NHS Security Training – Programme Content

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The NHS Security Training Programme comprises 8 modules

Module 1: Key Bodies, NHS National Security Strategy and Components of Security
Module 2: Professional Conduct Expectations
Module 3: Relevant Legislation
Module 4: Healthcare Security Procedures
Module 5: Communication Skills & Conflict Management
Module 6: Violence in the NHS
Module 7: Assault Avoidance
Module 8: Physical Intervention & Restraint Skills

Already SIA Trained?

The AEGIS Training Programme for Healthcare Security Officers acknowledges the benefits of SIA Licence-linked training for Security Guards and Door Supervisors and facilitates those who are already SIA qualified to ‘Top Up’ to the new Training Standard defined by the NAHS without having to undertake the ‘Full’ AEGIS Programme, (thereby avoiding expensive overlap of training.)

If this is you, please see ‘Top Up’ training.

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NHS Security Training Programme - Index of Contents

Click on the tab headings below to see more info.

NOTE: ‘Top Up’ Training elements are shown in Blue Text

Module 1: Key Bodies, NHS National Security Strategy and Components of Security

Unit 1. Key Bodies in the Private Security Industry 1.1 Security Industry Authority (SIA) 1.2 Skills for Security 1.3 National Security Inspectorate (NSI) 1.4 British Standards Institution (BSI) 1.5 International Professional Security Association (IPSA) 1.6 British Security Industry Association (BSIA) Unit 2. Key Bodies within the NHS 2.1 NHS Counter Fraud and Security Management Service (now NHS Protect) 2.2 National Association for Healthcare Security (NAHS) 2.3 Care Quality Commission (CQC) 2.4 NHS Litigation Authority 2.5 National Institute for Clinical Excellence (NICE) Unit 3. Security in Healthcare Settings 3.1 The purpose of Security in Healthcare Settings 3.2 Common Healthcare Security Tasks 3.3 Healthcare Assets need protection 3.4 Theft in the NHS 3.5 Fraud and Deception in the NHS 3.6 Higher Risk Areas 3.7 National Strategies for Crime Reduction & Protection of Vulnerable Persons Unit 4. NHS Security – National Strategy 4.1 National Health Service Act 1946 4.2 National Health Service Act 1977 4.3 Secretary of State’s Directions on measures to deal with violence against NHS Staff 4.4 NHS Security Management Strategy 4.5 Secretary of State Directions on NHS Security Management Measures Unit 5. Components of Security 5.1 Components of Security 5.2 Security Control Rooms 5.3 Equipment required by a security officer

Module 2: Professional Conduct Expectations

Unit 1. Role Responsibilities of Healthcare Security Officers 1.1 The Healthcare Security Officer’s Role 1.2 ‘Pro-Security’ culture 1.3 Legal Responsibilities and duty of care Unit 2. Qualities of a Healthcare Security Officer 2.1 Qualities required of Healthcare Security Officers 3. What is expected of Healthcare Security Officers 3.1 Propriety 3.2 Integrity 3.3 Professionalism and Expertise 3.4 Fairness and Objectivity 3.5 Vision 3.6 Confidentiality 3.7 Infection Control and Hygiene 3.8 In times of trouble Unit 4. Patient Focus 4.1 Patient Focus 4.2 Happy patients means more funding 4.3 Security Officers are expected to contribute to the strategic aim 4.4 It is not just about the patients 4.5 Appreciate the difficulties the patient/visitor may be facing 4.6 Appreciate the difficulties that NHS Staff may be facing 4.7 Be as tolerant and forgiving as possible 4.8 Resolve to be a Peacemaker 4.9 Peaceful solutions are best 4.10 Qualities of a Peacemaker 4.11 Decision Making Unit 5. Dynamic Risk Assessment 5.1 Dynamic Risk Assessment 5.2 The five stages of DRA 5.3 Dynamic Risk Assessment Flowchart 5.4 The Dynamic Risk Assessment Process 5.5 The ‘Safe Person’ Concept Unit 6. Awareness and Active Threat Assessment 6.1 Awareness 6.2 Active Threat Assessment

