Emergency Services Trauma Intervention Programme (ESTIP) is a programme of care developed by Oscar Kilo – the National Police Wellbeing Service in consultation with trauma experts and specialists with support from Public Health England.

On this page you will find a selection of frequently asked questions around ESTIP and how it works. If you need any further information please get in touch by emailing contact@oscarkilo.org.uk.


Why is ESTIP different to my current model? 

ESTIP has been developed by bringing together the best supported common elements of existing early trauma intervention models. Existing widely used early trauma interventions share many similarities and common features, and as such, ESTIP is also very similar to existing models including TRIM. Like other models, ESTIP involves a tiered programme of peer-led escalating support, structured meetings providing an opportunity to discuss the facts and reactions to the incident, education about traumatic stress, and follow-ups to monitor recovery.

One key difference between ESTIP and TRIM, is the greater level of clinical oversight and involvement of OH in ESTIP. Whereas only peer supporters deliver TRIM interventions, the highest level of ESTIP intervention (ESTIM) can involve trained OH alongside peer supporters.

Why should I adopt this?

In the emergency services, exposure to potentially traumatic events are routine experiences for personnel, which may negatively impact their long-term wellbeing, particularly where inadequate support is available. ESTIP has been designed to specifically to address the trauma support needs of the emergency services, and reflects current understanding of best practice in early trauma interventions.

What is the process to adopting this in my force?

ESTIP is a force led programme and senior leaders will make decisions. Forces will contact the National Police Wellbeing Service to register their interest.

What is the cost?

Training in ESTIP is provided free of charge by the NPWS, however the model requires a dedicated Coordinator

Does it work?

After completing ESTIP training Thames Valley Police used the programme following a fatal road traffic collision.

After attending a fatal road traffic collision involving a mother and three children, the officers involved participated in a demobilizing, conducted by their line manager, before they went off duty. 

A group defusing was planned for a few days later involving officers from the response team, traffic and collision investigation.  Everyone who attended completed a personal risk assessment and had the chance to discuss how they felt. As a result several individual ESTIM’s were conducted, coordinated by the Welfare Officer and Response Line Manager.

ESTIP provided a structure to the process of dealing with the trauma following this terrible collision, it helped to identify varying levels of support for those involved.  ESTIP also created the opportunity to bring together those involved and help share the difficult emotions of this tragic incident.

How does this link in with the other live services such as Peer Support and Psychological Risk Management?

Peer Support is the foundation on which ESTIP is based. Trained Peer Supporters are eligible to undertake our ESTIP training courses.

Psychological Risk Management is the next step for individuals who are showing signs of trauma after the ESTIM intervention and after a follow-up.  They can be invited to undertake a Psychological Screen to establish what further intervention may be required to support them.

For Clinicians

What is the impact on our service / referrals / involvement?

Forces who adopt ESTIP will be required to appoint an ESTIP Co-Ordinator who will have responsibility for administering and coordinating the provision of defusing and/or ESTIM sessions following a major incident. An ESTIM Clinical Lead will also be appointed, they will have responsibility for the clinical governance of the programme for your force.

ESTIMs will require OH staff to deliver interventions alongside peer supporters.

One of the goals of ESTIP is to help identify individuals who may require further intervention or support. Accordingly, some individuals may be referred to OH as a direct result of attending an ESTIP meeting. OH may also refer individuals to external services where appropriate.

What is the impact on Occupational Health, clinician roles and demand?

Demand for ESTIP interventions will depend on the level of traumatic incidents that occur. OH and clinician involvement in administering and delivering ESTIP interventions will only be required following major incidents, or when an individual has been significantly impacted by a traumatic event.

What if we use an EAP – process?

EAPs may be used as a signposting resource.

How does this link with OH Standards, psychological risk assessments and psychiatric assessments?

Occupational Health standards provide forces with a base line guide of services, one of which is to provide psychological monitoring.  A psychological monitoring assessment may be required following an ESTIM, the outcome of this assessment may identify the need for a structured interview or psychological assessment, the force ought to be able to facilitate this either internally or externally.

Do I need to undertake further training?

In order to continue to facilitate you must carry out three ESTIM’s a year otherwise you must return to us to retake the course. 

For Chief Officers

What support are you providing to my force to adopt?

The NPWS will provide guidance and training free of charge for forces who adopt ESTIP.

This will support the workforce to manage and deal with the aftermath of continuous exposure to traumatic incidents.