Developing a values evidence-based clinical supervision model within a forensic intellectual disability service
| DOI | https://doi.org/10.1108/JIDOB-09-2013-0020 |
| Published date | 04 March 2014 |
| Pages | 14-23 |
| Date | 04 March 2014 |
| Author | William Jackson |
| Subject Matter | Health & social care,Learning & intellectual disabilities,Offending behaviour |
Developing a values evidence-based
clinical supervision model within
a forensic intellectual disability service
William Jackson
William Jackson is a
Lecturer/Practitioner, based at
Edge Hill University, Ormskirk,
UK and Calderstones
Partnership NHS Foundation
Trust, Clitheroe, UK.
Abstract
Purpose – The purpose of this paper is to discuss the development and proposal of a values evidence-
based model of clinical supervision (CS) for the implementation by nursing staff (registered and non-
registered nurses) within a forensic intellectual disability service.
Design/methodology/approach – This is a conceptual and technical paper providing a descriptive
account for a service provision with nursing staff.
Findings – The paper does not present any research findings but does demonstrate a novel and innovative
approach to the conceptualisation and implementation of CS.
Originality/value – The paperexamines the dominant conceptsthat shape existing thinkingaround CS and
suggests a new interpretation that involves greater pragmatism through a valuesevidence-based approach.
Keywords Intellectual disability, Clinical supervision, Pragmatic, Valuesevidence based
Paper type Technical paper
Introduction
The National Health Service (NHS) is facing its greatest challenges since its inception in 1948.
Not only do these challenges arrive in a structural and financial form (TSO, 2012), but there are
also far reaching changes that strike at the very centre of every practitioner’s personal values
around how they deliver care. The recent strategy by the Chief Nursing Officer for England and
the Director of Nursing with the Department of Health and lead Nurse Public Health England
proposes a vision of compassion in practise (Cummins and Bennett, 2012). This strategy is set
around six core values of care, compassion, competence, communication, courage and
commitment (the 6Cs). The strategy will run over a three-year period and is to be embraced by
many clinicians (nursing and other health care professionals) and managers across theNHS. To
compound this point, the findings of the Francis inquiry (Francis, 2013), highlighted the lack of
such values within care delivery and makes numerous recommendations around this point
alone. Such values implemented as part of an organisation as vast as the NHS may not be
sufficient enough to deliver the vision as true to the strategy as possible, as many clinicians may
feel they already practise with compassion and such statements in isolation, or even set out as
an integral part of a project, may become lost or viewed as part of an organisation’s rhetoric.
Clinicians may also point to failings in leadership, management and the lack of adequate
resources, which are equally criticised in the Francis inquiry and also have large numbers of
recommendations to remedy such problems. The values of care, however, need to be and
should rightfully be, at the heart of all clinicians’ everyday clinical practise. For most practitioners
this is unquestionable, however, the number of instances when abuse of vulnerable people has
taken place (e.g. Flynn, 2012) shows clearly that such values were completely absent in some
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JOURNAL OF INTELLECTUAL DISABILITIES AND OFFENDING BEHAVIOUR
j
VOL. 5 NO. 1 2014, pp. 14-23, CEmerald Group Publishing Limited, ISSN 2050-8824 DOI 10.1108/JIDOB-09-2013-0020
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