Towards integrated health care: A model for assault victims

Abstract

The 1998 Crime and Disorder Act places a statutory responsibility on the National Health Service (NHS) to work in partnership with the police and local authorities \nto audit and tackle crime in their areas. \nOne of the principal reasons for this partnership \napproach is that substantial numbers of offences that result in NHS treatment of physical and psychological \ninjuries are not reported to the police. \nNowhere is the ‘dark figure’ of unrecorded crime more obvious than in accident and emergency departments. In Bristol, only 23% of people injured in assaults who \nattended a local accident and emergency department appeared in police lists of woundings (Shepherd et al, 1989). Furthermore, because services for victims of crime \nhave been organised in and around criminal justice agencies, services for those treated in the NHS are lacking.

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