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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 Yorkshire Ambulance Service NHS Trust
RX8
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Yorkshire Ambulance Service NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20215.88
20225.98
20236.19
20246.21
20256.29
Ambulance Trusts 6.19/10 38.7% 41.6% 32.5% 51%
2022 Airedale NHS Foundation Trust
RCF
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Airedale NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.11
20226.92
20236.9
20246.93
20256.56
Acute&Acute Community Trusts 6.92/10 27.4% 36.9% 28.6% 41%
2022 Alder Hey Children's NHS Foundation Trust
RBS
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Alder Hey Children's NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.19
20227.13
20237.25
20247.28
20257.1
Acute&Acute Community Trusts 7.13/10 30.8% 31.4% 28.5% 54%
2022 Ashford and St Peter's Hospitals NHS Foundation Trust
RTK
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Ashford and St Peter's Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.07
20226.94
20236.97
20247.02
20257.03
Acute&Acute Community Trusts 6.94/10 29.0% 35.6% 26.9% 47%
2022 Avon and Wiltshire Mental Health Partnership NHS Trust
RVN
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Avon and Wiltshire Mental Health Partnership NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.81
20226.88
20236.92
20247.01
20257.06
MH&LD, MH, LD&Community Trusts 6.88/10 26.8% 31.8% 15.2% 53%
2022 Barking, Havering and Redbridge University Hospitals NHS Trust
RF4
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Barking, Havering and Redbridge University Hospitals NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.59
20226.59
20236.69
20246.78
20256.75
Acute&Acute Community Trusts 6.59/10 33.5% 34.2% 38.5% 39%
2022 Barnsley Hospital NHS Foundation Trust
RFF
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Barnsley Hospital NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.99
20226.96
20237.13
20247.12
20256.98
Acute&Acute Community Trusts 6.96/10 29.1% 34.6% 31.7% 56%
2022 Barts Health NHS Trust
R1H
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Barts Health NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.8
20226.68
20236.8
20246.82
20256.83
Acute&Acute Community Trusts 6.68/10 36.3% 35.9% 39.5% 37%
2022 Bedfordshire Hospitals NHS Foundation Trust
RC9
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Bedfordshire Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.86
20226.78
20236.92
20246.88
20256.83
Acute&Acute Community Trusts 6.78/10 32.9% 35.7% 37.8% 37%
2022 Berkshire Healthcare NHS Foundation Trust
RWX
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Berkshire Healthcare NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.4
20227.44
20237.45
20247.49
20257.48
MH&LD, MH, LD&Community Trusts 7.44/10 25.1% 23.6% 22.5% 65%
2022 Birmingham and Solihull Mental Health NHS Foundation Trust
RXT
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Birmingham and Solihull Mental Health NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20230.0
20240.0
20257.1
MH&LD, MH, LD&Community Trusts 0.00/10 0.0% 0.0% 0.0% 0%
2022 Birmingham Community Healthcare NHS Foundation Trust
RYW
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Birmingham Community Healthcare NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.73
20226.75
20236.89
20246.87
20256.89
Community Trusts 6.75/10 31.9% 25.5% 26.7% 46%
2022 Birmingham Women's and Children's NHS Foundation Trust
RQ3
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Birmingham Women's and Children's NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20230.0
20240.0
20256.87
Acute&Acute Community Trusts 0.00/10 0.0% 0.0% 0.0% 0%
2022 Black Country Healthcare NHS Foundation Trust
TAJ
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Black Country Healthcare NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.95
20226.95
20236.83
20246.58
20256.58
MH&LD, MH, LD&Community Trusts 6.95/10 27.7% 20.5% 17.4% 44%
2022 Blackpool Teaching Hospitals NHS Foundation Trust
RXL
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Blackpool Teaching Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20230.0
20240.0
20256.37
Acute&Acute Community Trusts 0.00/10 0.0% 0.0% 0.0% 0%
2022 Bolton NHS Foundation Trust
RMC
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Bolton NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.12
20226.98
20236.92
20246.91
20256.49
Acute&Acute Community Trusts 6.98/10 32.8% 34.9% 27.6% 36%
2022 Bradford District Care NHS Foundation Trust
TAD
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Bradford District Care NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.07
