NHS Staff Survey

Annual survey results covering staff engagement, morale, and wellbeing across NHS trusts in England. Published by NHS England and Picker Institute.

6.7/10
Avg Engagement (2025)
238
Trusts Surveyed
28.7%
Avg Bullying Rate
+0.27
YoY Engagement Change

National Averages Over Time

Top & Bottom 10 — Engagement (2025)

By Trust Type (2025)

Showing 1227 records

East of England Ambulance Service NHS Trust
2025 Ambulance Trusts RYC
37.7% bullying 36.6% safety 37.1% recommend 61% response
5.63/10
Engagement
East Suffolk and North Essex NHS Foundation Trust
2025 Acute&Acute Community Trusts RDE
30.5% bullying 35.2% safety 27.2% recommend 50% response
6.58/10
Engagement
East Sussex Healthcare NHS Trust
2025 Acute&Acute Community Trusts RXC
29.9% bullying 36.7% safety 20.1% recommend 50% response
6.67/10
Engagement
Epsom and St Helier University Hospitals NHS Trust
2025 Acute&Acute Community Trusts RVR
29.8% bullying 34.9% safety 30.2% recommend 48% response
6.81/10
Engagement
Essex Partnership University NHS Foundation Trust
2025 MH&LD, MH, LD&Community Trusts R1L
26.1% bullying 29.0% safety 18.0% recommend 52% response
7.02/10
Engagement
First Community Health and Care
2025 Community Trusts NDJ
17.5% bullying 20.7% safety 21.6% recommend 66% response
7.48/10
Engagement
Frimley Health NHS Foundation Trust
2025 Acute&Acute Community Trusts RDU
26.1% bullying 27.8% safety 30.8% recommend 49% response
7.13/10
Engagement
Gateshead Health NHS Foundation Trust
2025 Acute&Acute Community Trusts RR7
30.8% bullying 33.6% safety 27.4% recommend 41% response
6.46/10
Engagement
George Eliot Hospital NHS Trust
2025 Acute&Acute Community Trusts RLT
28.1% bullying 37.1% safety 23.5% recommend 48% response
6.95/10
Engagement
Gloucestershire Health and Care NHS Foundation Trust
2025 MH&LD, MH, LD&Community Trusts RTQ
26.1% bullying 26.4% safety 18.2% recommend 51% response
7.12/10
Engagement
Gloucestershire Hospitals NHS Foundation Trust
2025 Acute&Acute Community Trusts RTE
30.3% bullying 36.9% safety 30.1% recommend 50% response
6.43/10
Engagement
Greater Manchester Mental Health NHS Foundation Trust
2025 MH&LD, MH, LD&Community Trusts RXV
28.9% bullying 32.6% safety 19.3% recommend 39% response
6.67/10
Engagement
Great Ormond Street Hospital for Children NHS Foundation Trust
2025 Acute Specialist Trusts RP4
31.0% bullying 36.2% safety 31.8% recommend 46% response
7.02/10
Engagement
Great Western Hospitals NHS Foundation Trust
2025 Acute&Acute Community Trusts RN3
28.7% bullying 36.8% safety 28.5% recommend 66% response
6.81/10
Engagement
Guy's and St Thomas' NHS Foundation Trust
2025 Acute&Acute Community Trusts RJ1
29.1% bullying 33.4% safety 26.1% recommend 50% response
7.28/10
Engagement
Hampshire and Isle of Wight Healthcare NHS Foundation Trust
2025 MH&LD, MH, LD&Community Trusts RW1
27.9% bullying 27.7% safety 16.4% recommend 51% response
6.88/10
Engagement
Hampshire Hospitals NHS Foundation Trust
2025 Acute&Acute Community Trusts RN5
26.7% bullying 35.1% safety 26.3% recommend 53% response
6.90/10
Engagement
Harrogate and District NHS Foundation Trust
2025 Acute&Acute Community Trusts RCD
25.9% bullying 27.0% safety 19.9% recommend 62% response
7.07/10
Engagement
Herefordshire and Worcestershire Health and Care NHS Trust
2025 MH&LD, MH, LD&Community Trusts R1A
26.6% bullying 26.0% safety 19.2% recommend 48% response
7.07/10
Engagement
Hertfordshire Community NHS Trust
2025 Community Trusts RY4
22.8% bullying 22.4% safety 22.0% recommend 60% response
7.23/10
Engagement
Hertfordshire Partnership University NHS Foundation Trust
2025 MH&LD, MH, LD&Community Trusts RWR
26.3% bullying 27.5% safety 18.8% recommend 59% response
7.24/10
Engagement
Homerton Healthcare NHS Foundation Trust
2025 Acute&Acute Community Trusts RQX
30.2% bullying 35.2% safety 26.2% recommend 48% response
6.98/10
Engagement
Hull University Teaching Hospitals NHS Trust
2025 Acute&Acute Community Trusts RWA
30.3% bullying 35.0% safety 27.3% recommend 47% response
6.40/10
Engagement
Humber Teaching NHS Foundation Trust
2025 MH&LD, MH, LD&Community Trusts RV9