Module 3: Relevant Legislation

Unit 1. Civil & Criminal Law 1.1 Civil Law 1.2 Criminal Law 1.3 Methods of Disposal Unit 2. Citizens’ Powers of Arrest 2.1 Citizens’ Powers to Arrest Unit 3. Reasonable Force 3.1 Reasonable Force 3.2 Reasonable Excuse 3.3 Lawful Authority 3.4 Criminal Law Unit 4. Civil Law on Trespass 4.1 Civil Law on Trespass 4.2 Trespassers - Police Action 4.3 Attempted re-entry Unit 5. Human Rights 5.1 The Human Rights Act 1998 5.2 What are Human Rights 5.3 HRA Articles 5.4 The Human Rights Act 1988 – Protocols 5.5 Physical Intervention and the Human Rights Act Unit 6. Data Protection 6.1 Data Protection 6.2 The Eight Data Protection Principles Unit 7. Equal Opportunities Legislation 7.1 Equal Opportunities Legislation 7.2 The Legislation Unit 8. Healthcare Related Legislation 8.1 Overview 8.2 Mental Health Act 1983 8.3 The Mental Capacity Act 2005 8.4 Mental Health Act 2007 8.5 Deprivation of Liberty Safeguards 8.6 The Criminal Justice and Immigration Act 2008 (‘CJIA 2008′) 40 Unit 9. Law relating to Children & Young Persons 9.1 Definition of ‘Child’ 9.2 Childrens’ Rights 9.3 Duty of Care 9.4 The Paramountcy Principle 9.6 The age of criminal responsibility 9.7 Physical Restraint of Children

Module 4: Healthcare Security Procedures

Unit 1. Assignment Instructions 1.1 Assignment Instructions Unit 2. Hand-Over Procedures 2.1 Hand-Over Procedures Unit 3. Contacting the Emergency Services 3.1 Contacting the Emergency Services Unit 4. Health & Safety 4.1 Health & Safety 4.2 Employers’ Duties – Health & Safety Legislation 4.3 Health & Safety Risk Assessment 4.4 General Principles of Prevention 4.5 RIDDOR 4.6 Safety Signs 4.7 Manual Handling Unit 5. Emergency Procedures 5.1 Emergency Procedures Unit 6. First Aid Procedures 6.1 First Aid Procedures Unit 7. Fire Safety – Awareness & Prevention 7.1 Fire 7.2 Fire Classifications 7.3 How Fire Spreads 7.4 Basic Fire Prevention 7.5 Fire Extinguishers 7.6 Other Fire Fighting Equipment 7.7 Action on discovering a fire 7.8 Fire Evacuation Procedures 7.9 Common causes of fire in healthcare settings Unit 8. Controlling Access & Egress 8.1 The purposes of controlling Access & Egress 8.2 Access Control Basics 8.3 Methods used to control Access & Egress Unit 9. Lockdown Procedures 9.1 Lockdown 9.2 Types of Lockdown 9.3 Controlling Access in the event of a Lockdown 9.4 Controlling Egress in the event of a Lockdown Unit 10. Anti-Terrorism Measures 10.1 Terrorism 10.2 Counter Terrorism Measures 10.3 Suspicious Behaviour 10.4 Bomb Threats 10.5 Suspicious Packages 10.6 Biological Weapons 10.7 Information to News Media Unit 11. Reporting 11.1 Written Communication 11.2 Security Officer’s Notebook 11.3 Writing Reports Unit 12. Property Lost and Found 12.1 Property Found 12.2 Record in Notebook 12.3 Valuables and Money 12.4 Property handed to a Security Officer on patrol 12.5 Depositing Property Found 12.6 Restoring Property Found 12.7 Property Reported Lost to a Security Officer on patrol 12.8 Return to Finder, if owner cannot be traced 12.9 Analysis of records Unit 13. Patrolling 13.1 The Purpose of Patrolling 13.2 Types of Patrol 13.3 Preparation For Patrol 13.4 Observation 13.5 Perception 13.6 Memory 13.7 Interactive Effects of Observations, Perception and Memory 13.8 Operational Techniques for Effective Patrolling 13.9 Special Considerations 13.10 Patrolling Healthcare Premises 13.11 Conclusions Unit 14. Wandering Patients/Missing Persons 14.1 Wandering Patients/Missing Persons 14.2 Understanding and Balancing the Risks, Vulnerable People 14.3 Definitions used in the NHS 14.4 Low, Medium and High Risk Patients 14.5 Action in response to a Low-Risk Missing Patient 14.6 Actions in response to a Medium-Risk Missing Patient (including all AWOLs) 14.7 Actions to be taken in response to High-Risk Missing Patients 14.8 Legal Authority to recover ‘Missing Patients’ 14.9 Missing Patients – Security Support 14.10 Recovering Missing Patients 14.11 Additional Police Powers Unit 15. Searching 15.1 Reasons for searching 15.2 Legal authority to search 15.3 The legality of a search 15.4 Before conducting a search 15.5 NHS Trust Policy 15.6 Consent 15.7 Search Technology 15.8 Types of Search 15.9 General Rules 15.10 A ‘Rub Down’ Search 15.11 Search of Employer’s Premises 15.12 Searching an Employee’s Locker 15.13 Searching Vehicles 15.14 What to do with items found 15.15 After a Search 15.16 Search Documentation Unit 16. Procedures for Prohibited Items 16.1 Suspected Possession (or discovery) of Firearms 16.2 Possession of Weapons Other Than Firearms 16.3 Possession of Controlled Drugs, Alcohol and Other Prohibited Substances Unit 17. Prisoners attending for treatment 17.1 Prisoners attending for treatment 17.2 Prisoners to Hospital – Security Arrangements 17.3 Prisoners in Handcuffs 17.4 Electronic Tags Unit 18. Making Arrests 18.1 Making Arrests 18.2 Reasonable grounds 18.3 Arrest means to Stop and Detain 18.4 What to say 18.5 Always work to optimise your safety 18.6 Assisting the police 18.7 Challenging Suspects Unit 19. Evidence 19.1 Evidence 19.2 Types of Evidence 19.3 Crime Scene Preservation

