Clinical Supervision

clinical supervision is every time you talk about your staff as a clinician it's not handover when you just talk about tasks but it's any time when you have a conversation with a colleague or with a group of staff about your patients so clinical supervision is one of the three tools that we use as an organization to give assurance that a staff member is given the optimal care to our patient group the other two tools that we use are appraisal and mandatory training it is about enabling people and it is about you know promoting independence you know and obviously that's got benefits from for us as well because then we can prioritize you know the patients that need is well the nurses go in to see patients where actually we feel that they they can be more independent if they're given the right skills to do so our role is about keeping people safe keeping registrants safe keeping nursing safe we are very very keen to make sure that our colleagues working in the field are practicing and administrating that they are practicing as safely as they possibly can be because that keeps all of us safe and it keeps patients safe it's that recognition that actually a conversation with the GP whether it be on a telephone or whether it be in a you know a gold standard framework meeting actually that still is clinical supervision we're talking about patients for their benefit clinical supervision is embedded within occupational therapy from a student so I've always understood the benefits and Ana fitted both from being a supervisor and a supervisor there are incidences when they've been on visits in the morning come in and said can I just run this by you this happen this morning that's clinical supervision when the team talked about and you know an occasion where that's happened not understanding that is saying we don't have time for clinical supervision actually probably been doing it on a number of occasions through the day and just not realize that that's what you've been doing I feel that my staff feels supported by me through me delivering supervision to them that obviously helps with cohesion of the team understanding training needs understanding that they are delivering high-quality care to patients that we have on our waiting list and on our caseloads for members of staff it's so important that you have this time and you are having it it's a time for you to reflect to think about your practice to talk to your critical friends are you doing the right thing for that patient to give them the best quality patient care the supervision sessions I are on offer healthcare assistants or HCA's we hold them every six weeks we sign a register we then go over anything that's outstanding from the last superficial session if there isn't we just move on and I just open it up and say would anybody like to start the discussion off who's got something don't they want to bring anything about five minutes before the end I pass out the cheoreom to all for the auditing to say if they found it useful how long it's been etc what issues we discussed nurse impersonal when we first started doing clinical supervision we didn't have many staff in the team the caseload was very high the stress level was incredibly high so just given the opportunity to sit there and talk was good so with that on its own was beneficial clinical supervision its morale boosting so therefore it's going to reflect in your practice it's the only opportunity that we do offer those are HCA's to sit there and discuss things yeah supervision we do day in day out whether that's clinical or restorative we're discussing clients and cases all the time and that is clinical supervision in the job that we do it's highly stressful there's a high level of burnout and it's about enabling stuff to have that timeout in a protected environment staff don't access supervision then I think the risk of burnout and that mr. clients could be increased for me restorative supervision is being given some protected time to take a step back from everything that's going on at work and look at how it's impacting on me felt a bit strange to begin with because it's not something you're used to at work you're usually more focused on the clients things that are very much work-related and you come out feeling in a better place for junior job the end of it I found it really useful to have someone that wasn't anyone that knew me that could I could just sort of talk through these things so I think really it's about enabling me to reduce my stress levels readjust you work/life balance as well if you're burning out you can't the same so much you can take isn't there you can't come in and sort of prepare for the next day's challenge if you're totally overloaded it we've got examples every day of how clinical supervision helps our patients you know I've only just been speaking to a gentleman on the telephone who was explaining to me how the nursing staff have helped train his carer so now they can give him his insulin so you know that that's where supervision comes in and it's it's about enabling patients to do as much as they possibly can first after leave in Ospital with another problem that's when they discovered that I was diabetic in 2007 I had a spinal cord injury after diving into a swimming pool out in China so after a period of time they start to come in to train my PA he's marked carers but who live with me and yeah it just made life so much easier I could make plans and I could yeah live my life yeah that I cannot organize the we have got any life and that's due to the help with it ends the district nurses and so another of professionals you have to become a big family and you do it wouldn't work if you didn't communicate between yourselves clinical supervision could take various forms from discussing the outcome of a clinical intervention to having a conversation about care planning for the future and take an advice if required or what the next steps or the patient needs to be we do encourage staff to capture it on workflow on system one if it's group submission what we're going to try to do is nominate one person to put it on for the for the rest of that group so that we are capturing you know who is having supervision and particularly for nurses now with revalidation this is your way of proving that you are keeping yourselves up to date and you can use this for your revalidation process if you have the new stuff activity icon you can click on this if this isn't visible on your screen we go to the top of the screen and choose workflow this will give you a drop-down list and you scroll down to new staff activity and the first thing you need to do is put the date that you've received your supervision the next is the contact type if you click on the little arrow it will bring a drop-down list and you choose clinic or stroke restorative supervision received you then choose the location where the supervision took place using the same method and then the duration of the supervision do not put anything in the target groups or attendance and then scroll down to the bottom of the box and click ok this can be completed at any time within a calendar month if you have forgotten to record your clinical supervision please do go in and update this at any time clinical supervision champions we're trying to do a display and a notice board so that it's there in people's sight so you know they can't forget about it and I think the message to get across is is to you know talk about it team briefs talk about it your team meetings just remind people to formally blog it under workflow and record it but just you know embrace it and get the message out there but more than that clinical supervision actually supports the staff well-being and we all know from the research that if we look after the staff well-being then patient experience will be positive we need to give assurance to our teams to our division and ultimately to the trust sport that we are actually having clinical supervision that our staff are at the top of their game and most importantly they're delivering high-quality patient care you


  1. Quote at "CS is every time you talk about your staff as a clinician". "Any time you have a conversation with your staff about your patient" I completely disagree with this as it means there is no formal structure/model used here and supervision can happen solely on an informal basis.Therefore what the first section of the video is saying that health care bosses can say to the QCC that we are DOING supervision without staff realizing they are being "supervised" and this is acceptable. It can just tick the box for the QCC without adding true value for that staff member. At 2.05 where " My staff feel supported by me delivering supervision TO them" How do you know they feel supported by you . It is a two way process.

  2. The perspective of what constitutes CS given here, as any conversation regarding clients, undervalues the worth of the supervision process. The example shown in relation to group CS within a clinical team presents a group discussion with no obvious theory driving the approach and an apparent emphasis on getting the audit form completed. Poor quality examples all round.

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