NHS Violence & Aggression Reporting Tool

Log a Violence or Aggression Incident

Quick reporting form for NHS staff. Most fields feature simple dropdowns to save you time. Confidential & Secure.

1 Organisational Details

NHS Trust *

Directorate *

Team / Ward *

2 Type of Violence & Aggression

Select the primary recognised NHS violence category and specific behaviour experienced.

Primary Category of V&A *

Specific Recognised Incident Type *

Contributing Factors (Tap all that apply):

3 When & Where Did It Occur?

Date of Incident *

Approximate Time *

Location Setting *

4 Perpetrator & Immediate Actions

Who was the aggressor? *

Your Role / Staff Group *

Immediate Actions Taken / Support Triggered (Check all that apply):

🛡️ Security Team Attended 👮 Police Contacted (999/101) 🩹 Medical / First Aid Treatment Received 🗣️ De-escalation Techniques Applied 📋 Datix / Official Risk Logged 💙 Wellbeing / Counselling Support Offered

Brief Optional Description / Extra Context

5 Reporter Contact Information

Provide your contact details so the Trust Health & Safety / Wellbeing team can offer follow-up support if required.

Staff Full Name *

NHS Email Address * Must be a valid NHS email address (@nhs.net or @nelft.nhs.uk)

🔒 Administrator Analytics Dashboard

Restricted Access • Real-time metrics & incident logs for NHS Trust Health & Safety Admins.

Total Reports 0 Submitted incidents

Top Category N/A Most frequent V&A type

Police / Security Called 0 High severity cases

Top Location N/A Highest risk setting

Incident Categories Breakdown

Distribution by Primary V&A Type

Incidents by Location Setting

High Risk Clinical Areas

Staff Role Vulnerability

Incidents Experienced per Role

Immediate Actions & Support Triggered

Security, Police & Wellbeing Responses

Detailed Incident Logs (0 matching)

Showing real-time recorded incidents

Ref ID	Date/Time	Staff Member & Email	Team / Ward	V&A Category	Specific Incident Type	Role	Actions Taken
No incident reports recorded yet. Fill out the form to populate data.