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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
2022 East Midlands Ambulance Service NHS Trust
RX9
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East Midlands Ambulance Service NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.15
20225.97
20236.14
20246.15
20255.9
Ambulance Trusts 5.97/10 38.4% 35.6% 35.8% 48%
2022 East of England Ambulance Service NHS Trust
RYC
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East of England Ambulance Service NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20215.27
20225.41
20235.73
20245.79
20255.63
Ambulance Trusts 5.41/10 41.5% 42.9% 42.3% 60%
2022 East Suffolk and North Essex NHS Foundation Trust
RDE
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East Suffolk and North Essex NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.68
20226.64
20236.85
20246.8
20256.58
Acute&Acute Community Trusts 6.64/10 33.7% 35.1% 30.0% 39%
2022 East Sussex Healthcare NHS Trust
RXC
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East Sussex Healthcare NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.86
20226.68
20236.8
20246.7
20256.67
Acute&Acute Community Trusts 6.68/10 31.8% 33.8% 22.9% 43%
2022 Epsom and St Helier University Hospitals NHS Trust
RVR
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Epsom and St Helier University Hospitals NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.84
20226.8
20236.92
20246.93
20256.81
Acute&Acute Community Trusts 6.80/10 30.4% 35.0% 33.5% 50%
2022 Essex Partnership University NHS Foundation Trust
R1L
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Essex Partnership University NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.09
20227.04
20237.18
20246.98
20257.02
MH&LD, MH, LD&Community Trusts 7.04/10 29.2% 26.6% 20.7% 42%
2022 First Community Health and Care
NDJ
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First Community Health and Care · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20230.0
20240.0
20257.48
Community Trusts 0.00/10 0.0% 0.0% 0.0% 0%
2022 Frimley Health NHS Foundation Trust
RDU
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Frimley Health NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.05
20226.85
20237.08
20247.1
20257.13
Acute&Acute Community Trusts 6.85/10 31.3% 35.3% 31.9% 50%
2022 Gateshead Health NHS Foundation Trust
RR7
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Gateshead Health NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.91
20226.95
20237.01
20246.84
20256.46
Acute&Acute Community Trusts 6.95/10 32.4% 35.4% 28.2% 51%
2022 George Eliot Hospital NHS Trust
RLT
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George Eliot Hospital NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.84
20226.72
20236.93
20247.04
20256.95
Acute&Acute Community Trusts 6.72/10 32.3% 38.1% 34.9% 33%
2022 Gloucestershire Health and Care NHS Foundation Trust
RTQ
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Gloucestershire Health and Care NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.19
20227.19
20237.27
20247.18
20257.12
MH&LD, MH, LD&Community Trusts 7.19/10 27.3% 23.1% 19.6% 55%
2022 Gloucestershire Hospitals NHS Foundation Trust
RTE
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Gloucestershire Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.6
20226.31
20236.44
20246.53
20256.43
Acute&Acute Community Trusts 6.31/10 34.3% 38.8% 36.0% 50%
2022 Greater Manchester Mental Health NHS Foundation Trust
RXV
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Greater Manchester Mental Health NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.81
20226.46
20236.71
20246.76
20256.67
MH&LD, MH, LD&Community Trusts 6.46/10 34.1% 35.8% 22.8% 36%
2022 Great Ormond Street Hospital for Children NHS Foundation Trust
RP4
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Great Ormond Street Hospital for Children NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.29
20227.08
20237.18
20247.21
20257.02
Acute Specialist Trusts 7.08/10 33.3% 34.4% 30.5% 43%
2022 Great Western Hospitals NHS Foundation Trust
RN3
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Great Western Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.67
20226.71
20236.85
20246.82
20256.81
Acute&Acute Community Trusts 6.71/10 31.4% 35.4% 30.7% 59%
2022 Guy's and St Thomas' NHS Foundation Trust
RJ1
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Guy's and St Thomas' NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.24
20227.11
20237.04
20247.15
20257.28
Acute&Acute Community Trusts 7.11/10 32.6% 34.0% 32.4% 41%
2022 Hampshire and Isle of Wight Healthcare NHS Foundation Trust
RW1
