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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
2023 Northampton General Hospital NHS Trust
RNS
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Northampton General Hospital NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.71
20226.58
20236.81
20246.76
20256.55
Acute&Acute Community Trusts 6.81/10 29.7% 37.0% 29.4% 60%
2023 Northamptonshire Healthcare NHS Foundation Trust
RP1
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Northamptonshire Healthcare NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.35
20227.34
20237.35
20247.31
20257.17
MH&LD, MH, LD&Community Trusts 7.35/10 24.4% 24.7% 12.5% 60%
2023 North Bristol NHS Trust
RVJ
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North Bristol NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.87
20226.83
20237.1
20247.08
20257.09
Acute&Acute Community Trusts 7.10/10 29.5% 35.2% 20.0% 60%
2023 North Cumbria Integrated Care NHS Foundation Trust
RNN
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North Cumbria Integrated Care NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.49
20226.47
20236.64
20246.6
20256.49
Acute&Acute Community Trusts 6.64/10 29.5% 36.4% 26.3% 45%
2023 North East Ambulance Service NHS Foundation Trust
RX6
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North East Ambulance Service NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20215.65
20225.71
20235.81
20245.99
20256.08
Ambulance Trusts 5.81/10 32.3% 38.3% 44.9% 53%
2023 North East London NHS Foundation Trust
RAT
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North East London NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.23
20227.22
20237.22
20247.2
20257.04
MH&LD, MH, LD&Community Trusts 7.22/10 26.4% 23.2% 18.3% 56%
2023 Northern Care Alliance NHS Foundation Trust
RM3
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Northern Care Alliance NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20226.7
20236.77
20246.66
20256.6
Acute&Acute Community Trusts 6.77/10 30.6% 35.1% 25.7% 49%
2023 Northern Lincolnshire and Goole NHS Foundation Trust
RJL
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Northern Lincolnshire and Goole NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.41
20226.43
20236.65
20246.43
20256.46
Acute&Acute Community Trusts 6.65/10 29.4% 36.9% 29.6% 48%
2023 North London NHS Foundation Trust
G6V2S
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North London NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20230.0
20240.0
20256.59
MH&LD, MH, LD&Community Trusts 0.00/10 0.0% 0.0% 0.0% 0%
2023 North Staffordshire Combined Healthcare NHS Trust
RLY
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North Staffordshire Combined Healthcare NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.36
20227.43
20237.34
20247.29
20257.32
MH&LD, MH, LD&Community Trusts 7.34/10 24.8% 23.9% 16.6% 66%
2023 North Tees and Hartlepool NHS Foundation Trust
RVW
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North Tees and Hartlepool NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.95
20227.02
20236.98
20246.89
20256.74
Acute&Acute Community Trusts 6.98/10 25.8% 30.9% 26.7% 50%
2023 Northumbria Healthcare NHS Foundation Trust
RTF
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Northumbria Healthcare NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.44
20227.24
20237.29
20247.13
20257.14
Acute&Acute Community Trusts 7.29/10 25.1% 26.6% 19.9% 70%
2023 North West Ambulance Service NHS Trust
RX7
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North West Ambulance Service NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20215.96
20225.88
20236.13
20246.12
20256.06
Ambulance Trusts 6.13/10 36.9% 37.5% 35.0% 48%
2023 North West Anglia NHS Foundation Trust
RGN
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North West Anglia NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.52
20226.36
20236.66
20246.71
20256.28
Acute&Acute Community Trusts 6.66/10 34.1% 40.2% 30.6% 44%
2023 Nottingham CityCare Partnership
NR3
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Nottingham CityCare Partnership · annual staff engagement score out of 10
Survey yearEngagement /10
20216.88
20226.93
20237.11
20246.99
20256.84
Community Trusts 7.11/10 24.8% 24.1% 17.7% 57%
2023 Nottinghamshire Healthcare NHS Foundation Trust
RHA
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Nottinghamshire Healthcare NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.93
20226.92
20236.87
20246.51
20256.42
MH&LD, MH, LD&Community Trusts 6.87/10 27.6% 29.9% 17.5% 52%
2023 Nottingham University Hospitals NHS Trust
RX1
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Nottingham University Hospitals NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.7
20226.68
20236.8
20246.65
20256.57
Acute&Acute Community Trusts 6.80/10 32.1% 37.8% 23.2% 42%
2023 Oxford Health NHS Foundation Trust
RNU
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Oxford Health NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.16
20227.09
20237.19
20247.24
20257.21
MH&LD, MH, LD&Community Trusts 7.19/10 25.8% 28.1% 18.1% 51%
2023 Oxford University Hospitals NHS Foundation Trust
RTH
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Oxford University Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.05
20227.01
20237.09
20246.98
20256.85
Acute&Acute Community Trusts 7.09/10 28.8% 33.8% 25.8% 46%
2023 Oxleas NHS Foundation Trust
RPG
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Oxleas NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.17
20227.27
20237.43
20247.38
20257.32
MH&LD, MH, LD&Community Trusts 7.43/10 26.9% 26.1% 18.3% 56%
2023 Pennine Care NHS Foundation Trust
RT2
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Pennine Care NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.99
20227.15
20237.23
20247.28
20256.91
MH&LD, MH, LD&Community Trusts 7.23/10 26.5% 26.6% 21.6% 48%
2023 Portsmouth Hospitals University NHS Trust
RHU
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Portsmouth Hospitals University NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.84
20226.67
