CLINICAL SUPERVISION AGREEMENT

Sentia Well-being's standard supervision agreement is included below for reference. (The agreement for counselling, psychotherapy and coaching can be found here).

Supervision Agreement. Jeremy Gordon, Sentia Well-being Ltd.
Version: August 2026

This agreement sets out the terms on which Jeremy Gordon of Sentia Well-being Ltd. provides clinical or professional supervision to:

Supervisee: __________________

Purpose and approach

Supervision provides a confidential, supportive and appropriately challenging space in which to reflect on the supervisee’s work. Its purposes include:

supporting safe, ethical and effective practice;
protecting and promoting the interests of clients and service users;
developing the supervisee’s competence, confidence and reflective capacity;
exploring professional relationships, processes and ethical dilemmas;
attending to professional wellbeing and sustainability;
identifying learning and development needs.

My approach is person-centred and draws particularly on the Seven-Eyed Model of supervision. The work will be informed by the BACP Ethical Framework and any other professional or organisational standards relevant to the supervisee’s role.

Supervision is collaborative, but the supervisee remains professionally responsible for their own decisions, conduct and work.

Professional information

The supervisee confirms that the following information is accurate and agrees to notify the supervisor of any significant change.

Professional qualification or relevant training: Institution, qualification and date awarded:

Membership of an appropriate professional or ethical body, where appropriate: Organisation and membership number:

Professional indemnity insurance, where appropriate: Insurer, policy number and renewal date:

Online and telephone practice training, where applicable: Institution, qualification and date:

Current role and practice: Main setting, client or service-user groups and approximate caseload:

Contact details

Telephone: ______________________________________

Email: __________________________________________

Address: ________________________________________

Usual location for online or telephone work, if different:

The supervisee confirms that they:

practise within the limits of their role, competence, qualifications, professional responsibilities and insurance;
maintain appropriate and secure records;
undertake continuing professional development appropriate to their work;
have suitable arrangements for safeguarding, emergencies, data protection and continuity of service;
maintain membership of a relevant professional or ethical body, where appropriate;
will inform the supervisor of any material restriction, complaint, investigation, disciplinary matter or fitness-to-practise concern relevant to the work.

Supervision arrangements

The normal arrangement is:

90 minutes of supervision per calendar month
Format: in person / Zoom
Usual schedule: _________________________

Additional supervision may be needed depending on caseload, complexity, professional-body requirements, trainee status, organisational responsibilities or significant professional concerns.

The supervisee is responsible for ensuring that the amount and type of supervision they undertake meets the requirements of their professional body, employer, placement, training provider and insurer, where applicable.

Responsibilities within supervision

The supervisor will:

provide a respectful, non-shaming and appropriately challenging supervisory relationship;
support ethical reflection, professional development and the safety of clients or service users;
invite discussion of uncertainty, mistakes, risk and difficulties;
offer observations, questions, guidance and challenge where appropriate;
maintain appropriate professional boundaries;
keep brief and accurate supervision records;
undertake their own supervision and professional development;
raise concerns clearly and work collaboratively on appropriate action wherever possible.

The supervisee will:

prepare for and engage actively in supervision;
be open and honest about their work, including difficulties, mistakes and uncertainty;
bring significant risk, safeguarding, boundary, ethical and fitness-to-practise issues promptly;
provide sufficient relevant information for meaningful supervision;
consider and respond to agreed actions;
maintain their own supervision record where required;
take responsibility for their professional decisions and conduct;
obtain additional specialist, legal, medical or organisational advice where needed.

All relevant aspects of the supervisee’s professional practice should be open to supervision.

Contact between sessions

Contact outside scheduled sessions should normally be limited to practical arrangements or brief consultation about an urgent professional matter. Where possible, the supervisor may offer a brief call of up to 10 minutes without additional charge. Availability cannot be guaranteed, and a response may not be immediate. Longer or repeated consultation should be booked as additional supervision and may be charged at the applicable rate.

The supervisee remains responsible for their professional decisions and for taking any immediate action required in relation to risk, safeguarding or an emergency. They should contact the relevant organisational, clinical, safeguarding or emergency service where necessary rather than waiting for the supervisor to respond.

Confidentiality

Information shared in supervision is treated as confidential. The supervisee should minimise identifying information about clients or service users and normally use first names, initials or another pseudonym unless further information is genuinely needed for safe and effective supervision. Their own contracts, privacy information and organisational arrangements should explain that relevant work may be discussed in supervision.

Confidentiality may be limited where:

the supervisee gives consent;
there is a serious risk of significant harm;
safeguarding action is necessary;
disclosure is required by law, a court or another lawful authority;
information is reasonably necessary to establish, exercise or defend legal rights;
there are serious concerns about professional conduct, competence or fitness to practise that cannot be resolved adequately within supervision.

