Gateshead Health NHS Foundation Trust

Interim Freedom to Speak up Guardian

The closing date is 15 August 2025

Job summary

The Freedom to Speak up (FTSU) Guardian is a lead Trust wide role with a high profile and influence. Acting in a genuinely independent capacity, the FTSU Guardian will work alongside Trust Board and Executive team to support the organisation's continuing aim to improve openness and transparency within the workplace, and to further promote a listening and learning culture. The role is essential in supporting the delivery and embedding of the Trust values of Innovation, Care, Openness, Respect and Engagement.

Main duties of the job

FTSU Guardians are expected to have the qualities and experience that will enable them to uphold the principles laid down by the National Guardian's Office:

Independent - In the advice, they give to staff and senior leaders and free to prioritise their actions to create the greatest impact on speaking up culture. Able to support senior leaders in creating a culture of speaking up; putting in place processes to support speaking up; taking action to make improvements where needed; and displaying behaviours that encourage speaking up.

Impartial - able to review fairly how cases where staff have spoken up are handled.

Empowered - to take a leading role in supporting staff to speak up safely to independently report on progress on behalf of Local Guardians and local network of Champions

Visible - to all staff particularly those on the frontline and approachable to all irrespective of discipline or grade.

Influential - with direct and regular access to members of Trust Board and other senior leaders.

Knowledgeable - in Freedom to Speak Up matters and local issues and able to

advise staff appropriately about speaking up.

About us

Based in the North East of England we provide a range of hospital and community health services from our leading facilities, including the Queen Elizabeth Hospital, Blaydon urgent care centre and Bensham Hospital, all within Gateshead.

Established in 2005, we were one of the first foundation trusts in the country and since then have consistently achieved the highest levels of care for patients.

We now employ around 4,800 staff and currently provide 444 hospital beds across the Gateshead region.

Our values should be the 'golden thread' which runs through everything we do - they are the core of who we are. Our five values can easily be remembered by the simple acronymICORE; Innovation, Care, Openness, Respect, Engagement.

We have a number of staff networks including the Global Ethnic Majority (GEM) network, D-Ability network, LGBTQ+ Network and the Women's Network, to challenge us and help us to constantly improve. Our Armed Forces network is one of our emerging networks.

The health and wellbeing of our staff is one of our highest priorities, and we offer a range of support and initiatives as part of our 'Balance' programme balancegateshead.com to cater for our diverse workforce, so that your individual needs can be supported, allowing you a happy and healthy working experience with us.

Details

Date posted

01 August 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

Depending on experience Dependant on Experience

Contract

Fixed term

Duration

3 months

Working pattern

Full-time

Reference number

297-7377145

Job locations

QEH

sheriff Hill

Gateshead

NE9 6SX


Job description

Job responsibilities

The main duties and responsibilities for the post of FTSU Guardian relate to the following key areas:

Culture

Develop and deliver communication and engagement interventions aimed at increasing the understanding and visibility of Freedom To Speak Up Guardians and Local FTSU Champions amongst the organisations workforce.

Promote local speaking up processes and sources of support and guidance, demonstrate the impact that speaking up is having in the organisation, and appropriately celebrate speaking up.

Ensure that staff are aware of, and have access to, support to help them speak up and through the Champions, ensure that Freedom to Speak Up awareness reaches all parts of the organisation, and everyone has easy access to someone outside their immediate line-management chain who can advise and support them.

Take action to ensure that groups that may face particular barriers to speaking up have the knowledge and support they need.

Ensure that staff with disabilities and people from minority ethnic backgrounds are encouraged to speak up and are not disadvantaged by doing so.

Lead the organisations education and development programme for all staff, so that they understand how they can raise concerns and for managers about how they respond to concerns and supporting the member of staff appropriately.

Work with the Trusts Patient Safety Specialists and the People and OD team to ensure a Just Culture is embedded and built into the Trusts Human Resources including: People processes, language, training, policies, to empower staff to speak up and identify risks to safety without fear of punitive response which will facilitate better outcomes for patients.

Process improvement

In partnership with relevant POD & Patient Safety colleagues, review and advise upon colleague opinion and feedback from the Trust wider engagement activities including; Annual Staff Survey Pulse Surveys, Patient Safety Incident Response Framework, Staff & Patient Forums, etc.

Leads and collaborates with significant stakeholders, including POD, the Communications Team, Patient Safety and others, to ensure that speaking up guidance and processes are clear and accessible, reflect best practice and address any local issues that may hinder the speaking up process.

Assess the effectiveness of speaking up processes and the handling of individual cases, intervening when these are failing people who speak up, and making robust recommendations for improvement. The Guardian will lead and engage any FTSU reviews within the organisation.

Complete the national FTSU reflection and planning tool on an at least two-yearly cycle to assess current performance and improvements.

Capability

Assess the knowledge and capability of staff to both speak up and support people when they speak up.

Ensure that all staff have the relevant skills and knowledge to enable them to speak up effectively, and those supporting, managing or investigating speaking up issues have the capability and knowledge to do this effectively.

