Healthcare Security Officer ‘Top Up’ Training (Modules 1-7)

This e-learning course is open to all security professionals.

However, it has been specifically tailored for those who already have a SIA Security Guard or Door Supervisor Licence, (so as to avoid training overlap.)

Training Content

The Healthcare Security Officer ‘Top Up’ Training course is aimed to improve standards of professionalism in NHS Security management work.

The course is designed to supplement previous SIA Security Guard training with additional healthcare specific training identified as ‘necessary’ from a Health & Safety Risk Assessment of the role responsibilities of Healthcare Security Officers.

Click on the tab headings below to view the learning outcomes for each Module.

After completing this module, delegates will: Understand the broad scope of anti-crime work in the NHS and the Risk Based approach taken to security management. Be aware of the vulnerability to theft in healthcare settings, how security is managed, key areas of action and tasks security officers may be expected to perform.

After completing this module, delegates will: Understand the role and legal responsibilities of a Healthcare Security Officer. Know the qualities required of a Healthcare Security Officer. Understand the importance of delivering a ‘Patient Focussed’ service and an empathetic, non-judgemental approach. Be aware of unhealthy stress and its symptoms. Understand the importance of maintaining a high level of situational awareness and alertness and know how and why to continuously evaluate, assess and reduce risk.

After completing this module, delegates will: Understand the concept of reasonable force and the legal requirements governing the use of force. Appreciate the additional requirements of NHS Policy and National NHS Guidance on use of force. Understand how use of force can impact on human rights. Understand the legal meaning of ‘restraint’ and the use of force terminology used in the NHS. Understand what unlawful detention/false imprisonment means and know the difference between a restriction of someone’s liberty and a deprivation of liberty. Know the legislation that authorises use of force by Healthcare Security Officers and understand the requirements and limitations. Understand the ‘Duty of Care’ and the Common Law on Self-Defence, Breach of the Peace and the ‘Doctrine of Necessity’. Know the law on Trespass to Property and understand the legal powers and protocols regarding removal of trespassers. Understand the law on making citizens arrests and best practice when challenging suspects. Understand the provisions of the CJIA 2008 for dealing with nuisance or disorderly behaviour on NHS premises. Understand the main aims of the Mental Health Act 1983 and the elements related to detaining a person for treatment. Know the main aims and key principles of the Mental Capacity Act 2005. Understand what mental capacity is, how judgements of mental capacity are made and the responsibility to always act in the best interests of a person who lacks capacity, including physically restraining them to prevent them coming to harm. Know the purpose of the Liberty Protection Safeguards and when they apply. Understand that, in an emergency, where grounds exist for detaining a person for assessment/treatment and the requirements of the MH Act and the MCA 2005 are not met, the Common Law Doctrine of Necessity can justify the person’s detention for up to 8 hours. Understand why a need for Physical Restraint is strongly predictable in NHS settings and appreciate it is a high risk process for staff and patients with the potential to result in trauma, serious harm and even death. Understand that containment is usually a much safer option than physical restraint and that, because of the risks, Physical Restraint should be considered a last resort option i.e. where nothing less would have worked. Know the importance of assessing risk and being sure that physical restraint would be a necessary and proportionate use of force and that the possible adverse outcomes associated with an intervention would be less severe than the adverse consequences that might otherwise occur. Understand the factors that can contribute to cause the death of a person being restrained and how to reduce the risk of harm. Appreciate that some groups are vulnerable to being physically restrained. Aware of NHS National Guidance on avoidance of use of Neck Holds and Take-Downs. Understand the need to reassess the situation if a person being restrained says they can’t breathe. Be able to recognise the signs and symptoms of Acute Behavioural Disturbance (ABD). Be aware of the dangers that can be involved in restraining and sedating a person with ABD and how to reduce the risks. Understand the danger of asphyxiation presented with different restraint positions and how to minimise risk. Understands that intensity and duration are significant factors and of the need to keep restraint brief. Appreciates the range of patient factors (including medical factors) that can increase risk and the importance of consulting with clinical staff to get as much information about a patient before engaging with them, including establishing if a Positive Behaviour Support Plan exists, as it may include patient specific information on how to manage agitation and distress. Understand situational factors that can increase risk in the event of physical restraint commencing. Understand that physical restraint should be regarded as a ‘last resort’ i.e. where nothing less would have worked. Knows the response options available to staff in the event that a need for restraint arises and the importance of calling for support early. Understand the need to wait for sufficient numbers of restraint trained staff to be present before commencing any restraint. Understand what their responsibilities are when restraining a person and practices to avoid. Recognise that physical restraint is a medical emergency for the person being restrained and the importance of summoning a Crash Team as soon as practicable. Understands that the Restraint Team Leader is responsible for directing the process and ensuring safety. Appreciates the need to stay calm and not be aggressive. Understand the importance of taking positive action to reduce risk throughout the restraint process, including checking the holds being used and re-positioning from prone. Knows the duty to guide people away who are not required at the scene. Understand that maintaining communication with the person being restrained, including informing them about what is happening and why and the conditions under which it will stop and reassuring them that they will be kept safe. Appreciate the benefits of appointing a member of staff to act as an ‘Advocate’ for the person being restrained. Understand the need to reduce the restrictiveness of the holds being used in response to positive behaviour and the importance of protecting the dignity of any person who is subjected to physical restraint. Know not to attempt to be humorous. Understand the need to closely monitor the condition of the person being restrained for the recognised warning signs of distress and know what action to take in the event they manifest. Understand the need to consider alternatives such as chemical restraint and seclusion in the event a restraint becomes protracted. Understand that a situation can arise where the safest thing to do would be to let go temporarily and reassess options. Understand the importance of Post Restraint Observation by clinical staff. Appreciate that anyone involved in a restraint incident may need reassurance and support. Be aware of the importance of Post Incident Debriefing on the reduction of future risk. Be aware of the benefits of making personal notes about any incident involving use of force. Understand the importance of taking personal responsibility for reporting use of force incidents. Know the information to be included. Understand that the level of detail required will depend on the gravity of the incident in terms of outcome or potential outcome. Know how to prepare to write the report and the importance of always reporting chronologically and structuring reasoning for actions taken. Know what information to provide about themselves and how their involvement in an incident commenced. Know to detail any attempt to gain information about the person before engaging with them and the outcome. Know to include details of the scene on arrival the initial interaction and the person’s response. Know to include details of efforts to de-escalate the situation and reduce risk. Understand the need to document scene assessment, decision making, and action taken. Understand the need to comply with the NHS Trust Policy and NHS National Guidance, and to explain why if it didn’t. Be aware of the need to document whether a Crash Team was summoned to the scene and to explain why if it wasn’t. Be aware that in the event of a descent to the floor, an explanation as to how and why will need to be recorded. Understand the need to document the holds used and the restraint position(s). Be aware of the need to keep restraint brief and the need to explain the exceptional circumstances if it becomes protracted. Know to include details of efforts to reduce risk, including re-positioning and consideration of alternatives such as chemical restraint (sedation) and seclusion. Be aware of the importance of including details of clinical staff assigned to conduct Post Restraint Observation. Understand the need to record details of anyone injured or distressed during the incident and details of any damage to property and any criminal offences disclosed. Be aware that if a clinical condition contributed to the patient’s behaviour, it should be documented in the report. Understand that if ‘the environment’ was a contributory factor, it needs to be included in the report. Understand the importance of recording whether or not a Post Incident Review was carried out at the time of reporting. Understand the Equality legislation and the types of discrimination that can occur in a workplace. Understand the relevance of the Mental Health Units (Use of Force) Act 2018 to the role of a Healthcare Security Officer. Understand the relevance of the Assaults on Emergency Workers (Offences) Act 2018 to the role of a Healthcare Security Officer. Know legislation and requirements regarding children and young people relevant to a Healthcare Security Officer.

