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Bleed Kit

Emergency Bleed Kits in the UK

Bleed Kits are specifically designed to handle ‘life threatening bleeding’. In the event of a traumatic injury, a person can lose critical amounts of blood within minutes.

A bleed kit package that includes items like haemostatic dressings, trauma dressings, and a tourniquet can benefit a community in several ways. This type of package can be vital in emergencies where there is a severe bleeding injury, allowing bystanders or the injured person themselves to provide immediate aid while waiting for professional medical help.

In 2023, Avon and Somerset Police joined up with HeartSafe and NHS England South West to install over 100 bleed kits across their force area and raise awareness. These have been installed onto the side of existing HeartSafe defibrillators and are immediately accessible to the public in the event of an emergency.

Find out more about this partnership here.

Some of the items Included In The Bleed Kit

There are a number of different products designed to control or stop bleeding.

2x Trauma Dressing

Trauma dressings, a highly absorbent padded dressing can be used to cover the wound followed by sustained pressure to the wound

2x Haemostatic Dressings

Haemostatic dressings accelerate blood clotting to control severe bleeding in trauma situations, reducing blood loss and potentially saving lives.

Tourniquet

Tourniquets are medical devices used to reduce catastrophic bleeding to the arms or legs by applying pressure to stop the blood flow.

 

Here are some key benefits...

Life Saving: Rapid bleeding control can be the difference between life and death in severe injuries. Haemostatic dressings, trauma dressings, and tourniquets are specifically designed to stop bleeding rapidly and prevent further blood loss, potentially saving lives.

 

Familiarise where your nearest Bleed Kit can be found: Having such a kit available in public spaces, homes, workplaces, and schools means the community is better prepared to handle emergencies. It can be especially valuable when emergency medical services are delayed.

HeartSafe Cabinet Without Bleed Kit HeartSafe Cabinet With Bleed Kit

These available Kits will help demonstrate a level of assistance is available: When community members know that these tools are available and that individuals are trained to use them, it can provide a greater sense of security. People may feel more confident knowing that immediate help is available in case of an accident.

Supports community education and training: The existence of these kits can spur community education efforts about their usage and the importance of first aid. This can help foster a more knowledgeable and prepared community.

Versatility: These kits can be used in various situations, from household and business accidents to more severe incidents like vehicle accidents or situations involving violence.

What Other Questions Do Customers Ask About Our Bleed Kits?

We have compiled a list of frequently asked questions about our Bleed Kits. Just click on the question to see the answer!

A typical bleed kit package includes:

2 x Large Trauma Dressings

2 x Haemostatic Dressings

1 x Tourniquet

Other Items: 

2 x Individual Pair of Nitrile Gloves 

Medical Shears/Scissors

Foil Blanket

CPR Face Shield

Whistle

A haemostatic dressing is used to promote rapid blood clotting in the event of a severe bleeding injury. It is particularly useful in situations where traditional bandages and pressure are not sufficient to control the bleeding.

 

NOT to be used on open chest wound, open head wound or the eyes. 

A trauma dressing is larger and more absorbent than regular dressings. It’s designed to manage heavy bleeding and cover large wounds. Direct pressure is then applied on this packing.

A tourniquet should be used when bleeding from a limb cannot be controlled by other means like direct pressure or when a wound is so severe that other treatment methods are not immediately possible. However, it should be applied by a trained individual as incorrect usage can cause additional harm.

It is applied directly to the skin not clothing.

First Aid training courses are designed to familiarise you with the use of these specially designed tools to assist a patient suffering from blood loss. There are many organisations offering such advice.

While anyone can potentially use the kit, a level of training is naturally an advantage. As a good samaritan, anyone can use a bleed kit to assist in an emergency until the arrival of the Ambulance Service.

Always maintain telephone contact with the 999 Operator at the Ambulance Service. They are trained and able to advise you over the telephone and answer your questions. When using a mobile phone ensure it is on loud speaker.

Ideally, the bleed kit package should be kept in easily accessible locations in public spaces, schools, workplaces, and homes. 

 

More Bleed Kits will become available, such as the joint initiative between Avon & Somerset Police Constabulary and HeartSafe is currently being launched. Existing well known and highly visible HeartSafe Defibrillator Cabinets can have Bleed Kit Dispensers added for local community use.

