Documente Academic
Documente Profesional
Documente Cultură
as a psychologist
Guidance published by the Professional Practice
Board of the British Psychological Society
These guidelines have been edited by Nigel Atter on behalf of the
Professional Practice Board. The Board is grateful for the
contributions and suggestions from David Trickey, Elaine Ilion
Foreman, Jessica Eade, Karen Kemish, John Hanna, Carolyn
Hurcom and the Division of Clinical Psychologys Professional
Governance Panel.
Published by The British Psychological Society, St Andrews House,
48 Princess Road East, Leicester LE1 7DR.
The British Psychological Society 2008
Cost: 3.75 members; 5 non- members.
ISBN: 978-1-85433-475-6
Supervision 9
Advertising 17
Marketing 19
Fees 20
Part-time work 21
Working self-employed 21
Crisis management 24
Useful information 36
2 Independent/Private Practice
Generic professional practice guidelines
The practice of professional psychologists is underpinned by:
Four key ethical values:
Respect
Competence
Responsibility
Integrity.
Assessment
Assessment of psychological processes and behaviour is derived from
the theory and practice of both academic and applied psychology. It
is different from other activities such as diagnosis and includes both
assessing change and stability and comparison with others.
Applied psychologists have the ability to assess the suitability of
different measurement procedures depending on the purpose for
which the assessment is needed, as well as being competent to devise
and use context-specific procedures.
Assessment procedures include:
the development and use of psychometric tests in best-practice ways;
the application of systematic observation and measurement of
behaviour in a range of contexts and settings;
devising structured assessment strategies for individual clients,
teams and organisations; and
the use of a range of interview processes with clients, carers and
other professionals.
Formulation
Formulation is the summation and integration of the knowledge that
is acquired by this assessment process, which may involve a number
of different procedures. This will draw on psychological theory and
research to provide a framework for describing a clients problem or
needs. Because of their particular training in the relationship of
theory to practice, applied psychologists will be able to draw on a
number of models to meet needs or support decision-making. This
process provides the foundation from which actions derive.
Intervention or implementation
Intervention, if appropriate, is based on formulation. This may involve
the use of psychological models or approaches to facilitate change, or
solution of a problem or improvement of the quality of relationships.
Other kinds of intervention may include training, supervision, or
coaching of others (such as professional staff, managers, relatives and
carers), the provision of psychological knowledge through teaching or
the development of skills through supervision and consultation. All
these interventions, or implementation of solutions, are tests of the
provisional hypotheses contained in the formulation and are subject to
iterate modification in the light of experience and new data.
4 Independent/Private Practice
provided. It also includes the development and testing of psychological
theory explorations of psychological processes and outcomes (basic
research), the development and evaluation of specific psychological
interventions (primary research), and the consolidation and
evaluation of primary research (secondary research).
Communication
Communication skills are integral to all aspects of an applied
psychologists role. Effective communication skills are routinely
essential in relation to all aspects of work with others.
Communication skills include communication with individuals,
groups or organisations, all forms of electronic, written and verbal
communication, and the dissemination of research findings.
Professional psychologists help others through the unique
application of research-based psychological knowledge and skills in a
structured process. This process includes assessment (the
identification and analysis of needs and problems of individuals,
groups and organisations), formulation of solutions, intervention or
implementation, followed by the evaluation of outcomes. Clear and
effective communication skills are integral to all of these.
The Act
The Data Protection Act gives individuals the right to know what
information is held about them. It provides a framework to ensure
that personal information is handled properly. The Act works in two
ways. Firstly, it states that anyone who processes personal information
must comply with eight principles, which make sure that personal
information is:
fairly and lawfully processed;
processed for limited purposes;
adequate, relevant and not excessive;
accurate and up to date;
not kept for longer than is necessary;
processed in line with your rights;
secure; and
not transferred to other countries without adequate protection.
The second area covered by the Act provides individuals with
important rights, including the right to find out what personal
information is held on computer and most paper records.
6 Independent/Private Practice
a) to notify the Information Commissioner you are processing
information, unless you are a business or organisation that has
personal information only for:
staff administration (including payroll);
advertising, marketing and public relations used only for
your own business; or
accounts and records (some not-for-profit organisations)
b) to process the personal information in accordance with the eight
principles of the Act; and
c) to answer subject access requests received from individuals.
Any individual or organisation that processes personal information is
responsible for adhering to the requirements laid down in the Data
Protection Act. Practising Psychologists should know, understand and
follow the requirements of the Act and adhere to these in a
professional and ethical manner.
