25 / 11 / 2015
Use this assessment tool to check how effective your organisation is in relation to raising concerns.
It has been designed to be completed by HR or an individual within the organisation with responsibility for raising concerns and should be used alongside local and national staff survey data for maximum effect. Use it to evidence strengths and identify any areas that need improvement or action.
The self-assessment tool is part of a suite of raising concerns resources. Visit our Draw the line web pages to find out what other materials are available.
Using your staff survey results
The NHS Staff Survey is a potentially useful set of data about how staff feel on raising concerns. Because it is confidential it provides good insight into actual staff opinion. There is one question on raising concerns which is asked in two parts. Question 19 asks if staff would feel safe to raise a concern about unsafe clinical practice and whether they would feel confident that action would be taken if they did so.
Overall seven out of ten staff said they would feel safe to do so and one in ten said they would not. Two out of ten chose not to give a view. This is relatively a good result although the figure for those that would not give a view is high and taken together means that three in ten did not give a positive response. The figure for confidence is though considerably lower with only six out of ten fully confident.
Analysing these statistics
NHS Employers recommends that trusts analyse their response to see how they compare year on year and with trusts of a similar type. Results can also be broken down by occupational group and type of staff to see if there are any particular group that have concerns in one part of the Trust. Due the nature of the survey it is not possible to link responses to work group level.
The results for question 19 should be read alongside overall questions on the culture of the trust as far as patient care is concerned. For example the question on whether patient care is a top priority. It can also be compared with the answers on the overall treatment of incidents and errors and levels of staff engagement. It is unlikely that an organisation will make progress on ensuring staff feel able to openly raise concerns if there is deep seated mistrust of its leadership and low levels of staff engagement.
It can also be correlated with the question on willingness to recommend the organisation as a place to be treated and also data from the Staff and Patient Friends and Family Test. It is likely that organisations where staff do not feel able to raise a concern are ones where staff would be unlikely to recommend services. It may also be that patient data can be related to the issue.
An analysis of the staff survey data alongside other information should enable an organisation to develop a focused approach to building confidence to raise concerns.