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Freedom to Speak Up Guardian

Band 8a

Main area
Band 8a
Part time 22.5 hours per week
Job ref
Stanmore, Middlesex
£49,349 - £55,562 per annum inc. (pro rata)
28/07/2019 23:59
Interview date

The Royal National Orthopaedic Hospital NHS Trust (RNOH) is the largest orthopaedic hospital in the UK, and is regarded as a leader in the field of orthopaedics both in the UK and world-wide.

The RNOH provides a comprehensive range of neuro-musculoskeletal health care, ranging from the most acute spinal injury or complex bone tumour to orthopaedic medicine and specialist rehabilitation for chronic back pain sufferers. This broad range of services is unique within the NHS.

As a national centre of excellence, the RNOH treats patients from across the country, many of whom have been referred by other hospital consultants for second opinions or for treatment of complex or rare conditions. 

Patients benefit from a team of highly specialised consultants, many of whom are nationally and internationally recognised for their expertise and experience. Consultants are supported in their work by nurses, therapists and other specialist clinical staff who are trained and are experts in their particular fields of orthopaedic care. 

The RNOH plays a major role in teaching, 20% of all UK orthopaedic surgeons receive training here. Our teaching and clinical effectiveness are enhanced by our work in research and development and our academic links with University College, London. Research departments at Stanmore include the Institute of Orthopaedics, the Centre for Disability Research and Innovation, the Institute of Human Performance and the Centre for Biomedical Engineering.

The RNOH works closely with other hospitals and trusts, with whom we have joint appointments to ensure maximum availability of specialist skills for patients. Our patients benefit from access to Aspire Leisure Centre which is located on site and hosts first-class facilities for able-bodied and disabled people.


We are looking for a highly motivated and organised individual who wants to make a real difference in becoming our Freedom to Speak Up Guardian. You will need to be able to engage with all staff, while remaining positive and flexible in challenging situations. 

The Freedom to Speak Up Guardian (FTSUG) is a lead profile and influential role. Acting in a genuinely independent capacity, the Lead Guardian will work alongside Trust leadership teams to support the organisation’s continuing aim to improve openness and transparency within the workplace, and to further promote listening and learning culture.

The lead guardian will be integral part of the National Guardian Networks and report through to the national guardian’s office. Assuring contractual obligations of the guardian are fulfilled within RNOH NHS Trust.

Alongside the Board, Chief Executive and Executive team, the Lead Guardian will develop a range of mechanisms in addition to established formal processes which actively encourage and enable staff to speak up safely and independently of the corporate process.

Through their actions and behaviour acting as the independent impartial advisor on matters relating to raising concerns, the Lead Guardian will hold a reputation for being a highly credible and knowledgeable expert who has the personal and organisational authority to challenge and address poor practice in relation to raising concerns. The guardian will ensure clear lines of accountability and escalate their authority outside of the organisation should concerns arise seeking support and guidance from the national guardians office where appropriate.

The guardian role is central to the well led CQC inspection, the guardian will forge relationships with CQC inspector and the teams and be central to any inspections being undertaken within the trust.

Assisted by a number of FTSU Champions, the role of FTSU Lead Guardian is designed to contribute to achieving the following outcomes :

  • A culture of speaking up is instilled throughout the organisation
  • Speaking up processes are effective and continuously improved
  • All staff have the capability to speak up effectively and managers have the capability to support those who are speaking up
  • Staff are supported appropriately when they speak up or support other people who are speaking up
  • The trust board is fully sighted on, and engaged in, all FTSUG matters and issues that are raised
  • Contribute to national FTSUG network and comply with NGO guidance, ensuring that recommendations from reviews are analysed and actions implemented appropriately

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Further details / informal visits contact

Charlotte Shaw, telephone 0203 909 5651, email