top of page
North Uist

Clinical supervision

I believe we can help each other. If you're a student, trainee or a qualified professional clinical supervision is one way we can help each other. I can supervise the psychological aspects of all professional work. This includes therapists, social workers, nurses, doctors and clinical psychologists.

Clinical supervision is recommended by most professional bodies governing health and social care. In clinical psychology, clinical supervision is a prerequisite for practice. As a clinical supervisor, I use my training, qualifications and experience of clinical supervision to help you.

 

On top of that, I think clinical supervision should feel like coming back home. A space to think, and feel, differently. Conversations to explore conscious and unconscious biases. A place to stimulate your curiosity and play. A commitment to be drawn into the process of your work. An exchange of experiences. A relationship without unwritten rules. A negotiation. In short, a parallel to the therapeutic process we deliver for our clients.

 

This page details my supervision approach, training, experience, boundaries and guiding professional frameworks. I am also happy to arrange a conversation with you to discuss how clinical supervision with me could work for you. To do so just CLICK HERE

Come home to clinical supervision

Come home to clinical supervision

My SUPERVISION Training,  & experience

I have received specific training in clinical supervision from within the NHS and externally from the British Psychological Society (BPS.)  I am also qualified, to a doctoral level, in the clinical application of cognitive, behavioural, systemic and psycho dynamic psychological models. I have clinically supervised, students, trainees and qualified professionals, in the NHS, private and voluntary sector organisations, for the past twenty years.

I receive monthly clinical supervision from a HCPC registered clinical psychologist. This best practice helps me work safely and effectively. In my supervision I discuss the dilemmas, and experiences, of working with my customers. I have received this kind of clinical supervision, from a clinical psychologist, for the past nineteen years. 

IMG_20200515_151816596.jpg
Wave

supervision

PROFESSIONAL SUPPORT FOR YOUR PRACTICE
IMG_20200703_162219993.jpg
CLinical Supervision ModelS  

I take a relational supervisory-matrix-centred approach (Smith, 2009.) This means the supervisor's role is to “participate in, reflect upon, and process enactments, and to interpret relational themes that arise within either the therapeutic or supervisory dyads” (Frawley-O’Dea & Sarnat, 2001, p. 41.) ‘This includes an examination of parallel process, which is defined as “the supervisee’s interaction with the supervisor that parallels the client’s behavior with the supervisee as the therapist” (Haynes, Corey, & Moulton, 2003.) 

How does this approach work in practise?

The supervisee brings a problem to supervision. The supervisor becomes part of that problem. They experience, and contain, the emotions involved in the problem. They accept, and communicate, their responsibility for being part of that problem. They then consciously and transparently, change how they relate in supervision, to become part of a therapeutic solution to the problem.

Clinical supervision example

A supervisee may identify the problem of wanting to be an 'innocent' professional. The supervisor too may be attracted to this fantasy and so avoid challenging the supervisee and/or being challenged by them. Minimising the problem. The supervisor then experiences the anxiety of such a responsibility and hiding mistakes. Before recognising their own avoidance, apologising and detailing their errors. Then forming habits of vocalising mistakes from both within and without supervision. Providing permission, and a model, for the supervisee to do the same.  In this way, the supervisee may pay for time with a helpfully involved, and vulnerable, supervisor so they can become helpfully vulnerable too. 

What are the boundaries?

The structure, and content, of clinical supervision is negotiated within the boundary of maintaining safe practice. So cases where there is a significant current risk of harm, to the client or others, are reviewed at the start of each supervision session. Beyond this the content can be any event so far as they affect their professional practice.

 

In these ways your clinical supervision will be formative in developing you as a practitioner, normative in holding your practice within a body of current clinical opinion and restorative in revitalising the you for challenges ahead (Proctor, 2010.) 

 

Confidentiality : The content of sessions would be kept confidential by the supervisor apart from 1) if there is a significant risk to self or others by maintaining that confidentiality 2) disclosure as part of the supervisor's own clinical supervision.

