Clinical Holding

It is always better to avoid using a restrictive skill; however, care employees often face a dilemma of deciding whether to provide care against resistance, or delay care and risk being deemed neglectful.

When care employees have identified that they need to perform an essential care “now’, they are taught to follow the Essential Care Holding Timeline, a sequence of 10 steps that provides structure for a best practice response.

The first step is to identify if the care need is essential “now” using the Essential Care Box tool.  They will gauge the level of resistance using the Pressure Gauge tool. They will use the Look, Listen and Test sequence to establish if they can gain cooperation of if there is a level of resistance. Training strongly advocates the need for three attempts to avoid using 3 attempts to try and avoid using a restrictive hold.

Note:  If your organisation is inspected by CQC or receives NHS funding, and you use Clinical Holding or any form of restrictive practice, then you then you will need to consider the implications of the Standards. 

Examples of Clinical Holding

Administration of medications
Intravenous access
Recording of vital signs
Wound care 

If you have a Clinical Holding need please call and discuss it with one of our team. Training options are direct onsite training or the Training of Trainer Programmes.

For further information please contact one of the NAPPI team on 01723 353353 or email