Violence and Aggression Research Network (VARN)

What is work-related violence and aggression and why should we be concerned?

elderly man waving a crutch at a nurse.

The Health and Safety Executive defines work-related violence as: “any incident in which a person is abused, threatened or assaulted in circumstances relating to their work”. This definition includes verbal abuse and threats as well as physical attacks. Health and safety law applies where it is foreseeable that a risk of violence and/or aggression may arise out of, or in connection with, the work activity.

Incidents not arising out of, or in connection with, the work activity are not covered by health and safety legislation and are therefore beyond HSE’s remit. For example, the following situations would not be included in this definition: personal disputes between workers and other people, such as family members, violence between people not at work, such as customers or service users.

The International Labour Organisation (ILO) recognises that everyone has the right to a world of work free from violence and harassment. According to the ILO the rates of violence and harassment, both physical and psychological, can rise during a health crisis, such as the COVID-19 pandemic. Organisational change can also lead to increased work-related violence, especially where work has had to be reorganised or the physical work environment has been changed. The World Health Organization’s guidance for health workers refers to exposure to physical and psychological violence as one of the hazards for front-line health workers during the COVID-19 outbreak (with the others being: occupational infections with COVID-19; skin disorders and heat stress from prolonged use of PPE; exposures to toxins because of increased use of disinfectants; psychological distress; and chronic fatigue).

Stories of members of the public throwing shopping at retail assistants and traffic cones and barriers at road workers, as well as stories of abuse such as spitting and threatening behaviour are concerning and may have critical consequences. Sadly, the problem is often ‘normalised’ as being ‘just part of the job’, for example, as discussed in a recent SHP article about assaults on NHS workers.

Work-related violence and aggression is an area of growing concern, as incidents can negatively impact on the physical and psychological health of those affected, as well as harming business performance and incurring costs to both business and society.

Network aims

The VARN’s aims are to better understand the extent to which violence and aggression is a problem across sectors, as well as to raise awareness and to improve reporting and control of incidents.

The team are inviting employers to share their professional insights to help raise awareness of the problem. They would like to understand what employers have done to address work-related violence and aggression and how they have done this (e.g. how workers were engaged).