New case review process to launch next year

The National Guardian’s Office (NGO) carries out case reviews to identify learning and support improvements in the speaking up culture and arrangements in NHS trusts. These reviews have concentrated on cases where speaking up may not have been handled according to good practice.

Further information about case reviews can be found here. 

Reviews can be triggered by referrals to the office from individuals. The office also has the discretion to accept referrals from other sources.

The office is developing the way it decides what is reviewed. These changes seek to: 

  • Allow more workers to inform matters that are reviewed by the office, including workers who may face barriers to speaking up
  • Ensure reviews undertaken by the office have the greatest impact on the greatest number of workers by focusing on areas of priority.  

Potential themes for review will be identified through use of a broad range of indicators, including:

  • Staff engagement data (e.g. the NHS Staff Survey) 
  • Speaking up to:
    • Freedom to Speak Up Guardians
    • Professional and systems regulators
    • Workers’ representative bodies
    • The NGO.

The NGO will launch this new process in 2021/22.

Prospective/existing referrals

Referrals submitted to the office on or before 31st December 2020 will continue to be assessed as part of the current case review programme.

From 1st January 2021, information shared by individuals with the office will add to our understanding of speaking up culture and arrangements. As described above, this information, along with other indicators, will inform potential areas for review.

Please contact if you have any questions.

December 1, 2020