Home / Sources / NHS Staff Survey
Source · Workforce

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 Royal Berkshire NHS Foundation Trust
RHW
Read the chart values
Royal Berkshire NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.2
20227.24
20237.3
20247.35
20257.34
Acute&Acute Community Trusts 7.20/10 30.2% 0.0% 34.1% 52%
2021 Royal Cornwall Hospitals NHS Trust
REF
Read the chart values
Royal Cornwall Hospitals NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.67
20226.54
20236.76
20246.56
20256.27
Acute&Acute Community Trusts 6.67/10 32.3% 0.0% 34.1% 47%
2021 Royal Devon University Healthcare NHS Foundation Trust
RH8
Read the chart values
Royal Devon University Healthcare NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20226.84
20236.97
20246.96
20256.85
Acute&Acute Community Trusts 0.00/10 0.0% 0.0% 0.0% 0%
2021 Royal Free London NHS Foundation Trust
RAL
Read the chart values
Royal Free London NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20230.0
20240.0
20256.9
Acute&Acute Community Trusts 0.00/10 0.0% 0.0% 0.0% 0%
2021 Royal National Orthopaedic Hospital NHS Trust
RAN
Read the chart values
Royal National Orthopaedic Hospital NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.37
20227.43
20237.47
20247.35
20257.36
Acute Specialist Trusts 7.37/10 27.3% 0.0% 25.8% 54%
2021 Royal Papworth Hospital NHS Foundation Trust
RGM
Read the chart values
Royal Papworth Hospital NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.26
20227.07
20237.21
20247.25
20257.33
Acute Specialist Trusts 7.26/10 32.6% 0.0% 34.1% 70%
2021 Royal Surrey County Hospital NHS Foundation Trust
RA2
Read the chart values
Royal Surrey County Hospital NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.23
20227.05
20237.15
20247.29
20257.26
Acute&Acute Community Trusts 7.23/10 29.9% 0.0% 31.9% 53%
2021 Royal United Hospitals Bath NHS Foundation Trust
RD1
Read the chart values
Royal United Hospitals Bath NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.0
20226.94
20237.07
20246.92
20256.83
Acute&Acute Community Trusts 7.00/10 31.9% 0.0% 24.6% 45%
2021 Salisbury NHS Foundation Trust
RNZ
Read the chart values
Salisbury NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.82
20226.7
20236.96
20247.09
20256.87
Acute&Acute Community Trusts 6.82/10 34.7% 0.0% 32.0% 49%
2021 Sandwell and West Birmingham Hospitals NHS Trust
RXK
Read the chart values
Sandwell and West Birmingham Hospitals NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.64
20226.56
20236.7
20246.75
20256.49
Acute&Acute Community Trusts 6.64/10 33.8% 0.0% 38.5% 39%
2021 Sheffield Children's NHS Foundation Trust
RCU
Read the chart values
Sheffield Children's NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.09
20227.13
20237.22
20247.2
20257.14
Acute&Acute Community Trusts 7.09/10 30.9% 0.0% 26.2% 46%
2021 Sheffield Health and Social Care NHS Foundation Trust
TAH
Read the chart values
Sheffield Health and Social Care NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.46
20226.53
20236.66
20246.69
20256.7
MH&LD, MH, LD&Community Trusts 6.46/10 30.1% 0.0% 18.8% 52%
2021 Sheffield Teaching Hospitals NHS Foundation Trust
RHQ
Read the chart values
Sheffield Teaching Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.75
20226.7
20236.77
20246.79
20256.66
Acute&Acute Community Trusts 6.75/10 32.7% 0.0% 32.0% 38%
2021 Sherwood Forest Hospitals NHS Foundation Trust
RK5
Read the chart values
Sherwood Forest Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.29
20227.21
20237.32
20247.13
20256.72
Acute&Acute Community Trusts 7.29/10 27.5% 0.0% 30.9% 66%
2021 Shropshire Community Health NHS Trust
R1D
Read the chart values
Shropshire Community Health NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.09
20227.06
20236.94
20247.21
20256.91
Community Trusts 7.09/10 30.8% 0.0% 18.9% 61%
