Doctorate of Clinical Psychology University of Exeter
Reflective Organisational Practice (ROP) series
Niki Buckingham (NB), Eugene Mullan (EM), Tony Wainwright (TW)
(2015 – 18)
Key:
GMC = Generalisable metacompetencies
PA = Psychological assessment
PF = Psychological formulation
PI = Psychological intervention
E = Evaluation
R = Research
PPSV = Personal and professional skills and values
CT = Communicating and teaching
OSIL = Organisational and systemic influence and leadership
Overarching Principles
Applying evidencebased psychology
..& generalising
clinical skills
Critical reflective
practice
Values based
practice
ROP
Leadership as
influence..
..in leadership
environments
ROP Framework
1. UNDERSTANDING SERVICE CONTEXTS
To influence leadership environments, it is essential to understand the service context. This is
difficult to achieve because we are part of that context so it is vital to develop conscious
competence through the application of psychology and generalising clinical skills. It is
important to have an understanding of the organisation, policy and professional contexts as
well as the process of service transformation as change and improvement are a continuous
part of the landscape. Both critical reflective and values based practice, drawing upon the
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evidence base, guide this process of continuously seeking to understand and make sense of
service context.
-
Working in Systems series
 Work groups (NB)
 Teams (NB)
 Organisations (NB)
-
Professional, Policy & Service context series
 Policy and professional context (EM TW)
 Service structure (EM TW)
 Service transformation (EM TW)
1) UNDERSTANDING SERVICE CONTEXTS - Learning outcomes
Working in Systems series
Work groups - Teams – Organisations (Convenor NB)
Trainees will be able to:
Explain the importance of understanding organisational systems, particularly with reference
to the core professional and organisational competencies required of clinical psychologists
(GMC PF OSIL)
Be able to apply their knowledge of small group process and clinical groupwork skills in a
work group setting (GMC PF PI OSIL)
Be able to apply their knowledge and skills of the systemic family therapy model in a work
group setting (GMC PF PI OSIL)
Be able to describe the likely impact of change in organisational systems, and on
organisational culture (GMC PF PI R OSIL)
Demonstrate the ability to think in a reflective, reflexive and evaluative way about
organisational systems (GMC PF E PPSV OSIL)
Professional, Policy & Service context series
(Convenors EM, TW)
Policy and professional context
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Trainees will be able to:
Identify key policy and professional areas of development and change within the National
Health Service and emerging mixed health and social care economy. (GMC, OSIL)
Develop the skills for managing the large information flow concerning policy. (GMC, OSIL)
Demonstrate an awareness of the legislative and national planning context of service delivery
and its impact on clinical practice and the meaning of different policy initiatives. (GMC,
OSIL)
Understand the impact of governmental policy and other key influences e.g. The NHS
Constitution; National Institute for Health and Care Excellence; The Increasing Access to
Psychological Therapies (IAPT) programme; The Health and Care Professions Council; The
British Psychological Society and its Division of Clinical Psychology. (GMC, OSIL, PPSV)
Service structure
Trainees will be able to:
Understand the NHS structures, organisations and purposes. (GMC, OSIL)
Gain an appreciation of the way in which the NHS relates to the communities it serves e.g.
the public, key stakeholders, the broader health and social care community, nonstatutory/independent sector, NHS hierarchy and other political structures. GMC, OSIL,
PPSV)
Understand the structure of commissioning, both the national and local clinical
commissioning arrangements. GMC, OSIL)
Service transformation
Trainees will be able to:
Understand the legislative and national planning contexts for service delivery and clinical
practice in which service transformation can occur (OSIL)
Develop the capacity to adapt practice to different organisational contexts for service
delivery, as service transformation requires a whole system understanding. (OSIL)
Develop the capacity for indirect influence of service delivery to facilitate service
transformation by bringing psychological influence to bear in the service delivery of others
(OSIL)
Become effective at working with users and carers to facilitate their involvement in service
planning and delivery as part of service transformation (OSIL)
Understand the of change processes in service delivery systems (OSIL)
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Understand and work with quality assurance principles and processes including informatics
systems that may determine the relevance of clinical psychology work within healthcare
systems. (OSIL, E)
Recognise malpractice or unethical practice in systems and organisations and know how to
respond to this, and be familiar with ‘whistleblowing’ policies and issues. In addition to
recognise the importance of positive approaches (for example appreciative inquiry) for
facilitating service change (OSIL)
2) VALUES BASED PRACTICE
In the ROP strand influencing leadership environments is guided by values based practice,
emphasising self and other compassion, ethically aware decision making and action, and
diversity aware practice, through the application of psychology and generalising clinical
skills.
-
Resilience series
 Personal resilience (NB)
 System resilience (NB)
-
Decision making and ethical practice series
 Ethical practice (TW)
 Ethical decision making (TW)
-
Diversity series
 Different environments (PB HS)
 Diverse cultures (PB HS)
2) VALUES BASED PRACTICE - Learning outcomes
Resilience series
Personal resilience & System resilience (Convenor NB)
Trainees will be able to:
Explain the importance of self care and building resilience as individual practitioners,
particularly with reference to the core professional and organisational competencies required
of clinical psychologists (GMC PPSV R OSIL)
Demonstrate the ability to design and implement a self care protocol (GMC PPSV)
Explain the importance of promoting resilience in systems, at the level of work group, team
and organisation, particularly with reference to the core professional and organisational
competencies required of clinical psychologists (GMC PF R OSIL)
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Demonstrate the ability to recognise and promote resilient processes in organisational
systems (GMC PF PI CT OSIL)
Decision making and ethical practice series
Ethical practice - Ethical decision making (Convenor TW)
Ethical practice
Trainees will be able to:
To demonstrate awareness of ethical issues and the skills to manage them. (GMC, OSIL,
PPSV, PA, PI, E, CT)
To have a clear understanding of the origins of codes of ethics and practice and their
rationale. (GMC, OSIL, PPSV, PA, PI, E, CT)
To use the BPS Code of Ethics and Conduct in guiding their clinical work. (GMC, OSIL,
PPSV, PA, PI, E, CT)
To be able to use the HCPC Code of Ethics and Conduct in guiding their clinical work.