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Hampshire and Isle of Wight Healthcare 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 0.00/10 0.0% 0.0% 0.0% 0%
2022 Hampshire Hospitals NHS Foundation Trust
RN5
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Hampshire Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.91
20226.83
20236.84
20246.92
20256.9
Acute&Acute Community Trusts 6.83/10 31.5% 38.6% 29.3% 49%
2022 Harrogate and District NHS Foundation Trust
RCD
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Harrogate and District NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.73
20226.85
20237.05
20247.0
20257.07
Acute&Acute Community Trusts 6.85/10 31.5% 29.6% 21.7% 43%
2022 Herefordshire and Worcestershire Health and Care NHS Trust
R1A
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Herefordshire and Worcestershire Health and Care NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.01
20226.92
20237.02
20246.99
20257.07
MH&LD, MH, LD&Community Trusts 6.92/10 29.7% 25.6% 22.9% 42%
2022 Hertfordshire Community NHS Trust
RY4
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Hertfordshire Community NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.25
20227.28
20237.34
20247.32
20257.23
Community Trusts 7.28/10 26.9% 22.6% 26.8% 61%
2022 Hertfordshire Partnership University NHS Foundation Trust
RWR
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Hertfordshire Partnership University NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.28
20227.32
20237.33
20247.28
20257.24
MH&LD, MH, LD&Community Trusts 7.32/10 28.0% 26.1% 17.4% 50%
2022 Homerton Healthcare NHS Foundation Trust
RQX
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Homerton Healthcare NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.12
20226.92
20236.97
20246.95
20256.98
Acute&Acute Community Trusts 6.92/10 35.6% 35.4% 33.3% 47%
2022 Hull University Teaching Hospitals NHS Trust
RWA
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Hull University Teaching Hospitals NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.75
20226.4
20236.66
20246.47
20256.4
Acute&Acute Community Trusts 6.40/10 34.3% 38.2% 35.8% 37%
2022 Humber Teaching NHS Foundation Trust
RV9
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Humber Teaching NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.01
20227.09
20237.17
20247.2
20257.15
MH&LD, MH, LD&Community Trusts 7.09/10 27.8% 20.7% 17.3% 44%
2022 Imperial College Healthcare NHS Trust
RYJ
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Imperial College Healthcare NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.95
20227.01
20237.08
20247.11
20257.08
Acute&Acute Community Trusts 7.01/10 32.8% 32.9% 35.9% 56%
2022 Independent Health Group
NXP
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Independent Health Group · annual staff engagement score out of 10
Survey yearEngagement /10
20218.04
20228.75
20238.47
20247.92
20257.46
Community Trusts 8.75/10 4.4% 18.2% 0.0% 71%
2022 Isle of Wight NHS Trust (acute sector)
R1F1
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Isle of Wight NHS Trust (acute sector) · annual staff engagement score out of 10
Survey yearEngagement /10
20216.91
20226.71
20236.66
20246.49
20256.38
Acute&Acute Community Trusts 6.71/10 30.5% 39.2% 28.5% 52%
2022 Isle of Wight NHS Trust (ambulance sector)
R1F2
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Isle of Wight NHS Trust (ambulance sector) · annual staff engagement score out of 10
Survey yearEngagement /10
20216.3
20226.55
20236.82
20246.03
20255.97
Ambulance Trusts 6.55/10 25.6% 36.8% 33.3% 51%
2022 James Paget University Hospitals NHS Foundation Trust
RGP
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James Paget University Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.92
20226.7
20236.78
20246.68
20256.59
Acute&Acute Community Trusts 6.70/10 31.6% 39.5% 31.9% 34%
2022 Kent and Medway NHS and Social Care Partnership Trust
RXY
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Kent and Medway NHS and Social Care Partnership Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.99
20226.91
20236.89
20246.76
20256.65
MH&LD, MH, LD&Community Trusts 6.91/10 28.3% 30.0% 17.9% 63%
2022 Kent Community Health NHS Foundation Trust
RYY
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Kent Community Health NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.27
20227.31
20237.29
20247.25
20257.25
Community Trusts 7.31/10 25.4% 19.2% 17.7% 62%
2022 Kettering General Hospital NHS Foundation Trust
RNQ
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Kettering General Hospital NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.54
20226.35
20236.49
20246.44
20256.44
Acute&Acute Community Trusts 6.35/10 34.7% 37.6% 37.0% 43%
2022 King's College Hospital NHS Foundation Trust
