Lord Shipley

There are no plans to require London North Eastern Railway to run direct services between Sunderland and London Kings Cross beyond December 2024. Sunderland will continue to have direct London services provided by Open Access operators. Additionally, improvements to the Metro network will improve connectivity in the north east.

By law, the chair of a foundation trust is also the chair of the council of governors. This requirement is set out in paragraph 12 of Schedule 7 to the National Health Service Act 2006.

The rationale is to ensure that the chair, who oversees the foundation trust’s board, which is itself comprised of executives and non-executives and is responsible for the trust’s operation and plan development, serves as the link between this board and the council of governors, who are elected by the foundation trust’s members and represent the local population.

The Department has not carried out an assessment of the effectiveness of scrutiny into the dual-chair role.

The Department does not hold the information requested. National Health Service organisations are independent employers and have their own policies and procedures in resolving workplace disputes, which should be aligned to current employment law and good human resources practice. Whistleblowers cannot waive their rights to make a protected disclosure, regardless of whether they sign an out-of-court settlement agreement. The Government is committed to ensuring we genuinely protect whistleblowers and create a culture of honesty and openness, which will include a review of current enforcement measures, to give a clear message that any misuse of confidentiality clauses will not be tolerated in the NHS.

The following table shows the data reported to the National Guardian’s Office (NGO) on the total number of workers that provided feedback about their experience of speaking up to Freedom to Speak Up Guardians, and the proportion of those workers who said they would speak up again, each year from 2019 to 2024:

Note: feedback received may be about cases that were raised in a previous financial year

Speaking up cases brought to Freedom to Speak Up Guardians may include whistleblowing, however they may also be issues for improvement or wider matters which would not meet a formal definition of whistleblowing. Whistleblowing is when someone who works for an employer raises a concern by making a disclosure in the public interest via provisions in the Employment Rights Act 1996, as amended by the Public Interest Disclosure Act 1998. Speaking up is about encouraging a positive culture where people feel they can speak up about anything that gets in the way of providing good care, that their voices will be heard, and their suggestions acted upon.

The above data is collected anonymously from individual organisations and provided voluntarily to the NGO by Guardians, and as such could represent an incomplete picture. Guardians are one of many routes to speaking up internally within an organisation. Employees may also speak up to regulators, some of which may be captured as whistleblowing.

The following table shows the total number of Freedom to Speak Up cases reported to the National Guardian’s Office (NGO), and the number and proportion raised by workers in independent organisations and National Health Service trusts, each year from 2019 to 2024:

Notes:

1. organisations categorised as independent include private hospitals, ambulances, and hospices; and
2. cases from NHS organisations do not make up all of the remaining cases as the total cases will also include cases from other organisation types supported by Freedom to Speak Up guardians, for example, non-providers, such as regulators and Arm’s Length Bodies, defence military services, and charities.

Speaking up cases brought to Freedom to Speak Up Guardians may include whistleblowing, however they may also be issues for improvement or wider matters which would not meet a formal definition of whistleblowing. Whistleblowing is when someone who works for an employer raises a concern by making a disclosure in the public interest via provisions in the Employment Rights Act 1996, as amended by the Public Interest Disclosure Act 1998. Speaking up is about encouraging a positive culture where people feel they can speak up about anything that gets in the way of providing good care, that their voices will be heard, and their suggestions acted upon.

The above data is collected anonymously from individual organisations and provided voluntarily to the NGO by Guardians, and as such may represent an incomplete picture. Guardians are one of many routes to speaking up internally within an organisation. Employees may also speak up to regulators, some of which may be captured as whistleblowing.

We have no immediate plans to introduce a statutory right for patients to be registered as a National Health Service patient. The Government will tackle the immediate crisis with a rescue plan to provide 700,000 more urgent dental appointments, and to recruit new dentists to the areas that need them most.