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Freedom to Speak Up (FtSU) Guardians

Every NHS trust must have a Freedom to Speak Up (FTSU) Guardian to give independent support and advice to staff who want to raise concerns.

The role came about following the inquiry into Mid Staffordshire NHS Foundation Trust in 2013.

Guardians work with all staff to help NHS trusts become more open and transparent places. Employees are encouraged to 'speak up' without fearing the consequences.

Our Lead FTSU Guardian is supported by a Deputy Guardian, a local Guardian and a network of FTSU Champions who are available to support staff on the five OUH sites.

Freedom to Speak Up is linked to the Care Quality Commission (CQC) and included in the 'Well led' domain.

FTSU guardians offer:

support and advice for staff who speak up, or are supporting a colleague who is speaking up
feedback on investigations and the conclusions
immediate action if patient safety is compromised

but do not:

carry out investigations
solve relationship problems in teams or between members of staff
deal with concerns raised by patients or visitors.

Freedom to Speak Up Strategy

Our Freedom to Speak Up Strategy is currently being refreshed.

The Trust is committed 'to foster a positive culture where people feel that they can speak up and that their voice will be heard' - as required by the Care Quality Commission's Well led standard [Freedom to speak up - Care Quality Commission] and enshrined in the OUH Freedom to Speak Up Policy [internal OUH link only] aligning with the OUH People Plan 2022-2025.

NHS Staff Survey

The annual NHS Staff Survey, which helps organisations to monitor and improve staff experiences, includes an assessment of our speaking up culture.

The results of the NHS Staff Survey 2023 show that we performed above the national average in the element that assessed:

"We each have a voice that counts" (relating to Raising Concerns), with an overall score of 6.84 (compared to the national average of 6.7) out of 10.