Hodges' Model: Welcome to the QUAD

- provides a space devoted to the conceptual framework known as Hodges' model. Read about this resource for HEALTH, SOCIAL CARE, INFORMATICS and EDUCATION. The model can facilitate PERSON-CENTREDNESS, CURRICULUM DEVELOPMENT, HOLISTIC CARE and REFLECTION. Follow the development of a new website using Drupal as I finalise my research question with part 2 starting in 2016. See our bibliography, archive and please get in touch [@h2cm]. Welcome.

Tuesday, July 28, 2015

Rose Report: "Create a short NHS handbook/ passport/ map summarising in short and/or visual form the NHS core values..."

Department of Health 16 July 2015:
Lord Rose June 2015, p.49.
The second prerequisite condition is cultural. The NHS needs to create a values-based culture. A large and complex organisation can be made more effective if all of its people behave in ways that are ethically consistent, and in ways that show they share the same values and base what they do on those values. There is already the ground work for this: the NHS Constitution includes a Staff Handbook, and Trusts communicate the NHS values contained within it in a variety of ways. But there needs to be a consistency in approach. Values must be easily and quickly understood across the NHS. Great leadership must be understood and fostered in staff at every level; the three military services are good examples of how this can be achieved across an organisation. A new and more visual format will promote this. 
R2: Create a short NHS handbook/ passport/ map summarising in short and/ or visual form the NHS core values to be published, broadcast and implemented throughout the NHS.

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Monday, July 27, 2015

BBC Radio 4: NHS regulation, leadership, training, careers...

Edited from BBC Radio 4: "Today, 27/07/2015, NHS constantly feeding regulatory beast"

Lord Stuart Rose has produced a report -

Better leadership for tomorrow: NHS leadership review

- looking at how to improve leadership in the NHS.

The Conservative peer and former Marks and Spencer boss said he found a great ethos across the NHS, but also change-fatigue and staff burdened by an enormous amount of data and bureaucracy.

“We have to have regulation with a light touch,” said Lord Rose. “There’s a lot of managing upwards, constantly feeding the regulatory beast.” ...



Release date: 27 Jul 2015

http://www.bbc.co.uk/programmes/p02y4dpv

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Saturday, July 25, 2015

A headspace full of 'cans'

individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group
"My headspace

is 25m long."





join me!





Sport England: This Girl Can

Photo: PJ Bus stop WN4

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Friday, July 24, 2015

Mental Life and Death in Squares*

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

Mental 

health

"Approximately half of all deaths in or following police custody involve detainees with some form of mental health problem. The IPCC is keen to get a better insight into the issues concerning mental health and custody. A key way in which individuals with mental disorder may have contact with the police is when they are in a public place and are believed to be in need of ‘immediate care and control. ... "
Please see: IPCC


'cost to...'




Deaths
in
police custody




BBC: Custody deaths represent failure...

*or rectangular cells.

Doyle, M., Jones, P. (2013). Hodges’ Health Career Model and its role and potential application in forensic mental health nursing. Journal of Psychiatric and Mental Health Nursing. 20, 7, 631-640.
http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2850.2012.01961.x/abstract

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Wednesday, July 22, 2015

Life (and death) in Squares*

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

ARTS & HUMANITIES



SCIENCES







...Squares



BBC 2 Life in Squares
Drama mini-series by Amanda Coe. A story of the close and often fraught relationship between sisters Vanessa Bell and Virginia Woolf.

* Well OK 'rectangles'.

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Monday, July 20, 2015

Please help us to publicise Pre-Forum 2015: Access to Health Research [HIFA2015]

Dear HIFA colleagues,

Our thematic discussion on access to health research starts on HIFA tomorrow 20 July, sponsored by COHRED, APAME and The Lancet.
http://www.hifa2015.org/meeting-the-information-needs-of-researchers-and-users-of-health-research-2/

HIFA is constantly growing and already has more than 8,000 members. The current discussion on Access to Health Research is an opportunity to invite many more new members. Please help to publicise HIFA by forwarding this email widely.

Also, please ask your website manager to add (temporarily) a small publicity banner onto your site:

Pre-Forum 2015 discussion on Meeting the information needs of Researchers and Users of health research in low- and middle-income countries
http://www.hifa2015.org/meeting-the-information-needs-of-researchers-and-users-of-health-research-2/publicise/
(The width and height can be adjusted as needed, depending on the space available on your site)

With thanks to Nand Wadhwani (HIFA Steering Group member) for preparing this.

