Health On The Line

Insights into the NHS Staff Survey findings

Mar 25, 2026
Jack Sansum, Assistant Director of Neighbourhood Health, outlines a flexible Neighbourhood Health Framework focused on local delivery. Dean Royles, interim chief executive of NHS Employers, explores the NHS Staff Survey findings: rising burnout and falling morale, mixed signs on compassionate leadership, workplace violence and racism, links between staff experience and performance, and new mandatory staff standards.
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INSIGHT

Framework Is Permissive But Leaves Key Questions

  • The neighbourhood health framework is permissive and acknowledges non-NHS partners are essential for delivery.
  • Unresolved issues remain around funding flows, contracts, governance and who convenes at neighbourhood level.
ADVICE

Drive Neighbourhood Health Through Local Flexibility

  • Shape neighbourhood health implementation with local partnerships and flexible models, not one-size-fits-all mandates.
  • Use health and wellbeing boards to define neighbourhood geographies and scale integrated neighbourhood teams for frailty and multimorbidity.
INSIGHT

Staff Survey Offers Unrivalled Longitudinal Insight

  • The NHS staff survey is the largest staff survey globally, giving rich year-on-year data about workforce sentiment.
  • Around 760,000 responses across ~15 years let leaders benchmark local changes and researchers analyse trends.
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