Module 5: Communication Skills & Conflict Management

Unit 1. Communication Skills 1.1 Communication Skills 1.2 Barriers to communication 1.3 Avoid Communication Breakdown 1.4 Communication begins before words are spoken 1.5 Non verbal communication – body language 1.6 Eye Contact 1.7 The Triangle of Gaze 1.8 Attitude ‘Lock In’ 1.9 A Positive Care Attitude 1.10 What kind of impression will you make? 1.11 Be ready for abuse 1.12 Listening Skills 1.13 Speaking 1.14 Avoid ‘Triggering’ violence 1.15 If someone is already wound up 1.16 During confrontations 1.17 Warning Signs 1.18 Danger Signs 1.19 Being Assertive 1.20 Always have an ‘Exit Strategy’ Unit 2. Conflict Management 2.1 Conflict 2.2 What causes conflict? 2.3 The effects 2.4 Conflict is inevitable – Violence is not! 2.5 Baseline needs 2.6 When called to a conflict situation 2.7 Managing a dispute 2.8 The Five Styles of Conflict Management 2.9 Managing a conflict 2.10 Always look to achieve a ‘win, win’ solution 2.11 Always establish needs 2.12 Involve the person in the solution 2.13 See things through 2.14 Working with colleagues to de-escalate conflict 2.15 Conflict Resolution Models Unit 3. Radio Communications 3.1 Radio Communications 3.2 Care of Equipment 3.3 The Radio Network 3.4 Radio Call Signs 3.5 Signal Strengths 3.6 Radio Discipline 3.7 Radio Procedures 3.8 When speaking on the radio 3.9 Pro Words 3.10 The Phonetic Alphabet 3.11 Phonetic Numbers 3.12 The 24-Hour Clock 3.13 Personal Radio users should be aware 3.14 Summoning Assistance by Personal Radio 3.15 A 'Sectored' Workplace 3.16 Coded Radio 'Language' Unit 4. Question Technique 4.1 The Purpose of Questioning 4.2 Open and Closed Questions 4.3 Probing Questions 4.4. Leading/Loaded Questions 4.5 Rhetorical Questions 4.6 Funnel Questioning 4.7 Interview Technique 4.8 Nervous Suspects – Clues

