THE ASSOCIATION FOR FAMILY THERAPY
& SYSTEMIC PRACTICE IN THE UK

2015 Continuing Professional Development (CPD)

Review for UKCP Registration as aFamily and Systemic Psychotherapist

Please complete the form in typewritten format.

Please return the completed form as soon as possible and no later than 6 weeks fromdate of receipt. If you have any difficulties please contact:Sue Kennedy on or 01925 444414.

There is no fee for completing a CPD review; this is included within your AFT membership fee.

Please may we remind you to check that you have renewed your AFT membership for 2015as a registered member. If you have any queries please call Membership Services on 01865 778171.

CPD review for UKCP registration

PERSONAL DETAILS

Title:
Forename:
Surname: / Home Address: (for correspondence):
Postcode:
Country if not UK:
Telephone/s:
E-mail address:
AFT Membership
Number......
UKCP Registration
Number......
(Please enclose acopy of your UKCP Certificate)

Section 1. CLINICAL PRACTICE OVER THE PAST5 YEARS

Do you offer private practice: Yes/No(please delete as appropriate)

Dates / Agency/Practice Name and Address.
Please describe the context in terms
of client groups and whether
Employed,Private or Voluntary Practice. / Job Titleand role / Average clinical
Hours per
month

Section 2. COMPLAINTS IN RELATION TO PRACTICE

Have you been subject in the last 5 years to any complaint, disciplinary procedures or criminal proceedings which could have relevance to your practice? YES / NO

(If NO please go to question 4)

  1. Should you be reporting a closed complaint against you, please provide the following and attach to application:
  • Your full name
  • Date and nature of complaint.
  • Process of hearing by whom and what context: If it was internal or external re professional body etc
  • Date of resolution or outcome
  • Statement from 3rd party ie employer/ agency confirming above.
  1. Should you be reporting an ongoing process please provide the following:
  • Your full name
  • Date and nature of complaint.
  • Progress on investigation/ enquiry to date
  • 3rd party statement as above

Section 3. PROFESSIONAL INDEMNITY INSURANCE

Please tick one box as appropriate 

I have Personal Professional Indemnity –
Please enclose a photocopy of your insurance certificate.
I have Personal Professional Indemnity through my employer’s insurance. I enclose evidence (copy of Employer’s certificate confirming Professional Indemnity Insurance or a letter from the Employer),to say that my Employer’s insurance will cover me for work as a family and systemic psychotherapist.
I have professional indemnity through my union subscription. Please provide a copy of your current dated Union Membership Certificate/card.

Please note that employer’s insurance may not cover complaints made to a professional body.Registrants should not undertake any private practice, self-employed teaching or consultation work without Personal Professional Indemnity Insurance.

Continue......

Section 4. CRIMINAL RECORDS CHECK – DBS (CRB) Certificate

  • England and Wales: Disclosure and Barring Service (previouslyCriminal Records Bureau)
  • Scotland: Disclosures Scotland - PVG (Protecting Vulnerable Groups)
  • Northern Ireland: Access NI

We believe that it is very important that everyone on the Register is checked. This check should have taken place within the last three years.

If you are in private practice anddo not have a current DBS (CRB) check we require you to obtain one from an on-line agency that provides enhanced disclosures. Do ensure that you request a check for the ISA children’s list and the ISA vulnerable adults’ list as the position of a family and systemic psychotherapist may well involve working with both groups.

Please provide evidence of either:Please 

A copy of the Certificate
A letter from your agency confirming this has taken place, when and the outcome
A letter from your agency explaining the reason why this has not been renewed in the past 3 years

______

Section 5. SUPERVISION

Please provide details of your current supervision/consultation arrangements. For details of supervision requirements please see the AFT CPD Policy.

Please attach a referencefrom your supervisor /peer group consultant - See Appendix 1 - Separate document

Supervision Arrangements / Live supervision
screen, team,
in-room
consultation / Individual
Supervision
Pleaseindicateif this is face-2-face or indirect
e.g. telephone / Peer/group
Supervision
Please indicate number in the group
Please state how many hourssupervision you have per month? / Hours per month:_____
Number in the group:____
Name of SupervisorOR
Consultant to your peer supervision group

Section 6. CONTINUED PROFESSIONAL DEVELOPMENT ACTIVITIES

6a.ATTENDANCE AT WORKSHOPS AND OTHER TRAINING EVENTS

Please list all training events relevant to your practice as a registered family therapist, such as workshops, seminars or conferences, which you have attended since your last CPD review and provide evidence where possible by enclosing attendance certificates indicating the number of hours. The requirement for this aspect of CPD is an average of 18 hours per year, of whichat least 12 hours must be systemic.

NB.If you are light on hours, please state how you plan to correct this in Section 7.

Course title
Presenter
Venue / Date(s) / Hours - please
total eachyear / Systemic value to your work
e.g.I learnt about the importance of utilising multiple perspectives within a system at times of crisis…..

KEEPING UP-TO-DATE WITH DEVELOPMENTS IN THE FIELD(20 hours per year)

6b. PROFESSIONAL CONTRIBUTIONS TO THE SYSTEMIC FIELD

Please advise if you have been involved in any of the following CPD activities over the last 5 years or since your last CPD review.

  • Presentations or Workshopsyou have given
  • Material you have had published
  • Research or audit activitiesyou have been involved with
  • Professional Committeesyou have been involved with.
  • Systemic teaching and trainingyou have delivered

6c.Reading - FamilyTherapy literature

Members of AFT receive the Journal of Family Therapy and Context. Please identify an article,or series of articles, which have been helpful to your continuing professional development and briefly state why (no more than 200 words).

Section 7. PROFESSIONAL DEVELOPMENT PLAN

We would ask you to reflect on your CPD to date with regards to how this knowledge/skills has and will influence your future practice.

  • Please outline briefly your professional development plan for the next 5 years,in terms of any specific areas of your career and professional practice that you would like to develop. This should include how you are going to incorporate issues of Diversity and Equality (please refer to UKCP’s Diversity statement:
  • (No more than 200 words).

Please remember to return with:

Evidence of Professional Indemnity Insurance

Appendix 1 - Hand signed Reference from your Supervisor– see separate document

CV of Supervisor if not UKCP registered

Copies of course attendance certificates

Copy of Criminal Record check, eg DBS or confirmation from your employer

Copy of your current UKCP registration certificate

Unfortunately we are unable to accept email submissions

To be returned by post to: AFT Registration Committee, 7 Executive Suite, St James Business Centre, Wilderspool Causeway, Warrington. WA4 6PS

It is advisable to check the size of your envelope, as it is likely that this will be a large letter over 100g that will require a large letter stamp.

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