Dame Eileen Sills – the Chief Nurse at Guy’s and St Thomas’ NHS Foundation Trust – has been appointed as the first National Guardian for speaking up safely within the NHS.
As the National Guardian for the freedom to speak up, Dame Eileen is charged with leading cultural change, initially within NHS trusts and NHS foundation trusts, so that healthcare staff feel confident enough to raise concerns about patient care.
Dame Eileen has been Chief Nurse at Guy’s and St Thomas’ NHS Foundation Trust since 2005. She has been a registered nurse for over 30 years, during which time she has held a number of general management and senior nursing leadership posts. Dame Eileen was awarded a CBE in 2003 for services to nursing and a DBE in January 2015.
Dame Eileen will lead, advise and support a network of individuals within NHS trusts, appointed as ‘local freedom to speak up guardians’, who will be responsible for developing a culture of openness at trust level.
She will also share good practice, report on national or common themes and identify any barriers that are preventing the NHS from having a truly safe and open culture.
The CQC claim she will be independent, highly visible, and will speak freely and honestly about where changes are needed among NHS trusts and foundation trusts. While she will work in partnership with CQC, NHS England and NHS Improvement to reinforce good practice, she will also take an independent stand to report on any matters of concern affecting these bodies when required.
David Behan, Chief Executive of the Care Quality Commission, said: “Dame Eileen is a leader of exceptional quality and so I am delighted that she will be the first National Guardian for the NHS.
“We know that healthcare professionals are committed to delivering good care, day in and day out and that many organisations respond to any concerns they may have openly and transparently as a normal part of working. This results in better and safer care for patients.
“As the National Guardian, Dame Eileen will strive to ensure that this is common practice right across the NHS. By working with the local ambassadors within NHS trusts she will contribute to the change in culture that is needed.”
The need for an independent National Guardian for the NHS was highlighted in Sir Robert Francis’s ‘Freedom to Speak Up’ review in February 2015, in the wake of the Mid Staffs scandal.
It found that patients could be put at risk of harm because vital information about mistakes and concerns was not being raised by NHS staff routinely.
Reporting systems were either insufficient or not used or because healthcare professionals did not feel able to speak up. The creation of the National Guardian was one of the key recommendations from this; an arrangement which the Secretary of State for Health confirmed last July.
Sir Robert said: “I am very pleased that such an eminently well qualified healthcare professional has agreed to take up this post. It is so important to patients and their safety, as well as to all staff in the NHS who want to raise their concerns.”
Sills said of her new appointment: “I understand what it is like to provide care on the frontline. I also understand how difficult it is for staff always to have the confidence and courage to speak out.
“In this role therefore, I will take my current experience, working with individuals and organisations to learn the lessons from reviews and investigations to date.
“I fully appreciate that this is a very big and challenging role, but with the support of the staff who work in the NHS, I have no doubt that we can make the changes together that are needed to deliver a new culture of transparency and openness.”
Click here for more on the National Guardian consultation.