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

Manchester University NHS Foundation Trust
2025 Acute&Acute Community Trusts R0A
29.7% bullying 33.1% safety 28.8% recommend 36% response
6.73/10
Engagement
Medway NHS Foundation Trust
2025 Acute&Acute Community Trusts RPA
30.0% bullying 39.7% safety 29.9% recommend 39% response
6.49/10
Engagement
Mersey and West Lancashire Teaching Hospitals NHS Trust
2025 Acute&Acute Community Trusts RBN
29.8% bullying 34.2% safety 26.7% recommend 35% response
6.75/10
Engagement
Mersey Care NHS Foundation Trust
2025 MH&LD, MH, LD&Community Trusts RW4
25.8% bullying 25.0% safety 18.3% recommend 40% response
6.99/10
Engagement
Mid and South Essex NHS Foundation Trust
2025 Acute&Acute Community Trusts RAJ
35.4% bullying 40.4% safety 31.4% recommend 39% response
5.92/10
Engagement
Mid Cheshire Hospitals NHS Foundation Trust
2025 Acute&Acute Community Trusts RBT
26.9% bullying 31.4% safety 24.1% recommend 39% response
6.96/10
Engagement
Midlands Partnership University NHS Foundation Trust
2025 MH&LD, MH, LD&Community Trusts RRE
22.9% bullying 22.6% safety 15.3% recommend 52% response
7.32/10
Engagement
Mid Yorkshire Teaching NHS Trust
2025 Acute&Acute Community Trusts RXF
29.4% bullying 34.7% safety 28.5% recommend 35% response
6.52/10
Engagement
Milton Keynes University Hospital NHS Foundation Trust
2025 Acute&Acute Community Trusts RD8
28.6% bullying 36.5% safety 25.1% recommend 60% response
7.02/10
Engagement
Moorfields Eye Hospital NHS Foundation Trust
2025 Acute Specialist Trusts RP6
28.6% bullying 27.7% safety 31.2% recommend 63% response
7.06/10
Engagement
NAViGO Health and Social Care CIC
2025 MH&LD, MH, LD&Community Trusts NQL
19.0% bullying 22.1% safety 9.9% recommend 62% response
8.06/10
Engagement
NHS Birmingham and Solihull ICB
2025 ICBs QHL
28.3% bullying 11.7% safety 21.9% recommend 56% response
6.61/10
Engagement
NHS Black Country ICB
2025 ICBs QUA
23.4% bullying 7.8% safety 15.7% recommend 58% response
6.67/10
Engagement
NHS Cheshire and Merseyside ICB
2025 ICBs QYG
28.8% bullying 15.7% safety 19.7% recommend 58% response
5.69/10
Engagement
NHS Cornwall and the Isles of Scilly ICB
2025 ICBs QT6
25.5% bullying 8.9% safety 22.2% recommend 62% response
6.05/10
Engagement
NHS Coventry and Warwickshire ICB
2025 ICBs QWU
19.7% bullying 4.2% safety 22.5% recommend 69% response
6.64/10
Engagement
NHS Derby and Derbyshire ICB
2025 ICBs QJ2
23.8% bullying 7.0% safety 8.9% recommend 74% response
6.39/10
Engagement
NHS Devon ICB
2025 ICBs QJK
29.4% bullying 10.6% safety 16.1% recommend 62% response
5.74/10
Engagement
NHS Hampshire and Isle of Wight ICB
2025 ICBs QRL
26.8% bullying 12.1% safety 17.0% recommend 63% response
5.98/10
Engagement
NHS Herefordshire and Worcestershire ICB
2025 ICBs QGH
21.8% bullying 6.5% safety 5.8% recommend 85% response
6.47/10
Engagement
NHS Humber and North Yorkshire ICB
2025 ICBs QOQ
28.2% bullying 11.7% safety 11.5% recommend 66% response
5.76/10
Engagement
NHS Lancashire and South Cumbria ICB
2025 ICBs QE1
28.7% bullying 11.2% safety 17.4% recommend 62% response
5.90/10
Engagement
NHS Leicester, Leicestershire and Rutland ICB
2025 ICBs QK1
28.4% bullying 8.3% safety 16.7% recommend 67% response
6.39/10
Engagement
NHS Lincolnshire ICB
2025 ICBs QJM
24.6% bullying 7.1% safety 18.5% recommend 71% response
6.41/10
Engagement
NHS Norfolk and Waveney ICB
2025 ICBs QMM
31.7% bullying 10.9% safety 12.1% recommend 66% response
5.96/10
Engagement
NHS Northamptonshire ICB
2025 ICBs QPM
25.2% bullying 20.2% safety 19.0% recommend 60% response
6.24/10
