Social Work Placement Learning Agreement
PERSONNEL DETAILS
Student Details
Name
Programme
Telephone contact
University e-mail address
Emergency contact
Placement Agency Details
Agency name
Address and Postcode
Main telephone no.
Satellite site
Status
Statutory / Non-Statutory
Placement details
First placement 
Last placement 
(delete as applicable)
Adults
Children


Field
Day
Residential



Practice Educator Details
Name
On or off site
Telephone contact
e-mail address
Practice Educator
Qualification
On Site Supervisor Details (where applicable)
Name
Telephone contact
e-mail address
University Tutor Details
Name
Telephone contact
e-mail address
PLACEMENT DETAILS
Start date
Interim review date
Projected end date
Previous report seen (if
final placement)
Yes/no
PRACTICAL ARRANGEMENTS
Hours of Work (please note a working day is considered to be 7hrs +breaks)
Note any special arrangements.
Data Security. Please comment on any policies which students must adhere to in respect of
use of personal IT equipment on placement and/or circumstances in which they may or
may not use personal equipment during their practice placement
Facilities and support available to the student including support groups/workspace/admin
support/learning resources and arrangements for Study Time and arrangement of payment
for work related expenses.
How should the student report absence if they are ill?
LEARNING REQUIREMENTS OF THE STUDENT
The student’s practice is primarily assessed against the Professional Capabilities framework.
However, it should be borne in mind that student’s practice should also meet the HCPC
Standards of Proficiency (as mapped against the PCF) and they should adhere to the HCPC
guidance conduct and ethics for students at all times.
List the specific learning needs identified by the student and/or previous assessment and
specify how they will be met.
Learning need
Addressed by
Do you consider yourself
to have specific
requirements in terms of
needs to support learning?
Do you have a University
of Salford Support Plan?
Yes /No
Yes/No
Are reasonable
adjustments needed to
support learning? Please
give details of how such
needs will be met
AREAS OF HAZARD AND RISK
List the areas of hazard and risk and how they will be managed. Specific requirements e.g.
Health and Safety, accountability, student’s responsibilities etc., including the name of the
person to whom any concerns should be reported.
Who will ensure the student is
familiar with the health and safety
policies and procedures of the
agency (who will provide policies
and when?)
Date by which the specific health
and safety matters relating to the
placement will be explained to the
student.
The whistle blowing policy will be
provided and explained by:
What will the arrangements for the
student’s working day be with
regard to shift work and working
unsocial hours?
Confirmation that the student has a
car they are authorised to use for
duties where appropriate and that
they have business insurance, tax
and an MOT.
SUPERVISION (equivalent of 1 hour of supervision per 5 days on placement)
Frequency of supervision with PE
Frequency of supervision with on
site supervisor where applicable
Date of first supervision with PE
Date of first supervision with OSS
Arrangements for recording
supervision with PE
Arrangements for student to
record their reflective thinking
Protected reflective time should
be agreed of half an hour each
day or half a day each full week.
Please detail how reflective
learning time is being recorded
and evidenced.
WORK OPPORTUNITIES
Please identify what opportunities will be provided by the organisation for the student to
meet the professional capabilities framework domains at the relevant level.
Practice Educator to outline the full range of learning opportunities available in the placement
setting negotiated with the student to take into account his or her identified learning needs.
Placement Learning Opportunities
PCF Domains – while it is
On this placement the student will have the opportunity to:
expected placement learning
opportunities will address
holistically all PCF domains,
Practice Educators should identify
Domains which may be
particularly addressed by this
learning opportunity.
Note: Final placement students should have had the opportunity to work in two different settings
with two different user groups before they qualify. They should also have had experience of
statutory requirements and legal interventions and inter professional work. University Placemen
Tutors should check that these requirements can be fulfilled for final year students before
proceeding with the placement.
DATE FOR COMPLETION OF PORTFOLIO ITEMS
(One direct observation of practice and piece of critically reflective work must have been
completed by the Interim Review)
PORTFOLIO ITEM
DATE
Completion of learning agreement
Interim Review date and time
Submission of piece of critically reflective work to
Practice Educator & Tutor approximately 1 week
before Interim Review
Completed portfolio to Practice Educator
Submission of portfolio containing Placement
Assessment Report to University
Daily Placement Fee Payment Arrangements
Please note: payment of the daily placement fee will be made following the midpoint review. If it has been
agreed that an off-site Practice Educator will provided by the University of Salford £11 per day, of the daily
placement fee, will be retained by the University to provide the assessment element of the placement. The
rates are shown below.
Statutory Placements
Daily Placement
Fee
£18
If Off-site Provided by the University of
Salford (£11 per day deducted)
£7
Private/Voluntary/Independent Placements
£28
£17
SIGNATURES OF ALL PARTIES TO THE AGREEMENT
Student
Practice Educator
On-site supervisor
Practice Tutor
Date