CLINICAL SUPERVISION AWARENESS

1

• CLINICAL SUPERVISION AWARENESS

Surrey Community Health Services
Surrey Community Health Services
2
Overview of the session

• Defining clinical supervision
• Functions of supervision
• Models of supervision
• Contracting for supervision
• Clinical Governance
• Roles and responsibilities

3
Defining Clinical Supervision

• An exchange between practising professionals
  about a specific patient incident or intervention
  (CSP 2000)
• A reflective exchange between professionals to
  develop practice (Faugier Butterworth 1994)
• An interactive process between providers of
  health care which enables the development of
  professional knowledge and skills (Faugier
  Butterworth 1992)

• A formal process of professional support and
  learning which enables individual practitioners
  to develop knowledge and competence, assume
  responsibility for their own practice and enhance
  consumer protection

Surrey Community Health Services
4
Defining Clinical Supervision

• Clinical supervision is regular protected time
  for facilitated in depth reflection on clinical
  practice. It aims to enable the supervisee to
  achieve, sustain and creatively develop a high
  quality of practice through a means of focused
  support and development. The supervisee reflects
  on the part he/she plays as an individual in the
  complexities of the events and quality of his/her
  practice. This reflection is facilitated by one
  or more experienced colleagues who have expertise
  in facilitation, and the frequent ongoing
  sessions are led by the supervisees agenda. The
  process of clinical supervision should continue
  throughout the persons career, whether they
  remain in practice or move into management,
  research or education. (Bond Holland 1998)

Surrey Community Health Services
5
Clinical Supervision

• . the name clinical supervision is a stupid
  name.its caused so many problems. I cannot
  begin to tell you. Because people dont want to
  be thought of as supervised, they feel you are
  looking, spying on them, you are checking up on
  them, youre trying to see where they are going
  wrong..
• (Butterworth et al 1997)

6
What is it not?

• Managerial
• Performance review
• Hierarchical
• It is not a whingeing session

Surrey Community Health Services
7
Functions

• Formative the educative process of developing
  skills
• Restorative supportive help for professionals
  working constantly with distress and stress
• Normative the quality control aspects of
  professional practice (Proctor 1992)

8
Challenge and Support

• To support
• To inform
• To act as a catalyst
• To challenge
• Bond Holland 1994

Surrey Community Health Services
9
Clinical Governance where does clinical
supervision fit?

• Clinical effectiveness
• Risk management
• Communication
• Patient/client experience
• Resources
• Strategic effectiveness
• Learning effectiveness

10
Clinical supervision and personal development
plans

• Identify gaps in knowledge through reflection
• Identify education and training requirements
• Explore career pathways
• Look at the wider picture, practice needs,
  organisational objectives and government strategy

Surrey Community Health Services
11
Models of supervision

• STRUCTURAL MODELS one-to-one supervision. This
• can either be from your own discipline or with
  a supervisor
• from another discipline
• GROUP SUPERVISION More than three people
  involved.
• The ideal maximum is six people
• TRIADIC/CONSULTATIVE Supervision with an extra
• practitioner present to add another dimension
  to the
• discussion, (usually a practice development
  facilitator or
• clinical specialist)

Surrey Community Health Services
12
CLINICAL SUPERVISION topics for discussion

• The contract ground rules
• Issues to bring to supervision
• The model of reflection to use
• Characteristics of a good supervisor
• Roles and responsibilities
• Legal and ethical considerations
• Documentation
• The research into its effectiveness

Surrey Community Health Services
13
The End
Surrey Community Health Services
14
Further reading

• Bond and Holland(1998) Skills of Clinical
  Supervision
• Bishop V (ed) (2007) Clinical Supervision in
  Practice some questions, answers and guidelines
  for professionals in health and social care.
• Department of Health (2002) Public Health and
  Clinical Quality Clinical Governance. London DH
• Driscoll.J (2000) practising Clinical Supervision
• Jasper. M, Jumaa. M (eds). (2005) Effective
  Healthcare Leadership. 1st edition. Blackwell