Research & Evidence

The evidence behind
#AimingForZero restraint.

Peer-reviewed research, independently audited outcome data, and real-world case studies from our NHS, HEMS and local authority partners.

41%

Incident reduction across 12 NHS trusts

73%

Fewer physical interventions in HEMS rollout

12+

NHS trusts running the methodology

Published research

Papers, methodology & white papers.

Our library is actively expanding. Below are papers in progress; full releases will be linked here as they are published.

Forthcoming

Restraint reduction in acute NHS settings: a multi-site outcome study

ProActive Healthcare Research Team · Forthcoming 2026

Methodology paper and outcome data from a 12-trust longitudinal study measuring incident rates pre- and post-implementation of our #AimingForZero programme.

Coming soon
Working paper

Pre-hospital de-escalation: evidence from HEMS deployments

ProActive Healthcare Research Team · Working paper, 2026

Data from Air Ambulance services adopting our Train the Trainer pathway, including incident reductions, crew confidence measures and patient outcome indicators.

Coming soon
Working paper

PBS in adult learning disability services: a local authority case

ProActive Healthcare Research Team · Working paper, 2026

Outcome data from rollouts across two of our local authority customers, Kent and Knowsley Councils, with a focus on measurable behavioural and restraint-reduction indicators. Sits within a wider portfolio of adult LD commissioners we work with.

Coming soon

Case studies

Real-world outcomes, independently audited.

Every deployment is measured against a pre-intervention baseline and reported back to stakeholders.

NHS
−41%

41% reduction in restraint incidents

Across a first-year cohort of 12 acute NHS trusts, independently audited and reported to trust boards.

12 NHS Trusts

Pre-hospital
−73%

73% fewer physical intervention events

Measured after rollout of our 4-Day Train the Trainer programme to a single HEMS service, across 9 months.

Air Ambulance (HEMS)

Adult LD
2 LAs

Two of many local authority customers

Two examples from the local authorities commissioning our adult LD training: behavioural outcome improvements and reduced escalation events sustained across multi-year rollouts.

Kent & Knowsley Councils

Independent Validation

The RRN Training Standards, evaluated by MMU.

Manchester Metropolitan University conducted a national evaluation of the RRN Training Standards, the framework that ProActive Healthcare Group is BILD Act certified against. The research was funded by the Burdett Trust for Nursing and examined how the Standards are implemented across UK health and social care.

  • Independent academic evaluation of the RRN Training Standards nationally
  • Findings informed Version 2 of the Standards and the wider restraint reduction agenda
  • ProActive Healthcare Group is certified against these same Standards
Request the full research summary
Independent evaluator
Manchester Metropolitan University

A UK university recognised for applied health and social care research. MMU led the national evaluation of the RRN Training Standards, funded by the Burdett Trust for Nursing.

Report
Published March 2022
Focus
RRN Training Standards

How we work

Evidence, not anecdote.

Our methodology is built on measurable outcomes, independent auditing, and alignment with the national frameworks healthcare providers are actually inspected against.

Read about our BILD ACT certification

Measurable outcomes

Every deployment is measured against a pre-intervention baseline. We publish the data.

Independent audit

Outcome data is independently audited before publication. No marketing numbers.

Peer alignment

Our methodology is aligned to BILD ACT, the RRN Training Standards, and CQC KLOEs.

Want the data behind these outcomes?

Book a 15-minute discovery call and we’ll share the detailed methodology and outcome reports relevant to your setting.

Book a discovery call