Yes, components such as the haemostatic dressings have an expiration date after which they may not be as effective. It’s important to regularly check and replace any expired components.

No, this kit is a first aid measure to be used in emergency situations. It is not a replacement for professional medical care. Always call 999 Ambulance Service as soon as possible when encountering a person with a severe bleed injury. 

After using the bleed kit, ensure that the injured person gets professional medical help as soon as possible. Make sure to inform the healthcare professionals about the steps you took, including the use of the bleed kit, to assist them in their treatment plan. Please also alert HeartSafe to any kits that have been used so we can replace these. Do this by clicking here.

HeartSafe Bleed Kits will provide instructions for re-ordering. 

Lifesaving Bleed Control Kits launched across Avon and Somerset

Avon and Somerset Police have teamed up with NHS South West and defibrillator supplier HeartSafe to deliver the kits in Bristol, Somerset, Bath and Gloucestershire.

It’s hoped the kits will go some way in preventing the “tragic loss of life” on the streets.

Whilst installed as part of the police’s work to tackle the loss of life from knife crime, these kits can help anyone suffering a traumatic bleed, whether it’s a road traffic collision, fall, or other traumatic injury

They include scissors, dressings and gauze, gloves and an instruction guide.

A number of life-saving bleed control kits, designed to control bleeding after someone suffers a traumatic injury, have started to be installed within local communities across Avon and Somerset. Avon and Somerset Police are working with NHS England South West and HeartSafe to install bleed kits across the region, which includes Bristol, Somerset, North Somerset, Bath and North East Somerset, and South Gloucestershire. The kits, which will be installed onto the side of existing HeartSafe defibrillators, will be instantly accessible in an emergency where someone has suffered a traumatic injury. They include trauma dressings and tourniquets to help manage bleeds as well as nitrile gloves, scissors, and a colour-coded instruction guide on what to use depending on where and what type of injury the person is suffering from. People should always call 999 and ask for the ambulance service in a life-threatening emergency, but these kits are designed to be easy-to-use in the moments immediately after a medical emergency to help the injured person until an ambulance or first-responder arrives on scene.

‘We know we cannot police our way out of serious violence, it has to be a partnership approach, not just between us and our partners in health and social care, but also with members of our communities who can play a key part in helping us. We employ a number of different tactics to deal with knife crime and prevent it at the source but in the unfortunate event that a person is seriously injured, we hope that these kits will go some way to preventing tragic loss of life.”

Avon and Somerset Police’s Knife Crime Lead, Chief Inspector, Mike Vass

 

The project was first initiated by Clive Setter from HeartSafe, allowing their successful work in installing public defibrillators across the UK.

Clive said: “I am pleased to announce another public safety initiative for HeartSafe, now partnering with Avon and Somerset Police assisting people suffering major blood loss wounds to receive immediate help from members of the community around them. The bleed kits will provide some initial emergency aid to those in need before an ambulance arrives at the incident and will help to avoid a potentially tragic outcome.”

Whilst this partnership initiative is part of Avon and Somerset Police’s work around serious violence and knife crime, the bleed control kits are there to be used in any incident in which a person is suffering from a catastrophic bleed.

 

“NHS ambulance crews and trauma teams do a great job when confronted with a patient who’s losing a lot of blood, but we wanted to go further in those crucial minutes when an ambulance was still on its way. That’s why we’re so pleased to fund bleed kits, so the police and community partners can get them to the right places to save lives many of them young.”

NHS England’s South West Medical Director, Dr Michael Marsh

 

The installation complements work carried out by the police service to tackle knife crime, with over 4,000 weapons being surrendered into knife surrender bins installed to encourage young people to safely discard of their weapons. Work with local Violence Reduction Partnerships (VRPs) is also engaging young people and children in early intervention and diversion projects, to prevent knife carrying, as well as other types of crime and harm. The VRPs are a multi-agency partnership with a public health approach to reducing violence. They focus on understanding the causes and the reasons people get drawn into crime, so they can intervene early and help the young people to stay away from criminal activity. Through this partnership, workshops have been rolled out across secondary schools in Bristol, South Gloucestershire, and North Somerset to encourage young people to report if they know someone is carrying a knife. The Blunt Truth workshops are delivered to students in Year’s 8 and 9 and educate students on the dangers and consequences of carrying a weapon, and how to administer emergency first-aid in the event of a stabbing. The programme is led by the police, NHS, South Western Ambulance Service, and Great Western Air Ambulance Charity and has been delivered to over 2,800 young people since 2021.