Notification
Notification (often refered to as registration) is a statutory
requirement and every business and organisation that processes
personal information must notify the Information Commissioners
Office (ICO), unless they are exempt. Failure to notify is a criminal
offence. Notification currently costs an annual fee of 35 (no VAT
charged), payable to the Information Commissioner's Office.
Detailed information on how to Notify is available at the Information
Commissioners Office website:
http://www.ico.gov.uk/what_we_cover/data_protection/notification.aspx
Even if you are exempt from notification this does not mean that you
are exempt from the rest of the requirements of the Act.
NB: A number of private companies have been contacting businesses
throughout the UK demanding fees of more than 95 to
register/notify your business under the Data Protection Act. Do
not be misled by these 'agencies'. They have no official standing
or powers under the Data Protection Act and there is no
Recommendation
As a practising psychologist you are likely to collate and process
personal information regarding your clients. Therefore, it is strongly
recommended that you Notify (register) with the Information
Commissioner. All businesses have to comply with the Data
Protection Act 1998 so if you keep personal records on a computer
then you must register. Even if you only keep paper records it is
likely that they fall within the Act. The Information Commissioner
promotes good housekeeping and requires that individuals work
within the principals of the Data Protection Act 1998.
8 Independent/Private Practice
Supervision
Psychologists in private practice must have the same levels of
supervision as required for those employed in public organisations.
The opportunity to explore and learn from the practical,
experiential and theoretical elements of professional practice is an
essential component of the psychologists continuing development.
Supervision also provides the forum whereby the individual
psychologists professional work and judgement is open to inspection
by his/her professional peers. It is the responsibility of the
psychologist to ensure that potentially controversial issues, or those
with uncertain ethical implications, are presented for supervision.
For further detail please see the Generic Professional Practice Guidelines
(2007). Please also note the Independent Practitioners Forum has
been used to locate and access supervision.
Reflection Action
10 Independent/Private Practice
of professional and technical duties, often termed competence.
PARN is a useful source of information concerning models, measures
and systems for the delivery of CPD (www.parn.org.uk).
The model of CPD preferred by the Society is a cyclical one with four
stages: planning, action, outcomes, and reflection. In order to get
the most out of CPD it is important to engage in the whole cycle with
a focus not just on inputs, but on outcomes and reflective evaluation,
both the application of learning to practice and the identification of
what has been learned through practice.
CPD plan
Carrying out a review of your own practice, on at least an annual
basis, is a good starting point for planning your CPD. Thinking about
what you need to update (e.g. new legislation) and the particular
areas that you want to develop can help you to clarify your goals for
the year ahead. This will help you to identify and prioritise your
objectives for CPD for the year and to start planning the most
appropriate activities to achieve the new learning that you need.
For many psychologists in private practice there is likely to be a
significant amount of CPD (e.g. researching a particular topic or
learning a new technique) that is undertaken as the year progresses,
in response to work for clients. Whilst these learning needs may not
have been identified when you carried out your review, your plan is a
living document and can be adapted as the year progresses, to
include new learning needs as they arise. There are also likely to be
some opportunities for CPD that arise serendipitously, e.g. a
conference or workshop on a topic of interest, and reference to your
CPD plan can reconfirm your objectives and help you decide which
would be the most appropriate use of your time an resources.
12 Independent/Private Practice
how it has helped you to develop in relation to your professional
activity; and
what you can do that is different.
Reflecting upon how you have applied/will apply the learning to
your practice can help you to evaluate how well each of your CPD
activities has met your expectations, and to identify the types of
activity from which you have achieved most benefit. You may also
find that the process of evaluation throws up some new learning
objectives, together with some that have only been partially met, and
these can be carried forward to your next phase of CPD planning.
14 Independent/Private Practice
Once Statutory Regulation is in place, it is the Societys intention to
continue to provide the CPD online system as an aid to help
members to plan and record their CPD.
If you have any queries or require any additional information about
CPD please contact the CPD helpline:
Tel: 0116 252 9916 (MonFri 9am5pm) or e-mail: cpd@bps.org.uk
16 Independent/Private Practice
Advertising the services offered by
psychologists
The Society is frequently asked for advice on acceptable ways of
advertising the services offered by psychologists. Conversely the
Society has to adjudicate on complaints when it is alleged that a
Member is responsible for an advertisement which is in some way not
entirely legal, decent, honest or truthful. The Professional Practice
Board prepared the following guidelines in an attempt to make
explicit the principles involved.