Engagement
NHS North East and North Cumbria ICB
2025 ICBs QHM
26.0% bullying 8.5% safety 16.1% recommend 77% response
6.14/10
Engagement
NHS Nottingham and Nottinghamshire ICB
2025 ICBs QT1
26.2% bullying 5.6% safety 21.7% recommend 62% response
6.24/10
Engagement
NHS Shropshire, Telford and Wrekin ICB
2025 ICBs QOC
26.2% bullying 9.3% safety 7.5% recommend 76% response
6.54/10
Engagement
NHS South West London ICB
2025 ICBs QWE
23.9% bullying 7.2% safety 15.4% recommend 49% response
6.29/10
Engagement
NHS South Yorkshire ICB
2025 ICBs QF7
26.6% bullying 10.1% safety 16.8% recommend 67% response
6.11/10
Engagement
NHS Staffordshire and Stoke-on-Trent ICB
2025 ICBs QNC
19.5% bullying 5.7% safety 14.9% recommend 76% response
6.28/10
Engagement
NHS Suffolk and North East Essex ICB
2025 ICBs QJG
22.6% bullying 7.8% safety 11.1% recommend 65% response
6.84/10
Engagement
NHS West Yorkshire ICB
2025 ICBs QWO
25.8% bullying 8.7% safety 14.6% recommend 63% response
6.30/10
Engagement
Norfolk and Norwich University Hospitals NHS Foundation Trust
2025 Acute&Acute Community Trusts RM1
34.1% bullying 38.5% safety 28.6% recommend 48% response
6.17/10
Engagement
Norfolk and Suffolk NHS Foundation Trust
2025 MH&LD, MH, LD&Community Trusts RMY
30.4% bullying 33.2% safety 18.0% recommend 68% response
6.37/10
Engagement
Norfolk Community Health and Care NHS Trust
2025 Community Trusts RY3
26.8% bullying 33.8% safety 19.1% recommend 62% response
7.22/10
Engagement
Northampton General Hospital NHS Trust
2025 Acute&Acute Community Trusts RNS
30.3% bullying 36.8% safety 27.7% recommend 49% response
6.55/10
Engagement
Northamptonshire Healthcare NHS Foundation Trust
2025 MH&LD, MH, LD&Community Trusts RP1
25.7% bullying 24.9% safety 19.3% recommend 63% response
7.17/10
Engagement
North Bristol NHS Trust
2025 Acute&Acute Community Trusts RVJ
28.5% bullying 35.1% safety 20.9% recommend 56% response
7.09/10
Engagement
North Cumbria Integrated Care NHS Foundation Trust
2025 Acute&Acute Community Trusts RNN
28.6% bullying 33.7% safety 19.8% recommend 54% response
6.49/10
Engagement
North East Ambulance Service NHS Foundation Trust
2025 Ambulance Trusts RX6
30.6% bullying 37.6% safety 36.5% recommend 53% response
6.08/10
Engagement
North East London NHS Foundation Trust
2025 MH&LD, MH, LD&Community Trusts RAT
28.3% bullying 21.6% safety 20.1% recommend 48% response
7.04/10
Engagement
Northern Care Alliance NHS Foundation Trust
2025 Acute&Acute Community Trusts RM3
31.4% bullying 34.6% safety 26.2% recommend 48% response
6.60/10
Engagement
Northern Lincolnshire and Goole NHS Foundation Trust
2025 Acute&Acute Community Trusts RJL
28.9% bullying 36.2% safety 26.7% recommend 42% response
6.46/10
Engagement
North London NHS Foundation Trust
2025 MH&LD, MH, LD&Community Trusts G6V2S
29.3% bullying 33.3% safety 24.4% recommend 41% response
6.59/10
Engagement
North Staffordshire Combined Healthcare NHS Trust
2025 MH&LD, MH, LD&Community Trusts RLY
22.1% bullying 24.1% safety 15.8% recommend 65% response
7.32/10
Engagement
North Tees and Hartlepool NHS Foundation Trust
2025 Acute&Acute Community Trusts RVW
27.5% bullying 30.2% safety 26.0% recommend 42% response
6.74/10
Engagement
Northumbria Healthcare NHS Foundation Trust
2025 Acute&Acute Community Trusts RTF
25.4% bullying 26.3% safety 22.3% recommend 74% response
7.14/10
Engagement
North West Ambulance Service NHS Trust
2025 Ambulance Trusts RX7
34.5% bullying 37.2% safety 29.0% recommend 53% response
6.06/10
Engagement
Source: NHS Staff Survey — Published annually by NHS England and Picker Institute Europe