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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 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 6.54/10 34.6% 32.9% 37.2% 40%
2022 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 6.94/10 32.4% 31.2% 32.4% 44%
2022 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 6.44/10 35.4% 41.7% 35.7% 50%
2022 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 6.47/10 33.6% 43.1% 30.3% 39%
2022 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 7.11/10 31.3% 29.0% 27.0% 52%
2022 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 6.73/10 30.6% 30.2% 28.9% 61%
2022 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 7.23/10 31.1% 29.9% 27.7% 49%
2022 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 7.15/10 27.8% 31.0% 32.2% 52%
2022 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 6.91/10 30.9% 27.9% 29.9% 34%
2022 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 6.32/10 34.8% 37.9% 29.2% 49%
2022 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 7.41/10 25.4% 32.8% 25.9% 42%
2022 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 0.00/10 0.0% 0.0% 0.0% 0%
2022 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 6.45/10 32.1% 37.1% 30.4% 52%
2022 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 7.26/10 32.3% 36.7% 27.6% 35%
2022 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 6.47/10 35.7% 36.5% 30.9% 26%
2022 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 6.88/10 32.1% 39.2% 23.4% 45%
2022 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 6.90/10 33.9% 34.4% 33.7% 43%
2022 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 6.81/10 32.7% 38.7% 28.8% 46%
2022 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 6.82/10 31.7% 34.9% 29.6% 58%
2022 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 6.75/10 32.9% 32.8% 33.2% 48%
2022 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%
2022 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 6.61/10 35.4% 37.7% 35.3% 33%
2022 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 7.12/10 29.6% 35.9% 26.9% 55%
2022 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 6.58/10 35.1% 40.0% 28.3% 38%
2022 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 6.54/10 34.0% 38.9% 28.4% 45%
2022 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 6.71/10 30.7% 37.6% 33.7% 47%
2022 Warrington and Halton Teaching Hospitals NHS Foundation Trust
RWW
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Warrington and Halton Teaching Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.94
20226.77
20236.98
20246.92
20256.64
Acute&Acute Community Trusts 6.77/10 30.4% 31.5% 26.9% 35%
2022 West Hertfordshire Teaching Hospitals NHS Trust
RWG
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West Hertfordshire Teaching Hospitals NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.79
20226.68
20236.75
20246.81
20256.84
Acute&Acute Community Trusts 6.68/10 31.4% 28.0% 30.3% 50%
2022 West London NHS Trust
RKL
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West London NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.24
20227.12
20237.28
20247.21
20257.26
MH&LD, MH, LD&Community Trusts 7.12/10 29.3% 29.8% 21.0% 61%
2022 West Midlands Ambulance Service University NHS Foundation Trust
RYA
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West Midlands Ambulance Service University NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20215.57
20225.59
20235.76
20245.78
20255.49
Ambulance Trusts 5.59/10 42.7% 39.7% 56.9% 39%
2022 West Suffolk NHS Foundation Trust
RGR
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West Suffolk NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.0
20226.88
20236.97
20246.48
20256.43
Acute&Acute Community Trusts 6.88/10 32.2% 35.7% 25.5% 41%
2022 Whittington Health NHS Trust
RKE
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Whittington Health NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.89
20226.81
20236.94
20246.98
20257.06
Acute&Acute Community Trusts 6.81/10 33.7% 32.0% 29.5% 45%
2022 Wirral Community Health and Care NHS Foundation Trust
RY7
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Wirral Community Health and Care NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.95
20226.96
20237.18
20247.02
20256.85
Community Trusts 6.96/10 31.9% 27.3% 20.8% 47%
2022 Wirral University Teaching Hospital NHS Foundation Trust
RBL
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Wirral University Teaching Hospital NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.68
20226.69
20236.67
20246.56
20256.35
Acute&Acute Community Trusts 6.69/10 32.3% 37.3% 30.7% 48%
2022 Worcestershire Acute Hospitals NHS Trust
RWP
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Worcestershire Acute Hospitals NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.73
20226.57
20236.64
20246.82
20256.84
Acute&Acute Community Trusts 6.57/10 33.6% 39.4% 29.2% 37%
2022 Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust
RRF
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Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.0
20226.89
20236.92
20246.77
20256.73
Acute&Acute Community Trusts 6.89/10 30.6% 30.1% 26.5% 35%
2022 Wye Valley NHS Trust
RLQ
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Wye Valley NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.01
20226.87
20237.02
20247.03
20257.07
Acute&Acute Community Trusts 6.87/10 30.3% 38.6% 29.9% 35%
2022 York and Scarborough Teaching Hospitals NHS Foundation Trust
RCB
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York and Scarborough Teaching Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.6
20226.5
20236.4
20246.31
20256.51
Acute&Acute Community Trusts 6.50/10 31.7% 39.6% 24.4% 43%
2022 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 5.98/10 44.2% 40.2% 32.5% 34%
2021 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 7.11/10 29.1% 0.0% 34.2% 49%
2021 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 7.19/10 31.3% 0.0% 23.4% 52%
2021 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 7.07/10 27.8% 0.0% 27.3% 56%
2021 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 6.81/10 26.4% 0.0% 18.7% 56%
2021 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 33.2% 0.0% 38.5% 43%
2021 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 6.99/10 28.3% 0.0% 34.6% 57%
2021 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 6.80/10 33.4% 0.0% 39.3% 47%
2021 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 6.86/10 32.7% 0.0% 34.9% 42%
2021 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 7.40/10 25.6% 0.0% 19.8% 60%
2021 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%
2021 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 6.73/10 31.7% 0.0% 28.9% 47%

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