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Responses > Violence and Aggression Towards NHS Staff

Freedom of Information request Violence and Aggression Towards NHS Staff

Response published: 25 September 2025

FOI Request

Dear Freedom of Information Officer, Under the Freedom of Information Act 2000 I hereby request the information set out from your Trust. I am conducting research into the prevalence of violence and aggression (V&A) towards all levels of NHS staff and researching the increase since the COVID-19 pandemic. Please provide the information for the time periods specified unless otherwise stated. Definition / scope: For clarity, by “violence and aggression” I mean incidents reported as directed against staff (including physical assault, verbal threats/abuse, threatening behaviour, sexual assault, hate incidents, antisocial behaviour, security etc.). Please include incidents occurring across all NHS-funded services delivered by the Trust (acute, ambulance, mental health, community, etc.). If any item cannot be provided for legal, commercial, or personal data reasons, please state the exemption relied upon. Information requested (please number responses to match) 1 - Incident / risk management system a. Which integrated incident/risk management system does the Trust currently use (e.g. Datix, Ulysses, Radar, InPhase, other)? Please give the product name and vendor. b. If more than one system is used by different services (e.g. mental health vs acute), list each system and which services use it. 2 - Violence prevention lead / security manager a. Who is the Trust’s designated Violence Prevention Lead and/or Security Manager? Please supply name and job title. b. If the Trust does not have a designated single lead, please state the department or team responsible. 3 - Contact email a. Please provide the official work email address for the person named in (2) or the generic team email for the role (e.g. security@trust.nhs.uk). b. If personal data prevents disclosure of an individual’s email address, please provide an appropriate alternative contact (team mailbox is preferable). 4 - Reporting categories a. Within your incident reporting system, what exact subcategories are used under the main “violence and aggression” (V&A) category? Please give the verbatim list of subcategory labels used (for example: “Verbal abuse”, “Physical assault”, “Threatening behaviour”, “Sexual assault”, “Hate incident”, etc.). b. If categories changed during the period below, provide the date(s) of change and both old and new category lists. 5 - Total incidents — quarterly counts For the following periods, provide the total number of reported V&A incidents against staff for each quarter (broken down by quarter). Use financial-quarter ordering where Q1 = Apr–Jun, Q2 = Jul–Sep, Q3 = Oct–Dec, Q4 = Jan–Mar. Periods required: Financial year 2020/21 (Apr 1, 2020 – Mar 31, 2021) — give counts for each quarter. Financial year 2021/22 (Apr 1, 2021 – Mar 31, 2022) — give counts for each quarter. Financial year 2022/23 (Apr 1, 2022 – Mar 31, 2023) — give counts for each quarter. Financial year 2023/24 (Apr 1, 2023 – Mar 31, 2024) — give counts for each quarter. Financial year 2024/25 (Apr 1, 2024 – Mar 31, 2025) — give counts for each quarter. Quarter 1 2025/26 (Apr 1, 2025 – Jun 30, 2025) — give count for this quarter. Possible suggested Table for (5) 2020/21 Q1 Q2 Q3 Q4 2021/22 Q1 Q2 Q3 Q4 2022/23 Q1 Q2 Q3 Q4 2023/24 Q1 Q2 Q3 Q4 2024/25 Q1 Q2 Q3 Q4 2026-26 Q1 6 - Incident breakdown by subcategory — quarterly For the same periods as (5), provide the number of incidents by each subcategory listed in item (5) for each quarter (i.e., a table showing, for each quarter, counts for “Verbal abuse”, “Physical assault”, etc.). If exact subcategories differ between services, provide a crosswalk or note. I have included a sample table below, if additional columns are necessary, please include them: Subcategory 1 Subcategory 2 Subcategory 3 Subcategory 4 Subcategory 5 Subcategory 6 EG Physical Eg Verbal Eg Threatening EG Sexual Eg Hate EG Antisocial 2021/22 Q1 Q2 Q3 Q4 2022/23 Q1 Q2 Q3 Q4 2023/24 Q1 Q2 Q3 Q4 2024/25 Q1 Q2 Q3 Q4 2026-26 Q1 7 - Staffing numbers (total) a. What is the total current number of staff employed by the Trust? Please state whether this is headcount or Full-Time Equivalent (FTE) and give the date the figure applies to (e.g. headcount / FTE as at 31 March 2025 or as at date of FOI response). 8 - Operational / clinical staff numbers a. Of the total in (7), how many are clinical or front-line operational staff? Please define the metric used (headcount or FTE) and the date. 9 - Board minutes a. Please provide a copy of the most recent publicly available board meeting minutes (or relevant pages) in which violence, aggression, staff security incidents, or staff safety pertaining to violence and aggression were discussed. If these minutes are published online, please provide the link and the meeting date. Data format & delivery Please use the tables provided unless they are incompatible, in which case Preferred format: machine-readable (CSV or Excel). I am happy to receive multi-media response to account for the questions and then the data tables, Administrative / additional points If any element of this request is refused or withheld, please cite the specific FOIA exemption or data-protection reason and provide any available public-interest test explanation. I would be grateful for a response within 20 working days as required by the Act. If you need to clarify any part of this request or if any item is unclear, please contact me at the email address below. Thank you for your assistance. Please note I have sent this email from a personal email account from where I am doing this research in addition to my role with the Association of Ambulance Chief Executives as National Ambulance Violence Prevention Lead. Yours faithfully, Adam Hopper National Ambulance Violence Prevention & Reduction Operational Lead Association of Ambulance Chief Executives adam.a.hopper@outlook.com

