Less than two-thirds of staff would be happy to recommend their trust to a friend or relative, according to the latest NHS staff survey.
The 2012 survey, released today, found only 63 per cent of staff would recommend their organisation.
Only 35 per cent of the 101,000 respondents felt there was “effective communication” between senior managers and staff, and just 26 per cent felt managers acted on feedback received from staff.
Meanwhile, only four in every ten staff felt valued at work, the survey found.
The research, carried out by the Picker Institute, also indicated some unease about whistleblowing: 72 per cent of staff said they would feel safe raising concerns, and just 55 per cent expressed confidence their trust would address those concerns.
By contrast, 68 per cent agreed with the statement “my organisation acts on concerns raised by patients”, with only seven per cent disagreeing.
On most measures, social enterprise staff were the most positive in their responses and ambulance staff the most negative.
Sara Gorton, Unison deputy head of health, said: “Despite 70 per cent of staff working extra hours it is sad to see that so many feel undervalued by their trust. More worrying still is that only 35 per cent believe communications between staff and senior managers [are] effective.
“Much more work needs to be done to ensure that staff are listened to and their concerns acted on quickly.”
NHS Employers chief executive Dean Royles said it was important to note improvements on many scores.
He said in a statement: “”It’s a remarkable achievement that staff report improvements in so many areas, crucially including overall levels of patient care. Amid all the uncertainties and concerns around the Health and Social Care Bill, efficiency drives, industrial action, pay freezes and pension increases these are a set of good results.
“They also note that appraisals, staff engagement and job satisfaction have got better and this really is a credit to the effort and skill of [human resources] teams in the NHS and the work they do with staff.”