Ligature Response Training: Annual Refresher
Skills that must be maintained, not just acquired.
Ligature response is a time-critical, high-pressure practical skill. Like CPR, the competence built during initial training degrades without practice. Unlike CPR, most staff in ligature-risk environments will rarely, if ever, need to use it outside a training scenario. That is exactly why annual refresher training matters: the scenario where these skills are needed is also the scenario in which there is no time to recall half-remembered technique.
This 2-hour practical refresher is designed for staff who hold a current ligature response training certificate and want to maintain their practical proficiency between full requalification cycles. Annual refresher training is recommended as best practice and is required by the governance frameworks of many NHS Trusts, independent mental health providers, prison and probation services, and residential care organisations.
Who is this course for?
- Staff in inpatient mental health units, psychiatric wards and crisis centres who hold an in-date ligature response certificate
- Prison officers and probation staff with current ligature response training
- Residential care workers supporting people with complex needs, self-harm risk, or suicidal ideation
- Refuge workers and those supporting domestic violence survivors
- Looked-after children’s residential care staff
- Anyone whose role involves a foreseeable ligature risk and who holds a current certificate
Not yet trained? Start with our full Ligature Response Training course (4 hours). If you also need Basic Life Support, our combined Ligature Response and BLS course covers both in a single session.
Click here if you’d like to arrange a private course for your colleagues
What the Refresher Covers
- Reviewing ligature point awareness in your specific working environment
- Practising the safe approach and risk assessment prior to intervention
- Safe cutting technique, including refreshing method, tool handling and configuration-specific adaptations
- Casualty management after cutting, including positioning, airway management and CPR readiness
- Common errors and how to correct them
- Recent guidance updates, where applicable
- A brief scenario exercise applying skills under realistic time pressure
Course Details
| Duration | Approximately 2 hours |
| Format | Face to face, practical throughout |
| Eligibility | Requires a current in-date ligature response training certificate |
| Group size | Maximum 12 per instructor |
| Certificate | Annual refresher certificate issued by Chris Garland Training, PDF as standard |
| Venue | At your premises (preferred), or Knutsford training centre |
This course is most commonly delivered as a private booking at the client’s premises. Practical exercises conducted in the actual working environment are substantially more effective than venue-neutral delivery for this subject.
Course Type:
- Face-to-Face training (maximum of 12 learners to 1 instructor).
- Note that this course cannot be delivered online – it’s a practical skill, so you need practical training.
Course Times and Duration:
| Day 1 | |
| Arrive: | • 2.45pm • This allows time to get seated and fill in the course paperwork, etc. • If you are running late, please call us to let us know (01565 746555). |
| Start: | • 3pm • If you arrive more than 15 minutes after the start time, you will be turned away and will forfeit your place on the course and any monies paid. |
| End: | • 5pm |
| Breaks: | • Approx 15 minutes through the day |
| Learning hours: | • 1 3/4 hours Approx. |
Venue:
- Scheduled courses run at our training centre in Knutsford, Cheshire.
- Visit our Joining Instructions page to read about what you will need to bring/wear, etc.
- You can also arrange to have a private course run at your workplace. Simply fill in our quote request form to request a quotation.
Joining instructions:
- Visit this page to read the course joining instructions.
- Where your course is not being run at our main training centre, you’ll also receive an email with additional joining instructions including the venue address.
Language
- All training and assessment is undertaken in English.
- If you require any reasonable adjustments to enable you to undertake this course, please discuss these with us before making your booking.
Test:
- There is no written assessment.
- You will undertake practical assessments through the course.
- You are required to score 100% to achieve a pass.
- Your practical assessment is where you demonstrate an appropriate response as you would in an emergency situation. This includes;
- dynamic risk assessment for ligature awareness,
- being able to use the ligature cutting tools successfully,
- being able to work on the floor providing CPR & using a defibrillator.
- If you require any reasonable adjustments to enable you to undertake your assessments, please discuss these with us before making your booking.
Certificate:
- This course is certified by Chris Garland Training.
- You will receive a pdf certificate following successful completion.
| Certificate issued by: | Validity Period: | Cost: | Comments: |
| Chris Garland Training: | • 1 year | • Included in booking fee | • PDF format by default. • Paper format available at additional cost (£5 per candidate) |
| Ofqual regulated Awarding Organisation: | • n/a | • No longer available | • In 2023 the Awarding Organisation that we use withdrew their Ofqual Accredited ligature training course. |
Pre-requisites:
| Who could attend: | • You must be over 18 years old to undertake the ligature removal training course due to the topics covered in the syllabus. • The course can be undertaken by candidates who have undertaken our 4hr, 5hr, or 7hr ligature response courses within the last 2 years. • The course can be undertaken by candidates who have undertaken other training providers practical (not online) ligature response courses within the last 2 years. |
| Education: | • We recommend that you have a minimum of GCSE English & Maths at grade D/Level 1 (or equivalent) before undertaking this course. • This is not mandatory – please contact us to discuss any reasonable adjustments to accommodate your needs (e.g Dyslexia). |
| Prior knowledge: | • You must hold a current, in-date ligature response training certificate. • You must hold a current, in-date first aid certificate (e.g. Emergency first aid at work, First aid at work, Outdoor first aid, etc). |
| Physical ability: | • You must be physically able to demonstrate first aid procedures as they would occur in a real life. • As part of your assessment you will be required to provide CPR to a casualty (manikin) who is on the floor. |
Candidates:
| General: | • All classroom courses have a minimum and maximum number of candidates that we can take on a course. |
| Minimum: 6 candidates | • We need a minimum of 6 candidates for the course to run. • Where fewer than 6 are booked on to the course, we will cancel the course 48 hours before it is due to start. • In this unlikely case, we will contact you to discuss transferring your booking to another date or to issue a refund. |
| Maximum: 12 candidates | • For most courses we are limited by the Health & Safety Executive, and (where applicable) by the Awarding Organisation, to a maximum of 12 candidates per instructor. • If you have more than 12 candidates to undertake this training, you may prefer to arrange several private bookings. Click here to contact us and discuss your requirements. |
Geographical coverage:
- While we can deliver this course in other countries, the protocols that we teach meet the current UK practice, protocols & guidance.
| Certificate issued by: | England: | Wales: | Scotland: | Northern Ireland: |
| Chris Garland Training: | • Yes | • Yes | • Yes | • Yes |
| Ofqual regulated Awarding Organisation | • Not available | • Not available | • Not available | • Not available |
| Notes: | • We can deliver this course in other countries, however the protocols that we teach meet the current UK practice, protocols & guidance. | |||
Private courses:
- To arrange a private course for yourself or your colleagues, please fill in our Quote request form.
Links:
During the course, candidates will get to practice using many different types of ligature cutters, including the following;
- Medical shears
- The “Shark” or “Big Fish” style of rescue knife
- Res-Q-Hook
- The Barrington LC1 folding rescue hooked knife
- The Barrington LC-UZI folding rescue hooked knife
- MAC Coltellerie TS01
- MAC Coltellerie TS05
- MAC Coltellerie 697 Rescue
- StatGear SuperVisor XT Auto Escape Tool
- Cable cutters
- Typical EN388 Cut level 5 gloves for use with the hooked bladed knives








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