Module 6: Violence in the NHS

Unit 1: Overview, Statistics & Sanctions 1.1 Overview 1.2 Physical Assault Statistics 1.3 Unintentional Assaults 1.4 Sanctions & Prosecutions Unit 2: Risk Controls 2.1 Organisational Risk Controls 2.2 Risk Controls for Violence Unit 3: Reducing the Risks 3.1 A ‘whole organisation’ approach 3.2 Employing ‘social science’ 3.3 Applying common sense 3.4 Reporting concerns, incidents and ‘near misses’ 3.5 Contributing to the development of safer practice Unit 4: Factors that increase the risks 4.1 Contributory factors to violence Unit 5: Higher Risk Tasks, Departments and Patient Groups 5.1 Higher Risk Tasks 5.2 Higher Risk Departments 5.3 Higher Risk Patient Groups Unit 6 - Challenging Behaviour 6.1 What is Challenging Behaviour 6.2 Understanding Challenging Behaviour 6.3 Clinically Related Challenging Behaviour 6.4 Why Challenging Behaviour occurs 6.5 Where does Challenging Behaviour occur? 6.6 When does Challenging Behaviour occur? 6.7 Challenging Behaviour - Risk Reduction Unit 7 - Recognising Mental Ill Health and Learning Disability 7.1 Mental ill Health and/or Learning Disabilities 7.2 Characteristic Behaviour 7.3 Visible Signs 7.4 Patient’s Notes & Crisis Cards 7.5 Other information Sources 7.6 Direct Questioning Unit 8 - Pre-cursors to Violence 8.1 Common Pre-cursors to Violence Unit 9 - Tactics for de-escalation 9.1 In the event of imminent violence 9.2 De-escalation strategy 9.3 Psychotic Patients Unit 10 - Safeguarding 10.1 Performing Safeguarding Unit 11 - Self-Harm Awareness 11.1 What is Self-Harm? 11.2 Attention seeking behaviour - or not? 11.3 Why do people self-harm? 11.4 Pain as an emotional analgesic 11.5 Reasons for non-suicidal self-harm 11.6 How Common is Self-Harm? 11.7 Who is at risk of non-suicidal self-harm? 11.8 Methods of self-harming 11.9 Self-harming can be highly addictive and dangerous 11.10 Stopping 11.11 Interrupting the cycle of self-harm 11.12 Examples of non-harmful ‘distractions’ that can help 11. 13 Don’t underestimate the strength of the urge to self-harm 11.14 How can Healthcare Security Officers support people who self-harm? 

Module 7: Assault Avoidance

Unit 1. Posture and Stance 1.1 Posture 1.2 Normal Stance 1.3 Defensive Stance Unit 2. Personal Space Effects 2.1 Sensing Danger 2.2 The Fight or Flight Response 2.3 Personal Space is a two-way thing 2.4 Distance Is Safety 2.5 Demanding Personal Space Unit 3. Strategic Positioning 3.1 Avoid standing ‘square on’ to Service Users 3.2 Talking with your Hands 3.3 Precautions for close proximity conversations 3.4 Positional advantage

Module 8: Physical Intervention & Restraint Skills

Unit 1. Disengagements Skills (Breakaway) 1.1 A Strong Stable Base 1.2 Balance Points 1.3 Maximising Your Power 1.4 Releasing from Grips and Grabs 1.5 Defending against blows 1.6 A Safe Approach Unit 2. Physical Intervention & Restraint (Foundation Knowledge) 2.1 Interpretations 2.2 The purpose of Physical Intervention 2.3 Positive alternatives to Physical Intervention 2.4 Potential Medical Consequences 2.5 Risk Factors 2.6 Reducing Risk 2.7 Responsibilities following Physical Intervention 2.8 Refresher training 2.9 Accessing help and support 2.10 Learning from experience 2.11 Reporting and accounting for use of force Unit 3. Escorting & Holding Skills 3.1 Overcoming Inertia 3.2 Single Person Escorting & Holding Applications 3.3 Team Escorting & Holding Applications 3.4 Assisting Colleagues Unit 4. Intervention to stop an assault 4.1 Single Person Physical Intervention 4.2 Team Physical Intervention 4.3 De-escalating & Disengaging Unit 5. Physical Restraint 5.1 Prone Position Restraint 5.2 Transitioning from Prone to Supine 5.3 Supine Restraint 5.4 Protecting the head 5.5 Third Person support 5.6 Restraint on a bed/trolley 5.7 Use of Emergency Restraint Belts 5.8 Disengaging

Flexible Training Delivery

e-learning

Apart from Module 8 (Physical Intervention & Restraint Skills), all of the learning can be completed online.

Alternatively, the training can be delivered to a group of learners in a classroom by a qualified AEGIS Trainer.

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