Shocking Rise in Violence Against Paramedics and Call Handlers in England: A Growing Crisis

Violence against paramedics in England surges 35% since 2019, with over 44,000 assaults reported. Government pledges zero tolerance to protect emergency workers.

Violence Against Paramedics and Emergency Call Handlers Soars in England

The safety of paramedics and emergency call handlers is under growing threat, with reported cases of violence and abuse rising by more than 35% since 2019. New data reveals nearly 45,000 incidents across England in the past five years, painting a grim picture of the challenges faced by frontline ambulance staff.

BBC Nutan told the BBC of her experiences on a night shift in Blackpool, Lancashire

BBCNutan Patel-West said racist abuse and violent attacks had made her fearful while on duty

Disturbing Trends in Assaults

Ambulance service staff have reported being punched, kicked, and threatened with weapons. Many have also endured racist, homophobic, and religious abuse while on duty. The statistics, obtained through Freedom of Information Act requests, highlight an alarming average of 173 attacks every week. However, some regions, including Lancashire and Manchester, suggest that many cases remain unreported.

‘Scammers sent a courier to steal 4000 in cashNutan Patel-West's ambulance parked and waiting to drop a patient at Blackpool Victoria Hospital
The BBC spoke to paramedics on a night shift in Blackpool, Lancashire

Firsthand Accounts from the Frontline

Nutan Patel-West, a paramedic with over a decade of experience at the North West Ambulance Service (NWAS), has faced repeated racial abuse. One particularly harrowing incident in 2021 involved a patient hurling a glass ashtray at her head, narrowly missing. Despite her dedication to helping others, such experiences have shaken her confidence and heightened her sense of vulnerability, especially during night shifts.

Emergency call handlers are not immune to abuse either. James Shelley, based in Manchester, recounted a distressing call where he faced an 11-minute barrage of homophobic slurs. Although he remains committed to his role, the emotional toll of such incidents is undeniable.

‘Scammers sent a courier to steal 4000 in cashJames Shelley told his story at NWAS' office in Manchester
Call handler James Shelley said homophobic abuse had led him to question the tone of his voice

Regional Breakdown of Abuse

Between 2019 and 2023, NWAS documented:

  • 1,281 physical assaults
  • 1,192 cases of verbal abuse
  • 711 incidents of sexual abuse
  • 150 reports of racial abuse

These figures underline the escalating risks faced by both paramedics and operational staff.

‘Scammers sent a courier to steal 4000 in cashNatalie was appointed in August and said her aim was to bring down violence and abuse
Natalie Samuels joined NWAS from Greater Manchester Police in the summer

Legal and Institutional Responses

The government has reaffirmed its zero-tolerance stance on violence against emergency workers, emphasizing that offenders can face up to two years in prison. In one recent case, a man who subjected a call handler to homophobic abuse received a fine, community service, and a suspended prison sentence.

Meanwhile, NWAS has stepped up efforts to protect staff. Violence prevention manager Natalie Samuels urged the public to remain calm when interacting with emergency services, noting that paramedics and call handlers follow strict protocols to ensure appropriate care.

‘Scammers sent a courier to steal 4000 in cashLisa works out of NWAS's Lancashire base in Blackpool
NWAS paramedic Lisa has been verbally and physically abused several times

Focusing on Positive Outcomes

Despite the challenges, many ambulance service staff remain dedicated to their mission. Paramedic Lisa Morley emphasized the importance of focusing on the positive impact they have on patients’ lives, even as abuse becomes an increasingly common part of their work.

A Call for Change

As violence against emergency workers continues to rise, the need for collective action is more urgent than ever. Protecting those who save lives is not only a matter of policy but also a reflection of societal respect for the vital role they play.

Our Analysis report:

The safety of paramedics and emergency call handlers in England is increasingly at risk, with reported incidents of violence and abuse reaching unprecedented levels. Recent data indicates a significant surge in such cases, underscoring the urgent need for protective measures for these essential workers.

Escalating Incidents of Violence

In the 2023/24 financial year, a record 17,114 incidents of violence and abuse were reported against ambulance staff, marking a 123% increase since records began eight years prior.

This alarming trend translates to approximately 47 ambulance staff being abused or attacked daily—equivalent to two every hour.

Factors Contributing to Assaults

The primary contributors to these assaults include:

  • Alcohol: The most prominent factor in assaults against ambulance staff.
  • Drugs: Substance abuse significantly exacerbates aggressive behaviors.
  • Mental Health Crises: Individuals experiencing mental health emergencies are more prone to violence.
  • Discrimination: Incidents involving race and sexuality have also increased as exacerbating factors in these assaults.

Regional Data: London Ambulance Service

The London Ambulance Service (LAS) has experienced a notable rise in violent incidents:

  • 2023/24: 2,159 incidents of violence and abuse were reported, a 40% increase from the previous year.
  • 2022/23: 1,525 incidents were recorded.

This data indicates that, on average, LAS staff faced approximately two assaults per day.

National Campaigns and Measures

In response to the escalating violence, the Association of Ambulance Chief Executives (AACE), supported by NHS England, launched the #WorkWithoutFear campaign. This initiative aims to highlight the profound impact of abuse on ambulance staff and to promote respect for these essential workers.

Additionally, ambulance services have implemented protective measures, including:

  • Deployment of body-worn cameras.
  • Establishment of dedicated violence prevention teams.
  • Provision of counseling and support services for affected staff.

Conclusion

The rising trend of violence against paramedics and emergency call handlers in England is a critical issue that demands immediate attention. Protecting these frontline workers is essential to ensure they can continue to provide vital services without fear of abuse or assault.

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