A definition
An advertisement is defined as a communication addressed directly
to the public or a section of it, the purpose of which is to influence
the behaviour or opinions of those to whom it is addressed. An
advertisement, therefore, includes any announcement of the
professional services of an individual psychologist or group of
psychologists whether working in private practice or for a corporate
employer, appearing, for example, in the press, television, radio, in
Yellow Pages, via a website, or in a directly distributed brochure, both
electronic and hard copy. Different principles would apply to a letter
of introduction which a psychologist might send to a third party (e.g.
a solicitor or medical practitioner) introducing the psychological
services offered to clients who subsequently may be referred at the
discretion of the third party receiving the letter.
18 Independent/Private Practice
The competence of those claiming expertise in specialist areas of
psychology:
Where psychologists make claims to offer specialist services or
specific treatments (e.g. hypnotherapy) the psychologists concerned
are required to be able to substantiate their claims, e.g. by
demonstrating that they have received relevant training in the area.
Care should also be taken to avoid offering treatment or advice as a
psychologist in areas that do not form part of the discipline and
profession of psychology and in which training is not normally given
to psychologists.
Information about advertising can be found at the Advertising
Standards Agencys website, see www.asa.org.uk
Chartered Psychologists can advertise their services in the Directory of
Chartered Psychologists. Contact the Societys Membership Team for
further details.
Marketing
Traditionally the principal areas of marketing focussed upon: the
product, its price, the place and promotion these are known are
the 4Ps. The marketing mix now consists of:
Product the product and services offered by your practice.
Price see information on Fees see below.
Place where you are located but could also be via the internet.
Promotion The way you communication and what services you
have to offer to clients. It must grab their attention whether it be
via the internet, a magazine, poster or letter. It should be easy to
read and clients should have an easy method to contact you. Also
see guidance on advertising above.
People you, your partners, and staff.
Process How a service is delivered to a client.
Fees
Because of legislation to foster competition and free trade and
prevent the formation of monopoly practices, professional bodies are
not permitted to give specific guidelines on the fees to charge.
Before setting up in private practice it is wise to check with other
private practitioners as to the level of fees that are currently being
charged in the area. At the time of writing, anecdotal evidence
suggests that practitioners charge somewhere in the region of
between 80 to 200 per hour. It is good professional practice and
sound business sense to make it clear to all clients before
commencing any work what the fees are likely to be, and what is
20 Independent/Private Practice
included in the treatment. The Society recommends that all
psychologists in private practice should, make it clear to all clients
before any work commences what their fees are likely to be and for
what they will be paying. It is essential that clients are clear regarding
the fee basis and likely charges if future misunderstanding and
complaints are to be minimised.
Part-time work
Most psychologists employed by public organisations have a
contractual obligation to inform their employers if they wish to
undertake additional work privately. Even where this requirement is
not a contractual obligation, as a matter of courtesy the Society
advises all psychologists to keep their employers informed of any
additional part-time work they intend to undertake regularly.
Working self-employed
For those colleagues setting out to practise independently they will
need to register with the HM Revenue and Customs (HMRC). You
should contact the HMRC as soon as you start working for yourself.
The MHRC provides comprehensive guidance to assist the newly self-
employed, see Working for Yourself: The Guide. This covers income tax
and self assessment, VAT, National Insurance, record keeping and
controlling finance, amongst other things. There is also a helpline
for those new to self-employment: 08459 15 45 15.
A psychology practice is governed by the same rules as other
businesses and no exemptions are available. Some related
professions gain exemption from VAT by virtue of their being
Registered Medical Practitioners or being on the Health Professions
Councils Register. Currently, psychology is not one of those.
For further information see http://www.hmrc.gov.uk/
Business Link also has helpful information:
http://www.businesslink.gov.uk/
22 Independent/Private Practice
be used safely and provide any relevant information relating to its
safe use.
Section 7: Places duties upon employees to ensure that their acts or
omissions do not present a danger to others.
Section 8: The duty not to interfere with or misuse anything
provided under a legal requirement.
Section 9: Prohibits the employer from charging for anything
provided under a legal requirement, e.g. personal protective
equipment.
There are numerous requirements for all businesses to adhere to
with regard to health and safety law. The main requirements are as
follows:
Have a written, up-to-date health and safety policy if you employ
five or more people. See free leaflet INDG259, An Introduction to
Health and Safety. This contains a template which can be used by
small businesses.
