CPD Portfolio Template
Date: September 2015
CPD Portfolio ChecklistHave you included a declaration of your professional practice & setting
Have you completed a Personal Learning Plan outlining prioritized learning needs & outcomes with possible learning activities and defined time frames?
Have you provided a Record of all CPD activities?
Do your CPD activities amount to a minimum of 60 hours of CPD credits?
Have you completed a range of CPD activities?
Have you included at least 8 Reflective Reports?
Have you included supporting documentation for each learning activity?
Have you included a table of contents for your supporting documentation?
Have you numbered each item of supporting documentation?
Have you signed the required declarations on certain pages?
Portfolios may be handwritten or typed. Please note that handwritten entries should be done in block capitals to ensure they are legible and clear.
Please note that only fully completed portfolios with all the above documentation provided will be sent to the assessors for review.
Incomplete portfolios will be sent back to the registrant for further information.
Registration BoardRegistration number with Board
Name
Date of the audit
1. Professional role and practice setting
Please describe your current professional role and practice setting, your main responsibilities, any specialist areas of work and your service users (Suggested 500 words).I, the undersigned, certify that the information contained in this professional role and practice setting record is correct in all respects.
Signature: Date:
Registration BoardRegistration number with Board
Name
Date of the audit
2. Personal learning plan
To complete the Personal Learning Plan you should spend some time reflecting on the skills, knowledge and professional qualities that are required to maintain and develop professional competence in your work. Identify the learning and development needs you plan to address during the CPD cycle, state the desired learning outcomes, prioritise your needs, name the learning activities you will undertake to achieve the desired outcomes and finally, identify a timeframe for each activity. This is your Personal Learning Plan. Please use additional paper if needed, and ensure you sign the additional pages if required.
Learning need (knowledge, skill, competency and professional quality) / Desired learning outcome(I will be able to…. and/or
I will understand…..) / Priority
(insert number) / Learning activity
(briefly describe planned CPD activity) / Timeframe
(Identify when activity will take place)
I, the undersigned, certify that I have personally completed this Personal Learning Plan
Signature: Date:
Registration BoardRegistration number with Board
Name
Date of the audit
3. Record of CPD activities (planned and unplanned)
Total Number of CPD CreditsRegistrants will come across numerous learning opportunities during the course of their work that were not planned for when drawing up the Personal Learning Plan. These unplanned and often extremely valuable learning experiences can be added to the Record of CPD activities when completing the table below. Suggested guideline: between 300 and 1,200 words for each activity. The description of learning gained should support the number of credits assigned for the activity (ie) the more credits claimed, likely the more learning gained from the activity Please use additional paper if needed, and ensure you sign the additional pages if required.
No. of activity / Title of learning activity / No. of CPD credits / Completion date / Supporting evidence no. / Learning gained from activity or opportunityNo. of activity / Title of learning activity / No. of CPD credits / Completion date / Supporting evidence no. / Learning gained from activity or opportunity
No. of activity / Title of learning activity / No. of CPD credits / Completion date / Supporting evidence no. / Learning gained from activity or opportunity
I, the undersigned, certify that the information contained in this Record of CPD Activities and the accompanying supporting documentation is correct in all respects.
Signature: Date:
Registration BoardRegistration number with Board
Name
Date of the audit
3. CPD Reflective Practice Report
Please feel free to increase the size of each text box if required
Reflection number: 1 (8 to be completed) Approximately 150 words per reflection
Brief description of the learning activity or learning experience?
What learning need was the activity designed to meet (refer to Personal Learning Plan) or was this an unplanned learning opportunity?
On reflection, what have I learned from the experience? (skills, knowledge, professional attitudes, other)
How can this learning impact on my professional practice and the delivery of service to my service users?
Has this learning activity highlighted any areas for development and new learning needs for me?
My action plan resulting from this experience is:
Goal / TimescalePlease feel free to increase the size of each text box if required
Reflection number: 2 (8 to be completed) Approximately 150 words per reflection
Brief description of the learning activity or learning experience?
