Summary
The appointment of a Freedom to Speak Up (FTSU) Guardian is a requirement of the NHS Standard Contract in England. The National Guardian’s Office (NGO) provides leadership, support and guidance to FTSU Guardians.
This report from the NGO covers the period 1 April 2019 to 31 March 2020.
Content
Key findings
Between 1 April 2019 to 31 March 2020, 16,199 speaking up cases were raised with Freedom to Speak Up Guardians. This was a 32% increase compared with the previous year in which 12,244 speaking up cases were raised with Freedom to Speak Up Guardians.
- Freedom to Speak Up Guardians supported speaking up in a range of organisations, including NHS trusts, primary care organisations, independent healthcare providers, clinical commissioning groups and non-departmental public bodies.
- Among NHS trusts, Freedom to Speak Up Guardians in mental health, learning disability and community trusts and ambulance trusts, on average, dealt with more speaking up cases.
- Freedom to Speak Up Guardians continued to support workers from all professional groups to speak up. Nurses continued to account for the biggest portion (28%) of cases raised with Freedom to Speak Up Guardians.
- Administrative and clerical workers accounted for the next biggest portion of cases raised with Freedom to Speak Up Guardians (19%), up three percentage points on the previous year.
- 23% of cases raised with Freedom to Speak Up Guardians included an element of patient safety/quality. 36% included an element of bullying and harassment.
- 13% of cases raised with Freedom to Speak Up Guardians were raised anonymously.
- Detriment for speaking up was indicated in 3% of cases raised with Freedom to Speak Up Guardians. This is lower compared to the previous year where detriment was indicated in five per cent of cases.
- 85% of workers who gave feedback said they would speak up again. Workers said they would not speak up again in 3% of cases where feedback was received.
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