Quality statement 14: Using control and restraint, and compulsory treatment

Quality statement 14: Using control and restraint, and compulsory treatment

Quality statement

People in hospital for mental health care are confident that control and restraint, and compulsory treatment including rapid tranquillisation, will be used competently, safely and only as a last resort with minimum force.

Quality measure

Structure:

a) Proportion of professionals using control and restraint, and compulsory treatment including rapid tranquillisation, who are trained to do so.

Numerator – the number of professionals in the denominator who are trained to use control and restraint safely and as a last resort.

Denominator – the number of professionals using control and restraint, and compulsory treatment including rapid tranquillisation.

b) Evidence of local arrangements to ensure control and restraint, and compulsory treatment including rapid tranquillisation, are used as a last resort with minimum force and only after all means of negotiation and persuasion have been tried.

Outcome: Evidence from experience surveys and feedback that service users in hospital feel control and restraint, and compulsory treatment including rapid tranquillisation, are used as a last resort with minimum force.

What the quality statement means for each audience

Service providers ensure systems are in place to train professionals in the safe use of control and restraint, and compulsory treatment including rapid tranquillisation.

Mental healthcare professionals usingcontrol and restraint, and compulsory treatment including rapid tranquillisation, ensure they are trained in its safe use and use it as a last resort with minimum force.

Commissioners ensure they commission services that train professionals in the safe use of control and restraint, and compulsory treatment including rapid tranquillisation.

People in hospital for mental health care who need to be controlled or restrained or have treatment without their agreement (such as medication to calm them quickly) receive them only from trained staff. They are only used as a last resort, using minimum force and making sure that the person is safe.

Source guidance

'Service user experience in adult mental health' (NICE clinical guidance 136) recommendation 1.8.10.

Data source

Structure:

a) The NSLA risk management standards contain requirements on the processes in place in mental health and learning disability organisations for managing risks associated with rapid tranquillisations (Standard 4, criterion 8). Providers may be able to use questions contained within the national NHS staff survey available from NHS Surveys. The NHS staff survey for mental health trusts (Q5) collects information on training to prevent or handle violence and aggression to staff and service users.

b) Local data collection.

Outcome: Local data collection.