20236.73
20246.53
20256.55
Acute&Acute Community Trusts 6.73/10 30.6% 38.2% 31.6% 41%
2023 Queen Victoria Hospital NHS Foundation Trust
RPC
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Queen Victoria Hospital NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.4
20227.45
20237.49
20247.38
20257.08
Acute Specialist Trusts 7.49/10 22.9% 29.3% 22.7% 59%
2023 Rotherham Doncaster and South Humber NHS Foundation Trust
RXE
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Rotherham Doncaster and South Humber NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.17
20227.31
20237.19
20247.03
20256.81
MH&LD, MH, LD&Community Trusts 7.19/10 24.6% 21.7% 19.3% 53%
2023 Royal Berkshire NHS Foundation Trust
RHW
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Royal Berkshire NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.2
20227.24
20237.3
20247.35
20257.34
Acute&Acute Community Trusts 7.30/10 28.4% 33.3% 26.0% 60%
2023 Royal Cornwall Hospitals NHS Trust
REF
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Royal Cornwall Hospitals NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.67
20226.54
20236.76
20246.56
20256.27
Acute&Acute Community Trusts 6.76/10 30.6% 37.1% 23.7% 48%
2023 Royal Devon University Healthcare NHS Foundation Trust
RH8
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Royal Devon University Healthcare NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20226.84
20236.97
20246.96
20256.85
Acute&Acute Community Trusts 6.97/10 28.8% 33.8% 22.1% 35%
2023 Royal Free London NHS Foundation Trust
RAL
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Royal Free London NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20230.0
20240.0
20256.9
Acute&Acute Community Trusts 0.00/10 0.0% 0.0% 0.0% 0%
2023 Royal National Orthopaedic Hospital NHS Trust
RAN
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Royal National Orthopaedic Hospital NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.37
20227.43
20237.47
20247.35
20257.36
Acute Specialist Trusts 7.47/10 26.9% 34.8% 24.0% 45%
2023 Royal Papworth Hospital NHS Foundation Trust
RGM
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Royal Papworth Hospital NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.26
20227.07
20237.21
20247.25
20257.33
Acute Specialist Trusts 7.21/10 30.5% 33.7% 28.0% 56%
2023 Royal Surrey County Hospital NHS Foundation Trust
RA2
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Royal Surrey County Hospital NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.23
20227.05
20237.15
20247.29
20257.26
Acute&Acute Community Trusts 7.15/10 28.3% 34.3% 26.1% 46%
2023 Royal United Hospitals Bath NHS Foundation Trust
RD1
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Royal United Hospitals Bath NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.0
20226.94
20237.07
20246.92
20256.83
Acute&Acute Community Trusts 7.07/10 30.0% 36.5% 23.4% 60%
2023 Salisbury NHS Foundation Trust
RNZ
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Salisbury NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.82
20226.7
20236.96
20247.09
20256.87
Acute&Acute Community Trusts 6.96/10 30.6% 38.3% 31.8% 54%
2023 Sandwell and West Birmingham Hospitals NHS Trust
RXK
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Sandwell and West Birmingham Hospitals NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.64
20226.56
20236.7
20246.75
20256.49
Acute&Acute Community Trusts 6.70/10 31.8% 36.4% 34.7% 29%
2023 Sheffield Children's NHS Foundation Trust
RCU
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Sheffield Children's NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.09
20227.13
20237.22
20247.2
20257.14
Acute&Acute Community Trusts 7.22/10 27.6% 33.5% 23.4% 45%
2023 Sheffield Health and Social Care NHS Foundation Trust
TAH
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Sheffield Health and Social Care NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.46
20226.53
20236.66
20246.69
20256.7
MH&LD, MH, LD&Community Trusts 6.66/10 27.6% 34.0% 19.4% 52%
2023 Sheffield Teaching Hospitals NHS Foundation Trust
RHQ
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Sheffield Teaching Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.75
20226.7
20236.77
20246.79
20256.66
Acute&Acute Community Trusts 6.77/10 31.3% 36.1% 30.8% 39%
2023 Sherwood Forest Hospitals NHS Foundation Trust
RK5
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Sherwood Forest Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.29
20227.21
20237.32
20247.13
20256.72
Acute&Acute Community Trusts 7.32/10 26.8% 33.1% 29.3% 62%
2023 Shropshire Community Health NHS Trust
R1D
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Shropshire Community Health NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.09
20227.06
20236.94
20247.21
20256.91
Community Trusts 6.94/10 29.1% 25.9% 15.9% 52%
2023 Sirona Care & Health
NLX
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Sirona Care & Health · annual staff engagement score out of 10
Survey yearEngagement /10
20216.62
20226.81
20236.98
20246.57
20256.47
Community Trusts 6.98/10 26.7% 32.2% 19.9% 58%
2023 Somerset NHS Foundation Trust
RH5
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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 7.19/10 27.1% 33.9% 18.0% 53%
2023 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 6.01/10 39.2% 41.9% 27.6% 52%
2023 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 5.89/10 39.3% 42.1% 32.0% 60%
2023 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 7.02/10 27.5% 29.2% 18.6% 50%
2023 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 6.90/10 32.6% 32.8% 25.0% 35%
2023 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 27.4% 33.0% 24.9% 47%
2023 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 7.25/10 27.5% 31.8% 28.3% 51%
2023 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 5.95/10 40.6% 35.4% 34.4% 56%
2023 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 28.3% 28.7% 18.2% 64%
2023 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 7.25/10 25.1% 22.7% 17.0% 51%

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