Carry out a risk assessment (and if you employ five or more
people, record the main findings and your arrangements for
health and safety). See free leaflet INDG163, Five Steps to Risk
Assessment.
Find out if you are required to register with your enforcing
authority. Information on registration can be obtained online at
http://www.hse.go.uk/smallbusinesses/faqs.htm#8.
If you employ anyone you must display a current certificate as
required by the Employers Liability (Compulsory Insurance) Act
1969. See free leaflets HSE40, Employers Liability (Compulsory
Insurance) Act 1969: a guide for employers and HSE39, Employers
Liability (Compulsory Insurance) Act 1969: A guide for employees and
their representatives.
Display the Health and Safety Law poster for employees or
alternatively give each employee a copy of the law leaflet. The
leaflet can be downloaded at http://www.hse.gov.uk/pubns/law.pdf.
Crisis management
For members working in health and social care settings what to do
if your client is in crisis:
Develop a crisis card with important crisis service numbers for
your area.
Seek preliminary consent to share select information with
statutory services in the event of crisis.
Make links with local GP surgeries/Crisis Management Home
Treatment teams, especially if your client is on enhanced Care
Programme Approach (CPA).
Decide in advance whether or not you will continue to meet with
clients while under the care of crisis or inpatient services.
Establish crisis/contingency plans with your clients (if your
therapeutic approach does not permit this, ensure your service
can deliver this outside of therapy).
24 Independent/Private Practice
Be aware that psychological therapy sessions can inadvertently
escalate crises, especially if the onset of crisis is not known to the
therapist.
Also note, many local crisis teams will only accept referrals directly
through primary care services rather than taking self referrals.
Private practitioners should know the local procedures in their area
and ascertain whether direct access is feasible for secondary level
crisis work or whether all referrals in crisis need to be screened
through primary care services first (be it GPs or specialist primary
care liaison/mental health teams). Not knowing the local procedure
is one of the key processes that elongates referral and assessment
times. Also, know whether your local area has a psychiatric liaison
service at the local Accident and Emergency unit that could also
function as a route in should your clients risk elevate.
26 Independent/Private Practice
Criminal Records Bureau (CRB) checks
The Society receives frequent enquiries concerning how an
independent or private practitioner may obtain a Criminal Records
Bureau (CRB) check. The CRB website details umbrella
organisations which undertake a CRB check in the same way as a
local authority does. The umbrella organisations can be searched by
geographical area to find a local organisation.
The CRBs database of umbrella organisations can be found at
http://www.crb.gov.uk/
28 Independent/Private Practice
shall be entitled to charge the Appointer for their
services for each hour where they are engaged in any
way in relation to the Matter/Case. Where the
Psychologist is engaged for less than a full hour they
shall be entitled to charge for such time on a pro-rata
basis based on the relevant portion of such hour.
1.1.9 Matter/Case means the specific matter or case (as
applicable) for which the psychologist is to be
engaged by the Appointer.
1.1.10 Report shall mean a written professional report
provided by the Psychologist for an Appointer which
the Psychologist is instructed to produce by the
Appointer for use by the Appointer in relation to the
matter/case.
1.1.11 Working Day means a day (other than a Saturday,
Sunday, statutory, bank or public holiday or a day on
which the Psychologist has specified that they will be
on holiday).
1.1.12 Required Services means the Services as set out in
the written instructions from the Appointer to the
Psychologist.
1.2 The headings in this agreement are for convenience only and
shall not affect its interpretation.
1.3 References to clauses and schedules are references to clauses
and schedules in this agreement unless otherwise stated.
1.4 Words importing the singular number only shall include the
plural number and vice versa; words importing a specific
gender only shall include all genders, and words importing
persons shall include corporations.
2. Supply of Services
2.1 The parties acknowledge that any and all expert services
provided to Appointers are intended for use solely by the
Appointer and/or the client.
4. Fees/Invoice Procedure
4.1 The Appointer shall be responsible to the Psychologist for
payment of the psychologist fees and disbursements, whether
or not the Appointer had been placed in funds by the client
(or, in the legal aid cases, by the Legal Aid Board).
4.2 Where any matter/case is referred to taxation or assessment
by the Legal Aid Board the liability of the Appointer to pay
the Psychologists fees and disbursements shall not be
reduced unless a court or Legal Aid Board has provided
detailed specific guidance that such fees and disbursements
were not reasonable. The Psychologist shall not suffer loss
and have their fees reduced or pro rated down where a
general reduction in costs to a particular matter/case is
imposed by a court or Legal Aid Board.
