Skip to Main Content Skip to Site Map Skip to Accessibility Statement



Along with the standards of Supervision a number of processes support Reflective Supervision.

These are outlined below.



  • Escalating Concerns

    Escalating Concerns:

    • If an issue of concern in relation to practice is divulged by a supervisee the issue identified should be dealt with supportively via appropriate organisational and/or regulatory procedures
    • Aspects of confidentiality may be waived where an issue is identified that compromises patient safety, quality or experience


    Click here to view examples of issues for escalation.

  • Record of Reflective Supervision

    Record of Reflective Supervision:

    • Supervisors will be required to keep only a record of the number of sessions provided by them annually to each supervisee, with the exception of any records required relating to issues of concern for escalation
    • Supervisees should keep a written reflective account of each reflective supervision session stored within their electronic or hard copy professional portfolio, adhering to good practice guidelines for record keeping. The forms for this activity will be proposed as those relating to the revalidation documentation templates provided by the NMC
    • The extant practice for record keeping for safeguarding supervision remains unchanged and has been defined separately to this framework in the revised policy document
  • Storage of Records

    Storage of Records:

    • The records of service users may be used for the purposes of supervision activity but should only be accessed where necessary to enable learning and development for nurses and midwives
    • Participants involved in the reflective supervision process must adhere to the Records Management Policy within their organisation and any reflective account should adhere to the guidance provided by the NMC following Bawa-Garba v The General Medical Council & Ors [2018] EWCA Civ 1879
    • The organisation’s records management policies, standards, procedures and principles of Good Management Good Records (GMGR) guide responsibilities in relation to storage of records
    • Records should be paperless where at all possible


    Click on the links below to view the relevant guidance:

    Nursing and Midwifery Council. (2019). Revalidation. London: NMC.  pp 16 – 17.

    Department of Health (2014). Good Management Good Records. DOH.