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Thursday 26 April 2018
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 Accreditation (PITAS) homepage

PI training assessment
A BILD assessor observing accredited training provided by a training provider


The BILD PI Training Accreditation Scheme (PITAS) provides external scrutiny of training providers, in an otherwise unregulated industry. 

The scheme focuses on universal elements of crisis management and supporting distressed people, and currently accredits 40 training organisations.  

The Scheme is an evidence based process of external validation of the quality of physical intervention training programmes delivered to the health, social care and education sectors. 

The fundamental process of accreditation is the provision of evidence that the applicant training organisation’s curriculum and trainers comply with all of the criteria set out in the BILD Code of Practice (2014). This includes ensuring:

  • Safe use
  • Reduction of use
  • Best interest decision making


We do not endorse specific techniques, but instead focus on the robustness of the risk assessment. Above all, the focus is on ensuring that there is an ethical focus to training which is supported by evidence based practice and values based approaches.

Organisations and individuals who provide BILD-accredited training are required to promote:

  • Rights-based approaches that respect the person
  • An understanding that a person’s behaviour has a purpose and a function
  • A balance of proactive and preventive approaches to reduce reliance on restrictive practices, as well as reactive strategies and de-escalation techniques 
  • Person-centred, individualised plans
  • The use of data to minimise the use of physical intervention over time and to support a learning approach
  • Supportive teamwork when working with behaviours of concern
  • The importance of reflective practice, debrief and review for all concerned

BILD operates the PITAS accreditation scheme, which is a voluntary scheme; statutory regulation of services continues to be the responsibility of CQC or Ofsted respectively. If there was a concern over the training, BILD would address and if necessary suspend accreditation. If there is a concern over practice by a service provider, this is the role of CQC and Ofsted.

Adult health and social care commissioners, and learning disability and autism service providers often identify that the BILD PI Training Accreditation Scheme is a requirement when commissioning services, and increasingly, children’s services are requesting compliance with the Scheme also.

BILD recently piloted the PITAs in mental health services, covering the areas of acute, forensic, and low and medium secure services under the guidance of a steering group which includes representation from the Royal College of Psychiatrists, Royal College of Nursing, the British Psychological Society, the Care Quality Commission, and the Department of Health, as well as leading academic’s in health and social care provision. 

The outcome was universal agreement that the principals of both the Code of Practice and accreditation are just as relevant to mental health services and supporting all vulnerable people when distressed. However, there as need to modify language and therefore we are currently developing a 5th Code of Practice (Training Standards) which will be published in 2018. The development of these new standards are being overseen by the Restraint Reduction Network (RRN) steering group. The RRN steering group includes representation from relevant government departments, professional bodies and regulators.

For further information please contact Liz Howells on 0121 415 6970 or email accreditation@bild.org.uk





PITAS logo no borders

Find out more about the Restraint Reduction Network 

Download an overview of the BILD PI Training Accreditation Scheme. 

BILD Code of practice - fourth
The BILD Code of Practice for minimising the use of restrictive physical interventions: planning, developing and delivering training 


Since first published in 2001, The BILD Code of Practice for the use and reduction of restrictive physical interventions has helped raise standards and change practice for commissioners, training organisations and trainers.

The Code aims to help bring consistency to the development and delivery of training courses, and to the governance, policies and procedures of the organisations where the training courses are delivered. 

It recognises the key contributions of the organisations that purchase training, the organisations that provide training, and of the individual trainers themselves, by being structured in sections for each stakeholder group.

Order copies > 





How do I know if my organisation meets the criteria to apply?

Download the BILD PI Training Accreditation Scheme eligibility form here >