The Care Quality Commission has appointed Dame Eileen Sills DBE as the first National Guardian for speaking up safely within the NHS.

As the National Guardian for the freedom to speak up, Dame Eileen,  the Chief Nurse at Guy's and St Thomas' NHS Foundation Trust, is charged with making healthcare staff feel confident to raise concerns about patient care. 

Among her responsibilities as the National Guardian, Dame Eileen is entrusted with leading, advising and supporting 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.  

In her new role Dame Eileen is also expected to share good practice, report on national or common themes and identify any barriers that are preventing the NHS from having a safe and open culture. 

The role is an independent, highly visible one allowing Dame Eileen to 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. 

Dame Eileen will remain as the Chief Nurse at Guy's and St Thomas'. To prevent any conflict of interests she has stepped down from her role as the trust’s executive lead for Speaking Up Safely, and in her external commitments she has stepped down as senior nurse advisor for the Nursing and Midwifery Council and Chair of the Shelford Nursing Group of Chief Nurses.

Commenting on Dame Eileen’s appointment, David Behan, Chief Executive of the Care Quality Commission, said: "Dame Eileen is a leader of exceptional quality and 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."

Speaking about her appointment Dame Eileen Sills said: "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 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 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."

Health Secretary Jeremy Hunt said: "Since the events at Mid Staffs there have been significant changes to create a more open and honest culture in the NHS.

"Dame Eileen has dedicated her career to improving the quality of care patients receive and I am confident as the National Guardian she will inspire the NHS to go even further in improving how staff can raise concerns without fear or discrimination."

The need for an independent National Guardian for the NHS came to light in the ‘Freedom to Speak Up’ review in February 2015, conducted by Sir Robert Francis, which 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.  

The review found that 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 Francis QC, CQC board member and author of the ‘Freedom to Speak Up' review, 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. 

"The task of creating the post and supporting the freedom of NHS staff to speak up will be challenging but I am confident Dame Eileen is the right person for this role.  I look forward to working with her."