 

Duration: I would expect to review the arrangement every 12 months with a three month notice period on both parties for ending the supervision.

Resolving problems : I would expect that any issues arising in supervision would be dealt with directly if at all possible. If this is not possible, as a precaution, I will supply details of my clinical supervisor, regulatory bodies and professional indemnity insurance, at the start of our contact. This disclosure is also expected of supervisees.

IMG_20200509_155652473.jpg

Supervision FAQ's

What is clinical supervision & how is it different from psychological therapy?

This consists of the practitioner meeting regularly with another professional. This professional is  not necessarily more senior, has training in the skills of supervision, to discuss casework and other professional issues. It is different from therapy in that the issues discussed therein are always considered, at least partially, through the lens of how they affect your professional practice.

What supervision does the Health & Care Professions Council (HCPC) recommend?

'Our Standards support the case that registrants should be participating in supervision as part of their practise where possible. Supervision can support a culture of openness and candour and can help registrants meet our expectations by providing the opportunity to reflect on their practise and discuss challenges, with the support and guidance of another professional.

As a health and care professional, you should never stop learning and developing. This is reflected in our Standards:

  • Understand both the need to keep skills and knowledge up to date and the importance of career-long learning (Standard 3.3 of the Standards of proficiency)

  • You must keep your knowledge and skills up to date and relevant to your scope of practice through continuing professional development (Standard 3.3 of the Standards of conduct, performance and ethics)

Supervision is a great way to demonstrate your CPD, and the notes that you take during your sessions can be submitted as evidence if you are selected for CPD audit. You should therefore keep an accurate record of your supervision activities, including what was discussed at your sessions, feedback received or provided, reflection notes and how you have applied this to your practice (https://www.hcpc-uk.org/standards/meeting-our-standards/supervision-leadership-and-culture/supervision/what-our-standards-say/ extracted 23/9/2022.)

 

What supervision does the Division of Clinical Psychology (DCP) of the British Psychological Society (BPS) recommend?

‘Clinical supervision has the specific purpose to maintain, update and develop clinical skills in assessment, formulation and interventions. This may address clinical work from various orientations – complex cases, based on diagnoses/conditions, interventions or model specific. Regular clinical supervision within the model of care that the clinician uses is a prerequisite for clinical practice. Such supervision also requires integration of clinical material with theoretical perspectives. There is a particular focus on the need to ensure that the work is evidence based and relates to most recent research and theoretical literature, as well as guidance from National Institute for Health and Care Excellence (NICE), the Scottish Intercollegiate Guidelines Network (SIGN) and other formal guidance. The function is to ensure safe and effective practice within a respectful and trusting relationship. As there may be a high level of personal disclosure, strong emotions and also at times a high amount of challenge from the supervisor it is crucial that a good relationship is engendered and supported.’ (DCP (BPS) policy on supervision (May 2014, https://shop.bps.org.uk/dcp-policy-on-supervision.))

Which publications inform your approach to supervision?

 

DCP (BPS) policy on supervision (May 2014)

Frawley-O'Dea, M. G., & Sarnat, J. E. (2001). The supervisory relationship: A contemporary psychodynamic approach. Guilford Press.
 

Hawkins, P., & Schwenk, G. (2011). The seven-eyed model of coaching supervision. Coaching and mentoring supervision: Theory and practice, 28-40.

Haynes, R., Corey, G., & Moulton, P. (2003). Clinical supervision in the helping professions: A practical guide. Pacific Grove, CA: Brooks/Cole. 

HCPC., (2022). What our standards say, https://www.hcpc-uk.org/standards/meeting-our-standards/supervision-leadership-and-culture/supervision/

Proctor, B. (2010). Routledge handbook of clinical supervision.. Routledge.

Smith, K. L. (2009). A brief summary of supervision models. https://www.semanticscholar.org/paper/A-BRIEF-SUMMARY-OF-SUPERVISION-MODELS-Smith/240f83cb62c2bd9c84d795d6c8b8f89f2a83bb7d

bottom of page