Clinical Supervision

clinical lapse sits at the heart of the UK Governments agenda for improving the theatrical role of service delivery (De character referencement of Health, 1997, 1998, 1999). The practice in the workplace was introduced as a way of using reflective practice and sh ard out experiences as a part of continuing professional development. clinical inspection has ensured that standards of clinical care remain a appoint mechanism for monitoring the performance of Trusts, with clinical performance measures world given equal weight to financial and accounting measures. from each one Trust is required to have a clinical superintendence lead and a clinical inadvertence committee. The clinical supervision process within Trusts is performance managed through annual reports scrutinised by Strategic Health Authorities. (Kohner 1994; Faugier 1992) The Commission for Health Improvement reappraisal teams focus, during their visits, on the clinical supervision process. There are thus several mechanisms for monitoring the delivery of clinical supervision.

Clear subject area standards for go and treatment support the development of high-quality services. The National Institute for Clinical Excellence Guidelines and technology appraisals are sent to all Trusts with a requirement that they be implemented. Other key drivers for clinical supervision include National Service Frameworks, Effective Healthcare Bulletins, Cochrane reviews and national audits including Suicide and Perinatal Mortality.



Trusts are expected to establish cast-iron management mechanisms to ensure that this national guidance is implemented.

In addition to the writ of execution of national standards, a further requirement for clinical supervision is to ensure that good ideas are facilitated locally, and form an integral part of clinical improvement. (Butterworth 1992; (Farrington 1995)) This requirement recognises that many improvements that will hold up a real difference to patient care will be identified by clinicians working directly with patients. Clinicians and patients together are often able to identify local factors, which will make a real difference to the local delivery of care.

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