After completing Part 1 of this module, delegates will: Understand how and when to call the Emergency Services and how best to prepare for their arrival; be aware of NHS Emergency Preparedness, Resilience and Response (EPRR) Plans and the role of Healthcare Security Officers in implementing them; understand the purpose of controlling access and egress to healthcare premises and how best to accomplish it; understand ‘Lockdown Procedures’ and how to control access and egress in the event of a Lockdown; understand basic techniques to be used in report writing; the importance of accurate reporting of incidents and the details to include and the rules to observe when making notes and writing reports; understand how to report, record and account for use of force; be aware of a range of medical conditions that can be a cause of challenging behaviour; be aware of environmental factors that can have a positive or negative effect on behaviour; know to ask clinical staff if a PBS Plan for the patient exists before engaging with them; understand the vital importance of Post Incident De-briefings to organisational learning and improvement; understand the procedures for dealing with property lost and found in Healthcare settings, and the importance of making written reports and analysing records for crime patterns.

After completing Part 2 of this module, delegates will: Understand Security Procedures for dealing with reports of Missing Persons and patients who may have wandered off and are lost. Know the extent and limitations of the legal authority to ‘recover’ them when they are found; understand the reasons for searching people, property and vehicles and know how to conduct necessary searches within the law and in accordance with NHS Trust Policy; understand Security Procedures for dealing with Prohibited Items; be aware of Security Procedures for prisoners attending a Healthcare setting for medical treatment; understand how to carry out an arrest; understand what constitutes evidence, be able to define the different types of evidence and explain when, why and how to preserve a crime scene; be aware of the legislation and protocols that apply to video recording on NHS Premises by patients, members of the public and by staff (CCTV, BWV); know the advantages and challenges of BWV and the procedures to be followed when recording with BWV.

