The NHS operates a Zero Tolerance Policy with regard to violence and abuse and the practice has the right to remove violent patients from the list with immediate effect in order to safeguard practice staff and others.

In this situation we would notify the patient in writing of their removal from the list and record in the patient’s medical records the fact of the removal and circumstances leading to it.

The Birmingham and Solihull CCG is then responsible for arranging further medical care for such patients.