The best and worst acute trusts to work at

More than 700,000 staff responded to the survey between September and December – a 48 per cent response rate, up from 46 per cent in 2022. 

Nationally, across all trust types, 61.1 per cent said they would recommend their trust as a place to work – up around 4 percentage points since 2022, and at a three-year high, across all employer types – but down from the 2019 score of 63 per cent.

HSJ has also analysed the results for mental health, ambulance and community providers, and integrated care boards.

The tables below show the best and worst performers in the acute sector, including by region, when staff were asked whether they “would recommend their organisation as a place to work”. The tables show the proportion of respondents who “agree” or “strongly agree” with that statement.

Top five in England

Bottom five in England

Most improved five in England - 2022 to 2023

Most deteriorated five in England - 2022 to 2023

All East of England - ranked in order of staff “agreeing” or “strongly agreeing” they would recommend it as a place to work

All London - ranked in order of staff “agreeing” or “strongly agreeing” they would recommend it as a place to work

All Midlands - ranked in order of staff “agreeing” or “strongly agreeing” they would recommend it as a place to work

All North East and Yorkshire - ranked in order of staff “agreeing” or “strongly agreeing” they would recommend it as a place to work

All North West - ranked in order of staff “agreeing” or “strongly agreeing” they would recommend it as a place to work

All South East - ranked in order of staff “agreeing” or “strongly agreeing” they would recommend it as a place to work

All South West - ranked in order of staff “agreeing” or “strongly agreeing” they would recommend it as a place to work

Some previous years do not have data, most likely due to the trust being formed through a merger.

Watch: How has the percentage of staff recommending their acute trust as a place to work changed over the past five years?