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Case Studies

Read the latest case studies from the National Guardian’s Office.

Establishing an effective speaking up culture at the Hereford and Worcestershire Integrated Care Board

When I joined the Hereford and Worcestershire Integrated Care Board in April 2024 as an externally appointed Freedom…...

Picture of post author: Rose Johnston
Rose Johnston 3 September 2025
Liz Houchin and Fran Moverley

Group partnership working at its best

Northern Lincolnshire and Goole NHS Foundation Trust (NLaG) and Hull University Teaching Hospitals NHS Trust (HUTH) have historically…...

group working
Picture of post author:
19 September 2024
Emma Randle

100 Voices: Listening to trainees

Two Trainee Nursing Associates separately contacted Emma Randle, Freedom to Speak Up Guardian at Birmingham and Solihull Mental…...

#100voices
trainees
Picture of post author:
29 February 2024

Case study: Becoming an ambassador to fight futility and improve patient safety

Jayne Rowlands is the manager of Excel & Exceed, the school based within Cygnet Hospital Bury which…...

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4 January 2024
Janice Scott

Case Study: East of England Ambulance Service

Janice Scott joined the East of England Ambulance Service trust as the Lead Guardian in 2020, at a…...

Picture of post author:
29 November 2023
Sylvia Gomes

100 Voices: Incivility in the workplace

A worker raised concerns with Sylvia Gomes, the Freedom to Speak Up Guardian at East and North Hertfordshire…...

100 voices
Incivility
psychological safety
Picture of post author:
29 November 2023
John Verity

My journey from mental health nurse to Guardian

Leeds and York Partnership Foundation Trust (LYPFT) is the main provider of mental health, learning disability and neurodiversity…...

Picture of post author:
28 November 2023
Florence Barras

First Community Health and Care

In the 2022 NHS Staff Survey, 83% of workers at First Community Health and Care agreed with…...

Picture of post author:
28 November 2023
Mwamba Bennett

Dudley Integrated Care NHS Trust

In the 2022 NHS Staff Survey, Dudley Integrated Health and Care NHS Trust had the…...

Picture of post author:
28 November 2023

100 voices: Why I became a Freedom to Speak Up Champion

Someone was appointed within the hospital without an interview.  A few team members including myself pointed out the…...

100 voices
champions
Picture of post author:
23 November 2023
Ken Levins

Technological Solution to Speaking Up at Lancashire and South Cumbria NHS Foundation Trust

The speaking up culture at Lancashire and South Cumbria NHS Foundation Trust has developed positively since 2017, with…...

data
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21 June 2023

The Impact of Leadership Visibility at Royal Cornwall Hospitals NHS Trust

Acting on feedback, Freedom to Speak Up Guardian at Royal Cornwall Hospitals NHS Foundation Trust, Joanne Burton,…...

Picture of post author:
8 June 2023
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