If there is the threat of immediate danger, or a crime is taking place, always call 999 immediately. Alternatively, you can give information 100 per cent anonymously by contacting Fearless, the dedicated youth service of the independent charity Crimestoppers. They cannot track where the information has come from, and you will not be contacted by the police. You can send information to Fearless using their online form at www.fearless.org or by calling 0800 555 111.

Avon & Somerset Police Bleed Kit Initiative

Are you a Business/Council/Charity organisation and you wish to provide funds to help your Community with Public freely available Bleed Kits?

Join us to help our neighbourhoods and we will install and provide future Monitoring and Replacement of consumables.

To find out more, please complete the short form and notify us that you would like to be involved in the Avon & Somerset Police bleed kit scheme, and we will confirm how we can help. Please expect a reply within 5 working days.

Avon and Somerset Police joined up with HeartSafe and NHS England South West to install over 100 bleed kits across their force area and raise awareness.

Join The Bleed Kit Initiative

Please complete and we will call you within 48 hrs to personally discuss how we can help.

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Please complete form and we will contact you within 48 hours.

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HeartSafe Logo with 'Call Us On 01275 333 999' text

Avon & Somerset Police Bleed Kit Initiative

Avon and Somerset Police have embarked on a collaborative effort with HeartSafe and NHS England South-West. This partnership marks a significant advancement in public health and safety, focused on the crucial goal of providing immediate aid in emergency situations. Highlighting our collective commitment to safeguarding communities, this initiative bridges vital resources with local needs.

Our Mission

A simple, easy to understand kit of life-saving essentials designed for use under 999 guidance to help treat a catastrophic trauma patient until emergency services arrive.

Developed with the support of the NHS and 999 emergency services, this kit is designed to include essentials for use by untrained members of the public.

Avon and Somerset Police have joined up with HeartSafe and NHS England South-West to launch a joint initiative to place Emergency Bleed Kits in local communities.

To date, the partnership has funded over 600 bleed kits either attached to existing HeartSafe defibrillator cabinets, or wall mounted in prominent locations across the Avon and Somerset region.  This allows the public immediate access to lifesaving equipment should a person suffer a catastrophic bleed.

Our Principles...

In a vital effort to enhance public safety and emergency responsiveness, a new initiative has been launched aiming to deliver bleed kits into the hands of the general public.

These kits are designed to provide immediate, lifesaving intervention for individuals experiencing severe bleeding due to traumatic injuries. Strategically placed in highly visible red dispensers, these trauma kits will be accessible free of charge across a range of public spaces and within key business premises such as entertainment venues, pubs, restaurants, shops, and clubs, ensuring that critical first aid is available even before medical professionals arrive on the scene.

The project, a collaborative endeavor initiated by Avon and Somerset Police in response to violent crime, goes beyond just the distribution of bleed kits. It includes an educational component where police may offer training at venues equipped with these kits, thereby raising awareness and cultivating the skills necessary for effective emergency interventions. This comprehensive approach aims to empower individuals across the community to act swiftly and effectively in life-threatening situations, whether they arise from violent incidents, traffic collisions, or other forms of severe injury, making a significant contribution to public safety and health.

HeartSafe Logo with 'Call Us On 01275 333 999' text

Managing Essential Bleed Kits for the Future

Avon and Somerset Police have agreed a legacy fund for the ongoing management and replacement of these kits

This is not a one-off ‘fit and forget’ tick-the-box provision…

Our Bleed Kit Partnership Brochure

For a comprehensive overview of the Community Bleed Kit Partnership initiative, we invite you to download our detailed brochure. Inside, you’ll find in-depth information about the initiative’s goals, benefits, and how you can get involved in making our communities safer.

HeartSafe are proud to source our products within the UK, collaborating with trusted supplier partners built over many years.  Our cabinets and Bleed Control Kit housings are manufactured by ISO9001:2015 and ISO14001 accredited companies, ensuring the highest standards of quality and environmental responsibility.

Our Bleed Control Kits provide laypersons with the essential tools to quickly and effectively manage catastrophic bleeding during the crucial first few minutes, until emergency services arrive.

