Managers ‘defensive and frustrated’ in response to staff concerns

Staff at an ambulance trust fear their managers will “retaliate” if they report concerns to the Freedom to Speak Up Guardian, a board report reveals.

South Central Ambulance Service Foundation Trust’s board was told of staff reports that some managers “actively identify and challenge” those who raise concerns or suggestions, “contributing to a culture of apprehension and mistrust”. 

The points were reported to a board meeting last week by its FTSU Guardian Christine McParland. Guardians are meant to act as an independent and confidential channel for employees to raise problems at work, and to support them to do so. 

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Source: Health Service Journal, 3 December 2025.