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December 4, 2025

Aggression in the healthcare sector: an underestimated problem with a big impact

Sadly, aggression and violence are a daily reality for healthcare providers in Belgium. A large-scale survey of 1,711 professionals by the Vias Institute shows that more than 90% have experienced some form of aggression at work, ranging from verbal abuse (swearing, humiliating language) to physical violence (shoving, kicking, injuring), threats and even sexual harassment.

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These figures make it clear that aggression is a matter of more than just isolated incidents: it’s a widespread problem. Healthcare providers are particularly exposed in hospitals: more than a quarter of the survey’s participants had suffered a physical injury due to an assault in the past year.

The consequences of aggression are serious. Victims incur physical injuries or psychological complaints such as stress and sleep problems, and may even consider leaving the profession. As well as the employees themselves, this also affects the quality of care and has a significant financial impact for healthcare institutions. How can you protect yourself against this as a sector?

Prevention: the first line of defence

Prevention is better than cure. For example, institutions can limit aggression by investing in:

  • Awareness and training: training in dealing with aggression, de-escalation, emergency procedures.
  • Clear reporting procedures: accessible internal and external reporting systems.
  • Safety measures: alarm buttons, cameras, adapted design of high-risk areas.
  • Support after incidents: psychological help, legal assistance, debriefings.
  • Communication and zero-tolerance policy: make it clear that aggression will not be tolerated, whether towards staff, patients or visitors.

Vanbreda supports healthcare institutions not just with insurance solutions, but with advice on prevention and policy.

What if something does happen?

If aggression occurs during the performance of the employment contract, this can be treated as a work accident. The Vias Institute survey suggests that victims often fail to report or document incidents, making the link between violence and injury harder to prove. For a successful claim it is important to:

  • Report the incident immediately
  • Collect evidence: witness statements, medical certificates, photographs, internal reports

Legal protection: legal expenses insurance

Victims often need legal support, especially if there’s a criminal prosecution or claim for damages. Legal expenses insurance provides financial and practical assistance with proceedings and compensation claims. It is no mere luxury for healthcare workers.

Conclusion

Aggression in the healthcare sector is an endemic problem. Protect your employees by investing in prevention, evidence collection and a solid insurance package. By doing so, you will limit the impact on your team, but also on your organisation.

We will be running a useful study evening on this subject in spring 2026. Keep an eye on our channels: the exact date will follow.

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