RJZ
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King's College Hospital NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.73
20226.7
20236.64
20246.58
20256.68
Acute&Acute Community Trusts 6.70/10 35.7% 36.6% 35.2% 46%
2022 Kingston and Richmond NHS Foundation Trust
RAX
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Kingston and Richmond NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20230.0
20240.0
20256.95
Acute&Acute Community Trusts 0.00/10 0.0% 0.0% 0.0% 0%
2022 Lancashire and South Cumbria NHS Foundation Trust
RW5
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Lancashire and South Cumbria NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.99
20226.95
20237.17
20247.01
20256.8
MH&LD, MH, LD&Community Trusts 6.95/10 29.6% 26.0% 16.8% 43%
2022 Lancashire Teaching Hospitals NHS Foundation Trust
RXN
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Lancashire Teaching Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.82
20226.86
20236.91
20246.63
20256.49
Acute&Acute Community Trusts 6.86/10 29.4% 35.8% 26.1% 47%
2022 Leeds and York Partnership NHS Foundation Trust
RGD
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Leeds and York Partnership NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.01
20227.01
20237.12
20247.02
20256.92
MH&LD, MH, LD&Community Trusts 7.01/10 27.8% 29.7% 16.2% 44%
2022 Leeds Community Healthcare NHS Trust
RY6
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Leeds Community Healthcare NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.95
20227.05
20237.19
20246.94
20256.92
Community Trusts 7.05/10 27.6% 26.3% 24.0% 58%
2022 Leeds Teaching Hospitals NHS Trust
RR8
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Leeds Teaching Hospitals NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.96
20226.83
20237.03
20246.91
20256.72
Acute&Acute Community Trusts 6.83/10 31.4% 36.7% 28.5% 38%
2022 Leicestershire Partnership NHS Trust
RT5
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Leicestershire Partnership NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.98
20227.03
20237.1
20247.2
20257.12
MH&LD, MH, LD&Community Trusts 7.03/10 27.6% 23.8% 24.2% 51%
2022 Lewisham and Greenwich NHS Trust
RJ2
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Lewisham and Greenwich NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.73
20226.82
20236.87
20246.84
20256.85
Acute&Acute Community Trusts 6.82/10 30.8% 34.8% 31.4% 47%
2022 Lincolnshire Community Health Services NHS Trust
RY5
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Lincolnshire Community Health Services NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.24
20227.21
20237.14
20247.01
20256.75
Community Trusts 7.21/10 27.5% 27.8% 25.1% 58%
2022 Lincolnshire Partnership NHS Foundation Trust
RP7
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Lincolnshire Partnership NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.35
20227.2
20237.41
20247.38
20256.98
MH&LD, MH, LD&Community Trusts 7.20/10 29.1% 27.3% 15.7% 53%
2022 Liverpool Heart and Chest Hospital NHS Foundation Trust
RBQ
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Liverpool Heart and Chest Hospital NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.5
20227.63
20237.74
20247.71
20257.54
Acute Specialist Trusts 7.63/10 26.6% 25.5% 26.6% 69%
2022 Liverpool University Hospitals NHS Foundation Trust
REM
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Liverpool University Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.46
20226.37
20236.63
20246.62
20256.49
Acute&Acute Community Trusts 6.37/10 34.1% 34.7% 31.3% 32%
2022 Liverpool Women's NHS Foundation Trust
REP
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Liverpool Women's NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.89
20227.07
20237.04
20246.9
20256.65
Acute Specialist Trusts 7.07/10 31.2% 29.8% 25.2% 61%
2022 Livewell Southwest
NR5
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Livewell Southwest · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20227.09
20237.25
20247.15
20256.88
Community Trusts 7.09/10 25.4% 30.2% 24.2% 44%
2022 London Ambulance Service NHS Trust
RRU
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London Ambulance Service NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20215.81
20225.79
20236.13
20246.0
20255.93
Ambulance Trusts 5.79/10 41.8% 44.2% 36.3% 62%
2022 London North West University Healthcare NHS Trust
R1K
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London North West University Healthcare NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.86
20226.76
20236.93
20246.96
20256.87
Acute&Acute Community Trusts 6.76/10 33.0% 34.4% 38.2% 51%

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