As a Trust we currently have a team of 17 qualified DMI trainers with a dedicated team of Senior Trainers delivering external training on behalf of the Trust. Our senior trainers are involved in policy setting around physical intervention training on a regional and national level. All of our trainers take part in an annual continuous professional development programme as well as being members of the Institute of Conflict Management.

Gary FirkinsGary Firkins - DMI Service Lead and Senior Trainer

Gary Firkins had a background in customer service and management prior to becoming a Registered Mental Nurse (RMN) and has 35 years’ experience as a trainer. Currently based at Midlands Partnership NHS Foundation Trust, Gary developed an in-house training model for the person centred management of behaviour that challenges services called De-escalation, Management and Intervention (DMI©).

Gary’s training career began whilst working in the retail industry where he developed customer care training for a large grocery chain that was delivered nationwide. From there Gary moved into the NHS and he runs the training team that delivers a wide range of conflict resolution and management training to the Trust’s 8,500 staff and also externally in the Health and Social Care sector.

Gary's experience is often sought nationally and he was part of a DoH Positive Behaviour Support and Physical Interventions (PBSPI) Expert Reference group as well as other stakeholder groups and panels including the Skills for Care commissioning standards project group for PBS and restrictive practices and the Independent Advisory Panel on Deaths in Custody stakeholder group.

Read Gary's full profile.

Bryan MalpasBryan Malpas - Senior DMI Trainer

Qualified Registered Mental Nurse with 19 years’ experience in Healthcare. Trainer in the management of Violent and Aggressive behaviour since 2007 including advice around Communication and Positive Behavioural Support (PBS),  care planning, risk assessment, legal and ethical issues, Mental capacity act, Dols, MHA, BLS and anaphylaxis, Rapid tranquilisation, the use of mechanical restraint (Handcuffs) and clinical holding for various healthcare settings.


Jim Walpole - Senior DMI TrainerJim Walpole

Jim is a Clinical Nurse Specialist with over 30 years of experience in nursing. Currently working as a DMI trainer. This requires me to maintain my position as a DMI trainer by attending all relevant DMI instructor training days provided by the Midlands Partnership NHS Foundation Trust, Updating relevant teaching qualifications as designated for all DMI instructors, providing evidence of an up to date portfolio and attending on-going clinical /professional supervision provided by the trust through the DMI training program.

Jane Wilkes - DMI TrainerJane Wilkes - Senior DMI Trainer

In 2006 I completed the Violence and aggression Level 1 trainers course, and since this time until February 2019 I have taught within South Staffordshire and Shropshire NHS Foundation Trust / Midlands Partnership Foundation Trust. In February 2019, I became a full time DMI Trainer for MPFT.

Current role:

  • Teaching DMI 5 day initial course for newly recruited ward staff
  • Teaching 2 day refresher DMI updates to nursing staff
  • Supporting the DMI Link workers attached to each inpatient ward
  • Delivery of specialist 2 day courses and updates-clinical holding
  • Train the Trainer delivery.

Alistair RomeiAlistair Romei

A keen flexible and innovated practitioner who is able to utilise inter-personal skills effectively to relate to team members, individuals with care needs and the needs of the carers. A knowledgeable, supportive and understanding approach to sustain or improve the quality of professional relationships. A high level of organisational managerial abilities that promotes autonomy and self-empowerment. The ability to incorporate reflective practice and make adaptive change in my working style.

Our Trainers Contact Details

Jan James, DMI Operational & Commercial Development Manager

Phone numbers, fax and email


DMI Team,
Midlands Partnership NHS Foundation Trust,
St. George's Hospital,
Corporation Street,
ST16 3SR