective need to better integrate scientific quantitative data . . . and the art of human judgement . . . into a common definition of "rational" medical practice (p.40).
Figure 7.8 Filtering the evidence through a values-based matrix (values across four care domains?).

The use of models to test the real world and reference to a values space.

I posted previously about the nhm - new holistic model (p.80).
(back to the review..!)

Technical aspects (a law and index) and ethical issues that beset commissioning are introduced (space is limited), and recur helping to integrate the book as a whole. Chapter 5 deals with public involvement and engagement and how it can be enacted. Chapter 7 on integrative commissioning invariably raises patient and service user care pathways.

Is this the Rorschach test for patient, care professional and commissioner: please draw your care pathway? 

The book admirably deals with the ideal and realised in the space available. As such even when there is a linear care pathway it is how it is experienced that counts (values and outcomes...). (It is sadly the person-affirming life-story pathway that is so often lost.) 

Perhaps, this is what I have in mind above in referring to emergence. Despite the existence of care pathways in practice the route in-through health and social care is probably found in a rather chaotic way (sudden care transitions); with delays, placement changes, ward movement(s)-stasis, choices to be taken into account, lack of attendance, missed appointments. ... This is why trying to define pathways may certainly assist, but it is the granularity of those definitions and their experience that snags at our clothes along the way. As Heginbotham advises - care pathways are not something to use in a slavish way. This excellent and well referenced book should provoke and establish interest in this very important health and social care activity. An activity and process that must be informed by the values of the public and those of patients and be more than a process, but realised in shared purposes and practise.

*When we stop and reflect we also recognise ourselves as tax-payers and so seek value-for money, and the other e's of efficiency, effectiveness, efficacy...

Many thanks to CUP for the copy.

Williams, D. Trust forces delay in outcomes based commissioning plan, Health Service Journal, 6 December 2013. p. 4-5.

Heginbotham, C. (2012) Values-Based Commissioning of Health and Social Care. Cambridge, Cambridge University Press.

Friday, July 31, 2015

Workshop & CfP: The post-Fordist Care Regime

A workshop series organised by the Centre for Philosophy and Political Economy (CPPE), School of Management, University of Leicester, UK
Workshop 1: The Business of Care

Keynote Speaker: Silke Roth (Southampton)

Convened by Vanessa Beck, Steve Brown and Fabian Frenzel

CPPE, School of Management, University of Leicester, UK

Date: 10th December 2015

Certain transformations in our political economic landscape can be distilled according to regimes of care. Fordist care was provided primarily by female ‘free labour’ within the family context, while the state played a large role through institutions like schools, pensions, prisons and hospitals. By contrast the private sector role was rather limited although, of course regimes are uneven and varied across different countries and social sectors. The post-Fordist regime of care was triggered, in part, by a rebellion against the invisible and unvalued nature of female ‘free labour’ in the care domain, for example in housework or child care. Demands for more autonomous, neither market nor state based forms of care were made and realised in new social and urban movements that pursued attempts to create new forms of social reproduction and care in communes, housing co-ops or self organised childcare. Despite the progressive impetus of many of these initiatives, it is possible to see, with hindsight, how demands for autonomous care were subsumed within the general move away from state provision and towards privatisation as well as individualisation of care responsibility. In the post-Fordist regime the provision of care is increasingly organised around the needs of capitalist valorisation. This drive towards privatisation is ostensibly about efficiency and budgetary restraint, the underlying motives, however, may well be more diffuse, pointing to the opening of new sources of surplus value capture for a growing sector of market oriented care provision.

Yet as the State outsources care jobs (in prisons, health, schools, etc), the organisation of markets has taken on specific characteristics. This includes the internationalisation of the care regime with transnational businesses of care, a transnational labour force and the expanding mobilities of care receivers. A further aspect is the increasing financialisation of care, which includes the creation of ever-new financial vehicles, from Private-Public Partnerships to social impact bonds that aim at ensuring efficiency in the care sector but often do the exact opposite. Both nationally and internationally we witness the renewed mobilisation of ‘free labour’. Unlike in the Fordist regime of care, this now aims at volunteers across age and gender groups and framings such as the ‘big society’ and 'international volunteering'. Beside this unremunerated work we see increasingly precarious conditions of labour in the care sector, often migrant labour, on zero hour contracts and minimum wages. The precise composition of this labour market is another area of interest. What novel forms of organisation are emerging in response to our present regime of care? And what resistance is emerging?

Finally, although price is often taken to be the primary concern of post-Fordist care provision, the quality of care cannot be ignored, though it is difficult to measure. Beyond a private industry of care provision we also find a new ‘industry of measurement’ that claims to assess the value and quality of privately administered care. The organisation of these new organisational patterns and industries of care are the subject of this workshop.