Each kit is assembled for HeartSafe to fully comply with the BS8599-1 Critical Injury Pack standard.  The contents have been developed and approved in collaboration with Avon & Somerset Police, the NHS, and South West Ambulance Service, reflecting expert guidance and local authority input.

HeartSafe partners exclusively with responsible suppliers accredited to all relevant regulations, including those governed by the MHRA. Additionally, we provide full traceability of kit contents through our free mapping and online registration service, ensuring accountability and peace of mind.

Local Partnerships

Welcome to our dedicated page on local partnerships, where we highlight the collaborative efforts between our organisation, private companies, and local councils. These alliances are pivotal in propelling our scheme forward, demonstrating our collective commitment to progress without relying on government funding.

Our Partnerships

Our initiative to enhance public safety through the availability of emergency bleed kits has taken a significant step forward thanks to strategic partnerships across various sectors. Our collaborations exemplifies our mission to embed life-saving resources within community infrastructures. 

 

The Mall is the largest regional shopping and leisure hub in the South-West of England.  Though our partnership with HeartSafe we have been able to connect and engage this key location to the scheme adding 9 kits across the site.

All of these kits were funded and will be managed by the Mall on an ongoing basis.

This is one of several partnerships we have created with private organisations and local councils to help move this scheme forwards without government funding.

View more Local Partnerships

Bleed Kits installed in Dronfield

Dronfield Town Council are pleased to support the Dronfield Rotary Club with their Bleed Kit project. The Rotary Club have…

RRT UK and Bristol Rovers Community Trust Join The Partnership

Welcome To The PartnershipRRT UK and Bristol Rovers New Bleed Kit Installed at The Memorial Stadium by RRT and Avon…

Welcome To Our WebsiteCommunity Bleed Kits

A new life-saving initiative to help safeguard your neighbourhood.

Latest Partnership Statement

9th February 2026

South Western Ambulance Service and Avon and Somerset Police have issued a joint statement reaffirming the Avon and Somerset Bleed Kit Partnership model. Key elements of the partnership include:

The only Community Bleed Kit clinically approved by South Western Ambulance Service NHS Foundation Trust (SWASFT)

Bleed Control Kit Training Videos

A set of educational videos has been produced to inform the public on the effective use of the HeartSafe Bleed Control Kit to manage blood loss before the arrival of ambulance services…

 

This initiative, pioneered through the Community Bleed Kit Partnership, has established a National Standard for emergency trauma response by placing life-saving tools in public spaces.

 

Originally established by Avon & Somerset Police, HeartSafe and South West Ambulance Service Trust, the model is now being replicated across the UK to provide 24/7 access to NHS-approved medical bleed control kits. The Community Bleed Control Kits are BS8559-1Compliant Critical Injury Pack.

 

Join us and become part of the Partnership:

● Proven Efficacy: The kits have already been credited with saving 11 confirmed lives through rapid bystander intervention before Emergency Services arrive.

● Accessibility: Bleed Control Kits are housed in approved unlocked dispensers and lamp post-mounted units, ensuring zero delays to deploy to help patients suffering from catastrophic blood loss

● Designed for Bystanders: Despite their professional grade, the Bleed Control kits are specifically endorsed for use by untrained members of the public.

● Strategic Growth: By utilising volunteer installations and affordable hardware, the program has scaled from a local success to a proactive National public health movement.

 

For those looking to support or implement this model, you can find more information and purchase Bleed Control Kits through the HeartSafe interactive UK-wide Bleed Kit Map and Website.

Read More

Videos Produced In Conjunction With…

Body Injury Training Video

Arm Injury Training Video

Leg Injury Training Video

We hope these videos help you feel confident and ready to use a bleed control kit if ever needed.

Use our Bleed Kit map to find the closest bleed kit in your community to empower you in an emergency.

We have developed a clear and best-practice set of instructions which have been approved by…

Avon and Somerset Police are able to offer a legacy fund for bleed kits ensuring they are available for communities.

All Bleed Kits Approved by...

This Bleed Kit Dispenser can be installed onto the side of the HeartSafe Defibrillator Cabinet.

The Bleed Kit Model 2 is designed for easy wall installation on either internal or external buildings and includes a community bleed kit pouch.

The Community Bleed Kit is designed for simple fitting with a highly visible dispenser and clear instructions,  supplied with window/wall information labels.

