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Supervision Policy 2015
Supervision Policy 2015
Supervision Policy 2015
Reference/Number POL/COR/0167
Version: 2.0
Ratified by: Policy Approval Committee
Ratification Date: 20/01/2015
Approval Committee Nursing Executive Committee
Date Approved: 29/12/2014
Date Issued: 03/03/2015
Executive Owner: Philippa Davies, Director of Nursing and
Patient Experience
Name of Author(s) and Job Title(s): Ash Purran
Clinical Development Manager
Target Audience: All nursing and AHP clinicians and
support staff
Review date: 03/03/2015
Procedural document linked to/Tagged: Tick as appropriate
9
Regulatory
Compliance
Organisation- 9
wide
Directorate
Service
Shared
document
Keywords Supervision
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Dissemination and Implementation
Consultation
Contents
Clinical Supervision (Nursing, Allied Health Professionals and Support Workers)
POL/COR/0167 Version 2.0 January 2015
This is an online document. Hard copies and downloaded versions are valid only on the day printed or
downloaded. It is the responsibility of staff to verify current status from the Intranet.
PRINT DATE -
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1.0 INTRODUCTION ............................................................................................. 4
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1.0 INTRODUCTION
This policy has been designed to ensure that all non medical clinical and support staff has
access to individual supervision. This policy applies to all Whittington Health staff that has
a remit to provide or support clinical care in order to support the development of a high
quality service to our clients.
Supervision is a formal process of professional support and advice, which allows you to
develop your practice, reasoning skills and knowledge and to reflect on your work in order
to problem solve, learn from experience and improve competence. It forms part of the
wider health and social care agenda, concerning quality, accountability and efficacy of
practice.
It is important to remember that supervision is part of your working week and should take
high priority. Supervision is a two-way process that is for the benefit of all staff, patients
and clients, your department, directorate and the organisation, so it is each professional’s
responsibility to use it to the full.
2.0 PURPOSE
Clinical supervision is a key component of practice and clinical governance, ensuring that
staffs are supported to provide the best possible care.
Models of Supervision
There are a number of approaches to supervision, most commonly one to one sessions
with someone from the same discipline. Other approaches include group supervision
among staff of the same discipline; network supervision between staff of similar expertise
but not from the same organisation or ad hoc supervision with a specialist recruited for a
short term specific need. It is beyond the scope of this document to detail the models
further. Section 9 provides a suggested reading list if more detail is required.
The ICO’s standard form of clinical supervision will be that it is undertaken as part of the
individual’s regular one to one meetings with his/her line manager, but will be distinct from
the managerial issues discussed at the one to one. Progress within supervision should be
noted as part of the annual appraisal process.
If a member of staff is the only practitioner in his/her field and identifies a need to seek
clinical supervision elsewhere this should be discussed and agreed with the Head of
Department and line manger.
Managers may choose to provide group supervision for staff if this is more appropriate to
the roles and/or the service.
Clinical Supervision (Nursing, Allied Health Professionals and Support Workers)
POL/COR/0167 Version 2.0 January 2015
This is an online document. Hard copies and downloaded versions are valid only on the day printed or
downloaded. It is the responsibility of staff to verify current status from the Intranet.
PRINT DATE -
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Clinical supervision can:
3.0 SCOPE
Supervision within Whittington Health should cover clinical practice in the broad sense e.g.
including clinical skills, effective communication and documentation, the dynamics of your
interaction with others, supportive challenge and reflective learning and should inform your
appraisal and personal development plan.
• Using the practice experience of the supervisor to develop the practice of the
supervisee.
• Maintaining levels of practice and organisation of workload, to ensure that staff are
working at the correct level for their experience.
• To clarify roles and responsibilities.
• To explore the quality and quantity of practice, and to address issues of performance,
measuring outcomes and evaluation of treatment/care.
• To facilitate opportunities for reflection on practice and offer links to other clinicians with
relevant expertise.
• To identify areas for development and training linked to practice
• To ensure that the skills and role of the individual are developed within the
requirements of the service.
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• Practice supervision can happen in a group setting, e.g. team meetings, if this is
deemed to be more beneficial or achievable in some settings. Individuals should still
have one to one meetings with their line manager to discuss managerial issues and
should still receive one to one meetings with a preceptor if part of a preceptorship
scheme.
Managerial Supervision
Managerial supervision time will be used to inform staff of strategic and service wide
priorities and the local objectives designed to meet them. Managers will outline the
individual’s role in meeting strategic and local objectives and may address any day to day
service delivery issues that are preventing delivery of the service. This form of supervision
provides support and guidance for staff in achieving their objectives to the required standard.
It will also be an opportunity to clarify the responsibilities and accountability of the staff
member’s role.
‘A process that should be interactive and used as a means of ensuring that supervisees are
able to do their job effectively and are assisted in their own professional and personal
development.’ ‘Statement on Supervision in Occupational Therapy’ 1997.Clear guidance on
implementation is also provided in the Professional Standards for Occupational Therapists,
2007.