After completing this module, delegates will: Understand how to communicate effectively and how to recognise warning and danger signs of violence; understand the process for managing conflict and know how to support colleagues to de-escalate situations; understand how to communicate effectively on the radio using Pro-Words, the phonetic alphabet, the 24 hour clock and Code Words, as appropriate; understand how to acquire information through effective interrogation; and be aware of non-verbal signs of deceit/guilt.

After completing this module, delegates will: Understand the scale of the problem of violence in the NHS; how incidents are classified and recorded; and the legal recourses available. Understand how organisational risk control measures work to reduce risk of violence. Be aware how to reduce risk to personal safety and contribute to the development of safer practice. Know the circumstances that increase risk of violence happening in NHS settings. Be aware of the tasks, departments and patient groups that present a higher risk of violence and aggression. Be able to recognise signs and characteristics indicating Mental Ill Health and/or Leaning disability and know how to seek clarification. Appreciate the scale of the problem of challenging behaviour in NHS Settings; the risk factors; and how to reduce the risks (Positive Behaviour Support). Understand how to effectively support clinical staff and provide safe and compassionate care for individuals with dementia in hospital settings. Appreciate the effects of hospitalisation on individuals with Dementia and the increased risk of Slips and Falls, Wandering Behaviour and Inappropriate and Challenging Behaviour. Appreciate potential difficulties with Vision and Perception Difficulties, Hallucinations and the importance of being able to distinguish Delirium. Understand how best to Communicate with and support a patient who has dementia and how to de-escalate agitation including using distraction and re-direction techniques, minimising Physical Restraint. Appreciate the extent of self-harming in the UK and factors that affect the likelihood of patients self-harming. Understand how, why and when self-harming happens and how best to support patients who choose to self-harm. Understand the protocols for safeguarding people at risk. Know the behaviours that signal increased risk of imminent violence. Know the recommended tactics for de-escalating aggression

After completing this module, delegates will: Understand the benefits of good posture and a confident, approachable manner; know how to adopt a ‘defensive stance’ in the event of a direct threat of assault; understand the basics of Proxemics; the effects of personal space intrusion; the importance of safe distancing and controlling personal space and how to do it.

Delegate feedback

“I would definitely recommend this course to any SIA qualified security officers as an aid to their skills. Informative, enjoyable, well-structured and totally appropriate for the health care sector. Thank-you AEGIS, a brilliant course.”

Kevin Reid, Security Officer, Ashford and St Peter's Hospital

The Healthcare Security Officer (Top Up) Training course provides clarity on a number of key issues which my SIA training didn’t cover. In my opinion, everyone working in healthcare security (i.e. including Supervisors, Managers and LSMS), regardless of their experience, would benefit from this training. Thank you AEGIS!

Francis Morgan, Security Officer, Aintree NHS

I recently invested in the AEGIS Healthcare Security Officer ‘Top Up’ Training for myself and my Security Team and I’m glad I did. Having completed the training, I would definitely recommend it to other Healthcare Security Professionals.

Joe Moore CMgr MCMI, Security & Parking Contract Manager, APCOA Parking

How long does it take to complete the Healthcare Security Officer ‘Top Up’ Training e-learning course?

Based on an average reading speed of 200 wpm, completing the course would take about 23 hours of continuous learning.

Some people can complete the ‘Top Up’ training in a just a few visits. However, most candidates so far have chosen to spread their learning over a longer period (1-2 months).

Some corporate clients have imposed a three month time frame for completion for their candidates and this has worked well.

Assessment is by online Tests and Examinations

At the end of each Unit is an online multiple-choice Test that learners must pass (75%) in order to progress to take the Module Exam.

There is no limit to the time taken to complete Unit Tests or to how many times a Unit Test can be taken.

There are a total of eight* Module Exams. (*This is because Module 4 is separated into two Exams.)

Module Exams are conducted online and are time limited. The percentage needed to pass an ‘End of Module Exam’ is 75%.

In the event that a learner fails to answer enough Module Exam questions correctly, or is timed out (automatic fail), they can re-sit each ‘Module Exam’ up to five times.

Qualification & Certification

When Learners have successfully passed all 8 ‘Module Exams’, they have qualified and can immediately download a Certificate confirming their achievement.


Delegates have up to 18 months from the date of registration to complete the training through to certification.

Tutor Support

Learners can contact us for expert assistance and guidance at any time.

Course Listed Under: [NHS Security Training] & [E-Learning Courses]

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