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The Confidential Staff Liaison Service | The Guardian Service

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Here to listen, here for you

The confidential staff liaison service

For staff who need to talk about issues or concerns relating to patient care and safety or work related matters
Protecting your confidentiality - Advocating patient care - Raising professional standards

The Guardian Service

The Guardian Service is an independent and confidential service established to support NHS employees at all levels and in all roles. It is here for you to discuss any concern or issue you may have relating to patient care, patient safety or work related concerns.

The Guardian Service was set up in response to The Francis report that stated "Voices of staff were largely ignored" and that NHS staff had found when reporting issues that their concerns could be ignored, dismissed and not acted upon in a timely manner.

The Guardian Service is about patient care and raising professional standards

The Guardian Service

  • Completely Confidential
  • Here to listen and support you
  • Independent
  • Open to all staff at any level
  • Pioneering service
  • Working in partnership
  • Safe to use

Working on national platforms and programs to ensure the patient's voice is always heard

Helping NHS Staff

The service provides information and emotional support in a strictly confidential, non-judgemental manner and in an off the record discussion. The one-to-one nature of the service is a fundamental foundation of the service providing personal contact in contrast to an online, email or drop box approach.

For many individuals the opportunity to speak about their concerns in a safe environment with a neutral and understanding person can be an end in itself. Experience to date has demonstrated that the initial subject matter raised by an individual is often a symptom of a deeper held concern. The role of a Guardian in surfacing these deeper held issues is critical and supports the individual to rationalise their concerns to a point where they can decide for themselves to take further action or recognise their current reaction as an emotional response.

The Guardian Service covers a wide range of issues relating to patient care, patient safety and work related concerns

Patient Care, Patient Safety and Work Related Concerns

  • Bullying and harassment
  • Incivility and disrespect
  • Patient harm
  • Leadership attitudes and behaviour
  • Unsafe practices
  • Work practices
  • Discrimination
  • Poor process

The BHRUT Guardian Service is now 2 Years Old

On September 7 the celebrations for the 2nd Anniversary of the Barking, Havering and Redbridge University Trust (BHRUT) Guardian Service were led by Chief Executive Matthew Hopkins.

The service helps staff at King George Hospital in Goodmayes and Queen's Hospital in Romford speak up about concerns about patient safety and work related matters.

Mr Hopkins said: "Adopting an open, honest culture is vital to keep our patients safe from preventable harm."

"We're privileged to have the service led by National Patient Champion Ashley Brooks, who has recently been named as one of the Health Service Journal's top 50 Patient Leaders."

The Guardian Service was set up in 2013 as an NHS Change Day pledge in response to the Francis Report to ensure patients are always put first. It is the first of it's kind in the country and is led independently by National Patient Champion Ashley Brooks.

Supporting NHS Organisations

Our guardians gain a detailed insight into the culture and practices of an organisation through our contact with NHS staff.

This enables the Guardians to provide objective and qualified feedback to an organisation

Our Guardians Provide Objective and Qualified Feedback

  • Feeds into Trust Board thinking
  • Influences Organisational Development
  • Brings learning for Culture Change programmes
  • Breeds an open and honest environment

"It's everyones responsibility..." Francis Report 2013

Become A Guardian


We currently have no vacancies, but please check back regularly for possible opportunities.

Contact the Guardian Service