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.
Mean trust scores over time
Engagement uses the full 0–10 scale. Percentage measures use the full 0–100% scale.
Read trend values as a table
Unweighted means of available trust results
Year
Engagement /10
Experienced bullying %
Feel safe raising concerns %
Recommend as workplace %
2021
5.93
26.3
0.0
24.4
2022
6.22
27.6
27.7
23.8
2023
6.43
26.6
28.2
23.1
2024
6.48
26.3
27.4
22.4
2025
6.75
28.7
30.4
23.8
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.
Group
Trust
Engagement /10
Highest 10
NAViGO Health and Social Care CIC
8.06
Highest 10
Liverpool Heart and Chest Hospital NHS Foundation Trust
7.54
Highest 10
First Community Health and Care
7.48
Highest 10
Berkshire Healthcare NHS Foundation Trust
7.48
Highest 10
Independent Health Group
7.46
Highest 10
The Christie NHS Foundation Trust
7.44
Highest 10
The Royal Marsden NHS Foundation Trust
7.40
Highest 10
Cambridgeshire Community Services NHS Trust
7.36
Highest 10
University College London Hospitals NHS Foundation Trust
7.36
Highest 10
Royal National Orthopaedic Hospital NHS Trust
7.36
Lowest 10
West Midlands Ambulance Service University NHS Foundation Trust
5.49
Lowest 10
South Central Ambulance Service NHS Foundation Trust
5.60
Lowest 10
East of England Ambulance Service NHS Trust
5.63
Lowest 10
NHS Cheshire and Merseyside ICB
5.69
Lowest 10
South Western Ambulance Service NHS Foundation Trust
5.74
Lowest 10
NHS Devon ICB
5.74
Lowest 10
NHS Humber and North Yorkshire ICB
5.76
Lowest 10
East Midlands Ambulance Service NHS Trust
5.90
Lowest 10
NHS Lancashire and South Cumbria ICB
5.90
Lowest 10
Mid and South Essex NHS Foundation Trust
5.92
By trust type (2025)
Average engagement per trust class
Read results by trust type
Mean engagement by trust type, 2025
Trust type
Mean engagement /10
Trust records
Acute Specialist Trusts
7.18
13
Community Trusts
7.05
21
MH&LD, MH, LD&Community Trusts
6.99
49
Acute&Acute Community Trusts
6.73
121
ICBs
6.25
23
Ambulance Trusts
5.88
11
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
Maidstone and Tunbridge Wells NHS Trust RWFRead the chart values
Maidstone and Tunbridge Wells NHS Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
6.98
2022
6.91
2023
7.11
2024
7.13
2025
6.91
Acute&Acute Community Trusts
6.91/10
31.5%
33.0%
30.7%
42%
2022
Manchester University NHS Foundation Trust R0ARead the chart values
Manchester University NHS Foundation Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
6.68
2022
6.48
2023
6.76
2024
6.79
2025
6.73
Acute&Acute Community Trusts
6.48/10
34.4%
34.2%
31.4%
30%
2022
Medway NHS Foundation Trust RPARead the chart values
Medway NHS Foundation Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
6.56
2022
6.63
2023
6.65
2024
6.74
2025
6.49
Acute&Acute Community Trusts
6.63/10
35.3%
38.5%
26.6%
40%
2022
Mersey and West Lancashire Teaching Hospitals NHS Trust RBNRead the chart values
Mersey and West Lancashire Teaching Hospitals NHS Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
0.0
2022
0.0
2023
7.05
2024
6.94
2025
6.75
Acute&Acute Community Trusts
0.00/10
0.0%
0.0%
0.0%
0%
2022
Mersey Care NHS Foundation Trust RW4Read the chart values
Mersey Care NHS Foundation Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
7.01
2022
7.0
2023
6.96
2024
7.11
2025
6.99
MH&LD, MH, LD&Community Trusts
7.00/10
27.6%
22.7%
20.5%
37%
2022
Mid and South Essex NHS Foundation Trust RAJRead the chart values
Mid and South Essex NHS Foundation Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
6.44
2022
6.28
2023
6.48
2024
5.98
2025
5.92
Acute&Acute Community Trusts
6.28/10
37.0%
40.9%
32.2%
42%
2022
Mid Cheshire Hospitals NHS Foundation Trust RBTRead the chart values
Mid Cheshire Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
