But deeds as well as words will be needed if a disturbing pattern of aggression against frontline workers – which is also affecting teachers and others – is to be turned back. Existing duties on employers to prevent sexual harassment, including by their own staff, are being strengthened in the Employment Rights Act. But tackling abuse and violence in healthcare is a difficult task, with managers facing tough decisions about whether to treat people who threaten or insult. Such incidents harm institutions as well as individuals. Whole departments face consequences when victims need time off to recover, or when a ward is closed to provide a secure environment for a violent patient.