National Guardian

The National Guardian’s Office works to make speaking up become business as usual to effect cultural change in the NHS. 
 
The National Guardian’s Office leads, supports and trains a network of Freedom to Speak Up Guardians in England and provides challenge, learning and support to the healthcare system as a whole. 
 
The role of Freedom to Speak Up Guardians and the National Guardian was established in 2016 as a key recommendation from Sir Robert Francis’ Freedom to Speak Up Review in response to the Mid-Staffordshire scandal. 
 
Guardians lead the culture change within their own organisations, supporting workers who wish to speak up, ensuring that they are thanked for speaking up, that the issues they raise are responded to, and making sure that they receive feedback on the actions taken as a result of them raising an issue. 
  
There are now over 600 Freedom to Speak Up Guardians across more than 400 organisations in England in NHS Trusts and Foundation Trusts, independent sector providers, national bodies and primary care organisations. Over the last three years, Freedom to Speak Up Guardians have handled more than 35,000 cases.