Freedom to Speak Up Feedback Survey

This short survey is about your experience of speaking up at HUTH. The results will help in reviewing both the work of the Freedom to Speak Up Guardian, and how the Trust responds to concerns when they are raised. Please note there is only one question which is mandatory in the survey.

The results of the survey will be combined and reported at e.g. Trust Board.

You do not have to add your name or details to the survey and you can choose to complete the questions anonymously.

This survey is split into two parts – Part 1 is about your experience of contacting Fran Moverley, Freedom to Speak Up Guardian. Part 2 – is your experience of how the wider Trust responded to your concerns.

Thank you for taking the time to complete the survey.

Unique ID

Part 1 - Your experience of the Freedom to Speak Up Guardian

The first part of the survey includes questions about your experience of contacting and speaking up to the Freedom to Speak Up Guardian, Fran Moverley.

How did you find out about the Freedom to Speak Up Guardian?

I have previously contacted the Guardian / Occupational Health / Staff Support Psychology Team

Fran attended my team meeting

Induction or training event

National Guardian Office website

Occupational Health

Pastoral Midwife

Pattie

Poster

Raising Concerns policy

Recommended by my colleague

Recommended by my line manager

Spiritual and Pastoral Care (Chaplaincy)

Staff Network (BAME, Staff Disability and LGBTQ+)

Staff Psychology Service

Trade union or professional body

Other - please state

You said "Other". How did you find out?

How easy was it to make first contact with the Freedom to Speak Up Guardian?

Very easy	Fairly easy	Not easy	Difficult

How helpful and how useful did you find the Freedom to Speak Up Guardian?

Excellent	Good	Fair	Poor

How likely are you to recommend to a work colleague to contact the Freedom to Speak Up Guardian?

Highly likely	Likely	Unsure	Unlikely	Highly unlikely

What went well with speaking with the Freedom to Speak Up Guardian?

Is there anything that can be improved with speaking to the Freedom to Speak Up Guardian?

Part 2 - Your experience of the Trust

The second part of the survey includes questions about your experience of speaking up to the wider Trust and how your concern was dealt with and resolved. Depending on the reason for your concern, for example you may have spoken up to your line manager, a senior manager, the human resources team or another person or team.

When your concern was raised, who helped with this?

My line manager

Senior manager in my team

A senior manager at the Trust e.g. Senior Nurse, Director or member of the Board

A manager outside of my own working area

Human Resources department

I choose not to raise my concern

Other - please state

Please specify who assisted you

Did you speak up directly to this person, or did the Freedom to Speak Guardian raise your concern initially?

I raised my concern

The Freedom to Speak Up Guardian helped me to raise my concern

I chose not to raise my concern

Did you feel your concern was taken seriously by the person you (or the Freedom to Speak Up Guardian) spoke up to e.g. line manager, senior manager, etc.?

Yes

Maybe

I don't know

I chose not to raise my concern

When you (or the Freedom to Speak Up Guardian) spoke up, was this information positively received?

Yes

Not sure

Not applicable

Was your concern addressed by the person you spoke up to e.g. line manager, senior manager, etc?

Yes

Partially

I chose not to raise my concern

Do you have any comments or feedback for the Trust on how it dealt with your concern? What went well with speaking up and is there anything that could be improved?

Given your experience, would you speak up again?(Required)

Yes

Maybe

I don't know

I would choose not to raise my concern

If you wish, please explain your response:

Part 3 - Further Discussion

The Freedom to Speak Up Guardian discusses speaking up with different people across the Trust and reports to various meetings and committees including the Trust Board.

It would be great to have real life examples of speaking up to use as part of these meetings. If you would like the opportunity to provide a short summary of your experience of speaking up that may be included in these discussions/reports, please type this below.

Part 4 - Equality, Diversity and Inclusion Monitoring

Why we are asking for this information

Hull University Teaching Hospitals NHS Trust is committed to promoting equality and eliminating unlawful discrimination, and we are aiming to achieve diversity in the range of people we involve. You do not have to answer these questions, and we understand that some of this information is personal and sensitive in nature. However, gathering this data helps us to know if we are succeeding in involving different groups of people, and to change our approach if some groups are not represented.

Data Protection

The information you provide is anonymous and will not be stored with any identifying information about you. We may use anonymised statistics and data to inform discussions about improving the diversity of our patient safety partners and inclusivity of participation opportunities, but no information will be published or used in any way which allows an individual to be identified. All details are held in accordance with the Data Protection Act 1998.

The information that we are asking you to provide is informed by our duties under the Equality Act 2010, and includes information about your age, race, gender and sexual orientation.

If you would like this information in an alternative format, or would like help in completing the form, please contact us at hyp-tr.digital.comms@nhs.net

What age group do you belong to?

16–25

26–35

36–45

46–55

56–65

65 +

Prefer not to say

Are your day-to-day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months (include any problems related to old age)?

Yes, limited a little

Yes, limited a lot

Prefer not to say

What are your disabilities?

Hearing (e.g. due to deafness or partial hearing)

Learning, concentrating or remembering

Mental health

Mobility, such as difficulty walking short distances, climbing stairs, lifting and carrying objects

Social or behavioural issues (e.g. due to autism or ADHD)

Stamina or difficulty breathing

Vision (e.g. due to blindness or partial sight)

Other disability

Prefer not to say

Please specify your disability

What is your ethnic group?

### Asian or Asian British

Bangladeshi

Chinese

Pakistani

Indian

Any other Asian background

### Black, Black British, Caribbean or African

African

Caribbean

Any other Black, Black British, or Caribbean background

### Mixed or multiple ethnic groups

White and Asian

White and Black African

White and Black Caribbean

Any other Mixed or multiple ethnic background

### White

English, Welsh, Scottish, Northern Irish or British

Gypsy or Irish Traveller

Irish

Roma

Any other White background

### Other ethnic group

Arab

Any other ethnic group

Please specify your ethnic group

What is your gender?

Female

Male

Non-binary

Prefer to self-describe

Prefer not to say

Please specify your gender

Have you gone through any part of a process, or do you intend (including thoughts or actions) to bring your physical sex appearance, and/or your gender role more in line with your gender identity? This could include changing your name, your appearance and the way you dress, taking hormones or having gender affirming surgery.

Yes

Prefer not to say

What is your religion?

No religion

Atheist

Buddhist

Christian (including Church of England, Catholic, Protestant and all other Christian denominations)

Hindu

Jewish

Muslim

Sikh

Any other religion

Prefer not to say

Please specify your religion

What is your sexual orientation?

Asexual

Bisexual

Gay or Lesbian

Straight

Other sexual orientation not listed

Prefer not to say

Please specify your sexual orientation

What is your legal marital or civil partnership status?

Divorced

Formerly in a registered civil partnership which is now dissolved

In a registered civil partnership

Married

Never married and never registered a civil partnership

Separated, but still in a registered civil partnership

Separated, but still legally married

Surviving partner from a registered civil partnership

Widowed

Prefer not to say

Do you look after, or give any help or support to family members, friends, neighbours or others because of either long-term physical or mental ill-health/disability, or problems related to old age?

Yes, 1-19 hours a week

Yes, 20-49 hours a week

Yes, 50 or more hours a week

Prefer not to say

This field is for validation purposes and should be left unchanged.