RCSLT recognises supervision as an important factor in delivering a high quality speech and
language therapy service. The college identifies it as a means to support the practitioner to
discuss their work regularly with someone who more experienced. The goal of supervision
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being to promote critical reflective practice; develop understanding of the interactive
processes and the dynamics of the therapeutic relationship; reinforce and offer feedback on
effective clinical skills and provide supportive challenge in a safe environment. RCSLT,
2006,
The Executive Lead for clinical supervision is the Director of Nursing and Patient Experience
who is responsible for ensuring staffs are supported to undertake clinical supervision and
that there is a policy in place to guide staff in its implementation.
Service Managers
Service managers are responsible for ensuring that teams outline the model and frequency
of supervision they intend to employ, and for ensuring that managers support its
implementation.
Team managers are responsible for ensuring that their staffs participate in supervision on a
regular basis. If the service consistently cannot accommodate supervision the ward/team
manager should escalate the problem immediately and seek a resolution.
Clinical Supervisors
Supervisors
The supervisor is responsible for undertaking regular clinical supervision sessions with
each of his/her supervisees, and completing a clinical supervision agreement which
outlines the purpose, See Appendix 3. Once dates for supervision have been agreed the
supervisor should ensure that these are honoured unless exceptional circumstances
prevail. If a supervision session has been cancelled it is the responsibility of both parties to
agree a new date. The supervisor will encourage and enable the supervisee to discuss
Clinical Supervision (Nursing, Allied Health Professionals and Support Workers)
POL/COR/0167 Version 2.0 January 2015
This is an online document. Hard copies and downloaded versions are valid only on the day printed or
downloaded. It is the responsibility of staff to verify current status from the Intranet.
PRINT DATE -
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clinically related topics that are affecting the supervisees work; agree action points with
supervisee and monitor progress with agreed actions. Notes will be held by both parties
but will remain confidential unless an issue discussed needs to be addressed outside of
the meeting.
Supervisee
The supervisee is responsible for undertaking regular clinical supervision sessions with
each of his/her supervisors, and completing a supervision agreement which outlines the
purpose, See Appendix 3. Once dates for supervision have been agreed the supervisee
should ensure that these are honoured unless exceptional circumstances prevail. If a
supervision session has been cancelled it is the responsibility of both parties to agree a
new date. The supervisor will encourage and enable the supervisee to discuss clinically
related topics that are affecting the supervisees work; agree action points with supervisee
and monitor progress with agreed actions. Notes will be held by both parties but will remain
confidential unless an issue discussed needs to be addressed outside of the meeting.
Standards of Supervision
It is essential that a good quality supervisory system is in place within Whittington Health.
All grades of staff must have supervision sessions by whichever model is deemed most
appropriate. Ideally this will be delivered monthly where possible (more frequently for new
or junior staff) but managers may agree an alternative time frame for part time staff or as
capacity allows.
• All staff must have supervision with an appropriately experienced member of staff.
Guidance on the respective role of the practice supervisor is available in Appendix 4.
• Supervisors must have a clear line of accountability for reporting any behaviour which
they deem to be unprofessional, unethical or potentially harmful.
• Supervision sessions must be linked with the ICO’s appraisal system, and
aims/objectives should be regularly discussed, monitored and encouraged.
• A third person, who can be called on should difficulties arise, must be identified.
• Standards and aims of supervision must be discussed in the first session.
• An agreement should be drawn up, agreed and signed both by supervisor and
supervisee.
• Each supervisor must ensure that they have read the Supervision Policy and are fully
aware of its contents and feel competent to supervise others.
• A written record of the agreement and Personal Development Record (PDR) forms will
be kept in the individual’s personal file.
Clinical supervision is a supportive and enabling process, which may be broken down into
three components to cover all aspects of your work.
Clinical Supervision (Nursing, Allied Health Professionals and Support Workers)
POL/COR/0167 Version 2.0 January 2015
This is an online document. Hard copies and downloaded versions are valid only on the day printed or
downloaded. It is the responsibility of staff to verify current status from the Intranet.
PRINT DATE -
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• Reflection on previous actions
• Clinical practice
• Development and Training
The emphasis throughout all supervision is to provide support for the supervisee, but at the
same time, encourage the individual to develop or build on existing skills, in order to
manage/explore situations differently in the future. It may include the following:
Review of Actions
The supervisee should report progress with previous actions, if not progress has been
made further actions should be set. If a supervisee consistently fails to make progress with
actions the supervisor may choose to escalate this to managerial supervision.
Clinical Practice
Our Practice work is the key component of our professions. We use our Practice expertise
and knowledge for the benefit of our client group and need to ensure that supervision of
work happens regularly. It needs to include:
• Using the Practice experience of the supervisor to develop the practice of the
supervisee.
• Maintaining levels of practical work and organisation of workload, to ensure that staffs
are working at the correct level for their experience, and that their work has the right
amount of practice input.
• To audit quality and quantity of practice, and to address issues of measuring outcomes
and evaluation of treatment.
• To identify areas for development and training in the practice area, ensuring good
practice.
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Supervision agreement
Agreements should be drawn up between supervisor and supervisee at the beginning of the
first session. A written copy of the agreement should be kept in the personal file of the
supervisee and by the supervisor. See Appendix 2.
