After the Letby case exposed faults in the NHS’s response to concerns, nurse managers must ensure staff can speak up

In the wake of the Lucy Letby case, which has shocked the profession and the nation, there has never been a more pressing time to encourage staff to speak up about their concerns. Even before this, an expert analysis by the National Guardian’s Office of the most recent NHS Staff Survey showed that workers’ confidence to speak up about concerns in the workplace has declined for the second year in a row.