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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
2021 NHS Birmingham and Solihull ICB
QHL
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NHS Birmingham and Solihull ICB · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20226.62
20236.5
20246.68
20256.61
ICBs 0.00/10 0.0% 0.0% 0.0% 0%
2021 NHS Black Country ICB
QUA
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NHS Black Country ICB · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20227.11
20237.24
20247.13
20256.67
ICBs 0.00/10 0.0% 0.0% 0.0% 0%
2021 NHS Cheshire and Merseyside ICB
QYG
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NHS Cheshire and Merseyside ICB · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20226.72
20236.65
20246.5
20255.69
ICBs 0.00/10 0.0% 0.0% 0.0% 0%
2021 NHS Cornwall and the Isles of Scilly ICB
QT6
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NHS Cornwall and the Isles of Scilly ICB · annual staff engagement score out of 10
Survey yearEngagement /10
20216.88
20226.47
20236.01
20246.18
20256.05
ICBs 6.88/10 30.2% 0.0% 17.1% 79%
2021 NHS Coventry and Warwickshire ICB
QWU
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NHS Coventry and Warwickshire ICB · annual staff engagement score out of 10
Survey yearEngagement /10
20216.74
20226.88
20236.47
20246.98
20256.64
ICBs 6.74/10 26.2% 0.0% 21.4% 64%
2021 NHS Derby and Derbyshire ICB
QJ2
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NHS Derby and Derbyshire ICB · annual staff engagement score out of 10
Survey yearEngagement /10
20217.02
20226.89
20236.81
20246.73
20256.39
ICBs 7.02/10 21.6% 0.0% 10.9% 87%
2021 NHS Devon ICB
QJK
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NHS Devon ICB · annual staff engagement score out of 10
Survey yearEngagement /10
20217.05
20226.96
20236.21
20246.38
20255.74
ICBs 7.05/10 22.3% 0.0% 9.6% 81%
2021 NHS Hampshire and Isle of Wight ICB
QRL
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NHS Hampshire and Isle of Wight ICB · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20226.97
20236.27
20246.04
20255.98
ICBs 0.00/10 0.0% 0.0% 0.0% 0%
2021 NHS Herefordshire and Worcestershire ICB
QGH
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NHS Herefordshire and Worcestershire ICB · annual staff engagement score out of 10
Survey yearEngagement /10
20216.97
20226.92
20236.78
20247.04
20256.47
ICBs 6.97/10 22.2% 0.0% 14.8% 71%
2021 NHS Humber and North Yorkshire ICB
QOQ
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NHS Humber and North Yorkshire ICB · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20230.0
20246.39
20255.76
ICBs 0.00/10 0.0% 0.0% 0.0% 0%
2021 NHS Lancashire and South Cumbria ICB
QE1
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NHS Lancashire and South Cumbria ICB · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20230.0
20240.0
20255.9
ICBs 0.00/10 0.0% 0.0% 0.0% 0%
2021 NHS Leicester, Leicestershire and Rutland ICB
QK1
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NHS Leicester, Leicestershire and Rutland ICB · annual staff engagement score out of 10
Survey yearEngagement /10
20216.98
20226.85
20237.0
20247.15
20256.39
ICBs 6.98/10 22.5% 0.0% 12.5% 90%
2021 NHS Lincolnshire ICB
QJM
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NHS Lincolnshire ICB · annual staff engagement score out of 10
Survey yearEngagement /10
20217.26
20227.29
20236.99
20247.03
20256.41
ICBs 7.26/10 22.2% 0.0% 14.6% 73%
2021 NHS Norfolk and Waveney ICB
QMM
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NHS Norfolk and Waveney ICB · annual staff engagement score out of 10
Survey yearEngagement /10
20217.18
20227.12
20236.61
20246.66
20255.96
ICBs 7.18/10 26.8% 0.0% 10.0% 75%
2021 NHS Northamptonshire ICB
QPM
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NHS Northamptonshire ICB · annual staff engagement score out of 10
Survey yearEngagement /10
20216.46
20226.35
20236.7
20246.43
20256.24
ICBs 6.46/10 23.4% 0.0% 22.2% 71%
2021 NHS North East and North Cumbria ICB
QHM
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NHS North East and North Cumbria ICB · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20230.0
20240.0
20256.14
ICBs 0.00/10 0.0% 0.0% 0.0% 0%
2021 NHS Nottingham and Nottinghamshire ICB
QT1
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NHS Nottingham and Nottinghamshire ICB · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20227.07
20236.76
20246.52
20256.24
ICBs 0.00/10 0.0% 0.0% 0.0% 0%