20227.08
20237.02
20247.08
20257.06
MH&LD, MH, LD&Community Trusts 7.08/10 28.3% 24.7% 24.8% 41%
2022 Bradford Teaching Hospitals NHS Foundation Trust
RAE
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Bradford Teaching Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.8
20226.9
20237.02
20246.95
20256.95
Acute&Acute Community Trusts 6.90/10 33.7% 35.3% 29.8% 37%
2022 Bridgewater Community Healthcare NHS Foundation Trust
RY2
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Bridgewater Community Healthcare NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.17
20227.18
20237.3
20247.21
20256.56
Community Trusts 7.18/10 28.1% 19.4% 19.0% 56%
2022 Bromley Healthcare CIC
NQV
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Bromley Healthcare CIC · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20230.0
20240.0
20257.23
Community Trusts 0.00/10 0.0% 0.0% 0.0% 0%
2022 Buckinghamshire Healthcare NHS Trust
RXQ
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Buckinghamshire Healthcare NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.89
20226.98
20237.04
20247.03
20257.0
Acute&Acute Community Trusts 6.98/10 30.3% 30.5% 20.6% 56%
2022 Calderdale and Huddersfield NHS Foundation Trust
RWY
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Calderdale and Huddersfield NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.72
20226.8
20236.96
20246.84
20256.92
Acute&Acute Community Trusts 6.80/10 32.5% 34.9% 31.5% 45%
2022 Cambridgeshire and Peterborough NHS Foundation Trust
RT1
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Cambridgeshire and Peterborough NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.91
20226.87
20237.04
20246.94
20256.88
MH&LD, MH, LD&Community Trusts 6.87/10 30.8% 27.3% 23.1% 34%
2022 Cambridgeshire Community Services NHS Trust
RYV
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Cambridgeshire Community Services NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.3
20227.35
20237.4
20247.4
20257.36
Community Trusts 7.35/10 25.6% 15.5% 17.2% 47%
2022 Cambridge University Hospitals NHS Foundation Trust
RGT
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Cambridge University Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.0
20226.82
20236.91
20247.02
20256.9
Acute&Acute Community Trusts 6.82/10 34.9% 37.0% 31.0% 43%
2022 Central and North West London NHS Foundation Trust
RV3
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Central and North West London NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.17
20227.08
20237.24
20247.13
20257.13
MH&LD, MH, LD&Community Trusts 7.08/10 29.7% 24.3% 25.1% 41%
2022 Central London Community Healthcare NHS Trust
RYX
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Central London Community Healthcare NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.18
20227.22
20237.25
20247.28
20257.18
Community Trusts 7.22/10 26.3% 24.7% 24.2% 53%
2022 Chelsea and Westminster Hospital NHS Foundation Trust
RQM
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Chelsea and Westminster Hospital NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.0
20226.96
20237.13
20247.17
20257.12
Acute&Acute Community Trusts 6.96/10 32.9% 35.4% 31.2% 45%
2022 Cheshire and Wirral Partnership NHS Foundation Trust
RXA
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Cheshire and Wirral Partnership NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.03
20227.15
20237.24
20247.17
20257.04
MH&LD, MH, LD&Community Trusts 7.15/10 26.3% 24.5% 16.2% 42%
2022 Chesterfield Royal Hospital NHS Foundation Trust
RFS
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Chesterfield Royal Hospital NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.16
20227.1
20237.21
20247.0
20256.8
Acute&Acute Community Trusts 7.10/10 27.9% 34.5% 21.8% 60%
2022 Cornwall Partnership NHS Foundation Trust
RJ8
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Cornwall Partnership NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.7
20226.93
20237.09
20246.95
20256.94
MH&LD, MH, LD&Community Trusts 6.93/10 32.2% 35.3% 20.6% 54%
2022 Countess of Chester Hospital NHS Foundation Trust
RJR
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Countess of Chester Hospital NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.4
20226.35
20236.43
20246.48
20256.27
Acute&Acute Community Trusts 6.35/10 35.6% 42.1% 32.8% 38%
2022 County Durham and Darlington NHS Foundation Trust
RXP
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County Durham and Darlington NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.64
20226.52
20236.74
20246.7
20256.51
Acute&Acute Community Trusts 6.52/10 33.1% 35.0% 25.9% 34%