25.6% bullying 24.5% safety 19.7% recommend 64% response
7.15/10
Engagement
Imperial College Healthcare NHS Trust
2025 Acute&Acute Community Trusts RYJ
30.9% bullying 35.7% safety 34.1% recommend 58% response
7.08/10
Engagement
Independent Health Group
2025 Community Trusts NXP
25.8% bullying 23.0% safety 73% response
7.46/10
Engagement
Isle of Wight NHS Trust (acute sector)
2025 Acute&Acute Community Trusts R1F1
32.1% bullying 37.6% safety 27.8% recommend 52% response
6.38/10
Engagement
Isle of Wight NHS Trust (ambulance sector)
2025 Ambulance Trusts R1F2
37.2% bullying 44.2% safety 51.6% recommend 55% response
5.97/10
Engagement
James Paget University Hospitals NHS Foundation Trust
2025 Acute&Acute Community Trusts RGP
31.4% bullying 40.7% safety 29.5% recommend 39% response
6.59/10
Engagement
Kent and Medway NHS and Social Care Partnership Trust
2025 MH&LD, MH, LD&Community Trusts RXY
27.9% bullying 32.7% safety 21.5% recommend 51% response
6.65/10
Engagement
Kent Community Health NHS Foundation Trust
2025 Community Trusts RYY
21.8% bullying 21.0% safety 17.7% recommend 69% response
7.25/10
Engagement
Kettering General Hospital NHS Foundation Trust
2025 Acute&Acute Community Trusts RNQ
30.4% bullying 35.9% safety 28.3% recommend 51% response
6.44/10
Engagement
King's College Hospital NHS Foundation Trust
2025 Acute&Acute Community Trusts RJZ
31.5% bullying 37.5% safety 28.9% recommend 46% response
6.68/10
Engagement
Kingston and Richmond NHS Foundation Trust
2025 Acute&Acute Community Trusts RAX
29.8% bullying 37.6% safety 28.9% recommend 60% response
6.95/10
Engagement
Lancashire and South Cumbria NHS Foundation Trust
2025 MH&LD, MH, LD&Community Trusts RW5
30.3% bullying 30.4% safety 18.8% recommend 45% response
6.80/10
Engagement
Lancashire Teaching Hospitals NHS Foundation Trust
2025 Acute&Acute Community Trusts RXN
28.3% bullying 34.7% safety 30.1% recommend 45% response
6.49/10
Engagement
Leeds and York Partnership NHS Foundation Trust
2025 MH&LD, MH, LD&Community Trusts RGD
27.6% bullying 30.6% safety 16.3% recommend 45% response
6.92/10
Engagement
Leeds Community Healthcare NHS Trust
2025 Community Trusts RY6
27.3% bullying 29.1% safety 24.1% recommend 55% response
6.92/10
Engagement
Leeds Teaching Hospitals NHS Trust
2025 Acute&Acute Community Trusts RR8
30.0% bullying 37.9% safety 29.5% recommend 47% response
6.72/10
Engagement
Leicestershire Partnership NHS Trust
2025 MH&LD, MH, LD&Community Trusts RT5
25.4% bullying 25.2% safety 19.6% recommend 56% response
7.12/10
Engagement
Lewisham and Greenwich NHS Trust
2025 Acute&Acute Community Trusts RJ2
29.3% bullying 34.9% safety 24.2% recommend 61% response
6.85/10
Engagement
Lincolnshire Community Health Services NHS Trust
2025 Community Trusts RY5
29.5% bullying 30.1% safety 24.4% recommend 68% response
6.75/10
Engagement
Lincolnshire Partnership NHS Foundation Trust
2025 MH&LD, MH, LD&Community Trusts RP7
26.4% bullying 27.9% safety 16.2% recommend 59% response
6.98/10
Engagement
Liverpool Heart and Chest Hospital NHS Foundation Trust
2025 Acute Specialist Trusts RBQ
22.6% bullying 25.7% safety 22.6% recommend 57% response
7.54/10
Engagement
Liverpool University Hospitals NHS Foundation Trust
2025 Acute&Acute Community Trusts REM
32.0% bullying 34.5% safety 27.5% recommend 29% response
6.49/10
Engagement
Liverpool Women's NHS Foundation Trust
2025 Acute Specialist Trusts REP
28.6% bullying 34.2% safety 33.8% recommend 43% response
6.65/10
Engagement
Livewell Southwest
2025 Community Trusts NR5
28.2% bullying 33.1% safety 20.1% recommend 46% response
6.88/10
Engagement
London Ambulance Service NHS Trust
2025 Ambulance Trusts RRU
36.7% bullying 41.2% safety 31.4% recommend 71% response
5.93/10
Engagement
London North West University Healthcare NHS Trust
2025 Acute&Acute Community Trusts R1K
31.2% bullying 33.7% safety 27.4% recommend 46% response
6.87/10
Engagement
Maidstone and Tunbridge Wells NHS Trust
2025 Acute&Acute Community Trusts RWF
30.4% bullying 34.7% safety 25.7% recommend 40% response
6.91/10
Engagement
Source: NHS Staff Survey — Published annually by NHS England and Picker Institute Europe