Resources
Studies, research papers, guidance and toolkits to make a difference in any organisation.
Patient safety
At 5pm on a Friday evening we received a call from a Trust staff member working in a jointly managed and staffed facility with the local council. The service was providing support for adults with learning disabilities in the community.
The foundations of Speaking Up and open culture
Explore essential reports and resources for fostering an open culture and encouraging worker voice, compiled by GSL Communications since 2013.
GSL Data reports
GSL's latest data report reveals key themes and trends in client feedback, emphasizing transparency for continuous improvement in health and social care services.
GSL Annual reports
Explore Guardian Service's annual reports from 2022 to 2025, highlighting significant changes, insights, and a decade of advocacy for change. Dive into detailed analyses and responses.
GSL Response: To the National Guardian's Office review of the Freedom to Speak Up Guardian job description
GSL’s response to the National Guardian's Office review emphasizes the importance of assessing the role's implementation and impact before making any changes to the Job Description.
Speaking up as an enabler of change: learning from the culture review of Ambulance Trusts
Exploring the critical role of speaking up in driving cultural change within Ambulance Trusts, emphasizing the importance of workforce experience and effective dialogue for sustainable improvement.
Speaking up about sexual misconduct
Understanding sexual misconduct reporting in the NHS: An analysis of Guardian cases highlights the need for safe, confidential reporting spaces and the importance of open organizational cultures.
Taking a fresh look at implementing the Freedom to Speak Up Guardian role
Evaluating the challenges faced by Freedom to Speak Up Guardians and proposing a more effective, independent model for their implementation.
GSL response: 'Review of patient safety across the health and care landscape'
The Guardian Service supports the 'Review of patient safety' by endorsing recommendations to improve staff voice and local Guardian arrangements for better healthcare quality and safety.
Do we each have a voice that counts? GSL's response to the NHS staff survey 2024
NHS staff survey results show minimal improvement, indicating a need for change in approach to foster a more open culture and improve staff confidence and trust.
GSL Response to 'Leading the NHS: proposals to regulate NHS managers'
Proposals to regulate NHS managers aim to create a culture of openness, improve leadership accountability, and ensure high-quality care through professional standards and revalidation.
Bullying
A individual contacted their Guardians with a complex concern described as bullying. The individual worked in a department that had a dominant ingroup based on ethnicity.
Patient safety
An individual who had recently commenced employment as an HCA at a secure unit contacted their Guardian expressing concerns about the manner in which some patients were being managed.
Staff safety concern
A call was received from an individual delivering a service to drug and/or alcohol dependent patients.
Contractual concern
Contact was made by a senior medical consultant concerned about their contract situation. The consultant had a set of skills in high demand.
Sexual harassment
A call was received from a young administrative employee who wanted advice about participating in an investigation of sexual harassment after being subjected to numerous comments and inappropriate touches during a training course.
Ambulances running on adrenaline: speaking up in ambulance trusts
A comprehensive culture review highlights the critical role of speaking up in improving ambulance services and ensuring the wellbeing of the workforce for better patient care.
Out of sight, out of mind
Lessons from the David Fuller inquiry highlight the importance of visibility, curiosity, and responsiveness in organizational leadership to prevent egregious failings and promote a culture of accountability.
Taking stock - The Freedom to Speak Up Guardian role in 2023
Examining the state and challenges of the Freedom to Speak Up Guardian role in 2023, with insights from recent surveys and recommendations for future improvements.
Guardian Service response to Health and Social Care Select Committee call for evidence on NHS Leadership, Performance and Patient Safety
Guardian Service critiques NHS leadership and patient safety measures, urging reforms for better support systems and effective whistleblowing processes.
Speaking up is essential not aspirational: Lessons from the Casey Review
Exploring workforce culture in the Met and health sector, focusing on the importance of speaking up and the need for an independent Guardian role to protect vulnerable staff.
Delivering a blue light response on speaking up for Ambulance Trusts
Response to the National Guardian’s Office report on the challenges and recommendations for improving the speak-up culture in NHS ambulance trusts.
Turning up the volume: listening to Freedom to Speak Up Guardians to secure the future of speaking up
Insights on improving the Freedom to Speak Up Guardian role in the NHS, highlighting key findings from independent research and potential solutions for better support and consistency.
COVID-19 Analysis
Analysis of COVID-19 concerns from March to August 2020 highlights key issues faced by NHS staff, focusing on PPE and protocol consistency.
Is there a crisis of bullying in the NHS?
Examining the crisis of bullying in the NHS, clarifying definitions, and assessing the true scale of the issue based on data and perceptions.
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GSL Horizon Scan