`We don’t have to take this’: Zero tolerance of violence against health care workers in a time of insecurity. / Elston, Mary Ann; Gabe, Jonathan.

In: Social Policy and Administration, Vol. 42, No. 6, 12.2008, p. 691-709.

Research output: Contribution to journalArticlepeer-review



Doctors, nurses and other health care workers in the UK are said to be increasingly aware of the ‘risks of the job’ as a result of mounting verbal abuse, threats and assaults from patients and their relatives. In the late 1990s the UK government introduced a policy of ‘zero tolerance’, which it claimed was designed to minimize the risk of such violence. Current policy refers to the need to be tough on offenders and encourage a culture of respect. In this article we review this strategy and the reasons for its introduction and consider some of the potential consequences. The article starts with an account of the policy, the definition of violence that underpins it and how it has been measured, and assesses the evidence regarding prevalence. This is then interpreted in the context of wider policies of zero tolerance to crime, and debates about risk, anxiety and insecurity.
Original languageEnglish
Pages (from-to)691-709
Number of pages18
JournalSocial Policy and Administration
Issue number6
Early online date8 Sep 2008
Publication statusPublished - Dec 2008
This open access research output is licenced under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

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