Freedom to Speak Up: guidance for NHS trust and NHS foundation trust boards

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Our expectations of boards and board members in relation to Freedom to Speak Up plus a self-review tool.

Effective speaking up arrangements protect patients and improve the experience of NHS workers. Our guide contributes to the need, set out by Sir Robert Francis in his Freedom to Speak Up review, to develop a more open and supportive culture that encourages staff to speak up about any issues of patient care, quality or safety.

The guide aligns with our well-led framework and offers practical advice and a self-review tool for boards to use. 

We want all trust boards in England to use the self-review tool to identify areas for development and improve the effectiveness of their leadership and governance arrangements in relation to Freedom to Speak Up.

Freedom to Speak Up guidance

Guidance for NHS trust and NHS foundation trust boards on Freedom to Speak Up PDF, 201.6 KB

Helps trusts identify areas for development and improve the effectiveness of leadership and governance arrangements in relation to FTSU.

Freedom to Speak Up self-review tool

The self-review tool supports the standards laid out in the guidance. It supports trusts' review around the eight key lines of enquiry set out in the well-led framework.

Freedom to Speak Up self-review tool DOCX, 73.6 KB

Freedom to Speak Up self-review tool for boards.

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