If you're a member of NHS staff and your concern relates to a workplace issue, you may find the following information helpful.

Freedom to Speak Up Guardians

All NHS trusts and foundation trusts have appointed Freedom to Speak Up (FTSU) Guardians. Details about your local FTSU Guardian can be found within your trust or a directory of FTSU Guardians is available on the National Guardian's Office website.

National Guardian’s Office

If you are a member of staff in the NHS in England and are concerned about a safety incident where you work, the National Guardian's Office provides advice on the Freedom to Speak Up Guardian role and supports the Freedom to Speak Up Guardian network. The office also exercises its discretion to review cases referred to it where there is evidence that an NHS service has not responded appropriately to the safety concerns raised by its workers.


Protect (formerly Public Concern at Work) is a national charity which aims to encourage speaking up in the workplace.

Speak Up helpline

The Speak Up helpline is a free, independent and confidential helpline for people working in NHS and Social Care organisations in England, operated by Social Enterprise Direct Limited on behalf of the Department of Health and Social Care.

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