We invite papers that interrogate the shift to a post-Fordist care regime. We are interested in a variety of scales, from local to global in which this shift becomes visible and invite contributions from across care sectors broadly defined, from health (including mental health) to housework, from medicine to (social) housing, from education to welfare. We are interested in analyses of businesses of care, including care evaluation and financialisation, in investigations of the labour of care, national and international, waged, ‘free’ and precarious and the struggles of this labour. Finally we are also interested in receivers of care and their responses to the post-Fordist care regime.

Organisation:
The broad scope of the call is intended to allow for a comprehensive investigation of the post-Fordist care regime. Some of the threads of this workshop will be picked up in two following workshops that chart ‘Alternatives of Care’ and the ‘Cosmologies of Care’, to be announced separately in due course.

Please submit abstracts of up to 750 words to describe your paper. Invited papers will be presented in Pecha Kucha style. Presentations consist of 20 slides that have to be presented in 20 seconds each. (Follow this link to find more information on Pecha Kucha). The organisation of the day aims to encourage shared discussion and the format of Pecha Kucha allows for succinct presentations. Papers will be commented on by our invited keynote Silke Roth as well as the three workshop convenors. We also invite all speakers to submit outline papers (of about 2000 words) to be shared among participants prior of the workshop.

Dates:Please submit abstracts to ff48 AT le.ac.uk by the 30th September 2015. We will respond by mid October 2015. Presenters should submit an outline paper (of max. 2000 words) by the 1st December 2015 to circulate among participants of the workshop.

We also plan to facilitate a publication of full papers from the event.

The workshop is free of charge, and refreshments and lunch will be provided during the day. A limited number of travel bursaries is available. They will be targeted at presenting PhD students and researchers without access to institutional funding in the first instance. Please indicate if you would like to be considered for a travel bursary as you submit your abstract.

---------------------
Dr Fabian Frenzel
Lecturer in Organisation
PRME Officer
School of Management
University of Leicester
LE1 7RH
UK

My source:
Dr Vanessa Beck via ESA-ALL AT JISCMAIL.AC.UK (some extra text also emboldened as relate to Hodges' model).

Thursday, August 31, 2023

The need for Holism 2.0 ... (c/o Porter, 1997)

 or 4.0?

"Disease became conceptualized after 1900 as a social no less than a biological phenomenon, to be understood statistically, sociologically, psychologically - even politically. Medicine's gaze had to incorporate wider questions of income, lifestyle, diet, habit, employment education and family structure - in short, the entire psycho-social economy. Only thus could medicine meet the challenges of mass society, supplanting outmoded clinical practice and transcending the shortsightedness of a laboratory medicine preoccupied with minute investigation of lesions but indifferent as to how they got there. It was only radicals and prophets who appealed to a new holism - understanding the whole person in the whole society; respected figures with the temple of medical science, including Kurt Goldstein (1878-1965) and René Dubos (1901-82), author of Mirage of Health (1959), were emphatic that the mechanical model of the body and the sticking plaster formula would at best palliate disease (too little, too late) but never produce true health." p.634.


Roy Porter, The greatest benefit to mankind: a medical history of humanity from antiquity to the present, London, HarperCollins, 1997.

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


"The psychiatrization of everything occurred first in the United States. It was a trend deliciously mocked in some of Stephen Sondheim's lyrics to West Side Story (1956), in which the crazy mixed-up New Yorkers taunt the police officer on the warpath:

Officer Krupke, you're really square;
This boy don't need a judge, he needs an analyst's care!
It's just his neurosis that oughta be curbed,
He's psychologic'ly disturbed.
We're disturbed, we're disturbed, we're the most disturbed,
Like we're psychologic'ly disturbed. " p.519.

Socio-Economic Determinants of Health
Social Justice
History
Culture

Police
'the Law'
Mental Health Act
Political determinants of Health


Image - frontispiece in Porter's book "Renaissance anatomical illustrations often followed artistic conventions (situating the skeleton in a lifelike pose in a landscape) and played wittily on the tensions between life and death. The contemplating of the skull prefigures Hamlet's later meditation. Line drawing, Valverde de Hambusco, Historia Historia de la composicion del cuerpo humano, Roma, 1556."

Image source:
https://www.royalacademy.org.uk/art-artists/work-of-art/lateral-view-of-male-skeleton

Tuesday, May 12, 2026

Thank you – on International Nurses Day (my emphasis)

Dear Peter*

On International Nurses Day, we want to recognise the vital role that nursing professionals play in delivering safe and equitable care. ...

^There are older models too, that can help healthcare and education deal with racism, inequity, inequality and AI. 

 *Not to me personally, of course - part of a mass NMC mailing on this special day.

Previously: 'safety' : 'lifelong' : 'model' : 'nurse' : 'values' : 'racism'