NHS TRAINING

MVA – Management of Violence & Aggression Training for the NHS.

MVA (Management of Violence and Aggression) training is designed for NHS teams working in environments where situations may escalate, and a safe, confident response is required.

NHS staff often work in high-pressure environments where distress, frustration, or aggression can escalate quickly.

Our MVA Training equips staff with practical skills to carry out dynamic risk assessments, de-escalate effectively, and respond safely using proportionate physical interventions when risk increases.

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Suggested attendees.

This course supports NHS teams who may need to respond when behaviour escalates within clinical or public areas.

The training covers practical de-escalation strategies, dynamic risk assessment, and the legal considerations around physical intervention, helping staff manage incidents safely while protecting patients, visitors, and colleagues.

A&E / Urgent Care teams – Manage heightened emotion, refusal, intoxication-related behaviour and rapidly changing risk with confident de-escalation and safer decision-making.
Security & response teams – Apply dynamic risk assessment, de-escalation and safe interventions to protect staff, patients and visitors, and maintain safer clinical and public environments.
Ambulance/patient transport interfaces – Manage conflict and aggression during handovers, transfers and transitions where environments are unpredictable, and support may be limited.
Site managers – Reinforce policy and consistent practice across services, support teams during incidents, and lead to effective post–incident reporting, debrief and organisational learning.
Portering teams – Support colleagues in high-pressure areas using structured de-escalation, safer positioning, and appropriate interventions when incidents escalate.

Course duration

2 Days

Course learners

12 Per Course

Course content.

Click through our process slider to learn what to expect and what you will gain when taking this course.

Part 1:

Roles and responsibilities

Responding appropriately within NHS environments.
Assessing risk and understanding staff responsibilities.

Part 2:

De-escalation skills

Recognising behaviour changes and early warning signs.
Communication approaches that reduce escalation.
Understand how attitude influences behaviour.
Listening and de-escalation strategies that support safer outcomes.

Part 3:

Legal rights and responsibilities

Understanding organisational policies and procedures in NHS settings.
Following the legal framework for decision-making.

Part 4:

Reporting and Support

Using documentation and reporting systems.
Implementing post-incident procedures, debrief and staff support.

Part 5:

Stance and Positioning

Maintaining positive body language and calm authority.
Using the reactionary gap for safety.
Enhancing tactical awareness in clinical and public-facing areas.

Part 6:

Breakaway and disengagement techniques

Disengagement methods to support safe escape and repositioning.
Applying balance displacement techniques where appropriate.

Part 7:

Restrictive physical intervention

Demonstrate agreed restrictive interventions.
Restrictive and escorting techniques to relocate individuals to safety when required.

Part 8:

Medical implications of techniques

Identifying risks associated with restrictive interventions.
Recognising medical implications, including positional asphyxia.

Part 9:

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

Recognise and respond to incidents appropriately.
Use effective communication and de-escalation skills.
Reduce risk for staff, patients and visitors.
Safely disengage from aggressive situations.
Hold and relocate using risk-assessed physical intervention techniques.
Understand the legal and medical implications of restraint.
Competently report and debrief an incident and support learning.

Part 10:

At the end of this course your team will receive:

A certificate of attendance.
Access to IKON Academy digital online resource area.

Training Methods

We provide a flexible approach when delivering our training.

MVA training is delivered face-to-face, allowing learners to safely develop and practice the required physical skills.

We also provide online resources through the IKON Academy to support continued learning and reflection after the course.

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In-Person Training.

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

Affiliate Trainer Programme.

IKON’s train the trainer service enables your team to deliver accredited and valuable training that builds confidence and trust with their colleagues.

MVA – Management of Violence & Aggression

To enquire about MVA – Management of Violence & Aggression training for NHS teams, please get in touch.

Invest in staff confidence and safer outcomes across your services. Our MVA Training equips NHS teams with practical skills to reduce escalation, manage risk, and respond appropriately when situations become heightened, supporting safety for staff, patients, visitors and service users.

Call us on 01473 927 333

or email [email protected]

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