7.07
2022
7.01
2023
7.17
2024
7.1
2025
6.96
Acute&Acute Community Trusts
7.01/10
30.5%
33.9%
30.5%
31%
2022
Midlands Partnership University NHS Foundation Trust RRERead the chart values
Midlands Partnership University NHS Foundation Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
7.26
2022
7.35
2023
7.46
2024
7.4
2025
7.32
MH&LD, MH, LD&Community Trusts
7.35/10
25.6%
21.8%
17.1%
55%
2022
Mid Yorkshire Teaching NHS Trust RXFRead the chart values
Mid Yorkshire Teaching NHS Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
6.62
2022
6.54
2023
6.57
2024
6.55
2025
6.52
Acute&Acute Community Trusts
6.54/10
30.5%
35.2%
29.7%
37%
2022
Milton Keynes University Hospital NHS Foundation Trust RD8Read the chart values
Milton Keynes University Hospital NHS Foundation Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
7.21
2022
7.28
2023
7.25
2024
7.13
2025
7.02
Acute&Acute Community Trusts
7.28/10
31.0%
35.9%
34.6%
43%
2022
Moorfields Eye Hospital NHS Foundation Trust RP6Read the chart values
Moorfields Eye Hospital NHS Foundation Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
7.11
2022
7.1
2023
7.1
2024
7.15
2025
7.06
Acute Specialist Trusts
7.10/10
30.9%
28.6%
35.4%
50%
2022
NAViGO Health and Social Care CIC NQLRead the chart values
NAViGO Health and Social Care CIC · annual staff engagement score out of 10
Survey year
Engagement /10
2021
7.88
2022
7.7
2023
7.67
2024
7.91
2025
8.06
MH&LD, MH, LD&Community Trusts
7.70/10
24.5%
17.2%
20.7%
34%
2022
NHS Birmingham and Solihull ICB QHLRead the chart values
NHS Birmingham and Solihull ICB · annual staff engagement score out of 10
Survey year
Engagement /10
2021
0.0
2022
6.62
2023
6.5
2024
6.68
2025
6.61
ICBs
6.62/10
29.5%
12.8%
35.7%
69%
2022
NHS Black Country ICB QUARead the chart values
NHS Black Country ICB · annual staff engagement score out of 10
Survey year
Engagement /10
2021
0.0
2022
7.11
2023
7.24
2024
7.13
2025
6.67
ICBs
7.11/10
25.3%
9.0%
14.6%
81%
2022
NHS Cheshire and Merseyside ICB QYGRead the chart values
NHS Cheshire and Merseyside ICB · annual staff engagement score out of 10
Survey year
Engagement /10
2021
0.0
2022
6.72
2023
6.65
2024
6.5
2025
5.69
ICBs
6.72/10
26.1%
9.6%
12.4%
65%
2022
NHS Cornwall and the Isles of Scilly ICB QT6Read the chart values
NHS Cornwall and the Isles of Scilly ICB · annual staff engagement score out of 10
Survey year
Engagement /10
2021
6.88
2022
6.47
2023
6.01
2024
6.18
2025
6.05
ICBs
6.47/10
27.2%
10.5%
4.3%
73%
2022
NHS Coventry and Warwickshire ICB QWURead the chart values
NHS Coventry and Warwickshire ICB · annual staff engagement score out of 10
Survey year
Engagement /10
2021
6.74
2022
6.88
2023
6.47
2024
6.98
2025
6.64
ICBs
6.88/10
23.7%
11.9%
29.8%
66%
2022
NHS Derby and Derbyshire ICB QJ2Read the chart values
NHS Derby and Derbyshire ICB · annual staff engagement score out of 10
Survey year
Engagement /10
2021
7.02
2022
6.89
2023
6.81
2024
6.73
2025
6.39
ICBs
6.89/10
18.7%
5.0%
15.7%
88%
2022
NHS Devon ICB QJKRead the chart values
NHS Devon ICB · annual staff engagement score out of 10
Survey year
Engagement /10
2021
7.05
2022
6.96
2023
6.21
2024
6.38
2025
5.74
ICBs
6.96/10
20.6%
12.1%
6.8%
73%
2022
NHS Hampshire and Isle of Wight ICB QRLRead the chart values
NHS Hampshire and Isle of Wight ICB · annual staff engagement score out of 10
Survey year
Engagement /10
2021
0.0
2022
6.97
2023
6.27
2024
6.04
2025
5.98
ICBs
6.97/10
26.3%
11.7%
15.3%
67%
2022
NHS Herefordshire and Worcestershire ICB QGHRead the chart values
NHS Herefordshire and Worcestershire ICB · annual staff engagement score out of 10
Survey year
Engagement /10
2021
6.97
2022
6.92
2023
6.78
2024
7.04
2025
6.47
ICBs
6.92/10
23.6%
6.3%
19.4%
70%
2022
NHS Humber and North Yorkshire ICB QOQRead the chart values
