PAVA is an advanced incapacitant spray. Its use is limited to serious incidents such as hostage taking. Its use may only be authorised by the Gold Commander managing the incident and only specially trained national control and restraint staff may use it. Only those who are specifically trained in its use are authorised to use it. In general it will not be authorised if:
dealing with prisoners at height (because of the risk of injury/falling);
dealing with juvenile prisoners and other prisoners held in juvenile units or secure training centres;
there is reason to believe the intended target has/could develop breathing difficulties following the use of PAVA (e.g. if asthmatic);
a member of healthcare staff is not available on site at the incident to give medical care to any affected by the spray; and
the incident takes place in a privately run prison or immigration removal centres
Exceptions may be made if lives are in danger. Department of Health approval was sought for its use and it has no long term medical effects.