F12 Response Accepted AI-assessed

Fundamental standards of behaviour

Recommendation

Reporting of incidents of concern relevant to patient safety, compliance with fundamental standards or some higher requirement of the employer needs to be not only encouraged but insisted upon. Staff are entitled to receive feedback in relation to any report they make, including information about any action taken or reasons for not acting.

Published Evidence Summary
The following publicly available evidence relates to this recommendation:
According to the 2015 Freedom to Speak Up Review and Official government response in 2013, the government accepted this recommendation in 2013, leading to the establishment of Freedom to Speak Up Guardians in all NHS trusts following the 2015 Freedom to Speak Up Review, with the National Guardian's Office created in 2016. According to NHS England - Learn from Patient Safety Events, 2024, the Learn from Patient Safety Events (LFPSE) service also replaced the National Reporting and Learning System in June 2024, enhancing incident reporting and analysis. However, according to NHS organisations / CQC, 2026 and National Guardian's Office - Annual Data 2024-25, 2025, recent evidence from 2026 and 2025 indicates that concerns raised by clinicians can still be systematically ignored, and staff confidence in raising concerns has stagnated.
How was this assessed?
Assessed by gemini-2.5-flash on 19 Mar 2026
Checked data held on this site (government responses, progress updates, independent evidence)
External sources searched: www.gov.uk, www.legislation.gov.uk, hansard.parliament.uk
This recommendation asks for cultural or behavioural change, which is difficult to verify objectively. The assessment is based on policy commitments, not measured outcomes.
Jurisdiction
England
Response
Accepted
Accepted Department of Health and Social Care
19 Nov 2013

The government published "Hard Truths: the Journey to Putting Patients First" (Cm 8777) on 19 November 2013, responding to all 290 recommendations of the Francis Report. This followed an initial response "Patients First and Foremost" in March 2013. Key reforms included a new Chief Inspector of Hospitals, strengthened Care Quality Commission inspection regime, a statutory duty of candour, and the fit and proper person test for NHS directors. Volume 2 (Cm 8754) contains the government's detailed responses to each of the 290 recommendations. See: https://assets.publishing.service.gov.uk/media/5a7cd486ed915d63cc65d167/34658_Cm_8777_Vol_1_accessible.pdf

Read Full Response
Note: Government responded via "Hard Truths: The Journey to Putting Patients First" (2014), a single document covering all 290 recommendations with a blanket acceptance. Individual recommendation responses were not broken out.
Published Evidence

Published assessments of implementation progress from inspectorates, select committees, official progress reports, and other sources. Check the source type badge to see whether each assessment is independent or government self-reported.

Good Progress
06 Feb 2026
NHS organisations / CQC Other

Francis recommended insisting on incident reporting with feedback to reporters. The Freedom to Speak Up Review (February 2015) led by Francis himself resulted in Freedom to Speak Up Guardians in all NHS trusts (over 800 Guardians by 2024). The National Guardian's Office was established in 2016. By 2024-25, over 38,000 cases were raised with Guardians annually (up from zero before 2016). 80% of workers who spoke up would do so again. However, 12% of cases were anonymous (suggesting some feel unsafe) and the Lucy Letby case showed that even with FTSU mechanisms, concerns can be ignored by management.

View detailed findings

Freedom to Speak Up infrastructure is well-established and heavily used but the Letby case at Countess of Chester demonstrated that concerns raised by clinicians can still be systematically ignored.

National Guardian's Office - Freedom to Speak Up … View Source
Reasonable Progress
01 Jun 2025
National Guardian's Office - Annual Data 2024-25

Over 1,400 Freedom to Speak Up Guardians across healthcare organisations in England. 38,000+ cases raised in 2024-25, cumulative total exceeds 142,000 since inception. However, NHS Staff Survey 2024 shows only 71.5% of staff feel secure raising concerns about unsafe practice (stagnant for years), and only 57% are confident their organisation would address concerns.

National Guardian's Office Annual Report 2024-25 View Source
Confirmed Completed
30 Jun 2024
NHS England - Learn from Patient Safety Events

Learn from Patient Safety Events (LFPSE) service replaced the National Reporting and Learning System (NRLS). NRLS fully decommissioned 30 June 2024. LFPSE has broader coverage including primary care, uses machine learning for analysis and improved trend identification.

Learn from Patient Safety Events Service View Source
Confirmed Completed
01 Oct 2023
NHS England - Patient Safety Incident Response Framework

Patient Safety Incident Response Framework (PSIRF) replaced the Serious Incident Framework from Autumn 2023. Shifts from individual blame to system-based learning approaches. Mandatory for all NHS-funded secondary care providers. Part of NHS Patient Safety Strategy (July 2019).

Patient Safety Incident Response Framework View Source
Confirmed Completed
01 Oct 2023
Legislation - Health Services Safety Investigations Body

HSSIB formally launched 1 October 2023 as independent statutory body under Health and Care Act 2022. Replaced HSIB (non-statutory, established 2016). Has statutory "safe space" protections, powers of entry, inspection and seizure. Conducts system-focused patient safety investigations.

Health and Care Act 2022, Part 4 View Source
Reasonable Progress
06 Feb 2023
Academic Review - Ten Years After Francis

Research published 2023 marking ten years since the Francis Report found mixed results. Structural and legislative changes largely delivered (duty of candour, FPPR, CQC overhaul, revalidation, Freedom to Speak Up Guardians). However, cultural change not fully embedded; understaffing, fear of speaking up, and poor complaint handling persist in parts of the NHS.

University of Birmingham: Ten years after Francis View Source
Confirmed Completed
12 Sep 2022
Legislation - Patient Safety Commissioner

First Patient Safety Commissioner Dr Henrietta Hughes OBE appointed 12 September 2022 under Medicines and Medical Devices Act 2021. Independent champion for patient safety regarding medicines and medical devices.

Medicines and Medical Devices Act 2021 View Source
Confirmed Completed
11 Feb 2015
UK Government - Freedom to Speak Up Review

Sir Robert Francis published Freedom to Speak Up Review on 11 February 2015 with 20 principles and actions. Led to: Freedom to Speak Up Guardians mandatory in all NHS trusts from October 2016; National Guardian's Office established January 2016.

Freedom to Speak Up Review View Source
Good Progress
11 Feb 2015
UK Government - Culture Change in the NHS

Government published "Culture Change in the NHS" (Cm 9009) reporting progress on all 290 recommendations. Key achievements: 19 hospitals placed in special measures; those trusts recruited 109 additional doctors and 1,805 additional nurses; 129 board-level changes made; excess avoidable deaths fell by 450 in less than a year.

Good Progress
19 Nov 2013
UK Government - Hard Truths Vol 1 & 2

Government published "Hard Truths: The Journey to Putting Patients First" (Cm 8777) in two volumes. Vol 1 set out new actions; Vol 2 provided detailed response to each of the 290 recommendations. Approximately 204 of 290 recommendations were fully accepted.

Source
Report Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry 06 Feb 2013
Responsible Bodies
Healthcare providers Primary
Recommendation age 13.1 yrs
Last formal update 4508 days ago