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