Best wishes,
Neil

Let's build a future where people are no longer dying for lack of healthcare knowledge - Join HIFA: www.hifa2015.org
(edited for Blogger)

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Sunday, July 19, 2015

Old news: Treasury considering health, care and welfare budget link :new reflections?

From: Health Service Journal

The Treasury is undertaking a quick turnaround project in the run up to the general election examining the potential savings from bringing together spending on health, social care and some welfare payments. ... p.10
This is old news now of course, but I would think that financial links/integration can be quite complex. After all when we usually speak of 'negotiation' what is the context?

Before grappling with finance when the impetus is austerity perhaps there is a dividend for (public) (mental) health, social care, welfare, education and housing from conceptual integration, or at least a shared conceptual framework?

In the same issue of the HSJ there is an additional rationale in the news item by Sarah Calkin:

Joining up care 'will not solve financial squeeze'. p.10.

I rest my four (five) domained case. 

A case you can carry in your head, a sheaf of papers, or device.

West, D. (2015) Treasury considering health, care and welfare budget link. Health Service Journal. 125, 6443: 24 April. pp.10-11.

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Friday, July 17, 2015

6th National Dementia Care Awards 2015

Dear CHAIN member,

We would like to draw your attention to the following opportunity.
Please circulate as appropriate. Thank you.

6th National Dementia Care Awards 2015

Following the continued success of the National Dementia Care Awards, the organiser - the Journal of Dementia Care - is delighted to announce that the 6th National Dementia Care Awards will take place during the latter part of 2015 culminating in an Awards Presentation Dinner on 13 November.

You can nominate yourself or a deserving colleague for the recognition of their excellent work.
There are 18 categories.

http://www.careinfo.org/dementia-awards/

Regards,

Irina Johnston
CHAIN Administrative Assistant

If you wish to publicise information on the CHAIN Network please email your request to:
enquiries AT chain-network.org.uk

CHAIN - Contact, Help, Advice and Information Network – is an online international network for people working in health and social care. For more information on CHAIN and joining the network please visit website: http://chain.ulcc.ac.uk/chain/index.html

Follow CHAIN on Twitter: @CHAIN_Network ; Find us on Facebook; Connect with CHAIN on LinkedIn

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NHS HACK DAY 12 & 13 Sept, Manchester

Dear HANDI Member - you may be interested in the event below:-

NHS Hack Day - Manchester on 12th & 13th September 2015.

For those who aren't familiar with it, NHS Hack Day is a relaxed and free-form software development day, run as an unconference, and allowing participants to pitch their ideas and NHS problems to the audience of developers and Health IT specialists. After pitching, teams form organically and people start working on their solutions. On the Sunday, work continues, and then the work is presented to the judging panel. Prizes are awarded, but the main point of participation is the lessons learned, the community that has formed around NHS Hack Day, and the exhilaration of helping develop software over a weekend. There's lots more information here

What would a CCIO get out of it?

When you see how well developers work when they get chance to work directly with users is inspiring. Realising how rarely they get this opportunity certainly suggests some reasons why NHS IT often falls short of where we would like it to be. Understanding the user need, pitched by a patient or relative, can be an important experience.

At NHS Hack Day we often get excellent representation of junior health professionals, patients, and developers from Health IT and non-Health IT backgrounds. Unfortunately, representation at NHSHD of the NHS IT 'establishment' - NHS Trusts, HSCIC, IT managers, and NHS IT technical staff etc, is less strong. I'm hoping that with the right leadership from CCIOs we can change this.

Sign up here (it's free) https://nhshd11manchester.eventbrite.co.uk

Many thanks,
Jill Riley - HANDI Health

Support our work and take paid membership with us HERE

(I have my ticket.)

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Thursday, July 16, 2015

(Care) Finance (ta.....) Safety (taint..) Quality (tainted)

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

"There are two parts to the security system. The first is a mechanism for distinguishing safe data from untrusted, or tainted, data. ... Importantly, taintedness is contagious, so objects derived from tainted objects are also tainted." p.409.







"There is a risk the Care Quality Commission's new responsibility for rating hospital's efficiency could "taint" its focus on quality, senior health policy experts have warned." p.5.