NHS Humber and North Yorkshire ICB · annual staff engagement score out of 10
Survey year
Engagement /10
2021
0.0
2022
0.0
2023
0.0
2024
6.39
2025
5.76
ICBs
0.00/10
0.0%
0.0%
0.0%
0%
2022
NHS Lancashire and South Cumbria ICB QE1Read the chart values
NHS Lancashire and South Cumbria ICB · annual staff engagement score out of 10
Survey year
Engagement /10
2021
0.0
2022
0.0
2023
0.0
2024
0.0
2025
5.9
ICBs
0.00/10
0.0%
0.0%
0.0%
0%
2022
NHS Leicester, Leicestershire and Rutland ICB QK1Read the chart values
NHS Leicester, Leicestershire and Rutland ICB · annual staff engagement score out of 10
Survey year
Engagement /10
2021
6.98
2022
6.85
2023
7.0
2024
7.15
2025
6.39
ICBs
6.85/10
26.2%
4.2%
3.2%
84%
2022
NHS Lincolnshire ICB QJMRead the chart values
NHS Lincolnshire ICB · annual staff engagement score out of 10
Survey year
Engagement /10
2021
7.26
2022
7.29
2023
6.99
2024
7.03
2025
6.41
ICBs
7.29/10
22.1%
6.9%
7.1%
77%
2022
NHS Norfolk and Waveney ICB QMMRead the chart values
NHS Norfolk and Waveney ICB · annual staff engagement score out of 10
Survey year
Engagement /10
2021
7.18
2022
7.12
2023
6.61
2024
6.66
2025
5.96
ICBs
7.12/10
22.7%
12.6%
10.8%
68%
2022
NHS Northamptonshire ICB QPMRead the chart values
NHS Northamptonshire ICB · annual staff engagement score out of 10
Survey year
Engagement /10
2021
6.46
2022
6.35
2023
6.7
2024
6.43
2025
6.24
ICBs
6.35/10
19.5%
12.1%
35.0%
70%
2022
NHS North East and North Cumbria ICB QHMRead the chart values
NHS North East and North Cumbria ICB · annual staff engagement score out of 10
Survey year
Engagement /10
2021
0.0
2022
0.0
2023
0.0
2024
0.0
2025
6.14
ICBs
0.00/10
0.0%
0.0%
0.0%
0%
2022
NHS Nottingham and Nottinghamshire ICB QT1Read the chart values
NHS Nottingham and Nottinghamshire ICB · annual staff engagement score out of 10
Survey year
Engagement /10
2021
0.0
2022
7.07
2023
6.76
2024
6.52
2025
6.24
ICBs
7.07/10
23.8%
8.8%
18.8%
77%
2022
NHS Shropshire, Telford and Wrekin ICB QOCRead the chart values
NHS Shropshire, Telford and Wrekin ICB · annual staff engagement score out of 10
Survey year
Engagement /10
2021
0.0
2022
0.0
2023
6.17
2024
6.62
2025
6.54
ICBs
0.00/10
0.0%
0.0%
0.0%
0%
2022
NHS South West London ICB QWERead the chart values
NHS South West London ICB · annual staff engagement score out of 10
Survey year
Engagement /10
2021
6.91
2022
6.77
2023
6.51
2024
6.41
2025
6.29
ICBs
6.77/10
19.3%
8.5%
15.9%
67%
2022
NHS South Yorkshire ICB QF7Read the chart values
NHS South Yorkshire ICB · annual staff engagement score out of 10
Survey year
Engagement /10
2021
0.0
2022
7.02
2023
6.38
2024
6.81
2025
6.11
ICBs
7.02/10
23.8%
7.7%
9.9%
69%
2022
NHS Staffordshire and Stoke-on-Trent ICB QNCRead the chart values
NHS Staffordshire and Stoke-on-Trent ICB · annual staff engagement score out of 10
Survey year
Engagement /10
2021
0.0
2022
0.0
2023
0.0
2024
0.0
2025
6.28
ICBs
0.00/10
0.0%
0.0%
0.0%
0%
2022
NHS Suffolk and North East Essex ICB QJGRead the chart values
NHS Suffolk and North East Essex ICB · annual staff engagement score out of 10
Survey year
Engagement /10
2021
7.32
2022
7.1
2023
7.08
2024
7.16
2025
6.84
ICBs
7.10/10
22.3%
8.5%
6.8%
64%
2022
NHS West Yorkshire ICB QWORead the chart values
NHS West Yorkshire ICB · annual staff engagement score out of 10
Survey year
Engagement /10
2021
0.0
2022
7.2
2023
6.87
2024
6.77
2025
6.3
ICBs
7.20/10
21.4%
7.3%
12.3%
71%
2022
Norfolk and Norwich University Hospitals NHS Foundation Trust RM1Read the chart values
Norfolk and Norwich University Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
6.34
2022
6.13
2023
6.38
2024
6.39
2025
6.17
Acute&Acute Community Trusts
6.13/10
36.6%
41.4%
28.9%
51%
2022
Norfolk and Suffolk NHS Foundation Trust RMYRead the chart values
