Freedom to Speak Up - elearning for healthcare
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This programme is in partnership with...
  • National Guardians Office
  • Health Education England_New logo 2021

About the Freedom to Speak Up in Healthcare in England programme

This training is for everyone wherever they work in healthcare and explains in a clear and consistent way what speaking up is and its importance in creating an environment in which people are supported to deliver their best.  It will help you understand the vital role you can play and the support available to encourage a healthy speaking up culture for the benefit of patients and workers.

The training is divided into three parts.

  • Speak Up: Core training is for all workers including volunteers, students and those in training, regardless of their contract terms and covers what speaking up is and why it matters. It will help learners understand how to speak up and what to expect when they do.
  • Listen Up: This training for all line and middle managers and is focussed more on listening up and the barriers that can get in the way of speaking up.
  • Follow Up: This training is aimed at all senior leaders including executive board members (and equivalents), Non-Executive Directors, and Governors to help them understand their role in setting the tone for a good speaking up culture and how speaking up can promote organisational learning and improvement.

More information

What is Freedom to Speak Up?

Speaking up protects patient safety and improves the lives of workers.

When things go wrong, we need to make sure that lessons are learnt and things are improved.

If we think something might go wrong, it’s important that we all feel able to speak up so that potential harm is prevented.

Even when things are good, but could be even better, we should feel able to say something and should expect that our suggestion is listened to and used as an opportunity for improvement.

Freedom to Speak Up is about encouraging a positive culture where people feel they can speak up and their voices will be heard, and their suggestions acted upon.


  • What are Freedom to Speak Up Guardians?

  • About the National Guardian’s Office

National Guardians Office - Being A Freedom To Speak Up Guardian

 Being a Freedom to Speak Up Guardian: Three Freedom to Speak Up Guardians share their insights on the challenges, and rewards of being a guardian. 


We engaged with a wide range of groups when developing this training and would like to express our sincere thanks to all of those who provided helpful feedback.

Meet the team

  • Katherine Bradshaw

    Katherine Bradshaw

    National Lead for Communication and Engagement, National Guardian's Office
  • Lorraine Turnell

    Lorraine Turnell

    National Lead for Guardian Support and Policy, National Guardian's Office
  • Russel Parkinson

    Russell Parkinson

    Head of Office, National Guardian's Office
  • andi blackmore

    Andi Blackmore

    TEL Education Content Programme Manager, NHS England
  • Rob Taylor

    Rob Taylor

    TEL Education Content Project Manager, NHS England
  • Tracy Watkins

    Tracy Watkins

    TEL Education Content Learning Designer, NHS England
  • Scott Tyrrell

    TEL Education Content Graphic Designer and Animator, NHS England
  • Louise Garrahan

    TEL Education Content Stakeholder Officer, NHS England

How to access

In order to access the Freedom to Speak Up in Healthcare in England programme, you will need an elfh account. If you do not have one, then you can register by selecting the Register button below.

Register >

To view the Freedom to Speak Up in Healthcare in England programme, select the View button below. If you already have an account with elfh, you will also be able to login and enrol on the programme from the View button.

View >

Not an NHS organisation?

If you are not an NHS health or care organisation and therefore do not qualify for free access elfh Hub, you may be able to access the service by creating an OpenAthens account.

To check whether or not you qualify for free access via OpenAthens, you can view the eligibility criteria and register on the ‘OpenAthens’ portal.

Registering large numbers of users

If you are a HR, IT or Practice Manager and would like to register and enrol large numbers of staff within your organisation for access onto the Freedom to Speak Up in Healthcare in England programme, please contact elfh directly.

Organisations wishing to use their own LMS

For HR departments wanting to know more about gaining access to courses using an existing Learning Management System please contact elfh directly to express interest.

More information

Please select the following link for more information on how to use the elfh Hub.

elfh is a NHS England programme in partnership with the NHS and professional bodies