News Section

DOH Adult Health & Social Care Guidance: April 2014

Written by George Matthews

"Positive and Proactive Care: reducing the need for restrictive interventions"

Relevant to :Executive directors of health and social care provider organisations; service managers, governance leads and executive quality leads in health and social care services; all staff working in or related to health and social care services.


Written by George Matthews

Changes that should allow for greater flexibility of a more cost effective delivery and increased relevance of content on courses.

Children's Services, Restraint & Restriction of Liberty Ofsted / TT Advice and Clarification

Written by George Matthews

Following a Team Teach query ( see below) regarding restraint:

1. How do inspectors assess techniques which interfere with breathing - e.g. is it about the position such as face-up, face-down, or is it about what is happening in those positions?

2. What is the definition of "excessive" and how do inspectors reach this judgement? For example, is it about the number of staff involved, or the number of children restrained? What makes a technique excessive?

Director's statement / advice regarding "Ground Holds"

Written by George Matthews

Recent news headlines, 18 June 2013, regarding the excessive use of "face-down" holds in hospital adult services, combined with the fixed view approach of one or two individuals and organisations e.g.: "Prone is an abusive position and should never be used, regardless of context or circumstance" has led to increased anxieties and sensitivities amongst services, using Team Teach ground holds and in particular Front Ground Recovery (FGR).

Children's Homes Incident Recording, Risk Assessment and Research

Written by George Matthews

Children's Homes: written, visual and verbal information related to technique descriptions; Is there a therapeutic value to physical restraint? What are the arguments in favour of prone restraint? The death of Gareth Myatt - lessons to be learned? A "competent person" and Risk Assessments; Courses and Resources; Research into the effectiveness of TT; Advice for TT trainers.

Incident Recording: An Expert's View

Written by George Matthews

The following expert advice has been kindly shared by Principal trainer: Bernard Allen - it was written in response to a particular query in which an inspector had demanded more voluminious recording.

There is a range of opinion about the level of detail required in records of restraint.