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NHS Staff Survey

6.7/10 mean trust engagement (2025) 238 trust records (2025) 28.7% mean trust bullying percentage (2025) +0.27 YoY engagement change

Annual survey results covering staff engagement, morale, and wellbeing across NHS trusts in England. Published by NHS England and Picker Institute.

The summary describes the full collection in 2025. Averages below give each available trust result equal weight; they are not weighted by staff numbers or response rates. Compare like trust types and years, and check the original survey methodology. A dash means a value is not indexed.

Highest & lowest 10 — engagement (2025)

Long names are shortened on the chart. The table below gives each trust's full name and score.

Read highest and lowest scores
Highest and lowest indexed engagement scores, 2025. These are survey scores, not an overall performance ranking.
GroupTrustEngagement /10
Highest 10NAViGO Health and Social Care CIC8.06
Highest 10Liverpool Heart and Chest Hospital NHS Foundation Trust7.54
Highest 10First Community Health and Care7.48
Highest 10Berkshire Healthcare NHS Foundation Trust7.48
Highest 10Independent Health Group7.46
Highest 10The Christie NHS Foundation Trust7.44
Highest 10The Royal Marsden NHS Foundation Trust7.40
Highest 10Cambridgeshire Community Services NHS Trust7.36
Highest 10University College London Hospitals NHS Foundation Trust7.36
Highest 10Royal National Orthopaedic Hospital NHS Trust7.36
Lowest 10West Midlands Ambulance Service University NHS Foundation Trust5.49
Lowest 10South Central Ambulance Service NHS Foundation Trust5.60
Lowest 10East of England Ambulance Service NHS Trust5.63
Lowest 10NHS Cheshire and Merseyside ICB5.69
Lowest 10South Western Ambulance Service NHS Foundation Trust5.74
Lowest 10NHS Devon ICB5.74
Lowest 10NHS Humber and North Yorkshire ICB5.76
Lowest 10East Midlands Ambulance Service NHS Trust5.90
Lowest 10NHS Lancashire and South Cumbria ICB5.90
Lowest 10Mid and South Essex NHS Foundation Trust5.92

By trust type (2025)

Average engagement per trust class
Read results by trust type
Mean engagement by trust type, 2025
Trust typeMean engagement /10Trust records
Acute Specialist Trusts7.1813
Community Trusts7.0521
MH&LD, MH, LD&Community Trusts6.9949
Acute&Acute Community Trusts6.73121
ICBs6.2523
Ambulance Trusts5.8811

Trust results

Showing 1227 records

Scroll across to read every measure. Trend lines show engagement across the trust's indexed years on a scale local to each trust; compare the numeric scores for magnitude.

Trust sparklines show all available annual engagement scores for the same ODS code, regardless of the selected survey year. Scores run from 0 to 10; years without a recorded score are omitted.

