Stop abuse campaign Violence and aggression is now considered, by many, as one of the most serious occupational hazards facing staff in the Healthcare sector. Whilst this is a national issue for the NHS as a whole, and is being addressed with a range of initiatives, individual Trusts are trying to work locally to try to tackle this problem, with the help of other agencies and organisations. There are, however, potential benefits in the North West Ambulance Service working with others for whom violence and aggression is also an issue. By sharing information we can reduce the likelihood of specific incidents and manage the process of dealing more effectively with perpetrators of violence. Unfortunately, it is a sad state of affairs that increasingly attacks on ambulance staff happen when individuals have been under the influence of drink and drugs. In trying to address this issue, the Ambulance Service cannot work in isolation as this is about raising awareness with the general public not just with our own staff. Whilst the government is supporting NHS Trusts through the NHS Protect, ACPO (Association of Chief Police Officers) and the CPS (Crown Prosecution Service) with the Memoradum's of Understanding (Joint Working Agreement) in dealing with offenders who assault staff, it is up to individual trusts to implement measures within their own local areas.