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<p>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.</p><p> </p><p>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.</p><p> </p><p>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?):</p><table><tbody><tr><td><p> </p></td><td><p>2020</p></td><td><p>2021</p></td><td><p>2022</p></td></tr><tr><td><p>England</p></td><td><p>14.8%</p></td><td><p>14.4%</p></td><td><p>14.7%</p></td></tr><tr><td><p>
</p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Coventry</p></td><td><p>
</p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>University Hospitals Coventry
and Warwickshire NHS Trust</p></td><td><p>13.9%</p></td><td><p>15.3%</p></td><td><p>15.0%</p></td></tr><tr><td><p>
</p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>West Midlands</p></td><td><p>
</p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Birmingham and Solihull
Mental Health NHS Foundation Trust</p></td><td><p>21.6%</p></td><td><p>18.6%</p></td><td><p>20.3%</p></td></tr><tr><td><p>Birmingham
Community Healthcare NHS Foundation Trust</p></td><td><p>9.2%</p></td><td><p>9.7%</p></td><td><p>11.1%</p></td></tr><tr><td><p>Birmingham
Women's and Children's NHS Foundation Trust</p></td><td><p>8.4%</p></td><td><p>6.4%</p></td><td><p>7.8%</p></td></tr><tr><td><p>Black
Country Healthcare NHS Foundation Trust</p></td><td><p>16.2%</p></td><td><p>14.1%</p></td><td><p>14.3%</p></td></tr><tr><td><p>Coventry
and Warwickshire Partnership NHS Trust</p></td><td><p>15.0%</p></td><td><p>14.3%</p></td><td><p>14.5%</p></td></tr><tr><td><p>Dudley
Group NHS Foundation Trust</p></td><td><p>14.8%</p></td><td><p>14.2%</p></td><td><p>12.7%</p></td></tr><tr><td><p>Dudley
Integrated Health and Care NHS Trust</p></td><td><p>-</p></td><td><p>0.0%</p></td><td><p>2.7%</p></td></tr><tr><td><p>George
Eliot Hospital NHS Trust</p></td><td><p>15.2%</p></td><td><p>13.6%</p></td><td><p>15.0%</p></td></tr><tr><td><p>Herefordshire
and Worcestershire Health and Care NHS Trust</p></td><td><p>13.4%</p></td><td><p>11.9%</p></td><td><p>11.6%</p></td></tr><tr><td><p>Midlands
Partnership NHS Foundation Trust</p></td><td><p>10.5%</p></td><td><p>9.9%</p></td><td><p>9.5%</p></td></tr><tr><td><p>North
Staffordshire Combined Healthcare NHS Trust</p></td><td><p>17.3%</p></td><td><p>19.0%</p></td><td><p>20.0%</p></td></tr><tr><td><p>Robert
Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust</p></td><td><p>5.8%</p></td><td><p>4.6%</p></td><td><p>6.0%</p></td></tr><tr><td><p>Royal
Orthopaedic Hospital NHS Foundation Trust</p></td><td><p>3.4%</p></td><td><p>4.8%</p></td><td><p>7.4%</p></td></tr><tr><td><p>Royal
Wolverhampton NHS Trust</p></td><td><p>11.6%</p></td><td><p>12.4%</p></td><td><p>10.9%</p></td></tr><tr><td><p>Sandwell
and West Birmingham Hospitals NHS Trust</p></td><td><p>12.0%</p></td><td><p>12.9%</p></td><td><p>13.8%</p></td></tr><tr><td><p>Shrewsbury
and Telford Hospital NHS Trust</p></td><td><p>13.0%</p></td><td><p>14.1%</p></td><td><p>14.1%</p></td></tr><tr><td><p>Shropshire
Community Health NHS Trust</p></td><td><p>7.8%</p></td><td><p>6.8%</p></td><td><p>8.4%</p></td></tr><tr><td><p>South
Warwickshire NHS Foundation Trust</p></td><td><p>10.1%</p></td><td><p>11.3%</p></td><td><p>12.2%</p></td></tr><tr><td><p>University
Hospitals Birmingham NHS Foundation Trust</p></td><td><p>14.3%</p></td><td><p>13.8%</p></td><td><p>12.9%</p></td></tr><tr><td><p>University
Hospitals Coventry and Warwickshire NHS Trust</p></td><td><p>13.9%</p></td><td><p>15.3%</p></td><td><p>15.0%</p></td></tr><tr><td><p>University
Hospitals of North Midlands NHS Trust</p></td><td><p>16.9%</p></td><td><p>14.3%</p></td><td><p>16.4%</p></td></tr><tr><td><p>Walsall
Healthcare NHS Trust</p></td><td><p>12.2%</p></td><td><p>14.3%</p></td><td><p>14.6%</p></td></tr><tr><td><p>West
Midlands Ambulance Service University NHS Foundation Trust</p></td><td><p>36.3%</p></td><td><p>37.4%</p></td><td><p>35.1%</p></td></tr><tr><td><p>Worcestershire
Acute Hospitals NHS Trust</p></td><td><p>12.6%</p></td><td><p>13.4%</p></td><td><p>12.3%</p></td></tr><tr><td><p>Wye
Valley NHS Trust</p></td><td><p>13.4%</p></td><td><p>14.4%</p></td><td><p>11.9%</p></td></tr></tbody></table><p>
</p><p>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?’):</p><table><tbody><tr><td><p>
