Raising concerns - guidance for managers

Read the guidance and resources we have available to managers when supporting staff when raising concerns.

9 April 2021

This section provides information and guidance that will support managers in the NHS to positively respond to concerns raised.


The National Guardian’s Office, in association with Health Education England, has launched their Freedom to Speak Up e-learning package – ‘Speak Up, Listen Up, Follow Up’ – for anyone who works in healthcare. Divided into three modules, it helps learners understand the vital role they can play in a healthy speaking up culture which protects patient safety and enhances worker experience. The second module - Listen Up - is for managers at all levels to give them the tools to foster a speaking up culture in their teams by listening to and understanding the barriers to speaking up.


Whistleblowing: list of prescribed people and bodies as outlined under section 43F of the Public Interest Disclosure Act (PIDA) 1998. This list outlines who staff can make a disclosure to if issues remain unresolved after raising them using internal processes, or where individuals do not feel able to raise the issue with their employer. It is important that all workers are clear on the routes available to them to raise concerns both internally and externally to ensure they are covered by PIDA. Employers are advised to include reference to this list within local policies and guidance.

The National guardian's office has a range of learning and resources over on their website including e-learning, case studies and information sessions: Freedom to Speak Up learning and resources

Additional useful references

Guidance for clinical managers

Responding to concerns: a guide for doctors who manage staff - This BMA guidance aims to help managers of other healthcare professionals better manage concerns raised to them.