NHS staff survey and the Francis Report

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28 / 2 / 2013

The survey contains data on a wide range of employment issues and also includes data on staff views on issues raised by the Francis Report (published in February 2013) such as organisational culture and quality of care.

Overall the survey shows that:

  • Nine out of ten staff feel their roles do make a difference to patients and only one in ten would not recommend their organisation to a friend or family member.
  • Just over six out of ten (62 per cent) believe that patient care is their organisation's top priority and this has improved from 60 per cent in 2012.
  • Just over two thirds (67 per cent) agree that their organisation acts on feedback from users.

There are though, concerns on some issues:

  • Just under half (49 per cent) feel their senior managers are committed to patient care and this has declined from 51 per cent in 2011.
  • Less than half (48 per cent) of staff feel there are sufficient staff to do their job properly (question 7g)
  • Almost eight out of ten (78 per cent) of staff are satisfied with the level of care they are able to deliver.

The Francis Report emphasised the importance of an organisational culture that supports good quality care. The staff survey shows in general that staff get good support from line managers and have good team working. Staff engagement levels are up, and job satisfaction rates have also improved. There are lower levels of staff involvement and poorer communication than we would hope, although scores in these areas have improved. There is a lot of variation and so organisations may wish to look at their own results to evaluate any issues.

The Francis Report stressed the need to create a culture where the "only fear was the fear of not speaking out" and there is a mixed picture on this in the survey. Although nine out of ten staff reported that they know how to raise wider concerns, there is some indication that in a small minority of organisations there are concerns about how this would be handled.

Useful information on analysing local staff survey results to help identify the scale and nature of any issues highlighted in the Francis Report, is available on our staff engagement web pages.

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