2022 Coventry and Warwickshire Partnership NHS Trust
RYG
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Coventry and Warwickshire Partnership NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.99
20226.9
20236.94
20246.91
20256.78
MH&LD, MH, LD&Community Trusts 6.90/10 28.7% 26.4% 17.5% 39%
2022 Croydon Health Services NHS Trust
RJ6
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Croydon Health Services NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.91
20226.92
20236.95
20246.87
20256.81
Acute&Acute Community Trusts 6.92/10 30.4% 32.7% 32.5% 48%
2022 CSH Surrey
NTV
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CSH Surrey · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20230.0
20240.0
20256.85
Community Trusts 0.00/10 0.0% 0.0% 0.0% 0%
2022 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
RX4
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Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.11
20227.19
20237.09
20246.98
20256.84
MH&LD, MH, LD&Community Trusts 7.19/10 26.1% 27.2% 18.1% 48%
2022 Dartford and Gravesham NHS Trust
RN7
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Dartford and Gravesham NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.0
20226.84
20236.91
20246.8
20256.83
Acute&Acute Community Trusts 6.84/10 27.9% 33.4% 29.2% 49%
2022 Derbyshire Community Health Services NHS Foundation Trust
RY8
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Derbyshire Community Health Services NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.33
20227.38
20237.36
20247.28
20257.09
Community Trusts 7.38/10 25.8% 22.3% 24.8% 51%
2022 Derbyshire Healthcare NHS Foundation Trust
RXM
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Derbyshire Healthcare NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.31
20227.18
20237.23
20247.07
20257.02
MH&LD, MH, LD&Community Trusts 7.18/10 26.9% 23.2% 13.0% 48%
2022 Devon Partnership NHS Trust
RWV
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Devon Partnership NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.91
20226.95
20237.0
20246.95
20256.81
MH&LD, MH, LD&Community Trusts 6.95/10 27.3% 30.5% 11.7% 54%
2022 Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust
RP5
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Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.74
20226.76
20236.94
20246.74
20256.69
Acute&Acute Community Trusts 6.76/10 31.0% 29.1% 30.7% 65%
2022 Dorset County Hospital NHS Foundation Trust
RBD
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Dorset County Hospital NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.11
20226.95
20237.07
20247.03
20256.92
Acute&Acute Community Trusts 6.95/10 31.0% 36.2% 28.6% 43%
2022 Dorset Healthcare University NHS Foundation Trust
RDY
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Dorset Healthcare University NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.2
20227.14
20237.23
20247.19
20257.11
MH&LD, MH, LD&Community Trusts 7.14/10 27.1% 20.0% 13.9% 55%
2022 East and North Hertfordshire Teaching NHS Trust
RWH
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East and North Hertfordshire Teaching NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.83
20226.71
20236.8
20246.9
20256.83
Acute&Acute Community Trusts 6.71/10 32.1% 35.4% 33.2% 47%
2022 East Cheshire NHS Trust
RJN
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East Cheshire NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.88
20226.89
20236.91
20246.93
20256.83
Acute&Acute Community Trusts 6.89/10 31.8% 36.7% 26.6% 45%
2022 East Coast Community Healthcare CIC
NAX
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East Coast Community Healthcare CIC · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20227.2
20237.13
20247.07
20257.32
Community Trusts 7.20/10 29.5% 30.8% 27.5% 70%
2022 East Kent Hospitals University NHS Foundation Trust
RVV
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East Kent Hospitals University NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.42
20226.36
20236.34
20246.35
20256.22
Acute&Acute Community Trusts 6.36/10 34.3% 38.7% 33.6% 44%
2022 East Lancashire Hospitals NHS Trust
RXR
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East Lancashire Hospitals NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20230.0
20240.0
20256.32
Acute&Acute Community Trusts 0.00/10 0.0% 0.0% 0.0% 0%
2022 East London NHS Foundation Trust
RWK
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East London NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20237.34
20247.04
20257.1
MH&LD, MH, LD&Community Trusts 0.00/10 0.0% 0.0% 0.0% 0%

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