NHS security teams managing violence and aggression

Course outline

This course is designed for healthcare security and response teams involved in the proactive management of violence and aggression.

The course teaches breakaway and clinical safe holding techniques to prevent the patient from harming themselves or others. It also covers legal requirements, reporting and aftercare.

Suggested attendees

All frontline NHS staff whose role requires them to proactively attend aggressive incidents. Under legislation it is an employer’s responsibility to ensure that individuals and roles are risk-assessed in relation to violence and aggression.

Security Team training is appropriate for staff in roles including:

  • Security Teams
  • Portering Staff
  • Site Managers/Ward Managers
  • Clinical Response Teams
  • Safeguarding/Health and Safety

Course content


Roles and responsibilities

  • Assessing risk
  • NHS security


  • Warning/danger signs
  • Communication models
  • De-escalation skills

Legal context

  • Use of force legislation
  • Policies and procedures

Reporting and support

  • Documentation and systems
  • Post-incident procedures


Stance and positioning

  • Posture
  • Tactical Awareness

Breakaway and re-location

  • Disengagement techniques
  • Safe moving

Clinical safe holding and physical intervention

  • Standing, supine and seated interventions
  • Restraint/escorting

Medical implications of techniques

  • Positional/restraint asphyxia
  • Safe practice

By the end of this course your team will be able to:

  • Recognise and respond to incidents
  • Demonstrate excellent communication skills
  • Reduce risks for patients and visitors
  • Escape from an aggressive situation
  • Hold and relocate using accredited techniques
  • Understand the legal and medical implications of restraint
  • Competently report and debrief an incident

At the end of this course your team will receive:

  • A certificate of attendance
  • Receive a course workbook
  • Access to a dedicated delegate resource area
  • Duration 2 days

  • Delegates 12 Max

Delivery methods


Many of our courses, especially those with physical skills, can be delivered in a face-to-face training environment, either at your venue or ours.

Train the

IKON’s Train the trainer service will enable your team to deliver motivational and insightful training that builds confidence and trust with delegates.

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    • ... the professionalism, the experience and the knowledge shown by IKON Training was first class. They understood our needs and promptly developed a programme of training which we rolled out to over 120 hospital-based staff.

      Colchester Provide CIC

    • I have worked in the NHS for over 20 years and this was hands down the best conflict resolution training I have had. Thank you.

      King’s College Hospital NHS Foundation Trust

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