The report by the National Guardian's Office, called Listening and learning: Amplifying the voices of overseas-trained workers, highlights the challenges faced by NHS workers trained outside the UK when speaking up and showcases examples of good practice.

The review finds that overseas-trained workers experience additional barriers to speaking up compared to domestically trained colleagues. 

To make it easier for overseas-trained workers to speak up, the National Guardian's Office is calling for action to:

• Make recruitment and retention guidance support speaking up
• Design speaking-up arrangements that work for everyone 
• Use better data to understand and improve experiences  
• Build cultural competence and awareness to remove barriers to speaking up. 

Sam Bereket, national lead for intelligence and learning at the National Guardian's Office, said: 'Overseas-trained workers make a vital contribution to patient care. But too often, they face extra barriers to speaking up.

'If we want safer, more inclusive care, we must make sure every voice is heard. This review shows how leaders can take practical steps to make that happen.'

The report is available to download here.