Sir Robert Francis publishes his report on whistleblowing in the NHS


11 / 2 / 2015 12.30pm

Sir Robert Francis has published his report on the Freedom to Speak Up Review.

Freedom to speak up; An independent review into creating an open and honest reporting culture in the NHS  includes recommendations for a package of measures to ensure that NHS staff are free to speak up about patient safety concerns.

Sir Robert identifies five overarching themes requiring change which include culture, handling of cases, measures to support good practice, particular measures for vulnerable groups and extending the legal protection.


In his report to the Secretary of State for Health, Sir Robert Francis includes proposals to:

  • ensure raising concerns is part of every member of staff's normal working life
  • name a Freedom to Speak Up Guardian in every trust
  • have a National Independent Officer who can support local Guardians and intervene when necessary
  • set up a new support scheme to help good NHS Staff who are unemployed as a result of raising concerns, get back into work.

Principles and actions

Within the five overarching themes there are 20 Principles and Actions, identified to help create the right environment for staff to speak up, share good practice and effectively deal with issues if they arise in the future.

Download the report

You can download the report and find out more information from our Sir Robert Francis review of whistleblowing processes section.

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