Letters: Violent patients can be removed immediately

The article about removing a patient from your list (GP, 6 February) was very informative and useful. I would like to add a comment regarding violent and aggressive patients.

With a zero tolerance policy patients can be removed immediately without writing to the patient. If a member of staff or doctor is at risk of physical harm, you inform the police and obtain the incident number, then write to or email the primary care organisation, which has a special allocation scheme under which this patient can be treated.

I am not sure whether this is only in south-east Essex, but it seems to work both for patients and the practice.

It is extremely difficult in such circumstances to look after the patient for one week, as your article points out.

Dr Krishna Chaturvedi, South-east Essex

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