Trust survey results · newest year first, then trust name
Year Trust Type Engagement Trend Experienced bullying Feel safe raising concerns Recommend as workplace Response rate
2024 Somerset NHS Foundation Trust
RH5
Read the chart values
Somerset NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20237.19
20247.06
20256.94
Acute&Acute Community Trusts 7.06/10 27.2% 32.4% 18.2% 51%
2024 South Central Ambulance Service NHS Foundation Trust
RYE
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South Central Ambulance Service NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.01
20225.93
20236.01
20245.73
20255.6
Ambulance Trusts 5.73/10 40.0% 45.8% 32.2% 50%
2024 South East Coast Ambulance Service NHS Foundation Trust
RYD
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South East Coast Ambulance Service NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20215.52
20225.4
20235.89
20246.06
20255.98
Ambulance Trusts 6.06/10 38.7% 38.9% 27.6% 67%
2024 Southern Health NHS Foundation Trust
RW1
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Southern Health NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20230.0
20247.08
20256.88
MH&LD, MH, LD&Community Trusts 7.08/10 26.4% 28.0% 17.7% 57%
2024 South London and Maudsley NHS Foundation Trust
RV5
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South London and Maudsley NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.06
20227.02
20237.02
20246.92
20256.98
MH&LD, MH, LD&Community Trusts 6.92/10 27.5% 32.1% 18.4% 39%
2024 South Tees Hospitals NHS Foundation Trust
RTR
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South Tees Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.92
20226.83
20236.9
20246.78
20256.55
Acute&Acute Community Trusts 6.78/10 31.1% 36.3% 27.8% 30%
2024 South Tyneside and Sunderland NHS Foundation Trust
R0B
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South Tyneside and Sunderland NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.68
20226.74
20236.92
20246.92
20256.8
Acute&Acute Community Trusts 6.92/10 26.2% 32.8% 23.4% 55%
2024 South Warwickshire University NHS Foundation Trust
RJC
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South Warwickshire University NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.18
20227.19
20237.25
20247.39
20257.26
Acute&Acute Community Trusts 7.39/10 27.4% 33.1% 21.7% 52%
2024 South Western Ambulance Service NHS Foundation Trust
RYF
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South Western Ambulance Service NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20215.95
20225.91
20235.95
20245.72
20255.74
Ambulance Trusts 5.72/10 40.9% 40.4% 38.7% 43%
2024 South West London and St George's Mental Health NHS Trust
RQY
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South West London and St George's Mental Health NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.98
20227.0
20237.11
20247.11
20257.1
MH&LD, MH, LD&Community Trusts 7.11/10 26.1% 29.1% 21.0% 63%
2024 South West Yorkshire Partnership NHS Foundation Trust
RXG
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South West Yorkshire Partnership NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.07
20227.08
20237.25
20247.2
20257.17
MH&LD, MH, LD&Community Trusts 7.20/10 25.8% 24.7% 14.4% 57%
2024 St George's University Hospitals NHS Foundation Trust
RJ7
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St George's University Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.82
20226.8
20236.83
20246.9
20256.81
Acute&Acute Community Trusts 6.90/10 31.3% 36.7% 29.7% 47%
2024 Stockport NHS Foundation Trust
RWJ
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Stockport NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.79
20226.74
20236.94
20246.87
20256.85
Acute&Acute Community Trusts 6.87/10 27.9% 35.4% 26.1% 45%
2024 Surrey and Borders Partnership NHS Foundation Trust
RXX
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Surrey and Borders Partnership NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.36
20227.39
20237.33
20247.15
20257.05
MH&LD, MH, LD&Community Trusts 7.15/10 27.1% 24.9% 14.7% 61%
2024 Surrey and Sussex Healthcare NHS Trust
RTP
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Surrey and Sussex Healthcare NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.3
20226.94
20236.98
20246.84
20256.84
Acute&Acute Community Trusts 6.84/10 29.6% 37.6% 33.0% 48%
2024 Sussex Community NHS Foundation Trust
RDR
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Sussex Community NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.25
20227.22
20237.36
20247.2
20257.22
Community Trusts 7.20/10 25.0% 23.7% 16.7% 67%
2024 Sussex Partnership NHS Foundation Trust
RX2
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Sussex Partnership NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20230.0
