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In
the last six months alone, the BMA research
reported that there were two horrific cases
of violence towards doctors in the Glasgow
area. In November, a patient in his consulting
room beat up a general practitioner and,
in August, another general practitioner
was stabbed by a patient in her practice.
In
December, Arun Rai, 49, who graduated from
Ranchi University, was hospitalised after
being assaulted by a patient during an examination
in his clinic in Glasgow, prompting other
medical staff to carry personal alarm systems
at all times.
Speaking
for the British Association of Physicians
of Indian Origin (BAPI), Joydeep Grover,
an Indian origin who works in the Accidents
and Emergency sections in the NHS, told
IANS: "We would support the BMA report
on violence in the workplace.
"As
it points out, medical personnel have a
right to work in an unthreatening and dignified
environment. Doctors and nurses often have
to work in trying circumstances and have
the burden of immense responsibility.
"Violence
is not always physical in nature, but is
more frequently verbal. There is no clear
evidence that ethnic minority doctors are
more liable to suffer from such abuse, but
certainly racial language is still heard
in various circumstances".
Grover
said that occasionally patients demand to
be seen by white doctors, and some, especially
older ones can be overtly abusive. However,
he added that most hospital trusts had very
well structured policies against racist
behaviour by patients, and if the matter
is raised the patients are strictly dealt
with.
Grover
said: "In my experience there is usually
excellent support from colleagues and team
members. When doctors/nurses are hit by
patients it may or may not have racial overtones,
but there is no study which suggests that
ethnic minority doctors are more prone to
physical abuse by patients".
Around
600 doctors from across Great Britain responded
to the BMA survey on their experiences of
violence in the workplace in the past year.
A third had experienced some form of violence
- including threats and verbal abuse - and
one in ten had been physically attacked,
including being stabbed, kicked, punched,
bitten and spat at.
Of
these, one in three received minor injuries,
and one in 20 was seriously injured. More
than half (52 percent) of doctors who suffered
violence did not report the incident.
The
most frequently stated reason for workplace
violence was dissatisfaction with the service,
including frustration with waiting times
and refusal to prescribe medication. This
has doubled as a cause of violence since
2003, when the BMA last conducted the survey.
Hamish
Meldrum, Chairman of Council at the BMA,
said: "These are worrying figures -
both in terms of the potential numbers involved
and the fact that so few doctors tend to
report violence. We hope that this is not
because they feel the problem is not being
taken seriously.
"Ministers
have repeatedly stated that there should
be zero tolerance to violence of any sort
in the NHS. We heartily agree. The mechanisms
must be there to minimise the likelihood
of attacks, to support staff who experience
them, and to ensure that anyone who commits
an act of violence is dealt with appropriately."
Other
findings from the research include:
- Half
of doctors say that violence in the workplace
is a problem.
- More
than half had witnessed violence against
other staff, such as nurses and receptionists.
- Female
doctors are more likely to experience
violence in the workplace than males (37
percent compared to 27 percent).
- Junior
doctors are the most likely to experience
violence, followed by GPs.
- Almost
two thirds of psychiatrists report that
violence in their workplace is a problem,
compared with a fifth of surgeons.
- Most
doctors have not received any training
in dealing with violent patients.
- One
in ten doctors has access to a secure
facility in which to treat violent patients.
The
Criminal Justice and Immigration Bill, currently
progressing through the parliament, contains
proposals to tackle nuisance behaviour on
NHS hospital premises. The BMA is seeking
an amendment to the bill so that general
practitioner premises are also covered.
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