The 2021 NHS Staff Survey found that:
- Almost one in seven (14.3 per cent) of all staff responding to the survey said they had experienced at least one incident of physical violence from patients, service users, their relatives or other members of the public in the last 12 months.
- Staff within ambulance trusts continue to report the highest levels of violence.
- On average, 27.5 per cent of staff responding to the survey experienced at least one incident of harassment, bullying or abuse from patients, service users, their relatives or other members of the public in the last 12 months. This represents a slight increase relative to levels reported in 2020 (26.8 per cent) but remains lower than levels in 2018/2019 (28.7 per cent).
- There has been a slight decline in reporting of violence overall at work, with 71.4 per cent of staff surveyed reporting violence in 2021 compared to 72.2 per cent in 2020.
The SPF set up the Violence Reduction Subgroup in 2019 to help prevent and reduce violence to our NHS people, creating a culture of safety to ensure our people are supported, safe and secure at work.
Violence Prevention and Reduction Standard & Guidance notes
In January 2021, NHSE published the national Violence Prevention and Reduction Standard, which complements existing health and safety legislation.
Employers (including NHS employers) have a general duty of care to protect staff from threats and violence at work. The Standard delivers a risk-based framework that supports a safe and secure working environment for NHS staff, safeguarding them against abuse, aggression, and violence.
The Standard was developed in partnership with the national SPF. It was endorsed by the SPF on 15 December 2020.
You can read the NHS Violence Prevention and Reduction Standard on NHSE’s website.
Guidance notes to be used in conjunction with the NHS Violence Prevention and Reduction Standard to support implementation were published in June 2022 on NHSE's website.
Following the enactment of the Assaults on Emergency Workers (Offences) Act 2018 on 13 November 2018 the Crown Prosecution Service (CPS) led the development of a Joint Agreement. The Joint Agreement on Offences Against Emergency Workers was published in January 2020. NHSEI represented the NHS in collaboration with stakeholders. The Joint Agreement provides a framework to ensure more effective investigations and prosecution of cases, where emergency workers are the victim of a crime, particularly in applying the provisions of the 2018 Act, and sets out the standards which victims of these crimes can expect. Equally it underpins the provisions outlined within the 2018 Act.
The definition of an emergency worker in the 2018 Act, goes beyond specific titles and jobs, and extends to persons whose roles brings them within the definition, for the NHS this is:
- A person employed for the purposes of providing or engaged to provide NHS health services – and whose general activities in doing so involve face to face interaction with (i) individuals receiving the services or (ii) with other members of the public.
- A person employed for the purposes of providing or engaged to provide services in the support of the provision of NHS health services – and whose general activities in doing so involve face to face interaction with (i) individuals receiving the services or (ii) with other members of the public.
For localised support, any member of NHS staff who are the victim of a crime, should contact their accredited security management specialist or violence reduction lead.
- Guidance for employers and employees to stay safe at work - Suzy's charter for workplace safety
- The increase in violence against healthcare and emergency service workers - Capsticks article, November 2019
- Improving safety for lone workers - a guide for managers, February 2018
- Reviewing the evidence base for de-escalation training: a rapid evidence assessment - RAND Corporation
- Workplace violence in the health sector - World Health Organization
- 10 lessons for reducing violence and aggression in A&E - Design Council
- Violence against NHS staff - Health Service Journal article, April 2018
- Safeguarding NHS staff from violent and aggressive patients - National Institute for Health and Care Excellence
- Managing risks and risk assessment at work - Health and Safety Executive
- Violence in health and social care - Health and Safety Executive
- Reducing harm from violence - East London NHS Foundation Trust
- Assaults on Emergency Workers (Offences) Act 2018