Flanagan, D. & Matsumoto, Y. (2008) The Ruby Programming Language, Sebastopol, CA: O'Reilly. p.409.

Hazell, W. (2015) New CQC role may 'taint' quality remit, Health Service Journal, 17 June. 125: 6451, p.5.

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Tuesday, July 14, 2015

Reflections: Digital Health Summit and Exhibition Salford, UK

As posted previously I attended this summit on the doorstep in Salford. I took a days leave to attend which was well worth it. I've no slides as yet so the notes below may change.

The value lies in the combination of programme sessions, seminars in the afternoon and an exhibition. The first session Intelligent Linked Data- What it Means for Patient Centred Care was three in one with presentations and Q&A by Mike Farrar, Dr Mark Davies, and Prof. Simon Jones. Together they highlighted linked data, the need to join and integrate data sources and services, to facilitate the best evidence based care along the patient's (and carer's) journey.

individual

empathy

science
system
social care
OUTCOMES
service

population health

What I did enjoy was the way empathy was contrasted with science. Now, this is what it is about and we've still not got this right. Parity of esteem is (left and) right there plain to see.

Outcomes and population health were also stressed as the question was posed: What is the NHS about?

I got the impression of distinct silos in the way that hospital, community and social care contributes to epidemiological modelling, this problem was raised by two speakers I think. Prof. Jones spoke about this and annualised budgeting and how other industries use push, but accentuate pull. Q&A brought up standards, which in a way have been dealt with in most quarters [ :-) ], transparency, skills in the public (I scribbled 'LITERACY!' at this point). The audience were invited to offer their take on the state of play: mindsets, leadership++, narrative, journey, health AND social care.

Adam Crevald on health and social services talked about Nottinghamshire and efforts in integration and obtaining an holistic view of patient information and data. As the person's journey unfolds what are the triggers and how can commissioning and procurement make the difference that includes efficacy and efficiency.

It is one thing to connect with people on social media but another seeing them speak in person. Lord Victor Adebowale [Turning Point] was informative, entertaining and provocative. His reference to systems and services struck a chord (h2cm above), especially in the specific contexts of Turning Point and substance misuse. As Lord Adebowale said, there is a need for patient infrastructure to support access and timely sharing of data. There seems to a dichotomy in people seeing that people do have smartphones, while others confirm a digital divide. I can at least see patient infrastructure and the orientation of staff (and the self-care agenda) as being supported in part by Hodges' model.

David Haslam's [NICE] session "Too much? Too many? Too soon?" was fascinatingly up-to-the-minute informed by recent literature and figures, such as:

Epidemiology of multimorbidity and implications for healthcare, research, and medical education: a cross-sectional study

The rising tide of polypharmacy and drug-drug interactions: population database analysis 1995–2010

Residential care had a mention. A key point from Mr Haslam was that NICE's guidelines are -Guidelines. Not tramlines.

I'd opted for seminar choices 'D' and 'E' and was allocated 'F'. When a Wildcamp was announced I headed that way. Basically it was an open discussion and publicity for September's Health and Care Innovation Expo. In the discussion I pointed out the need for socio-technical approaches to projects and how we continue to miss learning from the lessons of history.

The broad ranging and vibrant exhibition was an opportunity to take health IT's temp and it is surely on the rise, but far from feverish (thank goodness).

Once again many thanks to Salford University and more offerings after the summer. A shout out too to the sponsors and supporting staff involved, a great job - delivered.

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Sunday, July 12, 2015

Memory rug

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












Source: Baker, H. (2015) A look worth cultivating, Interiors, FTWeekend, 4-5 April. p.9.
Caption: Shelter for Memory rug, price on request, alexkeha.com

Above image original source alexkeha.com

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Thursday, July 09, 2015

Demon's days numbered...

I've had the website for Hodges' model on Demon since 1998 and for many years things never changed in terms of the space provided for websites and facilities. That said I was never going to strain the bandwidth although I did fall foul early on with some traffic violations. For many years though it was 'steady'.

Over the past few months what is a static website - no database, no dynamic content - has totally given way to a static service and one that looks set to disappear in about two years according to discussion online. Demon has switched its web hosting to intY Limited.

The homepage was last modified in 2005, the links pages in the Spring. Now I've a reason to seek alternate hosting. It is good to know that past efforts are preserved back to 1999.

