Managing Aggression and Violence for GP Receptionists and Care Navigators

Safe boundaries, de-escalation and reporting in GP first-contact settings

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Exam Pass Notes

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Recognising Risk

  • Aggression can be verbal, physical, discriminatory, threatening or intimidating.
  • Strong emotion is not automatically aggression; notice when behaviour becomes unsafe.
  • Repeated flashpoints may indicate system or process risks.
  • Base risk decisions on observed behaviour and context, not on stereotypes.

De-escalation and Limits

  • Speak calmly, briefly and respectfully.
  • Acknowledge the person’s feeling, then explain any limits or actions.
  • Offer realistic choices when possible.
  • Set clear behavioural boundaries and ask for assistance early.

Safety Response

  • Threats, hate incidents and violence require local safety procedures in addition to communication techniques.
  • If there is an urgent health need alongside aggression, escalate both clinical and safety routes in parallel.
  • Avoid isolating yourself with someone who makes you feel unsafe.
  • Use alarms, call a supervisor, contact police or follow emergency routes according to policy.

Reporting and Learning

  • Record incidents and near misses factually and promptly.
  • Provide support to staff after frightening or abusive contacts.
  • Review incident patterns and identify system triggers.
  • Include local reporting routes and example wording in training.

Ask Dr. Aiden


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