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Embedding a healthy speaking up culture

Top tips on how to create a workplace speaking up culture which supports health and wellbeing.

Exception reporting guidance for directors of medical education

Guidance for DMEs on their roles and responsibilities in supporting the exception reporting processes for resident doctors.

Exception reporting guidance for HR and medical staffing

This guidance is for HR and medical staffing and covers their role and responsibilities in the exception reporting process.

Exception reporting data collection

Details of the process and resources to support you to prepare for NHS England's exception reporting data collection.

Fines guidance for exception reporting

Guidance outlining the changes to existing GOSWH fines in Version 13 of the 2016 TCS and includes two new fines introduced for exception reporting.

Handling, use and sharing of exception reporting data

This guidance outlines when identifiable and non-identifiable information may be used, staff access rights, and the required safeguards.

Lead employer guidance for exception reporting

Guidance for lead employers regarding exception reporting reforms.

Exception reporting reform FAQs

Answers to questions about changes to exception reporting arrangements from 4 February 2026. These changes apply to England only.

Exception reporting reform background information

Background information on exception reporting reform, including implementation details, framework agreement and employer guidance.

Exception reporting reforms - preparing for implementation

Overview of roles and responsibilities for those responsible for delivering exception reporting reforms and processes for HR/medical staffing function