Our new attachment for the Bleed Kit Model 2 lets you mount it to poles—from street signs to CCTV or telegraph poles—and railings.

Play Video

Empowering the Next Generation of Lifesavers.

We’re proud to work with Lifeskills Bristol to help young people learn vital first aid and emergency response skills. Through realistic, hands-on scenarios, children gain the confidence to act fast and potentially save a life.

UK Bleed Kit Locator Map

The Bleed Kit locator map offers the public the opportunity to check in their community where bleed kits are closest to your place of home or work. The map identifies kits that are registered by their owners throughout the UK and are listed on the map as they are happy to share access in the event of an emergency. Anyone owning or providing a bleed kit to their community can freely register it’s availability here.

The map is to encourage people to learn the whereabouts of their nearest bleed kit dispenser in advance of ever needing to use one in an emergency. Having this knowledge will save time once you ring 999 and make contact with the emergency services.

We are unable to guarantee that a bleed control kit will always be available in an emergency. Once we are advised that a kit has been deployed or removed, every effort is made to replace it for future deployment. Our aim is to ensure we maintain the bleed kit locator map to provide the most accurate and up-to-date information possible.

REMEMBER, in an emergency always report the event immediately to the Ambulance Service…

Call 999 and follow their instructions.

Our Mission

Avon and Somerset Police have joined up with HeartSafe and NHS England South-West to launch a joint initiative to place Emergency Bleed Kits in local communities.

To date, the partnership has funded over 600 bleed kits either attached to existing HeartSafe defibrillator cabinets, or wall mounted in prominent locations across the Avon and Somerset region.  This allows the public immediate access to lifesaving equipment should a person suffer a catastrophic bleed.

Public Access to Lifesaving Bleed Kits Launched

Trauma kits, designed to provide immediate lifesaving intervention for severe bleeding, are being placed in highly visible red dispensers across public spaces and business premises such as venues, pubs, restaurants, shops, and clubs. Accessible free of charge, they ensure critical first aid is available before medical professionals arrive.

The Avon and Somerset Police-led project goes beyond distribution, offering training at equipped venues to raise awareness and build lifesaving skills. By empowering the community to act swiftly in emergencies—whether from violent incidents, traffic collisions, or other serious injuries—the initiative makes a vital contribution to public safety.

HeartSafe Logo with 'Call Us On 01275 333 999' text

Our Bleed Kit Partnership Brochure

For a comprehensive overview of the Community Bleed Kit Partnership initiative, we invite you to download our detailed brochure. Inside, you’ll find in-depth information about the initiative’s goals, benefits, and how you can get involved in making our communities safer.

2 Years of Saving Lives - The Rationale Behind the HeartSafe Community Bleed Control Kits

Why ?… Catastrophic Bleed? / Emergency! Bystanders are the first on the scene. Confidence in using the approved system. Their quick efforts may determine if the patient can survive and if blood loss can be controlled.— You can make a difference and save a life.

 

What?… Medically approved NHS Bleed Control kit for use by untrained bystanders. Approved by the NHS Southwest Ambulance Service for being straightforward in an emergency. Body mapping card endorsed by medical professionals as best practice.

 

Where?… Immediate availability-Unlocked Dispensers. Be everywhere. Managed UK Mapping — Reach as many communities as possible. Ambulance / Police Control Room Ready-Public promptly directed to nearby kits in an Emergency.

Now… Don’t delay! Purchase a bleed kit for your neighbourhood and help us save more lives across the UK

Managing Bleed Kits for the future

Avon and Somerset Police have agreed a legacy fund for the ongoing management and replacement of these kits.

 

This not a one-off “fit and forget’ tick-the-box provision… 

Local Partnerships

The Mall is the largest regional shopping and leisure hub in the South-West of England. 

Though our partnership with Avon and Somerset police we have been able to connect and engage this key location to the scheme adding 10 kits across the site.

Have An Enquiry?

No matter how unusual, please feel free to send them to enquiries@heartsafe.org.uk where one of our team of advisers will get back to you!

Statements

Avon and Somerset Police have teamed up with NHS South West and defibrillator supplier HeartSafe to deliver the kits in Bristol, Somerset, Bath and Gloucestershire.

It’s hoped the kits will go some way in preventing the “tragic loss of life” on the streets.

