Data provided by trusts and other organisations on speaking up

Freedom to Speak Up Guardians collect data on the cases  that are raised with them..

The latest figures for the first and second quarters of 2019/20 (1 April to 30 June and 1 July to 30 September) are below.  These figures are based on the data submitted by Guardians to the National Guardian’s Office. For the first time this includes speaking up data from other organisations.

Q1 data headlines from Trusts

  • 3,173 cases were raised to Freedom to Speak Up Guardians / ambassadors / champions
  • 774 of these cases included an element of patient safety / quality of care
  • 1,230 included elements of bullying and harassment
  • 116 related to incidents where the person speaking up may have suffered some form of detriment
  • 439 anonymous cases were received
  • 3 organisations did not receive any cases through their Freedom to Speak Up Guardian
  • 198 out of 226 NHS trusts sent returns

Speaking Up data Q1 2019/20- Trusts

Speaking Up data – Q1 2019/20 – Non-trusts

Q2 data headlines from Trusts

  • 3,486 cases were raised to Freedom to Speak Up Guardians / ambassadors / champions
  • 846 of these cases included an element of patient safety / quality of care
  • 1,246 included elements of bullying and harassment
  • 127 related to incidents where the person speaking up may have suffered some form of detriment
  • 455 anonymous cases were received
  • 2 organisations did not receive any cases through their Freedom to Speak Up Guardian
  • 202 out of 226 NHS trusts sent returns

Speaking Up data Q2 2019/20 – Trusts

Speaking Up data Q2 2019/20 – Non-trusts

Quarterly data

Submitted speaking up data for 2018/19

Speaking up data report 2017/18

The National Guardian’s Office collects data from guardians in NHS and Foundation trusts on a quarterly basis and publishes some of that detail here.

At the end of each year guardians are invited to check and reconcile their data submissions to ensure accuracy.

That data is then used to compile a year end report reflecting on some of the trends and themes.

Data year – 1 April 2017 to 31 March 2018:

  • 7,087 cases were raised to Freedom to Speak Up (FTSU) Guardians in NHS trusts and foundation trusts.
  • The number of cases raised each quarter over the year increased:
Quarter Number of cases
Q1 (April – June ’17) 1,447
Q2 (July – Sept ’17) 1,515
Q3 (Oct – Dec ’17) 1,939
Q4 (Jan – Mar ’18) 2,186
Total 7,087
  • The average number of cases per trust is largest amongst combined acute and community trusts (an average of 43 cases per trust reported over the year).
  • More cases (2,223, 31% of the total) were raised by nurses than other professional group.
  • 3,206 (45%) cases included an element of bullying / harassment
  • 2,266 (32%) cases included an element of patient safety / quality
  • 1,254 (18%) cases were raised anonymously
  • 361 (5%) cases indicated that detriment as a result of speaking up may have been involved
  • 6 NHS trusts either did not make a return or reported that they received no cases through their Freedom to Speak Up Guardian in all four quarters.

Who is speaking up?

Based on the information provided, most cases were received from nurses:

Profession % Recorded
Nurses 29%
Administrative / Clerical workers 15%
Allied health professionals (other than pharmacists) 13%
Other* 13%
Healthcare assistants 9%
Doctors 8%
Corporate service staff 5%
Cleaning/catering/maintenance/ancillary staff 5%
Midwives 1%
Pharmacists 1%
Board members <0.5%
Dentists <0.5%

*includes health visitors, union reps and anonymous reports

Archive

 Quarterly data for 2017/18

Submitted speaking up data for 2017/18

FAQs

Which organisations should appoint Freedom to Speak Up Guardians?

Any organisation can appoint a Freedom to Speak Up Guardian. Organisations that provide services under the NHS Standard Contract (which includes but isn’t limited to NHS trusts and Foundation Trusts) are required to nominate a Freedom to Speak Up Guardian NHS primary care provider organisations are expected to follow NHS England’s guidance on Freedom to Speak Up which includes guidance on appointing Freedom to Speak Up Guardians. In addition, the National Guardian’s Office expect health and care leadership organisations and regulators to appoint Freedom to Speak Up Guardians. An increasing number of non-health organisations are also appointing Freedom to Speak Up Guardians.

Read the 2019/20 NHS standard contract.

Who pays for Freedom to Speak Up Guardians?

Freedom to Speak Up Guardians are paid for by the organisation that appoints them.

What is the difference between a Guardian, Champion and Ambassador?

Champions and Ambassadors are often appointed to work alongside Guardians to complement the work they do, and may be especially helpful in organisations that cover a large workforce. Whilst Freedom to Speak up Guardians are expected to follow the NGO’s universal job description, the exact nature of the role carried out by Champions/Ambassadors varies depending on the needs of the organisation. In some cases they perform a sign-posting role, in others their role may be similar to that of a Guardian.