Safer Healthcare: Why Violence Reduction Needs a Connected Approach to Security

healthcare

Violence and aggression have become one of the most persistent workforce risks in healthcare. Emergency departments, mental health inpatient areas, maternity units and community settings all carry distinct risk profiles, shaped by long waits, acute distress, substance misuse, cognitive impairment and the reality of staff working alone or in isolated parts of a site. With around 15% of NHS staff in England experiencing at least one incident of physical violence in 2025, the consequences reach far beyond the incident itself, affecting wellbeing, retention and ultimately, the continuity of patient care. 

No technology prevents every incident. But the organisations making the most progress are treating violence reduction as an operational discipline rather than a security investment – and integrated infrastructure is what makes that discipline possible. 

Why standalone security approaches are no longer enough 

Many healthcare estates have grown organically, with CCTV, access control and nurse call and personal alarms specified for different schemes. Often across legacy estates, multi-site trusts and new builds.  Whilst each system works, they rarely do together. 

During a live incident, fragmented systems cost time. Security teams may need to switch between platforms, manually piece together information and relay updates across disconnected channels. The result is a reactive approach, where organisations learn the warning signs after a situation escalates rather than applying intelligence to support prevention. 

What a connected approach looks like in practice 

AI-Enabled Video Surveillance and Analytics 

Applied effectively, analytics can detect crowding in waiting areas, loitering near controlled entrances, perimeter activity or behaviour consistent with escalation – and alert teams to emerging risks, whilst there is still time to de-escalate. In a healthcare context, the value is as much clinical as it is protective – earlier awareness supports a calmer response, rather than a restrictive one, which aligns with wider efforts to reduce restrictive practices, whilst keeping patients safe.  

Intelligent Access Control 

Healthcare estates are deliberately open, which makes it harder to protect controlled areas. Access control allows precise, role-based permissions across staff-only zones, pharmacies, mental health wards and critical infrastructure. Events are monitored in real time, and rules can be adapted as circumstances change.  If an incident occurs, teams can initiate proportionate lockdown procedures to a defined area, while preserving clinical access – protecting people without disrupting the continuity of care. 

Integrated Control Centres 

Bringing together video surveillance, access control, alarms, lone worker devices and communications into one operating environment gives security, estates and clinical leaders a common view across the estates. Creating a common picture supports faster decision-making in routine incidents and strengthens response during major disruptions. 

With Martyn’s Law expected to come into force in spring 2027, connected systems also support preparedness through clearer communication, documented procedures and coordinated response capabilities. While technology alone does not deliver compliance, it provides valuable operational evidence a risk-based security strategy depends on. 

From Incident Management to Prevention 

Integrating security and building infrastructure changes what healthcare teams can achieve: 

  • Safer environments for everyone: consistent protection for staff, patients and visitors across complex, multi-site estates. 
  • Faster, better coordinated responses: real-time intelligence, shared across security, estates and clinical teams during aggressive or violent situations. 
  • Earlier intervention: situational awareness that supports de-escalation before an incident escalates 
  • Visible deterrent to violence and aggression: reducing the likelihood of confrontation, while reinforcing a clear message that abuse of staff is not tolerated   
  • Stronger staff confidence and retention: employees who feel safe and better protected are more likely to report incidents, stay in post and sustain quality of care  
  • Better data for prevention: incident patterns, locations, time and service to inform staffing, estate design and flow and violence reduction planning 

The Future of Healthcare Security Is Connected 

The organisations that will make the biggest difference to staff safety over the coming years are not those buying more cameras. They are those connecting what they already have, giving teams a single view of risk, and using insight to act earlier – shifting from managing incidents to preventing them.  

By Tony Lannon, Senior Healthcare Lead, North

Take the next step on staff safety 

North works with leading technology partners to deliver integrated solutions that help customers create smarter, safer and more sustainable environments. 

For further insight into addressing aggression and violence in healthcare settings, book a short consultation with our healthcare expert, Tony Lannon – Book a meeting now.

Is your estate ready for Martyn’s Law? 

North have developed a guide to smarter, safer and more compliance healthcare estates for Martyn’s Law preparedness and beyond – download the free guide here.