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Extensive cultural change is needed in the NHS to tackle sexual violence and prevent further institutional harm to patients and staff, writes Philippa Greenfield The recent “Me Too in Medicine” investigation by The BMJ and the Guardian 1 is an important reminder of the sheer scale of sexual violence experienced by NHS staff 35 000 reports of rape, sexual assault or harassment, stalking, or abusive remarks were identified though a freedom of information request to all NHS trusts and police forces from 2017 to 2022. As highlighted in the investigation, this is likely just the “tip of the iceberg” of sexual violence in the healthcare system. Last week we similarly saw the publication of a report by the Working Party on Sexual Misconduct in Surgery (WPSMS) showing the alarming levels of sexual violence perpetrated by our surgical workforce.2 This shouldn’t surprise us sexual violence persists in every country and culture and mostly affects women and girls but can affect anyon

United kingdomJimmy savileStella kingettJulie redmondHolly elgood curtisShirley mcnicholasSexual safety on mental health wardsParty on sexual misconduct in surgeryFoundation trust trauma informed collaborativeMental health special interest groupRoyal college of psychiatrists womenCare quality commissionFoundation trust awarenessPhilippa greenfieldWorking partySexual misconduct