</p></td><td><p>2020</p></td><td><p>2021</p></td><td><p>2022</p></td></tr><tr><td><p>England</p></td><td><p>27.0%</p></td><td><p>27.7%</p></td><td><p>27.8%</p></td></tr><tr><td><p>
</p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Coventry</p></td><td><p>
</p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>University Hospitals Coventry
and Warwickshire NHS Trust</p></td><td><p>27.4%</p></td><td><p>29.8%</p></td><td><p>29.4%</p></td></tr><tr><td><p>
</p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>West Midlands</p></td><td><p>
</p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Birmingham and Solihull
Mental Health NHS Foundation Trust</p></td><td><p>20.0%</p></td><td><p>15.5%</p></td><td><p>17.3%</p></td></tr><tr><td><p>Birmingham
Community Healthcare NHS Foundation Trust</p></td><td><p>22.7%</p></td><td><p>23.9%</p></td><td><p>25.7%</p></td></tr><tr><td><p>Birmingham
Women's and Children's NHS Foundation Trust</p></td><td><p>24.0%</p></td><td><p>24.7%</p></td><td><p>23.6%</p></td></tr><tr><td><p>Black
Country Healthcare NHS Foundation Trust</p></td><td><p>27.0%</p></td><td><p>26.1%</p></td><td><p>26.3%</p></td></tr><tr><td><p>Coventry
and Warwickshire Partnership NHS Trust</p></td><td><p>22.9%</p></td><td><p>26.0%</p></td><td><p>23.8%</p></td></tr><tr><td><p>Dudley
Group NHS Foundation Trust</p></td><td><p>26.1%</p></td><td><p>25.6%</p></td><td><p>24.8%</p></td></tr><tr><td><p>Dudley
Integrated Health and Care NHS Trust</p></td><td><p>-</p></td><td><p>20.0%</p></td><td><p>23.9%</p></td></tr><tr><td><p>George
Eliot Hospital NHS Trust</p></td><td><p>26.6%</p></td><td><p>26.7%</p></td><td><p>28.1%</p></td></tr><tr><td><p>Herefordshire
and Worcestershire Health and Care NHS Trust</p></td><td><p>26.6%</p></td><td><p>26.2%</p></td><td><p>27.6%</p></td></tr><tr><td><p>Midlands
Partnership NHS Foundation Trust</p></td><td><p>23.5%</p></td><td><p>21.9%</p></td><td><p>21.1%</p></td></tr><tr><td><p>North
Staffordshire Combined Healthcare NHS Trust</p></td><td><p>26.5%</p></td><td><p>28.6%</p></td><td><p>25.7%</p></td></tr><tr><td><p>Robert
Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust</p></td><td><p>14.9%</p></td><td><p>18.0%</p></td><td><p>16.4%</p></td></tr><tr><td><p>Royal
Orthopaedic Hospital NHS Foundation Trust</p></td><td><p>15.0%</p></td><td><p>18.8%</p></td><td><p>19.5%</p></td></tr><tr><td><p>Royal
Wolverhampton NHS Trust</p></td><td><p>26.7%</p></td><td><p>25.9%</p></td><td><p>25.9%</p></td></tr><tr><td><p>Sandwell
and West Birmingham Hospitals NHS Trust</p></td><td><p>28.7%</p></td><td><p>29.6%</p></td><td><p>29.8%</p></td></tr><tr><td><p>Shrewsbury
and Telford Hospital NHS Trust</p></td><td><p>26.2%</p></td><td><p>29.5%</p></td><td><p>27.6%</p></td></tr><tr><td><p>Shropshire
Community Health NHS Trust</p></td><td><p>19.1%</p></td><td><p>19.8%</p></td><td><p>21.1%</p></td></tr><tr><td><p>South
Warwickshire NHS Foundation Trust</p></td><td><p>25.1%</p></td><td><p>28.1%</p></td><td><p>25.5%</p></td></tr><tr><td><p>University
Hospitals Birmingham NHS Foundation Trust</p></td><td><p>25.2%</p></td><td><p>25.0%</p></td><td><p>26.2%</p></td></tr><tr><td><p>University
Hospitals Coventry and Warwickshire NHS Trust</p></td><td><p>27.4%</p></td><td><p>29.8%</p></td><td><p>29.4%</p></td></tr><tr><td><p>University
Hospitals of North Midlands NHS Trust</p></td><td><p>24.6%</p></td><td><p>25.8%</p></td><td><p>29.4%</p></td></tr><tr><td><p>Walsall
Healthcare NHS Trust</p></td><td><p>30.0%</p></td><td><p>29.7%</p></td><td><p>27.3%</p></td></tr><tr><td><p>West
Midlands Ambulance Service University NHS Foundation Trust</p></td><td><p>48.2%</p></td><td><p>50.6%</p></td><td><p>49.0%</p></td></tr><tr><td><p>Worcestershire
Acute Hospitals NHS Trust</p></td><td><p>25.6%</p></td><td><p>28.0%</p></td><td><p>25.2%</p></td></tr><tr><td><p>Wye
Valley NHS Trust</p></td><td><p>29.1%</p></td><td><p>28.3%</p></td><td><p>31.0%</p></td></tr></tbody></table><p>
</p><p>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.</p><p>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.</p><p>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.</p><p>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.</p>
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