Whilst installed as part of the police’s work to tackle the loss of life from knife crime, these kits can help anyone suffering a traumatic bleed, whether it’s a road traffic collision, fall, or other traumatic injury

They include scissors, dressings and gauze, gloves and an instruction guide.

Dr Michael Marsh

NHS, South West Medical Director

“NHS ambulance crews and trauma teams do a great job when confronted with a patient who’s losing a lot of blood, but we wanted to go further in those crucial minutes when an ambulance was still on its way. That’s why we’re so pleased to fund bleed kits, so the police and community partners can get them to the right places to save lives – many of them young”

Mike Vass

Avon and Somerset Police, Chief Inspector

“We know we cannot police our way out of serious violence, it has to be a partnership approach.

Not just between us and our partners in health and social care, but also with members of our communities who can play a key part in helping us.

We employ a number of different tactics to deal with knife crime and prevent it at the source but in the unfortunate event that a person is seriously injured, we hope that these kits will go some way to preventing tragic loss of life.”

Avon-and-Somerset-Police-Simplified-Crest_Mono

AACE

Association of Ambulance Chief Executives

“There are a range of bleed kits available to purchase and NHS ambulance services do not endorse any specific bleed kit or products. AACE strongly recommends that all first aid and emergency equipment is easily and readily available and should be stored / kept in unlocked cabinets.”

AACE-LOGO

Clive Setter

HeartSafe

“I am pleased to announce another public safety initiative for HeartSafe, now partnering with Avon and Somerset Police assisting people suffering major blood loss wounds to receive immediate help from members of the community around them. The bleed kits will provide some initial emergency aid to those in need before an ambulance arrives at the incident and will help to avoid a potentially tragic outcome.”

Heartsafe-Logo

We have options in regard to location placements – some of which I would look to as priorities are data led hotspots for serious violence, requested sites from Violence reduction partnership data and community requested sites.

 

Between Clive and myself we have the ability to install locations swiftly following the identification of sites.

I also have staff that can if needed seek building owner permissions to conduct the installs.

The Police and Heartsafe then commit to the long term maintenance and running of the sites – replacing used kits, repairing damage etc.

We also add the locations to our local Policing patrol plans so that they are checked periodically.

 

We are approaching 200 sites across the South West – my drive is to reach 500 by the end of this year.

If you look at our map it looks great but in reality to offer the best possible provision and protection to the public we need far greater number out there!

 

So great things are in motion but we need that support to continue this going forward.

Avon and Somerset Police joined up with HeartSafe and NHS England South West to install over 100 bleed kits across their force area and raise awareness.

Alongside the kits going out we have started the consultation of community training with the NHS.

In relation to this I have copied in a response that I provided to a strategic partner this morning below:

 

In conjunction with the A&S/Heartsafe partnership which provides 24hr unrestricted public access bleed kits (currently approaching 200 locations), we have also funded and allocated numerous advanced kits to all SIA accredited NTE staff in Bristol and Bath with collaboration from local authorities.

They have all been trained in the deployment and use of this equipment.

 

The charity Rapaid are also introducing basic bleed kits to 40 taxis specifically in Bristol city centre.

In development currently – I have collaborated with the head of EMD training for NHS South West. They are building a session that will deliver a training product that focusses on how someone calls into ambulance control, what they will be asked and how best to deploy a bleed kit. This training does not exist currently anywhere and is vital to maximise life saving opportunities as many untrained members of the public panic in moments of crisis.

So the final product will cover this and then how to use a bleed kit and deliver that aid to a patient whilst waiting for an ambulance.

It will be free to all and delivered via their network of 300 volunteers which are provided via charities.

 

There are motivated members of community that deliver bleed kit training in isolation in numerous locations around the country. These sessions are not endorsed or approved by the British medical association, NHS or ambulance service and are often with kits supplied by large multinational PPE supply companies which are profit organisations.

Community members that perform such sessions do so with all the right intentions and I admire their drive and motivation – we just need to be very cautious as to what we support with them.

 

The training session being produced with the NHS is done so by professionals and is backed up with appropriate resources and kit for the intended users.

My intention when ready is to offer this out to all communities, local authorities and education across the entire Avon and Somerset area.

Supported by Avon and Somerset Police
Avon-and-Somerset-Police-Simplified-Crest_Mono