If there are any hosting services out there able to offer Drupal hosting, ideally UK based and at a reduced rate for an advert placed in the sidebar here and on any new web presence, please get in touch: h2cmng AT yahoo.co.uk 

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Friday, July 03, 2015

Vulnerability: In Art and Care (Ack: Benedict Rubbra)

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


Last weekend I helped my eldest son with some driving SW to Exeter in Devon. While he disappeared to help make a couple's wedding day special (which I understand it was), I spent Saturday morning at Royal Albert Memorial Museum.*

Serendipity soon arrived as one of the exhibitions was Benedict Rubbra: Eye to Image. I'm very grateful to the artist for being able to display 'Vulnerability' to help illustrate Hodges' model, taking the title literally here; that is, vulnerability within the mental health context plus vulnerable people in society and care.

I had never heard of Mr Rubbra, but I'm glad that I now know not just his work, but his way of working. The video 2/4 below explains the artist's technique:




There are actually several paintings that I could relate to h2cm and travels:

Singing Blackbird
A Wave in Summer
Tranquility
Pantheon (I waited for a plane...)
work that references Fra Angelico

Singing Blackbird and A Wave in Summer are not exhibited at RAMM but are illustrated in: 
Benedict Rubbra: point of balance || Jenny Pery

I've some new draft notes introducing Hodges' model:

The idealised nature of the model is obvious even upon brief examination. How are we intended to navigate the model's axes? Are both similar in this respect? Taking the individual-group axis first, we can see where the idealisation of person-centred care might be located. This is not just by virtue of labelling ('individual'), but is associated with the knowledge that it invites around it. The two upper domains of interpersonal and sciences represent the two forms of nursing care upon which all nursing is based; and around which a parity of esteem debate still rages (Millard and Wessely, 2014). These are mental healthcare (interpersonal) and physical care (the sciences). 

Within these domains we can conceptualise the various activities that make up being human and doing nursing. 

In addition the model as a whole can also be considered, according to need, as being found within a spiritual domain.


Millard, C., Wessely, S., (2014) Parity of esteem between mental and physical health. BMJ 349, g6821–g6821. doi:10.1136/bmj.g6821

*I did my general nurse training at Royal Albert Edward Infirmary - Wigan.

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Thursday, July 02, 2015

ERCIM News No. 102 Special Theme: "Trustworthy Systems of Systems"

Dear ERCIM News Reader,

ERCIM News No. 102 has just been published at http://ercim-news.ercim.eu/en102

Special Theme: "Trustworthy Systems of Systems"
Guest editors: Poul Heegaard, NTNU and Erwin Schoitsch, Austrian Institute of Technology
http://ercim-news.ercim.eu/en102/special

Keynote by Werner Steinhögl, Programme Officer at the European Commission, Components and Systems, Directorate General CONNECT: "Trustworthy Systems of Systems – A Prerequisite for the Digitalization of Industry"  
http://ercim-news.ercim.eu/en102/keynote

Invited contribution by Andreas Wild, Executive Director of the ECSEL Joint Undertaking: "ECSEL JU Launches Research and Innovation Actions Strengthening European Competitiveness"
http://ercim-news.ercim.eu/en102/special/ecsel-ju-launches-research-and-innovation-actions-strengthening-european-competitiveness

This issue is also available for download in pdf and ebpub    

Next issue: No. 103, October 2015 - Special Theme: "Augmented Reality"
(see Call for articles at http://ercim-news.ercim.eu/call)

Thank you for your interest in ERCIM News. Feel free to forward this message to others who might be interested.

Best regards,
Peter Kunz
ERCIM News central editor

------------------------------------------------------------------------
ERCIM "Alain Bensoussan" Fellowship Programme
ERCIM offers fellowships for PhD holders from all over the world.
Next application deadline: 30 September 2015 http://fellowship.ercim.eu/
------------------------------------------------------------------------
ERCIM News
is published quarterly by ERCIM, the European Research Consortium for Informatics and Mathematics.
The printed edition will reach about 6000 readers.
This email alert reaches more than 7500 subscribers.
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About ERCIM
ERCIM - the European Research Consortium for Informatics and Mathematics - aims to foster collaborative work within the European research community and to increase co-operation with European industry. Leading European research institutes are members of ERCIM. ERCIM is the European host of W3C.
http://www.ercim.eu/

Follow us on twitter http://twitter.com/#!/ercim_news
and join the open ERCIM LinkedIn Group http://www.linkedin.com/groups/ERCIM-81390

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Wednesday, July 01, 2015

Online Metaphor Map launched

Hi

Here at the University of Glasgow we have just completed a three-year-long project which traces metaphor over the entire history of the English language, creating the first ever Metaphor Map resource. It contains thousands of metaphorical connections which can be accessed through a visual or text-based interface.

