Your browser is no longer supported

For the best possible experience using our website we recommend you upgrade to a newer version or another browser.

Your browser appears to have cookies disabled. For the best experience of this website, please enable cookies in your browser

We'll assume we have your consent to use cookies, for example so you won't need to log in each time you visit our site.
Learn more


‘Normalised violence against staff reflects a cultural crisis’


Call me unpatriotic but I have always been confused by the word “Great” in Great Britain. Ironically it may be that I am just very British in my coyness when it comes to self-praise? Or it may be that it never really felt earned? I don’t think all the other countries got together and said, “you know who’s Great? Britain, that’s who. With it’s quaint red pillar-boxes and its willingness to tolerate Richard Branson. Let’s call her Great Britain from now on”. And even though Australia, who are particularly fond of us as we all know, tried to amend our new title to “Marvellous Britain”, the name stuck and here we are.

I was listening to a man on the radio this morning. He said, “Do you know why we are Great Britain?” I said out loud, “no, but go on…” and he said “Because of our sheep,” which I didn’t know. Apparently we have great sheep, so great it seems that their greatness extends outwards to characterise the whole of Britain. Again it was a toss up apparently. It could have been “Great Britain” or it could have been “Woolly Britain”. Great won because it means we go nearer the front for the opening ceremony of the Olympics

There are those of course who argue the “Great” is a reference to size rather than excellence. Great Britain distinguishes our large island from smaller places like Brittany or to use its full name, “Smaller Brittany”. But in these thrusting, blustery and psychologically brittle times I think we should pretend that Great means fabulous and look hard for reasons to justify it.

One came along this week with the news that when it came to violent assaults on nursing staff, we are among the world leaders. A big well done Britain, you have managed to turn spitting, biting, punching and kicking nurses into something so normal that when a report highlighting 1.3 million assaults on staff in 2016 is published, it does not make the news. In fact editors of the Great British media outlets shrugged and said, “but is it news? Find me a picture of a cat playing the piano, and get a comment to what Nigel Farage thinks it means”.

Nurses it seems – and none of us are surprised by this but that is no reason not to shout from the rooftops – are resigned to being attacked. They have been socialised into believing assault is normal. A mix of a nursing sensibility that believes in unconditional positive regard and a large section of the community that has no emotional regulators, self-respect, standards or control has come together to create a culture that resembles a war zone more than a treatment environment.

“It reveals something dark, accumulated and degrading about what we as a society are becoming”

It reveals all sorts of things about us as a society that we can normalise attacks on nurses and carers and prosecute so rarely. That we consider it acceptable or that we believe it is an inevitable result of underfunding and understaffing and longer waiting lists – or dare I say, the sense of entitlement that appears to run through some of the people using and abusing services.

Increased and normalised violence against care staff reflects a cultural crisis. It reveals something dark, accumulated and degrading about what we as a society are becoming. We need to confront it by prosecution and a heavy fine system, the proceeds of which go into the health service to fund more prosecutions and staff welfare. I also think that the attitude and violence exercised in A&E departments across ‘Great’ Britain is reflective – in part – of a disdain and aggression toward women that should alarm every single person on these little islands of ours.

Mark Radcliffe is author of Stranger than Kindness.

Follow him on twitter @markacradcliffe.


Readers' comments (2)

  • Whilst I sympathise with the jist and agree that it is to normalised; if effective care is delivered it does change outcomes. Resources aside, humanity is lacking perpetuated by burnout in the context of a wide spread hopeless affect engendered by staff that would rather criminalise and stigmatise than acknowledge the genuine wrong doings of others that brings people to a place of violence. Violence is something that every individual is capable of whether you like that or not is besides that point its biological.
    Instead of trying to b punitive it's helpful to remember that compassion to all is supposed to be a nursing value. Even if it's not your personal preference extending compassion is effective.

    Unsuitable or offensive? Report this comment

  • I was a student nurse in the 1980s and do not recall coming across a threatening or abusive patient. The time has come in 2018 for the NHS to accept that it has a duty to care for patients who are distressed without rudely asking them not to "shout". Distressed patients might raise their voice but this does not mean they are threatening staff. Where physical abuse is concerned I believe the time has come for the NHS and Police to accept that NHS staff do sometimes abuse patients and that patients deserve the right not to be further distressed by those who cover up abuse. I would not want a nurse to be abused but nor would I want a Nurse to abuse. Make 2018 the year in which every Nurse makes the point of asking "Did I do something to make the patient turn on me?"

    Unsuitable or offensive? Report this comment

Have your say

You must sign in to make a comment

Please remember that the submission of any material is governed by our Terms and Conditions and by submitting material you confirm your agreement to these Terms and Conditions. Links may be included in your comments but HTML is not permitted.