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By Patrick Duggan 16 Jun, 2017

Thanks folks for working so hard on your 2 day PMVA course this week at the Northern PMVA centre in Leeds 12th & 13th June and making the course such a pleasure to teach. Thanks Amy for the photograph which shows me in the background instructing yourself and participants  on how to place someone in the secure recovery hold position, much safer than face down restraint as the person can breath easily and much safer for staff than the supine position (Person on their back) where they have a lot of flexibility to kick and injure staff when approaching their legs.

Thanks also for the great feedback Gbadebo, Cynthia, Daniel, Samuel, Vincent, Lynetta, Rubee, Amy, Shannon, Amy and Kim.

By Patrick Duggan 12 May, 2017
Its been a busy few weeks for MAV Consultancy with three PMVA  full courses being ran over the past three weeks. Its been a pleasure working with a new nursing agency and training 24 of their staff, with existing customers, nursing agency and a residential care service and individuals.  The staff trained work on mental health wards Acute, PICU and Forensic and with people who have a Learning Disability who display challenging and aggressive behaviour.  Feedback and Evaluation of the courses are important and the PMVA courses always evaluate well. However one evaluation stood out for me this week as follows "Totally fab course, well instructed, learnt a lot over these 2 days, think it helps how the course is presented, it was presented with interest Thank you. I leave feeling confident in my job role. Thank you.  Thank you Amanda I appreciate your comments.
By Patrick Duggan 02 Mar, 2017

Shocking to see this evenings BBC news 1.3.17 that face down prone restraint is still being used routinely in Mental health wards and particularly on women. The DOH Guidelines Positive & Proactive Care Reducing Restrictive Practices (2014). Section 70 states there should be no planned face down restraint on any surface. There are alternatives the use of the recovery restraint hold as pictured, kneeling and sitting restraints and although not ideal supine or on the back restraint. Why are mental health wards not using these methods and resorting to dehumanising, degrading and potentially hazardous techniques.

By Patrick Duggan 10 Nov, 2016
The 8th & 9th November saw the second Bookable PMVA course in Leeds with a Nursing agency booking all the places, a further course has been booked by request for next week at the same Leeds venue 15th & 16th November 2016 and there are only two places left, if anyone wants a place please contact mavconsultancy.com to book your place.  A number of participants on the recent course had not undertaken the training before and remarked on their evaluation forms that the course would make them feel more confident in the work setting, keep themselves and patients safe, being familiar with preventative approaches to reduce aggression or if this fails being able to restrain safely, having a greater understanding of breakaway techniques and how to handle patients if they feel distressed. In relation to the quality of tuition comments included "Patrick was amazing very friendly and had a good approach in demonstrating the tequniques".  "100% Accurate, Clear, Positive and confident". "very effective as it was taught at the appropriate pace so I was able to see each step of each technique". "The instructor was very good".
But as the sub title of the blog suggests a course should be informative and enjoyable to, so I will close with the comments of Aisha Hussain "I have had a fantastic time training with Patrick he teaches well and is clear helping understanding. I have learn't quite alot within two days. The techniques were really good, I enjoyed learning and am well pleased".  Thank you Aisha and participants. Please get in touch if you want information about the PMVA bookable courses in Leeds. 
By Patrick Duggan 18 Oct, 2016
A small start but a great success first MAV Consultancy bookable PMVA Course in Leeds participants left to right Feisal, Harun, Michael and Samuel, participants liked the space and facilities and of course the training. Full 2 day course scheduled for the 8th & 9th November see the mavconsultancy.com website for details of  how to book on this course and other courses.
By Patrick Duggan 30 Sep, 2016
What a busy and enjoyable week, Monday in Liverpool teaching school teachers Positive Handling Skills, Tuesday conducting a Care and Treatment Review (CTR) on behalf of NHS England and Wednesday and Thursday teaching Nursing Agency staff in Warrington, Prevention & Management of Violence and Aggression skills.  I particularly want to reflect on the PMVA course and on feedback from one participant which I think is relevant when considering the care, safety and dignity of  violent patients that require restraint  for their own and others safety, his feed back reads:-  I was completly amazed by the easy, hands on techniques and more convenient methods of ensuring the safety of patients and staff on the ward.  He goes onto describe the difference undertaking the course will have in his work setting.  It would have tremendous efffect on the way I approach patients. It completley brings a new way of safeguarding patient and staff  during and after a physical  Intervention. Chijioke E Nwamuo

He is describing the course in general and specifically the use of the Recovery Hold position were patients are restrained as a last resort on their side on the ground as oposed to the less safe and undignified face down restraint on the ground. The recovery hold is less traumatic as patients can breath easily and can be informed for example after receiving an injection that they are in a recovery position to help them relax and calm. Chijioke and the other course particpants were also impressed by the different and easy techniques that can be applied if a violent person requires an injection without going to the ground. I consider that it important that all Hospital trusts and independent hospitals who provide inptient care for people with a mental illness or learning disability seriously consider the alternatives to face down restraint. Particularly as the Department of Health (DOH) 2013 Guideance Positive and Proactive Care Reducing the Need for Restrictive Interventions Paragraph70 states

"Staff must not deliberately restrain people in a way that impacts on their airway, breathing or circulation, such as face down restraint on any surface, not just on the floor".




By Patrick Duggan 29 Sep, 2016
By Patrick Duggan 16 Jun, 2017

Thanks folks for working so hard on your 2 day PMVA course this week at the Northern PMVA centre in Leeds 12th & 13th June and making the course such a pleasure to teach. Thanks Amy for the photograph which shows me in the background instructing yourself and participants  on how to place someone in the secure recovery hold position, much safer than face down restraint as the person can breath easily and much safer for staff than the supine position (Person on their back) where they have a lot of flexibility to kick and injure staff when approaching their legs.

Thanks also for the great feedback Gbadebo, Cynthia, Daniel, Samuel, Vincent, Lynetta, Rubee, Amy, Shannon, Amy and Kim.

By Patrick Duggan 12 May, 2017
Its been a busy few weeks for MAV Consultancy with three PMVA  full courses being ran over the past three weeks. Its been a pleasure working with a new nursing agency and training 24 of their staff, with existing customers, nursing agency and a residential care service and individuals.  The staff trained work on mental health wards Acute, PICU and Forensic and with people who have a Learning Disability who display challenging and aggressive behaviour.  Feedback and Evaluation of the courses are important and the PMVA courses always evaluate well. However one evaluation stood out for me this week as follows "Totally fab course, well instructed, learnt a lot over these 2 days, think it helps how the course is presented, it was presented with interest Thank you. I leave feeling confident in my job role. Thank you.  Thank you Amanda I appreciate your comments.
By Patrick Duggan 02 Mar, 2017

Shocking to see this evenings BBC news 1.3.17 that face down prone restraint is still being used routinely in Mental health wards and particularly on women. The DOH Guidelines Positive & Proactive Care Reducing Restrictive Practices (2014). Section 70 states there should be no planned face down restraint on any surface. There are alternatives the use of the recovery restraint hold as pictured, kneeling and sitting restraints and although not ideal supine or on the back restraint. Why are mental health wards not using these methods and resorting to dehumanising, degrading and potentially hazardous techniques.

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