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Violence & Aggression Wales (CSTF)

Wales faces significant risks, with over 3,000 assaults on emergency workers between 2023 and 2024, 18% of which involved healthcare staff.
Recognising early signs of confrontation and understanding current risks are essential to managing violence and aggression effectively. This course is designed for healthcare staff who may face verbal or physical abuse from patients, visitors, or colleagues, focusing on prevention. It covers legal responsibilities, causes and types of violence and aggression, and cultural and gender considerations.
Staff will also learn about organisational policies, support mechanisms, reporting procedures, de-escalation techniques, and how to safely disengage from physical assaults.
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- Legislation overview
- All-Wales Violence and Aggression Training Passport and Information Scheme
- NHS Wales Protecting NHS staff from Violence and Aggression
- Responsibilities, Policies and procedures
- The Restraint Reduction Network Training Standards
- Restraint Definition
- Necessary Vs Proportionate
- Assessing Reasonable Force
- Triggers and Antecedents
- Identifying Violent Behaviour
- Prevention Techniques
- The Assault Cyle
- Lone Working
- Challenging Behaviour
- Types and Causes of Aggressive behaviour
- Cultural Diversity
- Values and Beliefs
- Conscious and Unconscious Bias
- Situational Awareness
- Dealing with Workplace aggression
- Communication Tools and Models
- Joharis Window
- Fight or Flight Response
- Diversion Techniques
- De-escalation
- Legal Vs Ethical Issues
- Dis-engagement Skills
- Post Incident Procedures
- Define the terms ‘violence and aggression’
- Demonstrate an awareness of the different types of violence and aggression
- Define the concept of risk assessment
- Demonstrate an awareness of the staff support mechanisms available within the organisation and how to access this service.
- Discuss cultural and gender issues associated with the management of violence and aggression
- State employer and employee responsibilities with regard to relevant health and safety legislation
- Demonstrate an understanding of the organisation’s policies and procedures on the management of violence and aggression
- Demonstrate an understanding of the importance of reporting incidents and be able to describe the process for reporting such incidents
- Awareness of the environment and the risks it may present
- Describe the factors which could influence and affect your personal safety and environment
- Explain communication skills which can assist in de-escalating a violent/aggressive situation
- Demonstrate an understanding of local reporting policies and procedures
- Discuss legal and ethical issues associated with the management of violence and aggression
- Demonstrate and practice the practical use of breakaway techniques specific to the needs of the staff group subject to risk assessment
- Describe situations which may require additional assistance
- Describe circumstances when personal/alarm systems should be used
- Explain how clinical risk assessment can help to reduce risk of assault


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