Below is a breakdown by area of acute and combined trusts performance on the NHS staff survey, according to the share of employees who would recommend their organisation for work or care.

The figure is a weighted score out of five, based on whether staff say they would recommend their organisation as a place to work or receive treatment.

St Helens and Knowsley Teaching Hospitals Trust came out top nationally. It also came top for safety culture, staff engagement, staff morale, equality and diversity and providing a safe environment for staff.

Ann Marr, the trust’s chief executive, said: “This is an outstanding result. I’ve always believed we’ve got the best staff in the country. Everyone is so motivated to provide the best possible and most compassionate care to our patients, and to support one another.

“We work extremely hard to provide a happy and healthy environment for all our staff, and this links directly to delivering the highest standards of patient care. As an organisation we pride ourselves on listening, supporting and recognising the daily contribution of every member of staff, and our success is all down to them.”

Acute trusts and combined acute/community trusts


Top five performing2017 score2018 score
Guy’s and St Thomas’ NHS Foundation Trust 4.18 4.16
Kingston Hospital NHS Foundation Trust 3.95 4.03
Chelsea and Westminster Hospital NHS Foundation Trust 3.96 3.98
University College London Hospitals NHS Foundation Trust 3.99 3.97
Homerton University Hospital NHS Foundation Trust 3.89 3.95
Bottom five performing2017 score2018 score
Croydon Health Services NHS Trust 3.63 3.57
London North West University Healthcare NHS Trust 3.60 3.58
Barking, Havering and Redbridge University Hospitals NHS Trust 3.66 3.58
The Hillingdon Hospitals NHS Foundation Trust 3.73 3.59
North Middlesex University Hospital NHS Trust 3.56 3.62

Midlands and East

Top five2017 score2018 score
West Suffolk NHS Foundation Trust 4.12 4.11
South Warwickshire NHS Foundation Trust 4.01 4.02
Sherwood Forest Hospitals NHS Foundation Trust 3.92 3.99
Cambridge University Hospitals NHS Foundation Trust 3.92 3.99
The Royal Wolverhampton NHS Trust 3.83 3.94
Bottom five2017 score2018 score
United Lincolnshire Hospitals NHS Trust 3.43 3.36
The Queen Elizabeth Hospital King’s Lynn NHS Foundation Trust 3.63 3.37
The Shrewsbury and Telford Hospital NHS Trust 3.55 3.42
Walsall Healthcare NHS Trust 3.38 3.47
The Dudley Group NHS Foundation Trust 3.75 3.51


Top five2017 score2018 score
St Helens and Knowsley Teaching Hospitals NHS Trust 4.12 4.21
The Newcastle upon Tyne Hospitals NHS Foundation Trust 4.10 4.14
Northumbria Healthcare NHS Foundation Trust 3.96 4.04
Gateshead Health NHS Foundation Trust 4.01 3.99
Leeds Teaching Hospitals NHS Trust 3.86 3.98
Bottom five2017 score2018 score
North Cumbria University Hospitals NHS Trust 3.45 3.39
Northern Lincolnshire and Goole NHS Foundation Trust 3.34 3.42
County Durham and Darlington NHS Foundation Trust 3.50 3.47
Southport and Ormskirk Hospital NHS Trust 3.52 3.50
The Rotherham NHS Foundation Trust 3.43 3.51


Top five2017 score2018 score
Surrey and Sussex Healthcare NHS Trust 4.02 4.10
The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust 3.99 4.06
University Hospital Southampton NHS Foundation Trust 4.05 4.06
Royal Devon and Exeter NHS Foundation Trust 3.97 4.03
Western Sussex Hospitals NHS Foundation Trust 4.00 3.99
Bottom five2017 score2018 score
Medway NHS Foundation Trust 3.49 3.30
East Kent Hospitals University NHS Foundation Trust 3.37 3.42
Weston Area Health NHS Trust 3.46 3.55
Royal Cornwall Hospitals NHS Trust 3.46 3.56
Gloucestershire Hospitals NHS Foundation Trust 3.57 3.66