The NHS operate a zero tolerance policy with regard to violence & abuse & the practice has the right to remove violent patients from the list with immediate effect in order to safeguard practice staff, patients & other persons. Violence in this context includes actual or threatened physical violence or verbal abuse which leads to a fear for a person’s safety. In this situation we will notify the patient in writing of their removal form the list & record in the patient’s medical records the fact of the removal & the circumstances leading to it.