The expulsion of violent patients is a good thing

As a former senior police officer now deeply involved in practice management, I have to ask why Dr Rob Barnett describes the North West SHA as having the 'worst' level of removals for violent behaviour because they are the highest (GP, 15 February).

Surely any area which displays zero tolerance towards violence and aggression and removes most offenders has the 'best' figures?

One of the worst things that a practice can do is to accept any level of threatening and violent conduct, because it serves to encourage that behaviour across the whole of the NHS.

I would be most worried about the SHA where practices remove the least number, because clearly they are not acting in the best interests of the staff and other patients.

Alan Moore, practice manager, Ellesmere Port, Cheshire.

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