What learning need was the activity designed to meet (refer to Personal Learning Plan) or was this an unplanned learning opportunity?
On reflection, what have I learned from the experience? (skills, knowledge, professional attitudes, other)
How can this learning impact on my professional practice and the delivery of service to my service users?
Has this learning activity highlighted any areas for development and new learning needs for me?
My action plan resulting from this experience is:
Goal / TimescaleReflection number: 3 (8 to be completed) Approximately 150 words per reflection
Brief description of the learning activity or learning experience?
What learning need was the activity designed to meet (refer to Personal Learning Plan) or was this an unplanned learning opportunity?
On reflection, what have I learned from the experience? (skills, knowledge, professional attitudes, other)
How can this learning impact on my professional practice and the delivery of service to my service users?
Has this learning activity highlighted any areas for development and new learning needs for me?
My action plan resulting from this experience is:
Goal / TimescaleReflection number: 4 (8 to be completed)
Approximately 150 words per reflection
Brief description of the learning activity or learning experience?
What learning need was the activity designed to meet (refer to Personal Learning Plan) or was this an unplanned learning opportunity?
On reflection, what have I learned from the experience? (skills, knowledge, professional attitudes, other)
How can this learning impact on my professional practice and the delivery of service to my service users?
Has this learning activity highlighted any areas for development and new learning needs for me?
My action plan resulting from this experience is:
Goal / TimescaleReflection number: 5 (8 to be completed) Approximately 150 words per reflection
Brief description of the learning activity or learning experience?
What learning need was the activity designed to meet (refer to Personal Learning Plan) or was this an unplanned learning opportunity?
On reflection, what have I learned from the experience? (skills, knowledge, professional attitudes, other)
How can this learning impact on my professional practice and the delivery of service to my service users?
Has this learning activity highlighted any areas for development and new learning needs for me?
My action plan resulting from this experience is:
Goal / TimescaleReflection number: 6 (8 to be completed) Approximately 150 words per reflection
Brief description of the learning activity or learning experience?
What learning need was the activity designed to meet (refer to Personal Learning Plan) or was this an unplanned learning opportunity?
On reflection, what have I learned from the experience? (skills, knowledge, professional attitudes, other)
How can this learning impact on my professional practice and the delivery of service to my service users?
Has this learning activity highlighted any areas for development and new learning needs for me?
My action plan resulting from this experience is:
Goal / TimescaleReflection number: 7 (8 to be completed) Approximately 150 words per reflection
Brief description of the learning activity or learning experience?
What learning need was the activity designed to meet (refer to Personal Learning Plan) or was this an unplanned learning opportunity?
On reflection, what have I learned from the experience? (skills, knowledge, professional attitudes, other)
How can this learning impact on my professional practice and the delivery of service to my service users?
Has this learning activity highlighted any areas for development and new learning needs for me?
My action plan resulting from this experience is:
Goal / TimescaleReflection number: 8 (8 to be completed)
Approximately 150 words per reflection
Brief description of the learning activity or learning experience?
What learning need was the activity designed to meet (refer to Personal Learning Plan) or was this an unplanned learning opportunity?
On reflection, what have I learned from the experience? (skills, knowledge, professional attitudes, other)
How can this learning impact on my professional practice and the delivery of service to my service users?
Has this learning activity highlighted any areas for development and new learning needs for me?
My action plan resulting from this experience is:
Goal / TimescaleI, the undersigned, certify that I have personally completed this Reflective Practice Report.
Signature:
Date:
Registration BoardRegistration number with Board
Name
Date of the audit
5. List of supporting documentation
Include below a detailed list of each piece of numbered supporting documentation included in the Portfolio. Please use additional paper if needed.
Number on supporting document / Identify the type of supporting documentation, for example, a case study, personal reflections on a book read, copy of published article, certificate of attendance, testimonial. / Identify the number of the CPD activity to which the evidence is linked (Record of CPD Activities)