2021 NHS Shropshire, Telford and Wrekin ICB
QOC
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NHS Shropshire, Telford and Wrekin ICB · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20236.17
20246.62
20256.54
ICBs 0.00/10 0.0% 0.0% 0.0% 0%
2021 NHS South West London ICB
QWE
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NHS South West London ICB · annual staff engagement score out of 10
Survey yearEngagement /10
20216.91
20226.77
20236.51
20246.41
20256.29
ICBs 6.91/10 23.0% 0.0% 11.6% 80%
2021 NHS South Yorkshire ICB
QF7
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NHS South Yorkshire ICB · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20227.02
20236.38
20246.81
20256.11
ICBs 0.00/10 0.0% 0.0% 0.0% 0%
2021 NHS Staffordshire and Stoke-on-Trent ICB
QNC
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NHS Staffordshire and Stoke-on-Trent ICB · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20230.0
20240.0
20256.28
ICBs 0.00/10 0.0% 0.0% 0.0% 0%
2021 NHS Suffolk and North East Essex ICB
QJG
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NHS Suffolk and North East Essex ICB · annual staff engagement score out of 10
Survey yearEngagement /10
20217.32
20227.1
20237.08
20247.16
20256.84
ICBs 7.32/10 18.5% 0.0% 2.6% 66%
2021 NHS West Yorkshire ICB
QWO
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NHS West Yorkshire ICB · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20227.2
20236.87
20246.77
20256.3
ICBs 0.00/10 0.0% 0.0% 0.0% 0%
2021 Norfolk and Norwich University Hospitals NHS Foundation Trust
RM1
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Norfolk and Norwich University Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.34
20226.13
20236.38
20246.39
20256.17
Acute&Acute Community Trusts 6.34/10 34.6% 0.0% 29.2% 49%
2021 Norfolk and Suffolk NHS Foundation Trust
RMY
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Norfolk and Suffolk NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.6
20226.59
20236.57
20246.32
20256.37
MH&LD, MH, LD&Community Trusts 6.60/10 29.4% 0.0% 20.0% 50%
2021 Norfolk Community Health and Care NHS Trust
RY3
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Norfolk Community Health and Care NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.24
20227.32
20237.4
20247.26
20257.22
Community Trusts 7.24/10 30.0% 0.0% 20.1% 61%
2021 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 6.71/10 34.4% 0.0% 33.1% 42%
2021 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 25.1% 0.0% 21.0% 55%
2021 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 6.87/10 32.7% 0.0% 27.2% 48%
2021 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 6.49/10 31.5% 0.0% 24.5% 46%
2021 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 5.65/10 38.6% 0.0% 39.2% 51%
2021 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 7.23/10 26.1% 0.0% 15.7% 52%
2021 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 0.00/10 0.0% 0.0% 0.0% 0%
2021 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 6.41/10 33.3% 0.0% 35.8% 38%
2021 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%
2021 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 7.36/10 26.9% 0.0% 17.9% 64%
2021 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 6.95/10 27.8% 0.0% 27.8% 54%
2021 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 7.44/10 24.0% 0.0% 28.6% 80%
2021 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 5.96/10 39.0% 0.0% 40.6% 36%
2021 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 6.52/10 34.2% 0.0% 40.4% 43%
2021 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 6.88/10 30.0% 0.0% 23.0% 57%
2021 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 6.93/10 28.2% 0.0% 22.7% 57%
2021 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 6.70/10 33.5% 0.0% 30.6% 40%
2021 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 7.16/10 29.4% 0.0% 17.1% 55%
2021 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 7.05/10 30.6% 0.0% 27.1% 57%
2021 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 7.17/10 28.9% 0.0% 23.9% 52%
2021 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 6.99/10 29.0% 0.0% 22.7% 36%
2021 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 6.84/10 30.4% 0.0% 27.7% 50%
2021 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 7.40/10 24.8% 0.0% 31.8% 65%
2021 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 7.17/10 26.2% 0.0% 16.8% 56%

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