NHSE admits ‘really poor’ management and HR

Persistently poor management and HR processes have been reported to NHS England’s board today.

The Freedom to Speak Up Guardian’s report from this month’s NHSE board meeting highlighted “reportedly poor experiences” of grievance processes. It also reported “an unusually large number of staff who appear to be stranded” without a suitable substantive role, in some cases after they had raised concerns or relationships had broken down in their team.

The report – authored by NHSE medical director Sir Stephen Powis and Tom Grimes, deputy director for FTSU and organisational health – said there had been a 60 per cent rise in FTSU concerns raised in 2024-25 compared to the previous year in NHSE. The service is dealing with 32 cases which are more than a year old.

It pointed out that NHSE did not carry out a staff survey in 2024, but its results for 2023 showed only 53 per cent of staff felt safe to speak up about concerns, compared with an average of 62 per cent across the NHS.

Only 36% thought NHSE would do something if concerns were raised. “We are not able to say whether this changed [since 2023] but we fully recognise that staff continue to experience barriers to speaking up,” the report added.

The strongest themes raised in concerns in 2024-25 were bullying and harassment by line managers, senior leaders and within teams; cultural leadership including lack of empowerment and collaboration; adherence to HR policies; and recruitment practices.

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Source: HSJ, 17 July 2025

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