“…We feel our son may not have died in vain. If we can make sure this never happens to anyone else, that would be an amazing legacy for Seni.”
Aji and Conrad Lewis, parents of Seni Lewis, who died as a result of prone restraint
The Restraint Reduction Network Training Standards 2019 have been written for training services delivered to education, health and social care services that support people with autism, learning disabilities, dementia and mental health conditions across the UK.
Whilst the UK has many excellent services providing person-centred therapeutic care, there have been too many shocking scandals exposing the unnecessary and inappropriate use of restrictive interventions.
These Standards have been written to put a stop to scandals and improve the lives of service users. But this will not become a reality without the input of people like you. Until now, there has been no quality benchmark setting a standard for training in restrictive interventions. It is vital that we have such quality benchmarks in place and regulation through certification, since restrictive interventions are potentially dangerous and distressing for everyone involved.
We all have a role to play in reducing restrictive practices
Commissioned by NHS, the Restraint Reduction Network Training Standards 2019 provide a national and international benchmark for training in supporting people who are distressed in education, health and social care settings.
These Standards will also be mandatory for all training with a restrictive intervention component that is delivered to NHS-commissioned services (England only) for people with mental health conditions, learning disabilities, autistic people and people living with dementia in England. Implementation will be via commissioning requirements and inspection frameworks from April 2020.
Professor Tim Kendall, National Clinical Director for Mental Health, NHS England, said: “The NHS welcomes the publication of the Restraint Reduction Network Training Standards. These standards have been written to focus on ensuring training promotes human rights and supports cultural change necessary to reduce reliance on restrictive practices (rather than purely focus on technical skills). Certification of compliance with these standards will be a requirement in NHS commissioned and CQC regulated services from April 2020’
Chair of the Restraint Reduction Network, Professor Joy Duxbury, said: “These Standards are a really exciting development. They are vital in our work to reduce the use of restrictive practices and, on those occasions when restraint is unavoidable, to make sure it is safer and dignified.”
Joy Duxbury, Chair of the Restraint Reduction Network, tells us what the Standards are all about
Iris Benson MBE, Beth Morrison and James Dickinson speak about their experiences of restrictive practices.
Whilst focusing very much on the restraint reduction message this video does include discussion and disclosure of traumatising restraint experiences. Viewer discretion is advised.
Patients were restrained 22,000 times in NHS mental health hospitals alone in 2018.
The majority of such restraints are preventable.
The standards promote culture change through promoting human rights and a person centred therapeutic approach
They are designed to:
- protect people’s fundamental human rights and promote person centred, best interest and therapeutic approaches to supporting people when they are distressed
- improve the quality of life of those being restrained and those supporting them
- reduce reliance on restrictive practices by promoting positive culture and practice that focuses on prevention, de-escalation and reflective practice
- increase understanding of the root causes of behaviour and recognition that many behaviours are the result of distress due to unmet needs
- where required, focus on the safest and most dignified use of restrictive interventions including physical restraint