PBS and Human Rights: Reducing Restrictive Practice Starts with Values

Reducing restrictive practice is more than a PBS objective โ€” itโ€™s a human rights issue. If we start from the principle that people have the right to live free from unnecessary control, then everything else in your service should reflect that.


๐Ÿšซ What Counts as Restrictive Practice?

Itโ€™s not just physical restraint. Restrictive practice includes:

  • Locked doors or controlled access to parts of the home
  • Medication used to control rather than support
  • Rigid routines that limit choice or spontaneity
  • Over-reliance on supervision or constant staff presence

Commissioners want to see that your team recognises these โ€” and works actively to reduce them.


๐Ÿงญ Values First, Then Practice

The goal isnโ€™t simply โ€˜use less restraintโ€™. The goal is to embed a culture of respect, autonomy, and positive support. That includes:

  • Reviewing support plans regularly to reduce restrictions
  • Involving people (and families) in decisions about whatโ€™s necessary
  • Always aiming to return control to the person

PBS should never be used to justify restrictions โ€” it should help prevent the need for them in the first place.


๐Ÿ“ Tender Responses Should Reflect This Ethos

When responding to learning disability tenders, show that:

  • Your team understands and tracks restrictive practices
  • You monitor their use and actively seek to reduce them
  • You centre the personโ€™s rights in every decision made

This isn't just best practice โ€” it's a commissioning expectation.


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Updated for Procurement Act 2023 โ€ข CQC-aligned โ€ข BASE-aligned (where relevant)


Written by Impact Guru, editorial oversight by Mike Harrison, Founder of Impact Guru Ltd โ€” bringing extensive experience in health and social care tenders, commissioning and strategy.

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