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Found 441 results
  1. Content Article
    When someone you love is hospitalised, it can be scary-even terrifying-for the patient and for family and friends. A hospital may seem like a foreign land. Sounds, smells, and the culture are unfamiliar; even the medical terminology sounds like a different language. Understanding the hospital environment and knowing how to navigate its complicated pathways can make you a strong champion for your loved one. You are as critical to your loved one's recovery as the doctors and nurses. Your role is different, but vital. In some cases, you can make the difference between life and death. Hospital Warrior de-mystifies the process and provides the tools, understanding and insight you need to get the best care for your loved one.
  2. Community Post
    A question posed by a delegate at our Patient Safety Learning conference 2019: 'Does your employer praise staff and patients for reporting safety concerns?' Tell us about your experiences of how reported concerns are received. Does it differ depending on whether they are raised by staff or patients? Are there any examples of great practice you can share where people are really praised for raising patient safety concerns?
  3. Content Article
    ‘In Safe Hands’ is an interactive guide produced by Health Education England (HEE) who is responsible for delivering education and training that supports safer clinical practice across the NHS. This guide has been produced in response to the recommendations made in the 2016 report ‘Improving Safety Through Education & Training’.
  4. Content Article
    An independent review report looking at cultural issues related to allegations of bullying and harassment in NHS Highland by John Sturrock, QC and mediator. *Update on the progress with the Sturrock Review Actions, including a report on the Argyll & Bute Culture Survey and plans for the launch of the Healing Process, and consolidation of Lessons Learned and findings of the Independent Review Panel has been added to this page as attachments below.
  5. Community Post
    A question posed by a delegate at our Patient Safety Learning Conference 2019: 'How can we change the blame culture without blaming others?' What are your thoughts?
  6. Community Post
    Hi - I was wondering if anyone has used the freedom to speak up (FTSU) guardian service where they work? It is FTSU month in October and I was wondering if anyone had used the service, would they like to answer a few questions. We can post this on the hub, so people can see how the system works and how it felt to raise concerns. This of course would be dealt with strict anonymity, as these issues may be sensitive. Please get in touch!
  7. Content Article
    There have been major healthcare failings in the UK NHS over many years. The persistent dysfunctional organisational culture, an inability to learn and the need for change has been identified within literature. The concept of organisational silence forms one aspect of the proposed model of organisational dysfunction in the NHS. Forty-three interviews and six focus groups have been conducted to test the model. From generalised evidence, it is suggested that the NHS is systemically and institutionally deaf, bullying, defensive and dishonest. There appears to be a culture of fear, lack of voice and silence. The cost of suppression of voice, reluctance to voice and the resulting ‘sea of silence’ is immense. There is a resistance to ‘knowing’ and the NHS appears to be hiding and retreating from reality. There is an urgent need for action to be taken to address this dysfunctional culture. The NHS needs to embrace the identity of being a listening, learning and honest organisation, with a culture of respect. It needs to choose to hear, see and speak for the benefit of patients and staff. There are implications for the wider UK society due to the apparent inability to learn and improve.
  8. Content Article
    This education and training guide is a resource for every Guardian’s self-development, whatever their experience in the role. Commissioned by the National Guardian’s Office and Health Education England in August 2017, the Guide was compiled by Louisa Hardman from the NHS Leadership Academy with invaluable contributions and guidance from an Advisory Group comprising Freedom to Speak Up Guardians and members of the National Guardian’s Office.
  9. Content Article
    This is a tool for the boards of NHS trusts and foundation trusts to accompany the Guidance for boards on Freedom to Speak Up in NHS trusts and NHS foundation trusts (cross referred with page numbers in the tool) and the Supplementary information on Freedom to Speak Up in NHS trusts and NHS foundation trusts. The executive lead for Freedom to Speak Up (FTSU) should use the guidance and this tool to help the board reflect on its current position and the improvement needed to meet the expectations of NHS England and NHS Improvement and the National Guardian’s Office.  
  10. Content Article
    This guide has been produced jointly by NHS Improvement and the National Guardian’s Office, with input from a group of executives and non-executive directors (which included chief executives and chairs), FTSU Guardians and leading academics in culture and leadership. The guide sets out our expectations, details individual responsibilities and includes supplementary resources.
  11. Community Post
    Have you witnessed poor care, reported an incident but you weren't heard or felt unsafe at work? Do you have the courage to speak up? Why should we need 'courage' to speak up at work?
  12. Content Article
    The Commission was established in February 2013 by the charity Public Concern at Work (PCaW) to examine the effectiveness of existing arrangements for workplace whistleblowing in the UK and to make recommendations for change. Whistleblowing is the raising of a concern, either within the workplace or externally, about a danger, risk, malpractice or wrongdoing which affects others. In March 2013 the Commission issued a consultation document. It received 142 responses. Those responding included a broad mix of employers, lawyers, academics, trade unions, politicians and whistleblowers. This report represents the unanimous view of the Commissioners taking into account this material and reports on the effectiveness of existing arrangements for workplace whistleblowing in the UK.
  13. Community Post
    We know that blame and fear is toxic. It makes working in healthcare unsafe for staff and is a huge barrier to patient safety - staff won’t share what goes wrong if they expect not to be listened to or worse, will be criticised or blamed for errors that are really attributable to unsafe systems. It would be really valuable to better understand how this feels and the impact it has on clinicians and the safety of patients and service users.
  14. Content Article
    Revised expectations of boards and board members in relation to Freedom to Speak Up plus supplementary resources and a self-review tool.
  15. Content Article
    This report is the outcome of a six-month study into workplace culture at Whittington Health NHS Trust. Central to the study is an exploration of perceived bullying and harassment and their relationship, if any, to ideas of a common workplace culture.   It is important to emphasise that this is a study and not an enquiry. The researchers have no jurisdiction to suggest sanctions or actions, instead to report and advise on what they have found and to make any recommendations where appropriate. The study deployed a mixed-methods approach of staff survey and over 120 hours of one-to-one interviews mainly resulting in contacts generated by the survey. This is a cross-sectional study – a snapshot in a moment in time from a sample of staff at Whittington Health NHS Trust.
  16. Content Article
    This Review was set up in response to continuing disquiet about the way NHS organisations deal with concerns raised by NHS staff and the treatment of some of those who have spoken up.  The aim of the Review was to provide advice and recommendations to ensure that NHS staff in England feel it is safe to raise concerns, confident that they will be listened to and the concerns will be acted upon. 
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