The agreement is used to provide a framework for supervision sessions. The agreement
should include the following information:
• Where will supervision take place? (Consider the environment - try to avoid
interruptions).
• When will supervision take place? Date and time (it is important that times are
adhered to). This may need to be planned during the supervision itself for the
following session.
• How supervision will be used; identifying components and aims and objectives.
• Identify a named third person, who information may be shared with, and who can
be called upon, should difficulties arise that cannot be dealt with. This may be the
supervisor’s supervisor or Head of Department.
• Written records - These should be made on the supervision record sheet, and a
decision made as to where they will be kept. Both should agree to sign these and
any other relevant documents. A format for recording sessions is attached or the
form used in NMUH can be used.
• It is the responsibility of each person to bring items for the agenda and these
should be agreed at the beginning of the session.
• Changes to the agreement may need to take place. It should be decided how these
changes should be made.
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7.0 DEVELOPMENT AND TRAINING
This component is an extension of the others. This links with the ICO’s Appraisal system,
and is inbuilt to ensure that development does take place as discussed with the supervisor
and hence the individual does have the opportunity to develop competencies and develop
skills in identified areas. Specific training needs may be identified, but the development
process should be on-going. It may include the following:
N.B. All applications for training courses should tie in with individual personal development
plans or objectives, should be discussed with and supported by the supervisor/ line
manage.
Effectiveness
The effectiveness of this policy will be monitored both directly by line managers and via
annual audit conducted by the practice development team.
• Annual audit of clinical supervision will demonstrate whether standards have been
achieved or whether supervision is supporting improvement in clinical practice. Audit
results will be given to all professional leads and service managers.
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Monitoring Compliance and Effectiveness Tool
What key area(s) Who will lead on this What tools / methods How often is the need to Responsible Committee
need(s) monitoring on aspect of monitoring? will be used to monitor monitor each area? for scrutiny and
this document? report and review the arrangements for
identified areas? How often is the need to feedback.
produce a report?
Development and Training of Clinical Development Evaluation forms from each Yearly Nursing Executive
Clinical Supervisors and Manager, Practice training session and audits Committee
Supervisees Development Team and
AHPs Professional Lead
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9.0 ASSOCIATED DOCUMENTS:
10.0 REFERENCES:
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11.0 APPENDICES: -
.
Appendix 1 - Equality Impact Assessment Tool
Yes/No Comments
1. Does the policy/guidance affect one group
less or more favourably than another on the
basis of:
• Race No
• Nationality No
• Gender No
• Culture No
• Religion or belief
No
• Sexual orientation including lesbian, gay and
bisexual people No
• Age No
• Disability - learning disabilities, physical
disability, sensory impairment and mental health No
problems
2. Is there any evidence that some groups are
affected differently? No
3. If you have identified potential discrimination,
are any exceptions valid, legal and/or
justifiable?
4. Is the impact of the policy/guidance likely to
be negative? No
5. If so can the impact be avoided? N/A
6. What alternatives are there to achieving the
policy/guidance without the impact?
7. Can we reduce the impact by taking different
action?
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Appendix 2:
Supervisee(s) name(s):
Supervisor name:
• The time and place for supervision meetings will be protected by ensuring privacy,
time boundaries, punctuality and no interruptions. Sessions will only be cancelled
with good cause and subsequently an alternative date arranged as soon as possible.
• The content of supervision will be confidential and will not be discussed outside the
session unless agreed by all parties, with the exception of unsafe, unethical or illegal
practice being revealed.
• Take responsibility for making effective use of the time made available for supervision
by preparing appropriately for sessions and completing actions arising from
supervision within the agreed timescale.
• Respect the openness and honesty of the supervisee(s) and offer support,
constructive feedback, information and facilitation as appropriate, enabling them to
reflect upon their practice.
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• Keep all personal information revealed in supervision confidential, except where a
supervisee reveals unsafe, unethical or illegal practice.
Supervisee(s) Date:
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Appendix 3:
Supervisee(s) Name(s):
Supervisor Name:
Date:
Agenda:
1. 6.
2. 7.
3. 8.
4. 9.
5 10.
We confirm that this record is an accurate summary of the key points discussed and the
outcomes/action agreed
Signed: _______________________Supervisee________________________Supervisor
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Appendix 4: Roles and responsibilities of Managers and Professional Leads
Develop and monitor quality standards, Ensure necessary clinical protocols are in
ensure protocols in place. place and that care protocols match
professional standards for best practice.
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11.0 EQUALITY IMPACT ANALYSIS:
All the headings must be included in the Equality Analysis Repor. Access guidance via this
link: http://whittnet/default.asp?c=9308
2. Assessment Officer
6. Initial Screening
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An initial analysis has been carried out to explore whether the XXXXX is likely to
have a detrimental impact in terms of people included in one or more of the following
equality categories:
• Race
• Disability
• Gender
• Age
• Sexual orientation
• Religion and belief
• Gender Reassignment
• Marriage and civil partnership
• Pregnancy and maternity
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