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Phil Hardy
Chair, ICM

   You may be aware that the Department of Health have announced their Guidance entitled:

“Positive and Proactive Care: reducing the need for restrictive interventions”

This is in response to a number of reports that have focused on the use, or abuse, of restrictive interventions in health and care services.

“In 2012 the Department of Health published Transforming Care: A national response to Winterbourne View Hospital1 which outlined the actions to be taken to avoid any repeat of the abuse and illegal practices witnessed at Winterbourne View Hospital. A subsequent Care Quality Commission (CQC) inspection of nearly 150 learning disability in-patient services found providers were often uncertain about the use of restrictive interventions, with some services having an over-reliance on the use of ‘restraint’ rather than on preventative approaches to ‘challenging behaviour”

The ICM has been involved in the consultation process for this Guidance, and whilst it acknowledges that "there are no universally accepted standards for the use of physical restraint", the ICM is highlighted as one of two recognised bodies having a voluntary accreditation scheme which organisations can use to map their training and relevant policies to an agreed standard.

The ICM has revised and updated its Quality Award Centre procedures or processes to which this Guidance refers to take on board these recommendations and to make it specifically suitable for the health and social care sector.

Equally, the ICM has been developing National Minimum Standards on restrictive interventions and the draft will be announced to stakeholders shortly.

More details on this will follow shortly……

“Positive and Proactive Care: reducing the need for restrictive interventions”



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