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Annual report 2025/26 laid before Parliament

The Annual Report of the National Guardian’s Office (NGO) has today been laid before Parliament, highlighting the…...

100 Voices: Patient Safety and Organisational Learning

This case study summarises the experience of a senior health professional and non‑medical prescriber who raised concerns about patient safety and clinical governance within a specialist healthcare team, and the significant organisational learning that followed.

Your development

The National Guardian’s Office provides training and support for you as you develop in your role as Freedom to Speak Up Guardian.

Temporary Workers, Permanent Voices: A Speak Up Review

The review brings together a wide range of insights, including what we heard directly from more than 900 temporary workers.

Temporary Workers, Permanent Voices: A Speak Up Review

A review carried out by the National Guardian’s Office has found that temporary workers feel largely excluded from…...

Annual report laid before Parliament

The Annual Report of the National Guardian for the NHS is today (24 November 2025) laid before…...

National Guardian’s Office responds to the CQC State of Care report 2025

Responding to the Care Quality Commission State of Care Report 2025, Beth Carter, Interim Director of Operations and Strategy for the National Guardian’s…...

Between challenge and change: A guardian’s perspective

In July, the Dash Review of patient safety across the health and care landscape was published and…...

Annual Guardian survey 2024 dashboard

Explore the data in this year’s Freedom to Speak Up Guardian survey. Follow the…...

Strong job satisfaction among guardians despite resource challenges – national survey 2025

Nine out of ten guardians would recommend role to others, as survey provides roadmap for future improvements…...

Establishing an effective speaking up culture at the Hereford and Worcestershire Integrated Care Board

Bea Pavlovic describes how she established herself as Freedom to Speak Up Guardian for Hereford and Worcestershire Integrated Care Board

How visa insecurity silences healthcare workers 

For many overseas-trained workers in the NHS, their right to live and work in the UK is…...