Peter Jones presentation

1. Hodges’ model: a generic framework to
orientate and orchestrate
transformation and sustainability
The Future NHS Plans:
Delivering Transformation and Sustainability
18th May 2017, Royal National Hotel, London
PETER JONES
RMN, RGN, CPN(Cert), PG(Dip) COPE, BA(Hons), MRes
Researcher & Community Mental Health Nurse
Lancashire Care NHS Foundation Trust
@h2cm email: h2cmng@yahoo.co.uk
Peter was not formally representing his employer in this session.

2. Hodges’ model: 5W’s&H
• What: Four structured knowledge or care domains
• Who: Brian E. Hodges, (Ret.) Senior Lecturer
• Where: MMU
• When: 1980s
• Why: Reflective Practice, Critical Thinking, Person-
centredness, The political aspects of health & social
care
• How: Paper, Flipchart, LMS?, EHR?

3. The 2x2 table: “Yet another one”
• Who do we care for?
• What do we do?
• What knowledge and skills
do we need to care?
Individual
Group
MechanisticHumanistic
INTERPERSONAL SCIENCES
SOCIOLOGY POLITICAL

4. Hodges’ Health Career – Care Domains - Model
Individual
Group
MechanisticHumanistic

5. The model: Simplifying Complexity
• Time (past-present-future), Events, Data, Information
• Process, Practice, Policy & Purpose
• Scale: nano-micro-meso-macro
• Context: Discipline, Person, Clinical, Education, Finance, Research
• Analysis - Synthesis
• Individual-Group-Family-Community-Population
– All within: local, regional, national, international, global and glocal
perspectives
• Prevention:
– Primary-Secondary-Tertiary-Quaternary
• Organisations, Disciplines, Skills
• Primary-Secondary-Tertiary
• Philosophies of Care, Ethics, Public engagement
• Legacy Issues: Integrated Care, Person Ctrd Care, Holistic
• Theory, Practice, Research

6. Why Hodges’ model matters 1
• Supporting the 6Cs
• Assuring care is integrated
• A tool to evidence reflective practice
• Reducing the theory-practice gap, encouraging
evidence-based care and policy
• Facilitates holistic and person centred
approach to care

7. Why Hodges’ model matters 2
• The political dimensions of health and social care have
increased in relevance since 1980s: for example - Human
Rights, Consent, Capacity, Deprivation of Liberty, Public engagement,
Equality, Diversity, Advocacy, Accessibility, Data Protection, Freedom of
Information …
• A key original application was in learning disability
• Can be used by individual or in a group
– Simple to learn it can be used implicitly as an aide memoire for
assessment and evaluation
– Or explicitly with patients using flipchart, paper…
• As a metacognitive tool it can be used visually and fit in
the lifelong learning toolkit.

8. Why Hodges’ … 3 The FUTURE!
• Hodges’ model can encompass all the literacies:
the 3R’s, digital, visual, emotional, information,
health and accessibility
• Transformation begins with the concepts and
values we employ to shift meanings, create
opportunities
• Shift to health promotion, staying well, relapse
prevention – focus on outcomes
• Use of technology to deliver care and a health
dividend

9. Today’s themes - so many histories
(Q. Define and place integration in Hodges’ model?)
• Health InfoTech
– Staff use and Public use
Definitions – when we talk of:
Integration for example –
• Mental health and Physical care
• Teams
• Funding
• Commissioning
FROM: Ill-Health TO: Health promoting
Self-efficacy Health Literacy
Spread of New Care Models good practice.
E.g. from a GP Practice to county to
nationwide. Clinical pathways from diabetes
to neurology.
Technology – dividend? Informatics
‘Benefits realisation’? Service
Geographies
Demographics
2/3rds of
Wither social care?
Delayed discharge
Closure of Care Facilities
9 days notice
Ongoing rationalisation in
care agencies / businesses
Scope for innovation in devolved
environment?
Trusts in deficit
i
i Citizen i
i
The Better Care Fund
v
Clinical Commissioning Groups (CCGs) Local
Authorities (LAs)
Integration plan 2018-2020
£120 billion a year by 2020-21
to create a 7 day NHS

10. Hodges’ model: Further plans and study
• Web platform: using Drupal CMS
– Archive
– “Reflective workbench”
– Community
– Research platform
• MRes e-Research and TEL
• Conceptual Spaces
• Threshold Concepts
• Design-based research

11. Thank you
For a bibliography and posts on Hodges’ model please
see the blog – “Welcome to the QUAD”
http://hodges-model.blogspot.co.uk/
Dickens, G.L. & Doyle, M. (2015) Mentally disordered firesetters in secure mental health care: a forensic mental health nursing
perspective (Chapter 17) IN, The Psychology of Arson, 1st Ed., (Eds.) Doley, R.M., Dickens, G.L., Gannon, T., pages 260-275;
Routledge., ISBN: 978-0-415-81069-2
Jones P. (2014). Using a conceptual framework to explore the dimensions of recovery and their relationship to service user choice
and self-determination. International Journal of Person Centered Medicine. Vol 3, No 4, (2013) pp.305-311.
http://www.ijpcm.org/index.php/IJPCM/article/view/412
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
Papers on the model and case formulation and threshold concepts are planned.
Twitter: @h2cm
h2cmng@yahoo.co.uk Work: 01695 684700
I can f/w a template for the model – please email.