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West London NHS Trust > Violence reduction and management manual

Violence reduction and management manual

The new Positive & Safe Violence Reduction and Management Programme manual has been produced in collaboration with the other high secure hospitals in England and Scotland. It is intended for use by instructors to ensure that a standard programme of approved skills is being delivered.

The manual is the only one of its kind to be endorsed by the National Institute for Health and Care Excellence (NICE) (E102) in their guidelines on violence and aggression (NG10), and was commissioned by the Clinical Secure Practice Forum.
PMVA manual coverThe purpose of the manual is to share best practice and to provide a coordinated approach to the prevention and management of conflict,  including incidents of violence. Although the manual has been written for use in a high secure setting, much of the material is equally applicable to other settings within the NHS and elsewhere.
The manual has been written in modular format to enable maximum flexibility in its use:
Part A – Prediction, prevention and management of aggression and violence
Part B – Primary and secondary interventions
Part C – Tertiary interventions

Remembering the patient perspective

Our approach is to work in collaboration with staff and patients so that we always treat people in the least restrictive way possible, whilst managing risk and ensuring safety. Restraint can be a distressing experience for both the patient and staff, as well as people who witness it.
A group of ‘experts by experience’ recently took part in an innovative project which explored the issue of restraint from all these viewpoints. We use this learning to highlight to staff the impact of restrictive practices and how they can reignite past traumas and impact on an individual’s recovery.
Read ‘Understanding physical restraint’  

Get a copy

If you would like a copy of the manual or to find out more, email us at
NOTE: This manual is part of a complete training package provided by the Broadmoor Hospital PMVA team and other participating organisations – we do not endorse its use in isolation. 
In partnership with:
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