Working with NHS England, we have brought together four questions from the NHS Staff Survey into a ‘Freedom to Speak Up (FTSU) Index’. These questions ask whether staff feel knowledgeable, secure and encouraged to speak up and whether they would be treated fairly after an incident. 

Currently, the FTSU Index only includes data for NHS Trusts.  

The FTSU Index seeks to allow trusts to see how an aspect of their Freedom to Speak Up culture compares with other organisations so learning can be shared, and improvements made.  

Since the introduction of Freedom to Speak Up Guardians in 2015, the FTSU Index has improved and risen 3.7 percentage points nationally from 75.5% in 2015 to 79.2%.


Read the 2021 FTSU Index Report

FTSU Index Reports

FTSU Index 2021

The FTSU Index continues to rise nationally but the disparity between the highest performing organisations and the lowest is increasing.

FTSU Index 2020

The national average for the FTSU Index score has continued to improve over the past year, up one percentage point to 79 per cent.

FTSU Index 2019

The average national FTSU Index score improved from 75% in 2015 to 78% in 2018.