Managing Challenging Behaviour

Course outline

Learn techniques to prevent harm due to clinically-related challenging behaviour while maintaining a safe and supportive service where an ongoing duty of care exists.

This course teaches staff to remove themselves from a potentially dangerous situation and safely hold or relocate patients whilst also understanding the medical and legal implications of using techniques.

Suggested attendees

All frontline NHS staff whose work brings them into direct contact with patients and members of the public – under legislation it is an employer’s responsibility to ensure that individuals and roles are risk-assessed in relation to violence and aggression.

Managing challenging behaviour training is aimed at all staff where a higher level of risk occurs, and it is safer for the service user to be held or moved to a position of safety including:

  • Care of the elderly staff
  • Theatre Teams
  • Paediatric Teams
  • Portering Staff
  • Security Teams
  • Site Managers/Ward Managers

Course content


Assessing risks

  • Behaviour changes
  • Clinical cause

De-escalation and prevention skills

  • Communication models
  • De-escalation strategies

Legal rights and responsibilities

  • Policies and procedures
  • Legislation

Incident reporting and support

  • Documentation and systems
  • Post-incident procedures
  • Options for support


Distance, stance and positioning

  • Posture
  • Tactical awareness

Relocation and distraction

  • Safe moving
  • Hip checking

Breakaway and disengagement

  • Disengagement techniques
  • Scenarios

Clinical safe holding

  • Safe holding in pairs
  • Standing, supine and seated interventions
  • Scenarios

Medical implications of techniques

  • Positional asphyxia
  • Safe practice

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

  • Recognise and understand challenging behaviour
  • Understand legal issues regarding restraint
  • Remove themselves safely from aggressive behaviour
  • Safely hold/relocate an aggressive patient

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 3.5 Hours
Delegates 12 Max

How to book:

Call us: 01473 927 333

Please complete this form and we will respond to your enquiry.

    Delivery Methods


    We can deliver this course in a classroom environment  



    This course cannot be completed via E-Learning


    This course cannot be delivered remotely due to the physical skills required Remote Learning more info

    We listen to our clients

    Since introducing the managing challenging behaviour course for clinical staff, the response has been overwhelmingly positive.  Many, including matrons and senior sisters, say that it is the best training they have done in a long time and that it should be mandatory for clinical staff.

    Mark Dunnett
    Trust Security Advisor (LSMS)
    Dartford & Gravesham NHS Trust