Appendix 1 Supervision contract (mandatory)
As supervisee and supervisor, we agree to:
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Work together to facilitate reflection on issues affecting practice, so developing both personally
and professionally to develop a high level of expertise
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Use the “6Cs” as the standards to measure and evidence compliance with CWPs Values
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Protect the time for supervision, by keeping to agreed appointments and time boundaries;
privacy will be respected and interruptions avoided
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Provide a record showing the dates, times and types of supervision sessions (ie clinical,
managerial, combined)
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Work to the agenda, within the framework and focus negotiated at the beginning of each
session; however the supervisor reserves the right to highlight items unnoticed by the
supervisee(s)
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Review any previous actions at the start of a new supervision session
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Work respectfully with both of us being open to feedback about how we handle the clinical
supervision sessions
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Share the responsibility for ensuring the highest standards are maintained
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Inform the supervisee’s line manager if the supervisee experiences difficulty in maintaining
minimum attendance
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As a supervisee I agree to:
Prepare for the sessions, for example, by having an agenda or preparing notes
Take responsibility for; making effective use of the time, including punctuality, the outcomes
and any actions that may be taken as a result of clinical supervision
Be committed to fully participating in the process and willing to learn, to develop my clinical
skills and be open to receiving support and challenge
Maintain my own record of attendance at supervision for my professional portfolio
As a clinical supervisor I agree to:
Keep all information you reveal in the supervision sessions confidential including both verbal
and written, except for explicit exceptions i.e. breaching Professional Code of Conduct, Trust
Health & Safety Policies or other Operational policies.
Offer you advice, support, and supportive challenge to enable you to reflect in depth on issues
affecting your practice.
Be committed to continually developing myself as a practicing professional.
Use my own supervision to support and develop my own abilities as a supervisor and clinician
(where relevant), without breaking confidentiality.
Frequency of meetings agreed to be ________ weekly (minimum 6 weekly)
The supervisor/supervisee* will document the supervision on the CWP Supervision Record
Form. *Delete as appropriate
Either the supervisor or the supervisee(s) can request for the contract to be cancelled if the
relationship is difficult or if a change is required for example move of employment
Name
Signature
Date
Supervisee
Supervisor
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