What is the National Guardian's Office?

The National Guardian’s Office and the role of the Freedom to Speak Up Guardian were created in response to recommendations made in Sir Robert Francis QC’s report “The Freedom to Speak Up” (2015).

These recommendations were made as Sir Robert found that NHS culture did not always encourage or support workers to speak up, and that patients and workers suffered as a result.

The office leads, trains and supports a network of Freedom to Speak Up Guardians in England and conducts speaking up reviews to identify learning and support improvement of the speaking up culture of the healthcare sector.

There are over 1,200 guardians in NHS and independent sector organisations, national bodies and elsewhere that ensure workers can speak up about any issues impacting on their ability to do their job. The National Guardian’s Office also provides challenge and learning to the healthcare system as a whole as part of its remit.

Find out more about our strategy

Our refreshed vision for the work of the National Guardian’s Office, to improve workplace cultures, ensuring workers are confident to speak up, by providing expert support, guidance and challenge.

Find out more

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Latest NGO News

Temporary Workers, Permanent Voices: A Speak Up Review

A review carried out by the National Guardian’s Office has found that temporary workers feel largely excluded from…...

Annual report laid before Parliament

The Annual Report of the National Guardian for the NHS is today (24 November 2025) laid before Parliament,…...

National Guardian’s Office responds to the CQC State of Care report 2025

Responding to the Care Quality Commission State of Care Report 2025, Beth Carter, Interim Director of Operations and Strategy for the National Guardian’s Office,…...