FOI Response

Freedom of Information Request – Ref: GHC-29082025-293414

Thank you for your recent Freedom of Information request. Please find our response below.

You asked:

1 – Incident / risk management system

a. Which integrated incident/risk management system does the Trust currently use (e.g. Datix, Ulysses, Radar, InPhase, other)? Please give the product name and vendor?

b. If more than one system is used by different services (e.g. mental health vs acute), list each system and which services use it.

Our response:

Datix

You asked:

 2 – Violence prevention lead / security manager

a. Who is the Trust’s designated Violence Prevention Lead and/or Security Manager? Please supply name and job title.

b. If the Trust does not have a designated single lead, please state the department or team responsible.

Our response:

Security Team

You asked:

3 – Contact email

a. Please provide the official work email address for the person named in (2) or the generic team email for the role (e.g. security@trust.nhs.uk).

b. If personal data prevents disclosure of an individual’s email address, please provide an appropriate alternative contact (team mailbox is preferable).

Our response:

GHCComms@ghc.nhs.uk

You asked:

4 – Reporting categories

a. Within your incident reporting system, what exact subcategories are used under the main “violence and aggression” (V&A) category? Please give the verbatim list of subcategory labels used (for example: “Verbal abuse”, “Physical assault”, “Threatening behaviour”, “Sexual assault”, “Hate incident”, etc.).

b. If categories changed during the period below, provide the date(s) of change and both old and new category lists.

Our response:

  • Physical assault
  • Verbal assault
  • Attempted assault
  • Sexual
  • Racial
  • Antisocial

You asked:

5 – Total incidents — quarterly counts

For the following periods, provide the total number of reported V&A incidents against staff for each quarter (broken down by quarter). Use financial-quarter ordering where Q1 = Apr–Jun, Q2 = Jul–Sep, Q3 = Oct–Dec, Q4 = Jan–Mar. Periods required:

    • Financial year 2020/21 (Apr 1, 2020 – Mar 31, 2021) — give counts for each quarter.
    • Financial year 2021/22 (Apr 1, 2021 – Mar 31, 2022) — give counts for each quarter.
    • Financial year 2022/23 (Apr 1, 2022 – Mar 31, 2023) — give counts for each quarter.
    • Financial year 2023/24 (Apr 1, 2023 – Mar 31, 2024) — give counts for each quarter.
    • Financial year 2024/25 (Apr 1, 2024 – Mar 31, 2025) — give counts for each quarter.
    • Quarter 1 2025/26 (Apr 1, 2025 – Jun 30, 2025) — give count for this quarter.