Ensure that appropriate items relating to speaking up are incorporated into induction programmes for all staff. Ensure that groups of staff and individuals who may find it difficult to speak up are identified and given particular support.

Supporting Staff

Ensure that information and data are handled appropriately, and personal and confidential data are protected. This will involve using technology for recording, analysing and reporting of issues raised, developing and presenting training materials to groups of staff and managers, and for developing marketing materials and feedback surveys.

Ensure that individuals receive appropriate feedback on how issues about which they speak up are investigated, and the conclusion of any investigation. Where necessary, provide additional support to people and groups who are experiencing difficulty with speaking up, or those who are experiencing difficulty in handling or supporting someone who is speaking up.

Prepare regular communications to staff, sharing non-confidential information and lessons learnt from concerns.

Provide direct support and guidance in the development of appointed FTSU Champions.

Working with the Board

Develop effective and open working relationships with the Chair, Chief Executive, and other Executive and Non-Executive Directors.

Meet regularly, at least quarterly, with the Director of People & OD to feedback themes from the concerns raised and to share positive and negative experiences and outcomes.

As agreed with the Chair, regularly attend meetings of the Board to report on Freedom to Speak Up activities (reports will include assessment of issues about which people are speaking up, trends, and barriers - particular attention will be given to concerns which may suggest a link to patient safety and quality).

Acting as a critical friend to Board members, support the Board in ensuring it takes appropriate action to create a Freedom to Speak Up culture, assess trends, and actively responds to issues that are being raised.

Report to POD committee and relevant programme boards on FTSU themes from cases raised and identified barriers to speaking up.

Analysing FTSU information to identify & inform organisational learning and development which will contribute to patient safety, patient experience and quality improvement initiatives.

Safety and Quality

Take immediate appropriate action when matters about which people are speaking up indicate that safety and quality maybe compromised.

Develop measures, data sets, and indicators to monitor trends and identify linkages between issues raised through people speaking up, and issues raised through other safety and quality route.

Take responsibility to ensure that escalation to external bodies, outside of the organisation are appropriately used when required.

Wider NHS Culture

Participate in National Guardian Office activities and training, actively supporting fellow FTSU Guardians, developing personal networks and peer relationships, contributing to wider networking events, and sharing and learning from best practice.

Where required, seek advice and guidance from the National Guardians Office.

Keep abreast of developments and best practice, and assess own and FTSU Champions development and training needs in addressing these.

Guidance issued by the National Guardians Office should be followed, and feedback on its effectiveness and impact provided, and information provided to the NGO as required.

Management and Leadership Responsibilities

o Provide leadership for the Trust around the Speaking Up agenda. The Guardian will have an understanding of the national perspective and future strategy for the role in the NHS and related areas of health to ensure that the organisation is fully aware of the implications and can contribute effectively.

o Develop and implement relevant policies and guidance across the organisation, taking into account the national perspective.

o Develop and empower colleagues to perform to high standards and innovate.

o Informally manage the Freedom to Speak Up Champions.

o Develop FTSU Guardians and Champions knowledge and skills to promote equality and diversity and address inequalities in both employment and service delivery. Ensure specific equality objective are included in PDRs.

o Develop a culture that promotes Speaking Up as business as usual and that staffs perception about their working lives are measured and improvements made

Job description

Job responsibilities

The main duties and responsibilities for the post of FTSU Guardian relate to the following key areas:

Culture

Develop and deliver communication and engagement interventions aimed at increasing the understanding and visibility of Freedom To Speak Up Guardians and Local FTSU Champions amongst the organisations workforce.

Promote local speaking up processes and sources of support and guidance, demonstrate the impact that speaking up is having in the organisation, and appropriately celebrate speaking up.

Ensure that staff are aware of, and have access to, support to help them speak up and through the Champions, ensure that Freedom to Speak Up awareness reaches all parts of the organisation, and everyone has easy access to someone outside their immediate line-management chain who can advise and support them.

Take action to ensure that groups that may face particular barriers to speaking up have the knowledge and support they need.

Ensure that staff with disabilities and people from minority ethnic backgrounds are encouraged to speak up and are not disadvantaged by doing so.

Lead the organisations education and development programme for all staff, so that they understand how they can raise concerns and for managers about how they respond to concerns and supporting the member of staff appropriately.

Work with the Trusts Patient Safety Specialists and the People and OD team to ensure a Just Culture is embedded and built into the Trusts Human Resources including: People processes, language, training, policies, to empower staff to speak up and identify risks to safety without fear of punitive response which will facilitate better outcomes for patients.

Process improvement

In partnership with relevant POD & Patient Safety colleagues, review and advise upon colleague opinion and feedback from the Trust wider engagement activities including; Annual Staff Survey Pulse Surveys, Patient Safety Incident Response Framework, Staff & Patient Forums, etc.

Leads and collaborates with significant stakeholders, including POD, the Communications Team, Patient Safety and others, to ensure that speaking up guidance and processes are clear and accessible, reflect best practice and address any local issues that may hinder the speaking up process.

