NHS: Abuse and Crimes of Violence

Department of Health and Social Care written question – answered at on 16 October 2023.

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Photo of Colleen Fletcher Colleen Fletcher Opposition Whip (Commons)

To ask the Secretary of State for Health and Social Care, what assessment he has made of trends in the level of (a) verbal abuse and (b) physical attacks experienced by NHS staff in (i) Coventry, (ii) the West Midlands and (iii) England in each of the last three years; and what steps his Department is taking to protect NHS staff in those areas from such abuse.

Photo of Will Quince Will Quince Minister of State (Department of Health and Social Care)

We do not currently have a national mechanism to capture and report incidents of violence and aggression in the National Health Service, as data is held at a local level.

The NHS Staff Survey does ask questions relating to incidences of violence, harassment, and abuse. The 2022 NHS Staff Survey indicated that 14.7% of NHS staff have self-reported that they had experienced at least one incident of physical violence from patients, service users, relatives, or other members of the public in the last 12 months. In addition, 27.8% of NHS staff who completed the survey experience at least one incident of harassment, bullying or abuse in the last 12 months from patients/service users, their relatives, or members of the public. This figure is broadly consistent across previous years. Data extracted from the Staff Survey is provided below for England, Coventry and the West Midlands.

The following table shows the extracted data from the Staff Survey for England, Coventry and the West Midlands relating to Question 13a (‘In the last 12 months how many times have you personally experienced physical violence at work from: Patients / service users, their relatives or other members of the public?):

2020

2021

2022

England

14.8%

14.4%

14.7%

Coventry

University Hospitals Coventry and Warwickshire NHS Trust

13.9%

15.3%

15.0%

West Midlands

Birmingham and Solihull Mental Health NHS Foundation Trust

21.6%

18.6%

20.3%

Birmingham Community Healthcare NHS Foundation Trust

9.2%

9.7%

11.1%

Birmingham Women's and Children's NHS Foundation Trust

8.4%

6.4%

7.8%

Black Country Healthcare NHS Foundation Trust

16.2%

14.1%

14.3%

Coventry and Warwickshire Partnership NHS Trust

15.0%

14.3%

14.5%

Dudley Group NHS Foundation Trust

14.8%

14.2%

12.7%

Dudley Integrated Health and Care NHS Trust

-

0.0%

2.7%

George Eliot Hospital NHS Trust

15.2%

13.6%

15.0%

Herefordshire and Worcestershire Health and Care NHS Trust

13.4%

11.9%

11.6%

Midlands Partnership NHS Foundation Trust

10.5%

9.9%

9.5%

North Staffordshire Combined Healthcare NHS Trust

17.3%

19.0%

20.0%

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust

5.8%

4.6%

6.0%

Royal Orthopaedic Hospital NHS Foundation Trust

3.4%

4.8%

7.4%

Royal Wolverhampton NHS Trust

11.6%

12.4%

10.9%

Sandwell and West Birmingham Hospitals NHS Trust

12.0%

12.9%

13.8%

Shrewsbury and Telford Hospital NHS Trust

13.0%

14.1%

14.1%

Shropshire Community Health NHS Trust

7.8%

6.8%

8.4%

South Warwickshire NHS Foundation Trust

10.1%

11.3%

12.2%

University Hospitals Birmingham NHS Foundation Trust

14.3%

13.8%

12.9%

University Hospitals Coventry and Warwickshire NHS Trust

13.9%

15.3%

15.0%

University Hospitals of North Midlands NHS Trust

16.9%

14.3%

16.4%

Walsall Healthcare NHS Trust

12.2%

14.3%

14.6%

West Midlands Ambulance Service University NHS Foundation Trust

36.3%

37.4%

35.1%

Worcestershire Acute Hospitals NHS Trust

12.6%

13.4%

12.3%

Wye Valley NHS Trust

13.4%

14.4%

11.9%

The following table shows the extracted data from the Staff Survey for England, Coventry and the West Midlands relating to Question 14a (‘In the last 12 months how many times have you personally experienced harassment, bullying or abuse at work from patients/service users, their relatives or other members of the public?’):

2020

2021

2022

England

27.0%

27.7%

27.8%

Coventry

University Hospitals Coventry and Warwickshire NHS Trust

27.4%

29.8%

29.4%

West Midlands

Birmingham and Solihull Mental Health NHS Foundation Trust

20.0%

15.5%

17.3%

Birmingham Community Healthcare NHS Foundation Trust

22.7%

23.9%

25.7%

Birmingham Women's and Children's NHS Foundation Trust

24.0%

24.7%

23.6%

Black Country Healthcare NHS Foundation Trust

27.0%

26.1%

26.3%

Coventry and Warwickshire Partnership NHS Trust

22.9%

26.0%

23.8%

Dudley Group NHS Foundation Trust

26.1%

25.6%

24.8%

Dudley Integrated Health and Care NHS Trust

-

20.0%

23.9%

George Eliot Hospital NHS Trust

26.6%

26.7%

28.1%

Herefordshire and Worcestershire Health and Care NHS Trust

26.6%

26.2%

27.6%

Midlands Partnership NHS Foundation Trust

23.5%

21.9%

21.1%

North Staffordshire Combined Healthcare NHS Trust

26.5%

28.6%

25.7%

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust

14.9%

18.0%

16.4%

Royal Orthopaedic Hospital NHS Foundation Trust

15.0%

18.8%

19.5%

Royal Wolverhampton NHS Trust

26.7%

25.9%

25.9%

Sandwell and West Birmingham Hospitals NHS Trust

28.7%

29.6%

29.8%

Shrewsbury and Telford Hospital NHS Trust

26.2%

29.5%

27.6%

Shropshire Community Health NHS Trust

19.1%

19.8%

21.1%

South Warwickshire NHS Foundation Trust

25.1%

28.1%

25.5%

University Hospitals Birmingham NHS Foundation Trust

25.2%

25.0%

26.2%

University Hospitals Coventry and Warwickshire NHS Trust

27.4%

29.8%

29.4%

University Hospitals of North Midlands NHS Trust

24.6%

25.8%

29.4%

Walsall Healthcare NHS Trust

30.0%

29.7%

27.3%

West Midlands Ambulance Service University NHS Foundation Trust

48.2%

50.6%

49.0%

Worcestershire Acute Hospitals NHS Trust

25.6%

28.0%

25.2%

Wye Valley NHS Trust

29.1%

28.3%

31.0%

NHS England has commissioned several data insight workstreams to better understand the current landscape of statistics, data reporting and associated challenges. This includes a national review of all available data and intelligence sources and an analysis of the costs of violence to the health care system in England and a review of the impact on the safety and wellbeing of NHS staff.

Tackling violence against NHS staff is largely an employer led issue, with NHS organisations responsible for putting in place their own policies and procedures to support staff, giving them access to appropriate training and making appropriate arrangements for security.

NHS England established a NHS Violence Reduction Programme in 2019, which aims to prevent and reduce violence and aggression from patients, their families and the public, and mitigate the effects of violence and abuse on NHS staff.

In 2022, the Government legislated through the Police, Crime, Sentencing and Courts Act to double the sentence for assaults on emergency workers to a maximum of two years.

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