About the Audit
The Royal College of Psychiatrists' Research and Training Unit
established the National Audit of Violence in 1999. 265 inpatient
units participated in the 2003/5 wave that ended in March 2005.
Its success led the Healthcare
Commission to fund a new wave of work, which began in
Spring 2006 and finished in October 2007. The Healthcare Commission
funding enabled all NHS trusts and independent sector providers of
in-patient mental health services in England and Wales to select
three wards to take part.
Who took part?
Of the three wards we asked each participating
trust/organisation to enrol, we requested:
- One acute psychiatric ward;
- One ward for older people with mental health
- One 'other' ward of their own choice i.e.
this could be another ward of the types above or another
A total of 67 trusts/organisations took part
in the audit, enrolling a total of 211 wards.
What did it involve?
The audit methods were refined and proved popular and
feasible for participating services. The standards used in the
previous phase of the audit were updated to incorporate the
more recently published NICE Guideline 'Violence - The short-term
management of disturbed/violent behaviour in inpatient psychiatric
settings and emergency departments', (NICE 2005).
Data Collection included
- Contextual information to support benchmarking and
- Module 1: survey of the experiences of staff, patients and
- Module 2: audit of the environment
- Module 3a: review of a series of violent
- Module 3b: case note/drug chart audit of the use of rapid
To download the National Audit of Violence 2006/7
Final Reports please click here
Audit Of Violence:
Standards for Inpatient Mental Health
Project Managers Pack
Examples of 'Good
Module 1 Poster
Module 1 Leaflet
- NAV Audit Tools and Guidance
As part of participation in the National
Audit of Violence 2006/7, all trusts/organisations were asked to
submit an ‘action plan’ for each ward that had taken part. 48
trusts/organisations submitted these to us amounting to 70%
To support local teams to share ideas about
their planned actions with other project teams that might be
considering making similar improvements, we have compiled the
action plans into a searchable database.
Tel: 020 7977 6644