As a result of the Francis review the role of Freedom to Speak Up Guardian was introduced across all NHS organisations. This was extended to primary care in September 2017.

This scheme offers the role of an appointed Freedom to Speak Up Guardian and access to supporting information for practices across South Cheshire and Vale Royal, as one option to
assist practices in meeting their obligations.
This scheme will ensure that practices have the following in place:
– A named individual who is independent of the line management chain and is not the direct employer as the Freedom to Speak Up Guardian, who can ensure that policies are in place and that staff know who to contact if they have a concern.
– A platform to build on the work of Being Open by adopting the good practice published in Freedom to Speak Up to ensure staff are fully supported to ensure that:

• It is safe to speak up
• Staff have the confidence to speak up
• Concerns are investigated
•  Speaking up makes a difference
• Concerns are well received
  – This scheme will enable practices to demonstrate that:
• Supervisors and others identified to manage concerns are approachable and trained in how to receive concerns
• There is a clear positive procedure in place
• There is support and advice which can be easily accessed to help staff
• Concerns are taken seriously and clear records are kept
• Staff are aware of what will happen having raised a concern and will be kept informed
  – A supporting information pack containing the appropriate policies and communications to staff to assist with implementation and to be able to demonstrate compliance e.g. CQC inspections.
  – Regular updates and support to practices on changes in guidance to ensure continued compliance.
  – A second level tier service to respond to any concerns raised.