T06 Scope support and review agreement — Worked example

Hypothetical worked example

Read with chapter 9

Agree the clinical activity and support before a new arrangement starts. Record immediate advice separately from mentoring; use the review discussion in chapter 9. Use the form for a new activity or a genuine clarification of responsibilities; it is not a recurring permission test for established SAS autonomy.

Status and scope

Proposed arrangement for a defined outpatient follow-up clinic, covering the agreed patient group and associated decisions. Work outside this scope requires separate agreement and support.

Support

The supporting clinician reviews the agreed arrangement with the doctor and remains accessible through a defined service contact route. The local agreement must supply names or roles, response arrangements and cover details before it is activated.

Discussion triggers

For this proposed developmental activity, agree which plans require supervisory approval before implementation and which decisions the doctor may make independently. Seek advice for unresolved uncertainty; use the service escalation pathway for urgent concerns. Peer advice alone does not transfer decision responsibility.

Absence or failed contact

If the agreed support is unavailable, use the authorised alternative and raise the problem promptly. The activity must not drift into unsupported work because a contact does not answer. The responsible service lead decides the safe operational response.

Review

Discuss reasoning, communication, feedback and reliability of support at the agreed review. An earlier review is appropriate after a concern or change of context. Increasing support is an available outcome.

Approval

The form remains a proposal until the responsible clinical and managerial roles confirm it. Any agreed change must be reflected in the appropriate role and job-plan documents. It does not certify Specialist readiness.