4.3 The Psychologist shall raise an invoice in their name to the
Appointer for their fees and disbursements and any other
fee, cost expense or debt due to the Psychologist on
completion of the required services.
4.4 The Psychologist should ensure that details of payment
required are specified in the agreement. Invoices should be
submitted immediately after the completion of services.
4.5 Where the Psychologist has provided expert services in a
matter/case which is/was subject to Legal Aid:
4.5.1 The Psychologist shall be notified if the Legal Aid
Board has refused to provide funding for a
matter/case. This does not remove the onus of
payment from the Appointer for work completed.
30 Independent/Private Practice
5. VAT
5.1 All sums payable under the agreement unless otherwise
stated should be exclusive of VAT and other duties or taxes.
5.2 Any VAT or other duties or taxes payable in respect of such
sums shall be payable in addition to such sums at the
prevailing rate to that time.
8. Non-Exclusive Arrangements
8.1 This agreement shall not prevent the Psychologist from
obtaining work or providing services to any person,
organisation or body outside the scope of this agreement.
11. Termination
11.1 Either party may, without prejudice to any rights or remedies
which it may have against the other party forthwith terminate
this agreement if:
i. the other party is in breach of any material provision
of this agreement and such party has failed to remedy
that breach (if capable of remedy) within 30 days after
receiving written notice of such breach;
ii a resolution for voluntary winding up is passed as for
dissolution, or upon the presentation of a petition for
an administration order, or winding-up and in the
case of an individual on the presentation of
bankruptcy petition or if the individual enters into any
formal or informal agreement with his creditors
(including an individual voluntary arrangement);
iii the other party is unable to pay its debts as and when
they fall due or enters into any arrangement for the
benefit of or composition with its creditors; or the
other party ceases or threatens to cease to carry on its
business or a substantial part of its business.
32 Independent/Private Practice
12 Consequences of Termination
12.1 On the expiry or earlier termination of this agreement, such
expiry or termination shall be without prejudice to any of the
parties rights which may have already accrued.
12.2 All rights and obligations of the parties on termination or
expiry shall cease forthwith except where it is expressly stated
otherwise in this agreement.
12.3 Upon expiration or earlier termination of this agreement
each party shall promptly return to the other all tangible
information (confidential or otherwise) provided to it under
this agreement and all copies of such information.
12.4 Notwithstanding expiry or earlier termination of this
agreement this clause 12 and clause 9 shall remain in full
force and effect.
17. Waiver
17.1 The failure by either party to enforce at any time or for any
period any one or more of the terms or conditions of this
agreement shall not be a waiver of them or of the right to
subsequently enforce any term or condition of this
agreement.
18. Variation
18.1 This agreement may not be varied except in writing signed
for and on behalf of each party.
19. Severance
19.1 If any provision of this agreement is held by a Court or other
competent authority to be invalid or unenforceable in whole
or in part, this agreement shall continue to be valid as to its
other provisions and the remainder of the affected provisions.
20. Counterparts
20.1 This agreement may be executed in any number of
counterparts each of which when executed and delivered
shall be an original, but all the counterparts shall constitute
one and the same document.
34 Independent/Private Practice
21. Disputed Fees
21.1 In the event of a dispute over any sums or fees payable under
this agreement such sums that are not in dispute shall be
payable when due, irrespective of any counter-claim that may
be alleged.
Signed: .
Date: .
36 Independent/Private Practice
Useful websites
The British Psychological Society
www.bps.org.uk
The Professional Practice Board
www.bps.org.uk/ppb
The Psychological Testing Centre
www.psychtesting.org.uk
Continuing Professional Development
www.bps.org.uk/cpd-homepage
United Kingdom Council for Psychotherapy.
www.psychotherapy.org.uk/
British Association for Counselling and Psychotherapy
www.bacp.co.uk/
British Association of Cognitive and Psychotherapies
www.babcp.com/
Chartered Institute of Marketing
www.cim.co.uk/
Advertising Standards Agency
www.asa.org.uk
Information Commissioners Office
www.ico.gov.uk/for_organisations.aspx
HM Revenue and Customs
www.customs.hmrc.gov.uk/
Criminal Records Bureau
www.crb.gov.uk/
Health and Safety Executive
www.hse.gov.uk