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The NHS has a ‘Zero Tolerance to Violence’ policy that means we can refuse service to anyone who is violent or is perceived as threatening violence to any member of staff. We can refuse the service on that occasion or can request that patients are removed from the Practice list. Plymouth Primary Care Trust provides a dedicated primary care service for patients who are removed from the Practice lists because of violent behaviour. Details of this service will be provided by Devon Patient and Practitioner Service Agency to any patient who is removed from the list due to violent behaviour.