2021 Sirona Care & Health
NLX
Read the chart values
Sirona Care & Health · annual staff engagement score out of 10
Survey yearEngagement /10
20216.62
20226.81
20236.98
20246.57
20256.47
Community Trusts 6.62/10 33.8% 0.0% 24.7% 46%
2021 Somerset NHS Foundation Trust
RH5
Read the chart values
Somerset NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20237.19
20247.06
20256.94
Acute&Acute Community Trusts 0.00/10 0.0% 0.0% 0.0% 0%
2021 South Central Ambulance Service NHS Foundation Trust
RYE
Read the chart values
South Central Ambulance Service NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.01
20225.93
20236.01
20245.73
20255.6
Ambulance Trusts 6.01/10 43.9% 0.0% 34.0% 60%
2021 South East Coast Ambulance Service NHS Foundation Trust
RYD
Read the chart values
South East Coast Ambulance Service NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20215.52
20225.4
20235.89
20246.06
20255.98
Ambulance Trusts 5.52/10 44.4% 0.0% 37.5% 61%
2021 South London and Maudsley NHS Foundation Trust
RV5
Read the chart values
South London and Maudsley NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.06
20227.02
20237.02
20246.92
20256.98
MH&LD, MH, LD&Community Trusts 7.06/10 26.4% 0.0% 17.9% 53%
2021 South Tees Hospitals NHS Foundation Trust
RTR
Read the chart values
South Tees Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.92
20226.83
20236.9
20246.78
20256.55
Acute&Acute Community Trusts 6.92/10 30.8% 0.0% 29.9% 31%
2021 South Tyneside and Sunderland NHS Foundation Trust
R0B
Read the chart values
South Tyneside and Sunderland NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.68
20226.74
20236.92
20246.92
20256.8
Acute&Acute Community Trusts 6.68/10 31.6% 0.0% 30.6% 47%
2021 South Warwickshire University NHS Foundation Trust
RJC
Read the chart values
South Warwickshire University NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.18
20227.19
20237.25
20247.39
20257.26
Acute&Acute Community Trusts 7.18/10 28.8% 0.0% 27.5% 44%
2021 South Western Ambulance Service NHS Foundation Trust
RYF
Read the chart values
South Western Ambulance Service NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20215.95
20225.91
20235.95
20245.72
20255.74
Ambulance Trusts 5.95/10 41.4% 0.0% 38.5% 67%
2021 South West London and St George's Mental Health NHS Trust
RQY
Read the chart values
South West London and St George's Mental Health NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.98
20227.0
20237.11
20247.11
20257.1
MH&LD, MH, LD&Community Trusts 6.98/10 29.2% 0.0% 25.9% 58%
2021 South West Yorkshire Partnership NHS Foundation Trust
RXG
Read the chart values
South West Yorkshire Partnership NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.07
20227.08
20237.25
20247.2
20257.17
MH&LD, MH, LD&Community Trusts 7.07/10 26.5% 0.0% 20.2% 41%
2021 St George's University Hospitals NHS Foundation Trust
RJ7
Read the chart values
St George's University Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.82
20226.8
20236.83
20246.9
20256.81
Acute&Acute Community Trusts 6.82/10 34.2% 0.0% 35.2% 55%
2021 Stockport NHS Foundation Trust
RWJ
Read the chart values
Stockport NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.79
20226.74
20236.94
20246.87
20256.85
Acute&Acute Community Trusts 6.79/10 31.6% 0.0% 33.9% 43%
2021 Surrey and Borders Partnership NHS Foundation Trust
RXX
Read the chart values
Surrey and Borders Partnership NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.36
20227.39
20237.33
20247.15
20257.05
MH&LD, MH, LD&Community Trusts 7.36/10 25.4% 0.0% 18.1% 60%
2021 Surrey and Sussex Healthcare NHS Trust
RTP
Read the chart values
Surrey and Sussex Healthcare NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.3
20226.94
20236.98
20246.84
20256.84
Acute&Acute Community Trusts 7.30/10 28.5% 0.0% 36.3% 65%
2021 Sussex Community NHS Foundation Trust
RDR
Read the chart values
