NHS Staff satisfaction with the quality of their work and making a difference

The staff pledges that are part of the NHS Constitution define what the NHS expects from staff and what staff can expect from NHS employers. One of these pledges is to provide all staff with clear roles and responsibilities and rewarding jobs for teams and individuals that make a difference to patients, their families and carers and communities.

Staff satisfaction with the quality of work and patient care they are able to deliver

The percentage of staff personally pleased with the standard and quality of care they provide to patients increased from 60% in 2008 to a peak of 78% in 2013. This level of satisfaction varies across staff in different settings: prior to 2011, acute staff had the lowest satisfaction with their work and ambulance trust staff had the highest. The following year there was a reversal and ambulance trusts have had the lowest level of satisfaction with the quality of their work since 2012. In 2014, ambulance trust staff were 4 percentage points lower than the national average.

In 2015, the responses were calculated as a scale, rather than a percentage, to better capture the nuance of respondents’ answers. This scale, which ranges from 1 (strongly disagree) to 5 (strongly agree), varies less across staff settings and was 3.9 nationally in 2015. Staff in ambulance and mental health & learning disability trusts gave a score of 3.8, compared to 4 in acute trust settings.

Percentage of staff agreeing that their role makes a difference to patients / service users

Staff were asked whether or not they felt that their role makes a difference to patients or service users. Since the question was first asked in 2008, 90% of staff respondents felt they made a difference. Generally, there has been relatively little variation, except for staff in ambulance trusts, where consistently a lower number felt they made a difference. This could be due to ambulance staff not always being aware of the outcomes for patients they treat.

On average, 92% of staff from BAME groups felt they made a difference compared with 89% of white staff. There was no difference in reporting across age groups. Staff with a disability (87%) were less likely to feel they made a difference than staff without (89%) (data not shown).

About this data

For more information, please see <a href="http://www.nhsstaffsurveys.com/Page/1010/Home/NHS-Staff-Survey-2015/">NHS Staff Survey 2015</a>.

National averages include other organisations outside of the sectors shown in the charts, for example PCTs and CCGs. In 2015 extra categories were created for acute trusts and mental health & learning disability trusts that are combined community trusts. Where these trusts were previously coded as either acute trusts or mental health & learning disability trusts the analysis included them in the categories they were previously in.  

In 2015, the format of these questions was changed, placing "not applicable" as the first rather than the last response option, making it more noticeable. 

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