A nurse speaks to a child patient who is laying in a hospital bed.

Guidance for NHS staff

If you are an NHS staff member and your concern relates to a work place issue, you may find the following information helpful.

National Guardian’s Office (NHS staff only)

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 at the Care Quality Commission 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.

Freedom to Speak Up Guardians (FTSUGs)

All NHS trusts and foundation trusts have appointed FTSUGs. Details about your local FTSUG can be found within your trust or a directory of Guardians is available and can be found on the website of the National Guardian’s Office.


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

Speak Up helpline

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.