Age | Years (not DOB)—derived from main PAS |
Sex of victim | M/F— derived from main PAS |
Date | Of registration in A&E department— derived from main PAS |
Time | Of registration in A&E department (not the time of the incident)—derived from main PAS |
Where | Pick list— bar/pub, club, street, your home, someone else’s home, workplace, etc |
Other information | The name of the licensed premises or street can be typed here for example |
How many attackers | 1, 2, 3, 4, 5 or more |
Sex of attacker(s) | M/F |
Relationship with attacker | Pick list— acquaintance/friend, stranger, bouncer (pub doorstaff), partner, ex-partner, family member, etc |
Attacked with | Pick list of weapons— body part (for example, fist), bottle, glass, knife, firearm, blunt object, etc |
Other specify | Further brief free text information about the nature of the injury or the weapon used |
Informed police | Y/N— has the incident (note—the word “assault” is avoided to minimise any possible legal implications) been reported |
Ethnic origin of patient | Standard monitoring list— derived from main PAS |