Legal Requirement 
Under the Use of Force Act 2018, all PMVA training delivered to staff providing care to those within mental health, healthcare, social care, and education settings, must be aligned to the Restraint Reduction Network (RRN) Training Standards.

Framework Requirement 
HealthTrust Europe (HTE) and Workforce Alliance have updated the training criteria for temporary staff working in specialist commissioned healthcare provisions, stating that all Restrictive training from 1st January 2023 must be delivered by a Certificated Training Service, aligned to the RRN Training Standards. 

Between 2013 to 2019 several high-profile cases were identified that involved unnecessary and dangerous use of restrictive physical intervention skills within healthcare settings. As a result, the NHS commissioned the Restraint Reduction Network (RRN) to develop appropriate restrictive practice training standards, focusing on prevention, de-escalation, and human rights.  
 
Bild ACT are currently the only UKAS certified provider of the RRN training standards to certify organisations, such as The Health & Safety Group, as being aligned to the RRN Training Standards. 

The Health & Safety Groups’ unique PMVA training programme has been created to support all healthcare professionals to meet their statutory training requirements, with a primary focus on agency workers and recruitment agencies in the UK.

Once you complete your training, you can share your BILD Certified PMVA training certificate with a fantastic range of top employers through our FREE Healthcare Certificate Register verification service. This certification opens up job opportunities with leading agencies, NHS Trusts, and private organisations right across the UK!

Due to the physical nature of the course, certain restrictions have been put in place for candidate safety. All candidates must be able to lower to the floor and rise unaided. We cannot accept any pregnant candidates on the course and post-natal learners should seek advice from their GP prior to attendance.

All candidates must wear suitable clothing, e.g., tracksuit bottoms, trainers, and t-shirt.

• Relevant Legislation, Guidelines + Frameworks
• Professional Accountability
• Legal + Ethical Issues
• Equality and Human Rights
• Influences on PMVA
• Risks in restraint (including avoiding + detection of positional asphyxia)
• Use of Reasonable Force
• Conflict Resolution Overview
• De-escalation Strategies (inclusive of dis-engagement (breakaway) techniques)

Instruction + practice of: -

• Friendly come along (including Non-Contact and stage one, two and figure of four)
• Standing holds to include (Escape and Rescue)
• Upper Arm Wrap, Team Formulation & Approach
• Upper Arm Wrap to a secure hold
• Seated De-escalation to include Trouble Drills
• Upper Arm Wrap to Supine
• Supine Descent to Floor to Elevated Rest in Upper Arm Wrap
• Trouble Drill to Sniper in Supine
• Elevated rest to standing
• De-escalation in Supine
• Securing Legs in Supine
• Prone descent to floor
• Prone floor work (upper rest to lower rest, de-escalation on floor, legs in prone)
• Turning Prone to Supine
• Prone Standing from the floor
• Reliefs, standing-supine-prone
• Seclusion options

By the end of this course, candidates will be able to:

• Highlight Legal Responsibilities
• Understand Reasonable Force
• Understand ethical considerations of physical intervention
• Identify possible causes of violence + aggression
• Know the stages of the assault cycle + what each stage means
• Be able to identify behaviours of concern
• Understand the different types of de-escalation strategies
• Recognise the importance of early intervention
• Understand the importance of continually assessing + evaluating the levels of risk posed by difficult / challenging people
• Select + utilise appropriate physical + non-physical strategies to manage aggressive individuals