In complex healthcare systems, staff voice is vital for ensuring healthcare professionals and service providers uphold safe, ethical and high-quality care. When staff are unable to voice concerns about patient safety or their own wellbeing, mistakes and misconduct are more likely to go unaddressed, allowing scandals to happen or last longer. Organisations such as the National Health Service (NHS) have been long aware of these risks and currently use “speaking up” policies to combat the silencing or neglect of staff concerns. After 9 years of speaking up policy many NHS staff still find themselves unheard or silenced. Now, the U.K. government’s Department of Health and Social Care (DHSC), which oversees the NHS, proposes new plans to remove these existing policies and introduce new staff voice policy under the NHS Fit for the Future strategy (NHS England, 2025). In this blog post Sukhwinder Essie Kaur unpacks the failings of Speaking Up and explores how co-production research may be a key player in designing new policies and mechanism that better support NHS staff to voice their concerns.
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