Sussex Community NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.25
20227.22
20237.36
20247.2
20257.22
Community Trusts 7.25/10 25.4% 0.0% 20.1% 73%
2021 Sussex Partnership NHS Foundation Trust
RX2
Read the chart values
Sussex Partnership NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20230.0
20246.69
20256.49
MH&LD, MH, LD&Community Trusts 0.00/10 0.0% 0.0% 0.0% 0%
2021 Tameside and Glossop Integrated Care NHS Foundation Trust
RMP
Read the chart values
Tameside and Glossop Integrated Care NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.56
20226.81
20236.77
20246.78
20256.68
Acute&Acute Community Trusts 6.56/10 33.9% 0.0% 40.2% 39%
2021 Tavistock and Portman NHS Foundation Trust
RNK
Read the chart values
Tavistock and Portman NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.64
20226.19
20236.47
20246.65
20256.8
MH&LD, MH, LD&Community Trusts 6.64/10 33.3% 0.0% 22.9% 58%
2021 Tees, Esk and Wear Valleys NHS Foundation Trust
RX3
Read the chart values
Tees, Esk and Wear Valleys NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.79
20226.85
20236.94
20246.87
20256.87
MH&LD, MH, LD&Community Trusts 6.79/10 29.8% 0.0% 21.8% 50%
2021 The Christie NHS Foundation Trust
RBV
Read the chart values
The Christie NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.28
20227.43
20237.34
20247.51
20257.44
Acute Specialist Trusts 7.28/10 30.2% 0.0% 26.8% 44%
2021 The Clatterbridge Cancer Centre NHS Foundation Trust
REN
Read the chart values
The Clatterbridge Cancer Centre NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.2
20227.25
20237.41
20247.39
20257.22
Acute Specialist Trusts 7.20/10 29.0% 0.0% 25.8% 62%
2021 The Dudley Group NHS Foundation Trust
RNA
Read the chart values
The Dudley Group NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.73
20226.74
20236.82
20246.71
20256.46
Acute&Acute Community Trusts 6.73/10 32.8% 0.0% 33.1% 59%
2021 The Hillingdon Hospitals NHS Foundation Trust
RAS
Read the chart values
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 6.50/10 29.4% 0.0% 39.8% 42%
2021 The Newcastle upon Tyne Hospitals NHS Foundation Trust
RTD
Read the chart values
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 6.95/10 33.4% 0.0% 31.2% 46%
2021 The Princess Alexandra Hospital NHS Trust
RQW
Read the chart values
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 6.59/10 33.8% 0.0% 41.1% 47%
2021 The Queen Elizabeth Hospital King's Lynn NHS Foundation Trust
RCX
Read the chart values
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 6.60/10 33.1% 0.0% 34.6% 45%
2021 The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
RL1
Read the chart values
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 7.18/10 26.5% 0.0% 25.8% 52%
2021 The Rotherham NHS Foundation Trust
RFR
Read the chart values
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 6.66/10 30.8% 0.0% 37.1% 60%
2021 The Royal Marsden NHS Foundation Trust
RPY
Read the chart values
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 7.33/10 29.5% 0.0% 26.4% 54%
2021 The Royal Orthopaedic Hospital NHS Foundation Trust
RRJ
Read the chart values
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 7.28/10 26.9% 0.0% 31.2% 57%
2021 The Royal Wolverhampton NHS Trust
RL4
Read the chart values
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 7.03/10 29.9% 0.0% 34.1% 39%
2021 The Shrewsbury and Telford Hospital NHS Trust
RXW
Read the chart values
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 6.29/10 35.5% 0.0% 31.0% 45%
2021 The Walton Centre NHS Foundation Trust
RET
Read the chart values
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 7.31/10 28.3% 0.0% 29.8% 41%
2021 Torbay and South Devon NHS Foundation Trust
RA9
Read the chart values
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%

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