Control and Restraint / Safe Holding Training / Restrictive Physical Intervention

Description of what is covered

Helping to provide delegates with the knowledge of the basic working principal’s of the Law including the various Health and Safety Sections, and associated Regulations in relation to the use of restrictive physical intervention.  Covered are the risks associated with physical restraint and how to minimise those risks through risk assessment and awareness and compliance with regulations. Develop the skills and knowledge required to enable learners to safely apply appropriate and effective methods of restraint using primarily non pain compliant methods of control. More restrictive methods of control (pain compliance) can be taught where there is a higher risk environment

Summary of outcomes

To achieve the outcomes a student must:

1. Understand the Law in relation to the use of physical restraint.

2. Evaluate the risks associated with physical restraint and consider methods to reduce the risks.

3. Demonstrate non-pain compliant methods of control and how to safely apply them

4. Where required demonstrate more restrictive methods of control and when they should be used

5. Understand the importance of Incident reports and de-briefing for all involved in restraint

Course Programme

  • Introduction to workplace violence
  • Basic breakaway skills (2 day course)
  • Criminal Law in relationship to restraint
  • The Childrens Act (If required)
  • Health & Safety at Work Legislation
  • Human Rights Acts
  • Depravation of Liberty (DOL) issues
  • Have an understanding of how the suing culture works and defence against it.
  • The use of your communication skills to prevent restraint wherever possible
  • Positional asphyxia risks
  • Non-pain compliant methods of control – 2,3 and 4 man teams
  • Teamwork: Contact and Cover
  • Shepherding, Figure of four, thumb in palm,
  • To the chair, the rest position, change over’s
  • Taking clients through door ways
  • Restrictive methods of control (pain compliance) where identified by risk assessment
  • Controlled take down and up
  • Techniques for seclusion if required.
  • Demonstration of techniques that should not be used
  • Incident Reporting and De-briefing
  • Remember the most important aspect is to try to defuse and de-escalate – if possible try to avoid restraint


This is a sample programme which can be adapted for your specific needs.

PLEASE NOTE: For those delegates who have no experience of restrictive physical intervention (C&R) it is recommended that they attend a 2 day course. Those with experience need only attend a 1 day course. 

Trainers facilitating the course follow the ICM code of practise and the all Wales NHS Passport .

The Institute of Conflict Management has awarded Basis Training (UK) Limited           

With the Quality Award Centre Status (QAC Registration Number QAC2022)

Relating to: 
Element 1: Training Design. 
Element 2: Training Delivery. 
Element 3 Training Evaluation & Feedback

The physical aspects of the training have been risk assessed. The publication by the Department of Health “Positive & Proactive Care: reducing the need for restrictive intervention” state the following:

127. There are no universally accepted standards for the use of physical restraint although both the British Institute of Learning Disabilities (BILD)44 and the Institute of Conflict Management (ICM)45 offer voluntary quality accreditation schemes) If you require a copy of the report please look at the ICM website.

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 Essential Info

Who should attend?

  • All employees who work within an environment where there is a requirement for the use of restraint

Teaching methods

  • Power Point presentation covering the use of restraint
  • Group Discussions 
  • Demonstration & Practice Under Observation

Duration of course

  • Two day for new participants. One day refresher training  for  those who have experience of restrictive physical intervention

Number of delegate places

  • Minimum 6
  • Maximum 16

Trainers Qualifications

  • Follow the ICM code of practise and the all Wales NHS Passport The company has also been accorded ICM Quality Award Centre status (QAC Registration Number QAC2022) which means that all physical breakaway skills have been risk assessed and have fulfilled the criteria set out by the ICM Quality Award. Trainers are ENB A74 Qualified.