If you're interested you can visit the site here:
http://www.glasgow.ac.uk/metaphor

Or you can read more below:
--------------------------------------

English language metaphors are “as old as the hills” – or 13 centuries old at the very least – researchers at the School of Critical Studies at the University of Glasgow have found.

They have just completed a three-year-long project which traces metaphor over the entire history of the English language, creating the first ever Metaphor Map resource which contains the thousands of metaphorical connections that the researchers have identified.

“This project is unique in its scope. While a considerable amount of work on metaphor has been done over the past 40 years, it has never been possible to achieve this level of comprehensiveness until now,” said Dr Wendy Anderson, Principal Investigator on the “Mapping Metaphor with the Historical Thesaurus” project.‌‌

The Metaphor Map is based on the data contained in the Historical Thesaurus of English, which took from 1966-2009 to compile, and its own parent resource, the Oxford English Dictionary. The researchers, who have been funded by the Arts and Humanities Research Council (AHRC), have been able to identify well over 10,000 metaphorical connections between different categories and track how language use has changed over the centuries.

“These findings support the view that metaphor is pervasive in language and a major mechanism of meaning-change,” said Dr Anderson.

“This helps us to see how our language shapes our understanding – the connections we make between different areas of meaning in English show, to some extent, how we mentally structure our world,” she added.

“Over the past 30 years, it has become clear that metaphor is not simply a literary phenomenon; metaphorical thinking underlies the way we make sense of the world conceptually. When we talk about ‘a healthy economy’ or ‘a clear argument’ we are using expressions that imply the mapping of one domain of experience (e.g. medicine, sight) onto another (e.g. finance, perception).

“When we describe an argument in terms of warfare or destruction (‘he demolished my case’), we may be saying something about the society we live in. The study of metaphor is therefore of vital interest to scholars in many fields, including linguists and psychologists, as well as to scholars of literature.”

The Metaphor Map is still a work in progress, but once complete it will also include tens of thousands of examples of words with metaphorical senses; to date, around a quarter of these have been put online.

The researchers plan to launch a parallel Metaphor Map for data from Old English (prior to 1150AD) in August, at the International Society of Anglo Saxonists conference in Glasgow. The team, led by Dr Anderson and Research Associate Dr Ellen Bramwell, is also working on another project, “Metaphor in the Curriculum”, to create materials on metaphor for schools. This is funded by the AHRC’s Follow-on Funding for Impact and Engagement strand.
----
Kind regards
Brian
-----
Brian Aitken MA(Hons) MSc
Digital Humanities Research Officer
School of Critical Studies
Room 506
13 University Gardens
University of Glasgow
G12 8QJ

Email: brian.aitken AT glasgow.ac.uk
Web: http://blogs.arts.gla.ac.uk/digital-humanities/
My source:
Humanist Discussion Group, Vol. 29, No. 133.
Department of Digital Humanities, King's College London
www.digitalhumanities.org/humanist

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Tuesday, June 30, 2015

Triplanetary HOME ?

I didn't make it HOME to PLANETARY last evening. I hope it will be shown again.

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


Home?


Home?

Home?


INTERNATIONAL NEGOTIATIONS: TOWARD A 2015 CLIMATE AGREEMENT

Ack: Triplanetary

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Sunday, June 28, 2015

Non-Cartesian points, opposing corners and capital redux

individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group
"I felt


capital Patient?



Patient capital?

like
 the
 mad
man
 in the corner,"


senior NHS figure said of recent top level meetings discussing the financial travails and sliding performance of the provider sector. ... The delineation between these two camps is becoming clearer. ... p.3 

Source: McLellan, A. (2015) Leader: Modernisers must cut the deficit to keep their side of the deal. Health Service Journal, 3 June. 125;6449:p.3.

See also:
Capital 'p': Patient, Person, Person-centred, Personhood

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