Jones, Aled  ORCID: https://orcid.org/0000-0002-2921-8236, Maben, Jill, Adams, Mary, Manninon, Russell, Banks, Carys, Blake, Joanne, Job, Kathryn and Kelly, Daniel ORCID: https://orcid.org/0000-0002-1847-0655
2022.
Implementation of ‘Freedom to Speak Up
Guardians’ in NHS acute and mental health trusts in England: the FTSUG mixed-methods study.
Health and Social Care Delivery Research
10
, 23.
10.3310/GUWS9067
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Abstract
Background The introduction of ‘Freedom to Speak Up Guardians’ into every NHS trust in England was intended to support workers and trusts to better raise, respond to and learn from speaking-up concerns. However, only broad guidance was provided on how to implement the role. As a result, there is the potential for important local differences to emerge as the role is implemented across England. Objectives The overall aim of this study was to better understand the implementation of Guardians in acute trusts and mental health trusts. Design The Freedom to Speak Up Guardian role was conceptualised as a complex intervention consisting of several interacting and interlocking components spanning the macro level (national organisations), the meso level (individual trusts) and the micro level (employees, teams and wards/units). A mixed-methods study was designed, which consisted of three work packages: (1) a systematic narrative review of the international literature regarding interventions promoting ‘speaking up’ by health-care employees; (2) semistructured telephone interviews with Guardians working in acute hospital trusts and mental health trusts; and (3) qualitative case studies of Freedom to Speak Up Guardian implementation, consisting of observations and interviews undertaken in four acute trusts and two mental health trusts. Interviews were also undertaken with national stakeholders.
| Item Type: | Article |
|---|---|
| Date Type: | Publication |
| Status: | Published |
| Schools: | Schools > Healthcare Sciences |
| Publisher: | NIHR Journals Library |
| ISSN: | 2755-0060 |
| Funders: | NIHR Health Services & Delivery Programme |
| Projects: | FTSUG evaluation project |
| Date of First Compliant Deposit: | 14 July 2021 |
| Date of Acceptance: | 5 July 2021 |
| Last Modified: | 30 Jun 2026 14:24 |
| URI: | https://orca.cardiff.ac.uk/id/eprint/142493 |
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