Clinical Supervision Agreement

Please read the following then complete and sign at the bottom:

What you can expect from me as your clinical supervisor:

  1. I will always endeavour to use my skills to the best of their ability to make your time together a positive experience in which you can grow and develop your skills.
  2. I will undertake regular clinical supervision myself, as outlined by my professional governing body, this is the National Counselling Society.
  3. If your case is discussed during supervision as above; your details will be anonymised.
  4. I will continuously seek to further my own personal and professional development and I am always undergoing continuous training to ensure my skills are as fresh and up to date as possible.
  5. I will adhere to an Ethical Framework for Good Practice, which outlines my duty of care, code of practice and responsibility towards each supervisee I work with.
  6. I will hold professional liability insurance which covers my work as a practitioner.
  7. I will always maintain complete confidentiality, with the following possible exceptions:
  • If I have a reasonable concern that you are at risk of being harmed from another person.
  • If I have a reasonable concern that you may be seriously harming yourself.
  • If I have a reasonable concern that you are/may be, harming another.
  • These exceptions all include safeguarding concerns, a safeguarding concern is where there is a concern that somebody is at risk of abuse from someone else.   I also have a duty of care to report any acts of terrorism or any other serious criminal activity.
  • If any of the above applies I will be obliged to contact the relevant people/authorities, I will, where possible and appropriate, discuss this with you prior to taking any action but reserve the right to take action without consent if there is a serious risk as outlined above.
  • I will make notes after each session (and possibly during the session). 
  • These notes are to aid my understanding and to record what has happened, these are always stored securely.
  • You can request to see these notes, or have copies sent to you, by making this request in writing to the details above.
  • I will be prepared and ready for our session together and it will start on time.
  • If at any time I feel that the session is moving beyond my level of expertise or for any reason is becoming unsafe or ineffective, I reserve the right to end the session and will support you in finding more specialist help or in seeking a different supervisor.
  • I will always respect and accept you for who you are, whilst at the same time believing in your potential to be all you can be and more.

What I expect from you:

  1. I can only work with what you bring into the session; it is important for you to realise the importance of your contribution.
  2. During the session we will cover whatever you choose to bring, and this can be a mixture of personal issues, professional issues, and of course clinical issues.  Please note however there is no need for you to prepare any case presentations; this will form part of our work together, but it is not the entirety of it.
  3. Please note that if you bring an over-burden of personal issues, it may be better for you to take these to personal therapy.
  4. You should be free from alcohol or recreational drugs during the session.
  5. In each session I expect you to tell the truth as you see it but also to be willing to look at and think of things from a different perspective.
  6. To be aware that sometimes the process of clinical supervision can be a very emotional experience; if you become upset and want to take a pause; we can do this.
  7. You will attend on time, and you will understand the necessity of a session to finish on time.
  8. Each session will last as agreed prior.

Booking Arrangements:

  1. Please make your payment, prior to your appointment.
  2. Sessions will not proceed until paid for in full prior.
  3. You can have as many sessions as we agree; however, you should consider the minimum requirements for your governing body.  For example, you can find the requirements of the BACP here:
  4. You need to be aware of your minimum requirements and make sure that you obtain the relevant amount of supervision for your circumstances.
  5. All the details of your session will be communicated to you in advance of the session; this may be by phone, text email or any other format as agreed.
  6. Attendance at a session is defined as turning up to a face to face session, or answering a pre-arranged phone call, Skype, zoom or other remote session.
  7. If a remote session is taking place, then I will try a total of 3 times to contact you by the agreed method.
  8. When attending a session [by any means] please note that if you do not arrive within 20 minutes of the start time; then your session can not proceed as this will affect diary commitments.   If this occurs and I have not heard from you the session will be recorded as a “did not attend” (DNA).
  9. Sessions recorded as DNA are chargeable at the above rate.
  10. If the date and time of your appointment is no longer convenient for you, please contact me to rebook it as soon as possible.
  11. Any changes to your appointment must be made with at least 24 hours’ notice. [exceptions can be made for genuine last-minute emergencies]
  12. Any appointments that are not cancelled in time, or not cancelled at all, or otherwise unattended will be recorded as a “did not attend” (DNA) and will be chargeable.
  13. If I need to cancel a session for any reason, I will communicate this to you and rebook another appointment for you. 
  14. I will give you as much notice as possible for this to avoid inconvenience to you; however, the same conditions of last-minute emergencies may apply.
  15. If I cancel and you have already paid for your session this fee will be carried over to the rebooked session and there is no additional cost to you.
  16. Repeated failure to attend booked sessions without any notification, or repeated cancellations may result in discharge.
  17. Please note that it is your responsibility to make sure that you have sufficient supervision as outlined by your training provider and governing body.
  18. As above, it is your responsibility to make sure that you seek out and request any reports and other paperwork for your course [if applicable].