20246.69
20256.49
MH&LD, MH, LD&Community Trusts 6.69/10 29.1% 32.1% 17.2% 45%
2024 Tameside and Glossop Integrated Care NHS Foundation Trust
RMP
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Tameside and Glossop Integrated Care NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.56
20226.81
20236.77
20246.78
20256.68
Acute&Acute Community Trusts 6.78/10 29.7% 37.8% 28.5% 43%
2024 Tavistock and Portman NHS Foundation Trust
RNK
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Tavistock and Portman NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.64
20226.19
20236.47
20246.65
20256.8
MH&LD, MH, LD&Community Trusts 6.65/10 37.0% 25.5% 24.6% 54%
2024 Tees, Esk and Wear Valleys NHS Foundation Trust
RX3
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Tees, Esk and Wear Valleys NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.79
20226.85
20236.94
20246.87
20256.87
MH&LD, MH, LD&Community Trusts 6.87/10 28.6% 25.3% 19.3% 44%
2024 The Christie NHS Foundation Trust
RBV
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The Christie NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.28
20227.43
20237.34
20247.51
20257.44
Acute Specialist Trusts 7.51/10 26.9% 29.2% 22.1% 48%
2024 The Clatterbridge Cancer Centre NHS Foundation Trust
REN
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The Clatterbridge Cancer Centre NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.2
20227.25
20237.41
20247.39
20257.22
Acute Specialist Trusts 7.39/10 26.4% 26.8% 23.1% 71%
2024 The Dudley Group NHS Foundation Trust
RNA
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The Dudley Group NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.73
20226.74
20236.82
20246.71
20256.46
Acute&Acute Community Trusts 6.71/10 31.8% 31.3% 28.5% 49%
2024 The Hillingdon Hospitals NHS Foundation Trust
RAS
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The Hillingdon Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.5
20226.54
20236.83
20246.7
20256.69
Acute&Acute Community Trusts 6.70/10 30.0% 33.1% 36.7% 52%
2024 The Newcastle upon Tyne Hospitals NHS Foundation Trust
RTD
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The Newcastle upon Tyne Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.95
20226.94
20236.76
20246.83
20256.72
Acute&Acute Community Trusts 6.83/10 30.6% 34.7% 26.2% 64%
2024 The Princess Alexandra Hospital NHS Trust
RQW
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The Princess Alexandra Hospital NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.59
20226.44
20236.68
20246.57
20256.56
Acute&Acute Community Trusts 6.57/10 33.6% 38.1% 33.1% 49%
2024 The Queen Elizabeth Hospital King's Lynn NHS Foundation Trust
RCX
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The Queen Elizabeth Hospital King's Lynn NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.6
20226.47
20236.72
20246.4
20256.17
Acute&Acute Community Trusts 6.40/10 31.9% 42.4% 35.5% 47%
2024 The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
RL1
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The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.18
20227.11
20237.37
20247.34
20257.04
Acute Specialist Trusts 7.34/10 26.6% 27.6% 28.7% 47%
2024 The Rotherham NHS Foundation Trust
RFR
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The Rotherham NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.66
20226.73
20236.98
20246.89
20256.92
Acute&Acute Community Trusts 6.89/10 26.1% 28.8% 27.6% 64%
2024 The Royal Marsden NHS Foundation Trust
RPY
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The Royal Marsden NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.33
20227.23
20237.25
20247.41
20257.4
Acute Specialist Trusts 7.41/10 27.7% 31.4% 27.6% 44%
2024 The Royal Orthopaedic Hospital NHS Foundation Trust
RRJ
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The Royal Orthopaedic Hospital NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.28
20227.15
20237.18
20247.12
20257.0
Acute Specialist Trusts 7.12/10 26.3% 29.3% 20.7% 59%
2024 The Royal Wolverhampton NHS Trust
RL4
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The Royal Wolverhampton NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.03
20226.91
20236.94
20246.73
20256.4
Acute&Acute Community Trusts 6.73/10 29.1% 32.0% 28.9% 34%
2024 The Shrewsbury and Telford Hospital NHS Trust
RXW
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The Shrewsbury and Telford Hospital NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.29
20226.32
20236.59
20246.59
20256.5
Acute&Acute Community Trusts 6.59/10 29.2% 38.0% 27.4% 51%
2024 The Walton Centre NHS Foundation Trust
RET
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The Walton Centre NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.31
20227.41
20237.36
20247.26
20257.2
