National Guardian’s Office: Freedom to Speak Up Guardian Survey 2025 Thematic Review (11 September 2025)

Summary

This report presents the findings of the 2025 Freedom to Speak Up Guardian survey. It providers a timely and insightful snapshot of how the Guardian role is being delivered across healthcare organisations. It highlights both encouraging progress and ongoing challenges. Guardians continue to be vital to fostering a culture of openness, safety, and accountability, but their ability to do so effectively depends on the support structures around them.

Content

Key findings included:

• Time allocation: Inconsistent access to ring-fenced time limits effectiveness. Many reported lack sufficient time to engage proactively, manage caseloads, and maintain visibility.
• Resources and infrastructure: Lack the funding, space, and communications support needed to carry out the Guardian role effectively. Confidentiality and trust are compromised without dedicated budgets or private meeting areas.
• Recognition and remuneration: Concerns persist the minimum pay band recommendation, Band 7 or equivalent does not reflect the leadership and strategic influence required. Respondents seek better alignment between responsibilities and pay.
• Support from the National Guardian’s Office: While valued, respondents call for more timely, practical, and tailored resources. With the Dash review’s changes, future support and functions are currently being discussed with Department of Health and Social Care, NHS England and Care Quality Commission, and remains to be defined at the time of report writing.
• Influence and engagement: Respondents are seeking a stronger, more visible national presence with the authority to challenge poor practice, support complex cases, and hold organisations accountable. With the transition following the Dash review, NHS England and Department of Health and Social Care will need to consider how best to meet these expectations.
• Role satisfaction: Nine out of ten guardians would recommend the role. Despite its emotional demands, especially in NHS trusts, many find it deeply rewarding, reinforcing the need for robust support to sustain their wellbeing and impact.