Assess the effectiveness of speaking up processes and the handling of individual cases, intervening when these are failing people who speak up, and making robust recommendations for improvement. The Guardian will lead and engage any FTSU reviews within the organisation.

Complete the national FTSU reflection and planning tool on an at least two-yearly cycle to assess current performance and improvements.

Capability

Assess the knowledge and capability of staff to both speak up and support people when they speak up.

Ensure that all staff have the relevant skills and knowledge to enable them to speak up effectively, and those supporting, managing or investigating speaking up issues have the capability and knowledge to do this effectively.

Ensure that appropriate items relating to speaking up are incorporated into induction programmes for all staff. Ensure that groups of staff and individuals who may find it difficult to speak up are identified and given particular support.

Supporting Staff

Ensure that information and data are handled appropriately, and personal and confidential data are protected. This will involve using technology for recording, analysing and reporting of issues raised, developing and presenting training materials to groups of staff and managers, and for developing marketing materials and feedback surveys.

Ensure that individuals receive appropriate feedback on how issues about which they speak up are investigated, and the conclusion of any investigation. Where necessary, provide additional support to people and groups who are experiencing difficulty with speaking up, or those who are experiencing difficulty in handling or supporting someone who is speaking up.

Prepare regular communications to staff, sharing non-confidential information and lessons learnt from concerns.

Provide direct support and guidance in the development of appointed FTSU Champions.

Working with the Board

Develop effective and open working relationships with the Chair, Chief Executive, and other Executive and Non-Executive Directors.

Meet regularly, at least quarterly, with the Director of People & OD to feedback themes from the concerns raised and to share positive and negative experiences and outcomes.

As agreed with the Chair, regularly attend meetings of the Board to report on Freedom to Speak Up activities (reports will include assessment of issues about which people are speaking up, trends, and barriers - particular attention will be given to concerns which may suggest a link to patient safety and quality).

Acting as a critical friend to Board members, support the Board in ensuring it takes appropriate action to create a Freedom to Speak Up culture, assess trends, and actively responds to issues that are being raised.

Report to POD committee and relevant programme boards on FTSU themes from cases raised and identified barriers to speaking up.

Analysing FTSU information to identify & inform organisational learning and development which will contribute to patient safety, patient experience and quality improvement initiatives.

Safety and Quality

Take immediate appropriate action when matters about which people are speaking up indicate that safety and quality maybe compromised.

Develop measures, data sets, and indicators to monitor trends and identify linkages between issues raised through people speaking up, and issues raised through other safety and quality route.

Take responsibility to ensure that escalation to external bodies, outside of the organisation are appropriately used when required.

Wider NHS Culture

Participate in National Guardian Office activities and training, actively supporting fellow FTSU Guardians, developing personal networks and peer relationships, contributing to wider networking events, and sharing and learning from best practice.

Where required, seek advice and guidance from the National Guardians Office.

Keep abreast of developments and best practice, and assess own and FTSU Champions development and training needs in addressing these.

Guidance issued by the National Guardians Office should be followed, and feedback on its effectiveness and impact provided, and information provided to the NGO as required.

Management and Leadership Responsibilities

o Provide leadership for the Trust around the Speaking Up agenda. The Guardian will have an understanding of the national perspective and future strategy for the role in the NHS and related areas of health to ensure that the organisation is fully aware of the implications and can contribute effectively.

o Develop and implement relevant policies and guidance across the organisation, taking into account the national perspective.

o Develop and empower colleagues to perform to high standards and innovate.

o Informally manage the Freedom to Speak Up Champions.

o Develop FTSU Guardians and Champions knowledge and skills to promote equality and diversity and address inequalities in both employment and service delivery. Ensure specific equality objective are included in PDRs.

o Develop a culture that promotes Speaking Up as business as usual and that staffs perception about their working lives are measured and improvements made

Person Specification

Experience

Essential

  • substantial NHS experience
  • track record of supporting staff

Desirable

  • mediation skills

Experience

Essential

  • experience of managing confidential issues

Desirable

  • oGood technical understanding of digital systems and architecture
Person Specification

Experience

Essential

  • substantial NHS experience
  • track record of supporting staff

Desirable

  • mediation skills

Experience

Essential

  • experience of managing confidential issues

Desirable

  • oGood technical understanding of digital systems and architecture

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Additional information

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Employer details

Employer name

Gateshead Health NHS Foundation Trust

Address

QEH

sheriff Hill

Gateshead

NE9 6SX


Employer's website

https://www.qegateshead.nhs.uk (Opens in a new tab)

Employer details

Employer name

Gateshead Health NHS Foundation Trust

Address

QEH

sheriff Hill

Gateshead

NE9 6SX


Employer's website

https://www.qegateshead.nhs.uk (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Chief Nurse

Gill Findley

gillian.findley@nhs.net

07773002651

Details

Date posted

01 August 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

Depending on experience Dependant on Experience

Contract

Fixed term

Duration

3 months

Working pattern

Full-time

Reference number

297-7377145

Job locations

QEH

sheriff Hill

Gateshead

NE9 6SX


Supporting documents

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