The Only In-House Training Pathway Built for HEMS
A 4-day programme that equips your senior clinicians to become BILD ACT Certified Trainers under our affiliate umbrella. They then deliver nationally recognised training on your schedule, at your base, tailored to your aircraft.
Your Crews Are Managing Behavioural Crisis Without the Training or Legal Framework to Do It Safely
Crews Face Agitated Patients Without Formal Training
Your HEMS teams encounter patients with acute behavioural disturbance, altered mental states, and substance-induced aggression in uncontrolled environments, yet most have never received structured training in managing these situations safely or lawfully.
Legal Exposure Is Growing
Every physical intervention your crew makes must be justified under the Mental Capacity Act 2005, common law necessity, and Human Rights Act obligations. Without formal training, your clinicians, and your charity, carry significant legal liability.
External Training Is Expensive and Unsustainable
Bringing in external trainers for every cohort, every year, across rotating crews is a significant recurring cost. It also means your training schedule depends on someone else's availability, not your operational needs.
Right Care, Right Person Has Changed the Landscape
Since RCRP implementation, police may not always be present when your crews encounter behavioural crisis. Your teams need the skills and legal confidence to manage these situations independently until support arrives.
A 4-Day Programme That Builds Permanent Internal Training Capability
Days 1-2 deliver the core clinical skills. Days 3-4 equip your selected clinicians to teach those skills to every crew member, year after year.
Legal Framework & Prevention
- Legal framework for physical intervention in pre-hospital care
- Mental Capacity Act 2005: Sections 5 & 6 applied to HEMS
- Dynamic risk assessment for agitated patients
- The Lawful Excuse framework: six components your crews must evidence
- Verbal de-escalation: PACE approach and Project BETA model
- STAMP early warning recognition (Staring, Tone, Anxiety, Mumbling, Pacing)
- Safe approach and body mechanics in uncontrolled environments
Clinical Skills & Confined Environments
- Restricting movement for rapid tranquillisation and RSI support
- Clinical holding in confined aircraft and ambulance environments
- Two-person team techniques tailored to your airframe
- Head support and C-spine management during behavioural crisis
- Emergency response to acute behavioural disturbance (ABD)
- Police liaison: Right Care, Right Person framework and operational scripts
- Chemical restraint coordination: role clarity between HEMS and police
Trainer Development & Facilitation
- Adult learning principles and facilitation techniques for clinical audiences
- How to structure and deliver each module with confidence
- Managing group dynamics in high-stakes training environments
- Adapting scenarios to your specific aircraft configuration and SOPs
- Using the trainer manual, slide deck, and assessment tools effectively
- Building a training calendar that maintains crew currency year-round
Assessed Practice & Certification
- Supervised practice: delivering a full module to peers with live feedback
- Competency assessment and sign-off process
- Quality assurance: upholding BILD ACT (RRN) Training Standards when delivering internally
- Post-course implementation planning for your service
- Documentation, record-keeping, and governance requirements
- Ongoing support pathways and annual trainer revalidation
The Same Programme Trusted by HEMS Services Across the UK
The first two days deliver our proven Direct Delivery curriculum: the only BILD ACT certified behavioural crisis management programme built from the ground up for the pre-hospital environment. Your trainers learn the content by experiencing it first as participants, ensuring deep understanding before they teach it.
A Complete Trainer Toolkit: Everything Needed to Deliver Internally
Your trainers walk away on Day 4 with everything they need to run the programme independently. No ongoing licence fees. No hidden costs.
Comprehensive Trainer Manual
Step-by-step delivery guide covering every module, with facilitator notes, timing guidance, and key teaching points.
Complete Slide Deck
Professionally designed presentation slides for every session, ready to deliver. Customisable to your service branding.
Scenario Cards & Scripts
Pre-built scenario cards for practical sessions, including aircraft-specific confined space exercises and police liaison role-plays.
Assessment Tools
Competency assessment frameworks, observation checklists, and documentation templates for every participant.
BILD ACT Certified Trainer Status
Your organisation joins the BILD ACT Affiliate network under our umbrella. Graduates of this course then become BILD ACT Certified Trainers, authorised to deliver the BILD ACT (RRN) certified curriculum to your crews, who in turn receive nationally recognised certification.
Ongoing Support
Post-course access to our clinical team for implementation questions, scenario development, and annual trainer revalidation.
Why Train the Trainer Is the Smart Investment
Recoup Your Investment Within 2-3 Cycles
Most services recover the Train the Trainer cost after just 2-3 internal training cohorts. Every subsequent cohort is delivered at a fraction of external delivery fees.
Train on Your Schedule, Not Ours
No more coordinating with external providers. Run training when it suits your crew rotations, operational tempo, and budget cycle.
Maintain Currency Across Every Crew
With internal trainers, you can ensure every clinician, including new starters and rotating staff, stays current without waiting for the next external course date.
Demonstrate Governance & Compliance
BILD ACT (RRN) certification is the gold standard. Having your own BILD ACT Certified Trainers on staff, operating under our affiliate umbrella, gives your board, commissioners, and regulators confidence that your service meets the highest training standards.
Led by Someone Who Understands Your World
Gary Collins
RGNGary brings over 32 years of clinical nursing experience and 8 years of specialist trauma management training for armed police officers and tactical medics. He designed this programme from the ground up for the unique challenges HEMS teams face, not as an adaptation of a ward-based course, but as a purpose-built solution for pre-hospital emergency care.
As a BILD ACT Certified Trainer and the author of the forthcoming book “Reading the Room: Understanding Behaviour and De-escalation in Pre-Hospital Emergency Care”, Gary combines deep clinical expertise with an evidence-based approach to behavioural crisis management that is grounded in law, informed by operational reality, and designed to keep both patients and crews safe.
Ready to Build Internal Training Capability?
Get the full programme guide with detailed curriculum, pricing, and implementation timeline, or speak directly with our team.
Frequently Asked Questions
Who should attend the Train the Trainer course?+
How is this different from the 2-day Direct Delivery course?+
What certification do trainers receive?+
Can the course be tailored to our specific aircraft and SOPs?+
Where does the training take place?+
What ongoing support is provided after the course?+
How quickly can we start delivering training internally?+
What is the ROI compared to ongoing external delivery?+
Your Crews Deserve Training Built for Their Reality
Not adapted from a ward-based programme. Not a generic restraint course. Purpose-built for the unique challenges of pre-hospital emergency care: confined aircraft, uncontrolled environments, and patients in crisis.
Join the growing number of UK air ambulance services building permanent internal training capability, with BILD ACT Certified Trainers on staff through our affiliate umbrella.