The year of the pandemic: A summary of speaking up to Freedom to Speak Up Guardians
Speaking Up Data report for 1 April 2020 and 31 March 2021
Over 20,000 cases have been brought to Freedom to Speak Up Guardians throughout 2021/22, but levels of anonymity are reducing
The number of cases brought to Freedom to Speak Up guardians in 2021/22 remains at the record level set in 2020/21 (20,362, compared with 20,388 in 2020/21).
The percentage of cases which were raised anonymously has reduced to ten percent (10.4%). This continues the downward trajectory from 2017, when 17.7% of cases were raised anonymously.
Nineteen per cent (19.1%) of cases raised included an element of patient safety/quality, a slight increase from 18% in 2020/21.
In response to concerns being raised during the pandemic, the National Guardian’s Office introduced a new reporting category of worker safety in 2021/22. Over the year, 13.7% of cases had an element of worker safety.
Poor behaviour remains a cause for concern, with the highest proportion of cases – over a third (32.3%) – including an element of behaviours, such as bullying/harassment. This is a rise from 30.1% last year.
To better understand the nature of these behaviours being reported, from April 2022, the National Guardian’s Office will be replacing this category with two new categories: bullying and harassment, and elements of inappropriate attitudes or behaviours.
Despite the improvement in levels of anonymity, of concern is the rise in reported detriment for speaking up, which was indicated in 4.3% of cases, a rise from 3.1% in 2020/21.
On a quarterly basis, Freedom to Speak Up Guardians are expected to share non-identifiable information with the National Guardian’s Office about the speaking up cases raised with them. This information provides invaluable insight into the implementation of Freedom to Speak Up.
For an in depth look at the data reported to the NGO from 2021/22 and 2020/21 please see below
2021/22 speaking up data (Excel)These reports reflect trends and themes from the speaking up data in previous years.
The data Freedom to Speak Up Guardians submit provides invaluable insight into the implementation of the Freedom to Speak Up.
The data also helps provide confidence – and assists in learning and improvement – for the colleagues and organisations they support, and other Freedom to Speak Up Guardians.
NHS England use this data, along with other indicators and intelligence, to inform their thinking around where to offer improvement support in relation to Freedom to Speak Up.
NHS England also upload this information to the Model Health System. Freedom to Speak Up Guardians and leaders can use this service to build a more holistic picture of their organisation’s speaking up culture.
Q1 (2022/23): Monday 1st August 2022 and closes on Friday 26th August 2022
Q2 (2022/23): Opens Monday 10 October 2022 and closes Monday 31 October 2022
Q3 (2022/23): Opens Monday 9 January 2023 and closes Monday 30 January 2023
Q4 (2022/23): Opens Monday 10 April 2023 and closes Tuesday 2 May 2023
Guardians will be able to add or amend data from 2022/23 during the reconciliation period, which will run alongside the Q4 window.
PortalThe use of data played a major role in Northamptonshire Healthcare NHS Foundation Trust ’s efforts to improve their speaking up culture as Matt Asbrey, former Freedom to Speak Up Guardian at NHFT explains.
By triangulating the data provided from speaking up cases raised, pulse surveys and the results of the NHS National Staff Survey, Matt was able to better understand the experience of workers and identify areas for learning and improvement.
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