Our response:

2020/21 Q1 385
Q2 377
Q3 271
Q4 292
2021/22 Q1  404
Q2  385
Q3  421
Q4  560
2022/23 Q1  552
Q2  509
Q3  500
Q4  412
2023/24 Q1  512
Q2  647
Q3  513
Q4  343
2024/25 Q1  425
Q2  570
Q3  510
Q4  444

 

You asked:

6 – Incident breakdown by subcategory — quarterly

For the same periods as (5), provide the number of incidents by each subcategory listed in item (5) for each quarter (i.e., a table showing, for each quarter, counts for “Verbal abuse”, “Physical assault”, etc.). If exact subcategories differ between services, provide a crosswalk or note. I have included a sample table below, if additional columns are necessary, please include them:

Our response:

Subcategory 1 Subcategory 2 Subcategory 3 Subcategory 4 Subcategory 5 Subcategory 6
Physical Assault Verbal Assault Attempt assault Sexual Racial Antisocial
2020/21 Q1 282 83 86 6 9 n/r
Q2 290 64 42 4 9 n/r
Q3 192 51 38 2 14 n/r
Q4 203 73 36 7 7 n/r
2021/22 Q1 249 69 58 2 6 n/r
Q2 202 56 60 5 6 n/r
Q3 230 105 45 8 15 n/r
Q4 310 105 107 11 16 n/r
2022/23 Q1 311 100 83 23 25 n/r
Q2 310 79 80 20 21 n/r
Q3 278 122 68 18 13 n/r
Q4 230 91 57 12 13 n/r
2023/24 Q1 287 87 94 9 14 n/r
Q2 348 108 138 13 22 n/r
Q3 266 126 63 14 34 n/r
Q4 144 108 48 23 18 n/r
2024/25 Q1 211 93 60 19 31 n/r
Q2 267 152 78 13 46 n/r
Q3 268 122 61 16 40 n/r
Q4 206 112 57 13 36 n/r
2025/26 Q1 250 145 65 8 45 n/r

You asked:

7 – Staffing numbers (total)

a. What is the total current number of staff employed by the Trust? Please state whether this is headcount or Full-Time Equivalent (FTE) and give the date the figure applies to (e.g. headcount / FTE as at 31 March 2025 or as at date of FOI response).

Our response:

5060 headcount as at 25 September 2025

You asked:

8 – Operational / clinical staff numbers

a. Of the total in (7), how many are clinical or front-line operational staff? Please define the metric used (headcount or FTE) and the date.

Our response:

Frontline Healthcare Worker Position Count of Primary Assignment
No 1127
Yes 3933
Grand Total 5060

 

You asked:

9 – Board minutes

a. Please provide a copy of the most recent publicly available board meeting minutes (or relevant pages) in which violence, aggression, staff security incidents, or staff safety pertaining to violence and aggression were discussed. If these minutes are published online, please provide the link and the meeting date.

Our response:

The papers for the current Board meeting will be published in the near future (meeting today 25 September 2025) and will be available on the following website:

Board and Governors > Glos Health & Care NHS Foundation Trust

Next steps:

Should you have any queries in relation to our response, please do not hesitate to contact us. If you are unhappy with the response you have received in relation to your request and wish to ask us to review our response, you should write to:

Louise Moss
Head of Legal Services / Associate Director of Corporate Governance
c/o Gloucestershire Health and Care NHS Foundation Trust
Edward Jenner Court
1010 Pioneer Avenue
Gloucester Business Park
Brockworth, GL3 4AW
E-mail: louise.moss@ghc.nhs.uk

If you are not content with the outcome of any review, you may apply directly to the Information Commissioner’s Office (ICO) for further advice/guidance. Generally, the ICO will not consider your case unless you have exhausted your enquiries with the Trust which should include considering the use of the Trust’s formal complaints procedure. The ICO can be contacted at: The Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF.