The NHS operate a zero tolerance policy with regards 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, patients and other persons. Violence in this context includes actual or threated physical violence or verbal abuse which leads to fear for a person’s safety. In this situation we will notify the patient in writing with a written warning at first and if necessary of their removal from the list. We do have a practice policy which will be sent to you.