(GMC, OSIL, PPSV, PA, PI, E, CT)
Ethical decision-making
Trainees will be able to:
Be familiar with the four component model of ethical decision making. (GMC, OSIL, PPSV,
PA, PI, E, CT, R)
Gain an understanding of psychological approaches to ethical practice through working on
ethical scenarios based on work in moral psychology and other disciplines. (GMC, OSIL,
PPSV, PA, PI, E, CT, R)
Understand how change processes or other organisational factors influence and impact on
service delivery systems. (GMC, OSIL, PPSV, PA, PI, E)
Diversity series
Different environments - Diverse cultures (Delivered by Hannah Sherbersky & Paul Beckley)
Trainees will be able to:
Appreciate the importance of working with those who have direct experience of services,
carers and others (e.g. voluntary agencies) to facilitate their effective involvement in service
planning and delivery. (GMC, OSIL, PPSV, PA, PI, E, CT)
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Be aware of the clinical, professional and social context within which the work is undertaken
with particular reference to social and other e.g. health inequalities (GMC, OSIL, PPSV, PA,
PI, E, CT)
Be able to apply their knowledge of the cultural diversity of the population so that an
effective and values based service can be provided. (GMC, OSIL, PPSV, PA, PI, E, CT)
3) INFLUENCING SERVICE CONTEXTS
The ROP strand defines leadership as influencing the service context; leadership is
conceptualised as dynamic, existing in the interaction of people in context, and equally
important to clinical psychologists in designated (formal) and non-designated (informal)
leadership positions. There are a number of roles frequently taken on by clinical
psychologists, such as consultation, which can be understood as leadership opportunities, so
learning to be influential in these roles through the application of psychology and
generalising clinical skills is important. Trainees need to develop their own unique skills of
influencing service context; this process is supported by an examination of models in the
literature, models in practice and the competencies required by the profession. Both critical
reflective and values based practice, drawing upon the evidence, guide these processes.
-
Leadership roles series
 Consultation (NB)
 Teaching and Learning (NB)
 Commissioning & Service development (EM TW)
 Public & community health intervention (EM TW)
-
Leadership development series
 Leadership theory (NB)
 Leadership in practice (EM TW)
 Leadership competencies (EM TW)
3) INFLUENCING SERVICE CONTEXTS – Learning outcomes
Leadership roles series
Consultation (Convenor NB)
Trainees will be able to:
Explain the importance of consultation in clinical practice, particularly with reference to the
core professional and organisational competencies required of clinical psychologists (GMC
OSIL)
Explain the importance of negotiation, preparation and review with consultees in both formal
and informal settings so a shared efficient process is achieved (GMC CT E OSIL)
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Distinguish between process and content expertise in the consultancy role (GMC PF)
Explain how consultation can be undertaken within a framework of the core therapeutic
models (GMC PA PF PI)
Demonstrate the ability to think in a reflective, reflexive and evaluative way in a consultancy
role (GMC E PPSV OSIL)
Teaching and Learning (Convenor NB)
Trainees will be able to:
Explain the importance of developing knowledge about learning processes and teaching
skills, particularly with reference to the core professional and organisational competencies
required of clinical psychologists (GMC CT OSIL)
Demonstrate an ability to deliver across a range of delivery approaches ranging from formal
presentations to facilitating experiential learning (PI CT OSIL)
Commissioning & Service development
(Convenors EM, TW)
Trainees will be able to:
Understand the history and current system whereby services are commissioned and the
relevant issues for psychology and related services. (GMC, OSIL)
To apply the knowledge of psychology to develop ideas that may be used in service
development and continuity through influencing commissioning decisions and decisionmakers. (GMC, OSIL,R)
To identify areas where services are effective and to apply those models to enhancing local
approaches. (GMC, OSIL,R)
Public & community health intervention
(Convenors EM, TW)
Trainees will be able to:
Understand social approaches to intervention; for example, those informed by community,
critical, and social constructionist perspectives (GMC I PPSV OSIL )
Develop the capacity to adapt practice to different organisational contexts for service
delivery. This should include a variety of including public health approaches and other social
and community approaches (GMC I PPSV OSIL )
Leadership development series
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Leadership theory (Convenor NB)
Trainees will be able to:
Locate leadership approaches in the leadership models literature and therefore recognise there
is no one model of leadership but a dominant model which will change over time (GMC,
OSIL)
Understand their own development in the context of the leadership models literature, and the
approaches of others (GMC, OSIL, PPSV)
Leadership in practice (Convenors EM, TW)
Trainees will be able to:
Develop an appreciation of the challenges and opportunities presented by the profession of
clinical psychology to take a leadership role in different contexts. (GMC, E, OSIL, R)
To explore the ways those with current leadership and strategic roles can incorporate this into
their ongoing professional life. (GMC, E, PPSV, OSIL)
Leadership competencies (Convenors EM, TW)
Trainees will be able to:
Understand the evidence-base for effective leadership and how to work different leadership
environments (GMC, OSIL, R, PI)
Link the goals for leadership development identified on clinical placements with the teaching
materials (GMC, OSIL, R)
To develop a working plan for personal leadership development based on the leadership
competences in the BPS and NHS leadership academy models. (GMC, OSIL)