The IACC and reflective practice


What is reflective practice?

Three parts of which combined places you as a Reflective Practitioner and Lifelong Learner.


“Reflection is a process which helps you gain insight into your professional practise” (HCPC 2021)

Reflective practice

There are different perceptions of what reflective practice means and how it should be structured, but in essence it is about learning.

“…a process of reviewing an experience of practice in order to describe, analyse, evaluate and so inform learning about practice” (Reid, 1993 p.305)

Synthesised reflection

  • Analysing your completed evidence.
  • Synthesise what you have learnt against the 5 domains.
  • Reflect on gaps in knowledge and practice.
  • Produce an action plan to inform future practice and development.

The emerging reflective practitioner

A reflective practitioner is looking to improve their own practice in order to provide better care; they recognise the importance of lifelong learning.

  • not backward looking but forward thinking – using experience to improve practice
  • self-aware
  • can critically analyse and evaluate
  • draw conclusions
  • develop new perspectives or reaffirm practice

Model of reflection

There are many models of reflection, but the “What?”; “So What?” and “Now What?” approach, lends itself well to the requirements of the IACC.

Driscoll Model of Reflection

Driscoll, J. (ed.) (2007) Practicing Clinical Supervision: A Reflective Approach for Healthcare Professionals. Edinburgh: Elsevier.

Content of the graphic 'Driscoll Model of Reflection'


Describe and event or action

So what?

Explain why that action or event was significant

Now what?

Explain how you will use that information to inform future practice


Driscoll and the IACC


  • Description of evidence from the portfolio which demonstrates knowledge for each of the 5 domains.

So What?

Analysis of this evidence:

  • What does it prove? How do you feel about the evidence and the experiences?
  • What are the gaps in your knowledge?

Now What?

  • What are you going to do about the gaps in your knowledge / practice?
  • Developing your knowledge further
  • Action plan

Synthesised critical reflection

Critical reflection involves a process of thinking which demonstrates your ability to:

  • explore, question, and analyse your experiences
  • application of knowledge
  • use your knowledge to enhance your understanding of these experiences
  • use your knowledge to shape your future experiences
  • learn from past experiences, assess options and make decisions in presenting scenarios, and implement changes or routines to ensure future experiences will improve


  • Descriptive pieces will give an account of scenario in context, it will describe who was involved and their feelings

So What?

  • Reflective pieces will build on descriptions to analyse and unfold the account further

Now What?

  • Critical reflective pieces will assess one’s own capabilities (knowledge and skills) and further learning needs/ support

Writing the IACC - evidence based

Consolidating your learning through:

  • 5 domains of GSP
  • evidence from your portfolio

Identify yourself as a reflective practitioner by:

  • recognising current stage of learning and continuing development needs – an action plan is advisable