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Published 24/02/2026
Health Education and Improvement Wales (HEIW) is reminding learners, students and non-medical trainees in Wales about its Raising Concerns Reflective Toolkit.
The digital resource exists to support and encourage learners to feel safe and able to speak up and raise concerns during their practice or work-based learning experiences.
Raising concerns is a key part of ensuring a safe working environment, staff wellbeing and high-quality services for patients. The toolkit includes in-depth information and guidance around what constitutes a concern, how to speak up and the importance of feeling safe to do so.
HEIW is reinforcing the message that raising concerns is not only encouraged, but an important part of professional practice. Learners, students and trainees are encouraged to access the toolkit and make full use of the guidance available as part of their professional development and commitment to safe, high quality care.
Head of Placement Experience and Improvement at HEIW, Simon Cassidy, said:
“You will experience many enriching and rewarding moments during your education and training, but you may also witness events or encounters that constitute unsafe practice or unacceptable behaviour.
“We know that speaking up can feel challenging, which is why we developed a toolkit to ensure you feel safe, supported and able to raise concerns with confidence. The resource provides assurances over the raising concerns process and is designed to help you and those supporting your practice or training reflect on what you may have witnessed, make sense of your thoughts and decide if a concern needs to be escalated.”
The toolkit supports Welsh Government’s ‘Speaking Up Safely’ framework, which emphasises the importance of creating a culture within healthcare organisations where "Speaking up, alongside timely and appropriate response to any concerns raised, is supported within a safe environment".
For more information and to access the toolkit, visit our Raising Concerns Reflective Toolkit webpage.
If you are a resident doctor or dentist in post graduate training, there are programme specific processes in place for raising concerns. Please visit our Raising Concerns and Speaking Up Safely for resident doctors and dentists in post graduate training programmes webpage.