Circle of nurses engaged in conversation with one another

How CPI Training Aids Restraint Reduction at an NHS Trust

Joanne Adkins of Coventry & Warwickshire Partnership NHS Trust told us how working with Crisis Prevention Institute (CPI) for 10 years has made a positive impact on the Trust's provision of services and its mission to reduce restraint.


Coventry & Warwickshire Partnership NHS Trust provides services to about one million people living in Coventry, Warwickshire and Solihull.

The organisation provides services from more than 60 locations and employs 4,000 dedicated staff. The Trust provides a wide range of mental health, learning disability inpatient, community and day clinics, as well as specialist services to adults and children.

It also provides physical community services such as physiotherapy, community nursing and palliative care.

Their vision is to become an outstanding provider of mental health, learning disabilities, autism and physical community health services. Sustaining and transforming partnerships that set out local proposals to improve health and care with our residents and other partnerships in the community.

A Trusted Training Programme

The organisation has been delivering physical skills training to the workforce for over 20 years.

Following the amalgamation of three NHS Trusts in 2011, it was agreed to maintain internal instructors to deliver the training and support the workforce with the transition of the new programme.

The Trust has been working with CPI for over 10 years to provide MAPA®, and later Safety Intervention™, to internal instructors. This is beneficial in terms of maintaining relationships with staff across the Trust and responding to organisational needs.

"Working with CPI enables us to receive and provide assurances to our staff, patients and partners we are delivering training in line with national guidance, legislation and now the Bild accredited Restraint Reduction Network Training Standards."
Joanne Adkins, Learning & Development ManagerCoventry & Warwickshire Partnership NHS Trust

Positive Outcomes

As a Trust their focus is on restraint reduction and they engage several initiatives to support the training delivered to staff.

They have a robust programme of Positive Behaviour Support within their inpatient learning disability services and Safe Wards within mental health services.

They have developed a robust TRiM (Trauma Risk Management) debrief programme across all services for staff and patients and with the introduction of trauma-informed care within: Safety Intervention™ the focus is on enhancing staff understanding of behaviours.

During the covid pandemic they saw a dramatic decrease in incidents within their learning disability services requiring physical intervention. It was noted therapeutic engagement took place more often as both staff and patients were in the same situation regarding lockdown.

More recently they have implemented the use of safety pods to support patients to de-escalate themselves without the need for a physical intervention and further reduce the use of prone and supine holds which can cause discomfort for both staff and patients.

Utilising Safety Intervention™ skills in the pod has greatly reduced injuries to staff and is supporting the restraint reduction plan.

Moving forwards, we will be supporting our eating disorder services to engage the safety pods in the use of clinical holds.