Acute Specialist Trusts 7.26/10 26.9% 30.9% 21.5% 45%
2024 Torbay and South Devon NHS Foundation Trust
RA9
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Torbay and South Devon NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20236.74
20246.68
20256.72
Acute&Acute Community Trusts 6.68/10 30.4% 36.6% 26.7% 39%
2024 United Lincolnshire Hospitals NHS Trust
RWD
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United Lincolnshire Hospitals NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.31
20226.45
20236.49
20246.59
20256.42
Acute&Acute Community Trusts 6.59/10 28.7% 34.7% 27.2% 36%
2024 United Lincolnshire Teaching Hospitals NHS Trust
RWD
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United Lincolnshire Teaching Hospitals NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.31
20226.45
20236.49
20246.59
20256.42
Acute&Acute Community Trusts 6.59/10 28.7% 34.7% 27.2% 36%
2024 University College London Hospitals NHS Foundation Trust
RRV
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University College London Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.19
20227.26
20237.32
20247.35
20257.36
Acute&Acute Community Trusts 7.35/10 29.2% 34.8% 27.9% 39%
2024 University Hospitals Birmingham NHS Foundation Trust
RRK
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University Hospitals Birmingham NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.51
20226.47
20236.54
20246.62
20256.62
Acute&Acute Community Trusts 6.62/10 33.2% 36.2% 28.3% 38%
2024 University Hospitals Bristol and Weston NHS Foundation Trust
RA7
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University Hospitals Bristol and Weston NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.93
20226.88
20237.09
20247.1
20257.07
Acute&Acute Community Trusts 7.10/10 27.1% 36.2% 19.3% 54%
2024 University Hospitals Coventry and Warwickshire NHS Trust
RKB
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University Hospitals Coventry and Warwickshire NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.89
20226.9
20236.85
20246.83
20256.74
Acute&Acute Community Trusts 6.83/10 31.9% 37.1% 26.1% 62%
2024 University Hospitals Dorset NHS Foundation Trust
R0D
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University Hospitals Dorset NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.9
20226.81
20236.96
20246.9
20256.83
Acute&Acute Community Trusts 6.90/10 28.6% 36.1% 22.6% 58%
2024 University Hospitals of Derby and Burton NHS Foundation Trust
RTG
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University Hospitals of Derby and Burton NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.86
20226.82
20236.81
20246.79
20256.53
Acute&Acute Community Trusts 6.79/10 30.7% 35.8% 27.5% 54%
2024 University Hospitals of Leicester NHS Trust
RWE
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University Hospitals of Leicester NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.74
20226.75
20237.01
20247.02
20256.87
Acute&Acute Community Trusts 7.02/10 28.3% 28.3% 23.7% 66%
2024 University Hospitals of Morecambe Bay NHS Foundation Trust
RTX
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University Hospitals of Morecambe Bay NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20230.0
20240.0
20256.43
Acute&Acute Community Trusts 0.00/10 0.0% 0.0% 0.0% 0%
2024 University Hospitals of North Midlands NHS Trust
RJE
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University Hospitals of North Midlands NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.7
20226.61
20236.82
20246.84
20256.67
Acute&Acute Community Trusts 6.84/10 29.9% 34.7% 29.3% 45%
2024 University Hospital Southampton NHS Foundation Trust
RHM
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University Hospital Southampton NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.19
20227.12
20237.04
20247.04
20256.74
Acute&Acute Community Trusts 7.04/10 26.4% 34.7% 24.6% 39%
2024 University Hospitals Plymouth NHS Trust
RK9
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University Hospitals Plymouth NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.65
20226.58
20236.79
20246.74
20256.6
Acute&Acute Community Trusts 6.74/10 32.0% 36.5% 24.1% 42%
2024 University Hospitals Sussex NHS Foundation Trust
RYR
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University Hospitals Sussex NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.61
20226.54
20236.66
20246.59
20256.68
Acute&Acute Community Trusts 6.59/10 31.5% 38.9% 29.7% 47%
2024 Walsall Healthcare NHS Trust
RBK
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Walsall Healthcare NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.6
20226.71
20236.84
20246.8
20256.54
Acute&Acute Community Trusts 6.80/10 31.3% 35.6% 34.2% 54%

Source: NHS Staff Survey — Published annually by NHS England and Picker Institute Europe.