Abstract

THERE ARE problems in applying the existing models of supervision to the hierarchical organisation of the NHS ( Grant 2000 ). Despite the vast volume of literature offering 'models of supervision' few give an operational definition of the concept ( Wolsey and Leach 1997 ). The majority of these models frame supervision within a psychotherapeutic model where a fixed amount of supervision, either one-to-one or in a group, meets the needs ofthe supervisee until the next meeting. The 'supervision session' becomes an almost mystical experience with little reference to day-to-day life in a busy health service. Managers, colleagues and even demanding patients fade into the background.

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