Safer Neighbourhood Survey

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Safer Neighbourhood Survey

• Violence against staffare we getting the right
  response?

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Rationale for Survey
Police Support
STRESSORS
MODERATORS
e.g. Violence / assault
e.g. social support, coping strategies
Effect on Nurses
e.g. anxiety, strain
Quality of Care
e.g. avoidance of patient
A model of stress in Nursing (based on Wallis
1987)
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Study Objective

• To obtain data on fear levels and actual assault
  experienced by the nursing staff in Southwark.
• The aim was to measure the level of safety staff
  feel working and travelling to work in
  Southwark Inpatient Wards at the Maudsley
  Hospital.
• It also measures the confidence staff have in
  police and SLAM management in handling matters of
  assault at work and the protocols and procedures
  that have been implemented for their protection.

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Safer Neighbourhood Survey

• This survey was jointly developed with the
  Metropolitan Police Safer Neighbourhood Team
  based in Camberwell, Southwark.

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Methodology

• Questionnaire designed
• Setting - Maudsley Hospital, South East London.
• Participants were all nursing staff working
  within in-patient wards in Southwark.
• Respondents (n126)
• Gender Breakdown
• Female 49
• Male 50

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Fear of Assault Ratings
27 felt moderately fearful and 21 felt most
fearful. Therefore 48 of staff work with
unacceptable fear levels.
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Staff Assaulted at Work
66 of staff have been assaulted at work. 33
have not been assaulted at work
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Staff Assaulted with a weapon
30 of staff have been assaulted with a weapon
(includes furniture). 56 have not been and 11
felt it was not applicable. 2 did not specify.
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Time off Work as a Result of being Assaulted with
a Weapon
Out of 38 staff who admitted they have been
assaulted with a weapon, 24 staff took time off
work as a result, which is 63.
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Informing a Manager of all Assaults at Work
81 of staff would inform the manager of all
assaults at work. 7 would not inform the
manager and 4 felt it was not applicable to
them. 8 did not specify.
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Informing the Police of all Assaults at Work
46 of staff would inform the police of all
assaults at work. 37 would not. 6 felt it was
not applicable and 11 did not specify.
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Staff Satisfaction with Police Response
33 of staff were satisfied with the police
response to their report, 29 were not satisfied
and 34 were not applicable. 3 did not specify
their answers.
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Explanation of Procedure to Staff after an
Allegation of Assault
The procedure was explained to 42 of the staff
whereas 15 of the staff were not. It did not
apply to 38 of the staff and 5 did not specify
their answers.
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Decision not to Proceed with an Allegation of
Assault?
18 of staff did not know who took the decision
not to proceed with the allegation of assault
while 8 knew. It did not apply to 36 of the
staff and 11 did not specify their answers.
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Do Staff feel that SLAM Management Expect them to
put up with Assaults
48 of staff feel that management expect them to
put up with assaults at work while 47 do not.
6 did not specify their answers.
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Do Staff feel that Police Expect them to put up
with Assaults?
56 of staff did not feel that police expect them
to put up with assaults whereas 37 did. 7 did
not specify their answers.
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Reasons why the Police were not Contacted on the
Occasion of an Assault
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Suggestions to the Police
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Safer Neighbourhood Teams

• Patrol the hospital
• Attend site security meetings.
• Visit Wards
• Advise and Assist
• Proactive in assisting staff in searching for
  drugs/ weapons.
• Are part of our community

and stop for a cup of tea!
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Partnership Working

• Trustwide Police Liaison Group.
• All joint protocols now to be Trustwide,
  redeveloped and agreed by 5 Metropolitan
  Boroughs.
• Borough Mental Health Police Liaison role now
  Chief Inspector Level.

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Partnership Working

• Joint 2 day Training programme on mental health
  for all Southwark borough police recruits. (inc.
  of staff assault)
• Police Officers work shadowing Nurse Consultant.

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Joint Strategies for tackling violence on staff

• Investigations undertaken in partnership.
• Development of a Memorandum of Understanding in
  the event of staff assault.
• Record, review and reassess staff assault levels
  and police support /prosecution

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Trust Strategies

• The role of Local Security Management Specialist
  now employed.
• This survey will be conducted across the Trust.
• Trust Staff Support Strategy to be developed.
• Research into the impact of staff assault to be
  conducted.

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What's next?
Lets talk
Lets listen
Lets work together
Lets think of solutions!
Lets get the answers!