Norfolk and Suffolk NHS Foundation Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
6.6
2022
6.59
2023
6.57
2024
6.32
2025
6.37
MH&LD, MH, LD&Community Trusts
6.59/10
30.0%
33.0%
17.1%
57%
2022
Norfolk Community Health and Care NHS Trust RY3Read the chart values
Norfolk Community Health and Care NHS Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
7.24
2022
7.32
2023
7.4
2024
7.26
2025
7.22
Community Trusts
7.32/10
26.1%
28.4%
16.9%
61%
2022
Northampton General Hospital NHS Trust RNSRead the chart values
Northampton General Hospital NHS Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
6.71
2022
6.58
2023
6.81
2024
6.76
2025
6.55
Acute&Acute Community Trusts
6.58/10
34.3%
36.0%
33.9%
48%
2022
Northamptonshire Healthcare NHS Foundation Trust RP1Read the chart values
Northamptonshire Healthcare NHS Foundation Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
7.35
2022
7.34
2023
7.35
2024
7.31
2025
7.17
MH&LD, MH, LD&Community Trusts
7.34/10
25.3%
23.5%
16.9%
46%
2022
North Bristol NHS Trust RVJRead the chart values
North Bristol NHS Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
6.87
2022
6.83
2023
7.1
2024
7.08
2025
7.09
Acute&Acute Community Trusts
6.83/10
33.4%
37.3%
26.2%
51%
2022
North Cumbria Integrated Care NHS Foundation Trust RNNRead the chart values
North Cumbria Integrated Care NHS Foundation Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
6.49
2022
6.47
2023
6.64
2024
6.6
2025
6.49
Acute&Acute Community Trusts
6.47/10
31.4%
36.2%
26.5%
42%
2022
North East Ambulance Service NHS Foundation Trust RX6Read the chart values
North East Ambulance Service NHS Foundation Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
5.65
2022
5.71
2023
5.81
2024
5.99
2025
6.08
Ambulance Trusts
5.71/10
39.3%
37.1%
43.6%
45%
2022
North East London NHS Foundation Trust RATRead the chart values
North East London NHS Foundation Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
7.23
2022
7.22
2023
7.22
2024
7.2
2025
7.04
MH&LD, MH, LD&Community Trusts
7.22/10
27.5%
20.7%
21.1%
53%
2022
Northern Care Alliance NHS Foundation Trust RM3Read the chart values
Northern Care Alliance NHS Foundation Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
0.0
2022
6.7
2023
6.77
2024
6.66
2025
6.6
Acute&Acute Community Trusts
6.70/10
32.4%
35.9%
29.1%
36%
2022
Northern Lincolnshire and Goole NHS Foundation Trust RJLRead the chart values
Northern Lincolnshire and Goole NHS Foundation Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
6.41
2022
6.43
2023
6.65
2024
6.43
2025
6.46
Acute&Acute Community Trusts
6.43/10
31.1%
40.3%
30.5%
36%
2022
North London NHS Foundation Trust G6V2SRead the chart values
North London NHS Foundation Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
0.0
2022
0.0
2023
0.0
2024
0.0
2025
6.59
MH&LD, MH, LD&Community Trusts
0.00/10
0.0%
0.0%
0.0%
0%
2022
North Staffordshire Combined Healthcare NHS Trust RLYRead the chart values
North Staffordshire Combined Healthcare NHS Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
7.36
2022
7.43
2023
7.34
2024
7.29
2025
7.32
MH&LD, MH, LD&Community Trusts
7.43/10
25.6%
23.5%
20.6%
69%
2022
North Tees and Hartlepool NHS Foundation Trust RVWRead the chart values
North Tees and Hartlepool NHS Foundation Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
6.95
2022
7.02
2023
6.98
2024
6.89
2025
6.74
Acute&Acute Community Trusts
7.02/10
29.0%
26.8%
26.9%
50%
2022
Northumbria Healthcare NHS Foundation Trust RTFRead the chart values
Northumbria Healthcare NHS Foundation Trust · annual staff engagement score out of 10
Survey year
Engagement /10
2021
7.44
2022
7.24
2023
7.29
2024
7.13
2025
7.14
Acute&Acute Community Trusts
7.24/10
26.7%
28.6%
22.6%
69%
Source: NHS Staff Survey — Published annually by NHS England and Picker Institute Europe.