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National Guardian's Office

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About us

The National Guardian’s Office is an independent, non-statutory body with the remit to lead culture change in the NHS so that speaking up becomes business as usual. The office is not a regulator, but is sponsored by the CQC, NHS England and NHS Improvement. This support includes the hosting of our webpages on the website of the CQC.

The National Guardian’s Office supports the National Guardian for the NHS, Dr Henrietta Hughes, in providing leadership, training and advice for Freedom to Speak Up Guardians based in all NHS trusts. Dr Hughes and her office also provides challenge, learning and support to the healthcare system as a whole by reviewing trusts’ speaking up culture and the handling of concerns where they have not followed good practice. Dr Hughes’ role was a key recommendation from Sir Robert Francis’ Freedom to Speak Up Review in response to the Mid-Staffordshire scandal.

These webpages provide information on how to submit case reviews to the National Guardian’s Office, upcoming dates for the Freedom to Speak Up Foundation Training, and a comprehensive list of publications from the office including guidance for the Freedom to Speak Up Guardian role.

Last updated:
20 March 2018