Where it is safe and lawful to do so, concerns and any proposed disclosure will normally be discussed with the supervisee first. Any disclosure will be limited to what is reasonably necessary.

Concerns about practice

Where the supervisor has concerns about the supervisee’s practice, these will normally be raised directly and explored collaboratively. An agreed response may include:

further reflection or monitoring;
additional supervision;
training or continuing professional development;
consultation with another professional;
changes to caseload or working arrangements;
a time-limited development or remedial action plan;
temporary reduction, suspension or cessation of particular work.

If serious concerns persist, or immediate action is required to protect clients, service users or others, the supervisor may need to contact an employer, placement, training provider, professional body, insurer, safeguarding service or another appropriate organisation. Such action will be taken only where there is an ethically or legally justifiable reason. Wherever reasonably possible, the supervisor will explain the concern, proposed action and reasons to the supervisee first.

Where supervision is connected to training, employment or placement, the responsibilities of the supervisor, supervisee and relevant organisation should be agreed separately.

Records and data protection
The supervisor keeps brief, factual records of key matters discussed, professional concerns, significant decisions and agreed actions.

Records are stored securely and retained in accordance with the Sentia Well-being Privacy and Data Protection Notice, available at: https://www.sentiawellbeing.com/services/privacy-data-protection

Supervision records are normally retained for seven years after the supervisory relationship ends, unless a longer period is reasonably required because of a complaint, legal claim, safeguarding matter or professional obligation.

The supervisee may request access to personal information held about them, subject to applicable data-protection rights, exemptions and the rights of other people.

Client-identifiable information should not ordinarily be included in the supervisee’s own supervision record.

Recordings and digital tools

Neither party may record a supervision session or use automated transcription, artificial-intelligence note-taking or similar tools without the other party’s prior explicit agreement. Any agreed use must be consistent with confidentiality, data-protection requirements and the supervisee’s agreements with clients, service users or their organisation.

Fees

Online supervision: £90 per 90-minute session; £45 per 45-minute session.
In-person supervision, including room costs: £110 per 90-minute session; £65 per 45-minute session.

Supervision fees are payable on presentation of an invoice, which will usually be issued through Tide bank. Fees are normally reviewed each January. Reasonable advance notice will be given of any increase.

Cancellation and rescheduling

Because regular supervision is reserved and is an important professional commitment, sessions should normally be prioritised. Sessions may be rearranged within the same calendar month by mutual agreement and subject to availability.

Where at least 7 days’ notice is given and no suitable alternative appointment can be agreed, any fee already paid will be refunded or credited. Where less than 7 days’ notice is given, the full fee will normally remain payable. Reasonable discretion may be exercised in exceptional circumstances.

No fee is payable where the supervisor cancels. Any advance payment will be refunded or credited.

Review and ending

The supervisory relationship will be reviewed periodically and at least annually. Reviews may include:

whether the arrangement continues to meet the supervisee’s needs;
the quality of the supervisory relationship;
the adequacy and frequency of supervision;
caseload, role, competence and development needs;
responsibilities to clients, service users, organisations and professional bodies;
any changes needed to this agreement.

Either party may end the supervisory relationship by giving at least one month’s notice, normally including a final session. Immediate or shorter-notice termination may be necessary because of serious professional concerns, non-payment, persistent non-attendance, boundary violations, conflicts of interest, illness or another exceptional circumstance.

Where the relationship ends, the supervisee remains responsible for arranging alternative supervision before continuing work where supervision is professionally or organisationally required.

Complaints

Concerns about supervision should preferably be raised within the supervisory relationship so that they can be explored and, where possible, resolved.

A formal complaint may be sent to: jg@sentiawellbeing.com. The complaint will be acknowledged, considered fairly and responded to without undue delay.

Jeremy Gordon is a Registered Member of BACP and is subject to BACP’s professional standards and complaints procedures in relation to work falling within their scope.

Complaints concerning personal information are addressed under the procedure in the Sentia Well-being Privacy and Data Protection policy: https://www.sentiawellbeing.com/services/privacy-data-protection

Agreement

This agreement is governed by the law of England and Wales, subject to any mandatory rights that cannot lawfully be excluded.

Agreement may be confirmed by signature, by email or verbally. Where agreement is given verbally, the supervisor will retain a dated record confirming that the supervisee received the agreement, had an opportunity to consider it and accepted its terms.

By agreeing, both parties confirm that they have read and understood this agreement, had an opportunity to ask questions and agree to work together on these terms.

Supervisor

Jeremy Gordon, Sentia Well-being Ltd.

Signature: ______________________________________

Date: __________________________________________

Supervisee

Name: __________________________________________