During the PMVA Refresher Training Course, candidates will refresh their knowledge of key theoretical modules covering primary and secondary interventions while demonstrating their ongoing competency in essential Breakaway and Physical Intervention skills.
This 1-day refresher programme is designed to help professionals maintain their existing PMVA knowledge, improve confidence in managing challenging situations, and ensure their skills remain aligned with current BILD ACT Certification and Restraint Reduction Network (RRN) Training Standards.
Who Is This Course For?
The PMVA Refresher Training Course is suitable for professionals working across:
- Healthcare settings
- Social care environments
- Education settings
- Prison and correctional facilities
This course is specifically designed for individuals who already hold a valid 3-5 day BILD ACT Certified PMVA training certificate that includes the GSA Skills Modules.
Candidates must meet the prerequisites established by RRN Training Standards before attending this refresher course.
Due to the physical nature of the training, candidates must be able to safely lower themselves to the floor and rise unaided. Pregnant candidates cannot attend this course, and post-natal learners should seek advice from their GP before participation.
Candidates should wear suitable clothing suitable for practical activities, such as tracksuit bottoms, trainers, and a t-shirt.
Legal and Framework Requirements
The PMVA Refresher Training Course is aligned with current legal requirements and recognised training frameworks for managing violence, aggression, and restrictive practices.
Legal Requirements
Under the Use of Force Act 2018, PMVA training provided to staff supporting individuals within mental health, healthcare, social care, and education environments must align with the Restraint Reduction Network (RRN) Training Standards.
Framework Requirements
HealthTrust Europe (HTE) and Workforce Alliance require restrictive practice training for temporary staff working within specialist healthcare provisions to be delivered by certified training providers aligned with the RRN Training Standards.
What Are the RRN Training Standards and BILD ACT?
The Restraint Reduction Network (RRN) Training Standards were developed following concerns around the inappropriate use of restrictive physical interventions within healthcare settings.
The standards focus on:
- Reducing the use of restrictive practices
- Promoting prevention and early intervention
- Supporting effective de-escalation techniques
- Protecting human rights and improving the safety of individuals receiving care
BILD ACT provides certification for organisations delivering training aligned with the RRN Training Standards, ensuring programmes meet recognised quality and safety requirements.
Why Attend This PMVA Refresher Training Course?
The PMVA Refresher Training Course supports healthcare professionals in maintaining their statutory training requirements and ensuring continued competence in managing challenging behaviour and aggression.
For independent candidates, completing this refresher course provides evidence of updated PMVA competency and supports career opportunities across healthcare organisations, NHS Trusts, recruitment agencies, and private care providers.
Candidates who successfully complete the training receive updated certification that demonstrates their continued commitment to safe and effective violence prevention and management practices.
Course Content
The PMVA Refresher Training Course covers:
Legislation, Guidance and Professional Responsibilities
- Relevant legislation, guidelines, and frameworks
- Professional accountability
- Legal and ethical considerations
- Equality and human rights
- Influences on PMVA practice
- Understanding reasonable force
Risk Management and De-escalation
- Risks associated with restraint
- Avoiding and recognising positional asphyxia
- Conflict resolution strategies
- De-escalation techniques
- Breakaway and disengagement skills
Practical Physical Intervention Skills
Candidates will practise:
- Friendly come along techniques, including non-contact, stage one, stage two, and figure of four holds
- Standing holds including escape and rescue techniques
- Upper arm wrap techniques
- Team formulation and approach strategies
- Secure holds and controlled transitions
- Seated de-escalation techniques and trouble drills
- Supine and prone management techniques
- Safe descent techniques
- Floor-based interventions and recovery methods
- Leg management techniques
- Turning from prone to supine positions
- Standing recovery from the floor
- Relief techniques across standing, supine, and prone positions
- Seclusion options
Course Objectives
By the end of the PMVA Refresher Training Course, candidates will be able to:
- Understand legal responsibilities relating to physical intervention
- Apply the principles of reasonable force
- Recognise ethical considerations when using restrictive practices
- Identify possible causes of violence and aggression
- Understand the stages of the assault cycle
- Recognise behaviours of concern
- Apply appropriate de-escalation strategies
- Understand the importance of early intervention
- Continually assess and manage risks associated with challenging behaviour
- Select appropriate physical and non-physical strategies to manage aggressive situations
Certification and Beyond
Upon successful completion of the PMVA Refresher Training Course, candidates will receive updated certification confirming their continued competency in PMVA practices.
The training enables professionals to maintain safe working practices, support individuals effectively, and meet recognised standards for preventing and managing violence and aggression across healthcare, education, and social care environments.
Why Choose Our PMVA Refresher Training Course?
Our PMVA Refresher Training Course provides:
- BILD ACT Certified training aligned with RRN Training Standards
- Practical refresher sessions delivered by experienced trainers
- Updated knowledge of legislation, risk management, and de-escalation
- Hands-on practice of essential breakaway and physical intervention skills
- Training suitable for healthcare, education, social care, and specialist environments
Maintain your PMVA skills and confidence with professional refresher training designed to support safe, effective, and compliant practice

