Article

Supporting the wellbeing needs of NHS staff

This guidance supports NHS health and wellbeing leads to prioritise and fulfil the wellbeing needs of staff.

28 July 2025

Lack of access to basic needs, such as hydration and sleep, have been identified as a major concern for NHS staff wellbeing and patient safety.  

The ambitions set out in the ten year health plan can only be achieved when employers foster a culture that fulfils the basic needs of our valued workforce. To reduce the NHS’s sickness absence rates, we must ensure the workforce are safe and healthy to provide the highest quality patient care.  

This preventative approach allows individuals, line managers and organisations to recognise the need for improvement to health and wellbeing provisions before situations are in a critical state. 

Inspired by Maslow’s hierarchy of needs, this NHS staff wellbeing needs poster demonstrates that basic needs are critical and form the foundation for fulfilling the overall health and wellbeing agenda. Together with our poster, this guidance has been created to support NHS health and wellbeing leads, staff experience leads and line managers in ensuring that our staff are safe and healthy at work. 

Top tips for supporting the health and wellbeing of your workforce


Identify how your current wellbeing offer meets your staff needs 

  • Use our NHS staff wellbeing needs poster to help you identify the wellbeing needs you cover well or those you need to improve on. Collaborate with your wider multidisciplinary team to make improvements; this could include engagement with infection prevention control, HR, occupational health or estates and facilities. Certain wellbeing needs are dependent on others, so building a holistic picture of your current wellbeing measures can help you identify gaps in meeting staff needs. For example, ensuring toilet facilities are functional and hygienic should ideally be coupled with ensuring staff get enough breaks to use them. 

  • Assess whether you have safe and secure on-call facilities to allow staff to sleep, change and store their belongings such as the sleep pods that Lancashire Teaching Hospitals NHS Foundation Trust installed. You can read more on this topic on our sleep, fatigue and the workplace web page. 

  • Involve your staff. Listen to employee feedback on what they feel their most important needs are. A consultative approach can positively impact on engagement and help overall staff experience. Ensure that if you ask for feedback, you follow up on outcomes and show you have implemented suggestions where possible. You should use the data from your local and national annual NHS Staff Survey and People Pulse to gain insight into how staff are feeling and identify key issues for them.  

 Formulate a plan to bridge gaps in staff needs

  • Use your evidence/data to formulate an action plan to meet basic needs as a priority. Our eight elements of positive staff experience outlines important considerations and can help you shape your strategy. 

  • Think about how you might address resistance to culture change.  

  • Culture change is a huge part of making a positive change in your organisation, read and listen how other organisations have made impactful changes on our change in action webpage and Do OD webinar series. 

  • Where possible create a sustainable plan. Consider how staff needs may change in the future and how you would approach this. Circumstances are often unpredictable but forecasting and planning can often help you to be proactive when supporting staff. 

Get your board on board

  • Get your board on board with a wellbeing agenda that prioritises basic staff needs using our guide. Demonstrate to your board how gaps in meeting the basic wellbeing needs are barriers to achieving the overall organisational strategic goals, and impact negatively on patient care. You could use statistics from our back to basics infographic to support you. 
  • You may also influence your senior leaders through your wellbeing guardian, who sits on the board, to ensure that the health and wellbeing of your staff is considered in all decisions that board members make. You could approach your HR director to ensure your agenda is promoted on the board if you do not have a health and wellbeing guardian.

Evaluate the impact

To understand what is working well and areas where you may need to change your approach, it is important to evaluate the impact of your interventions where you can. It can help you allocate budget towards interventions that are resonating well with your staff and having the most significant positive impact. Use our evaluation guidance to help you.

Implement your plan and engage your staff

  • Upskill your managers. They play an important part in enabling staff to engage in initiatives and focus on their personal wellbeing. 
  • Engage senior leaders in your wellbeing initiatives for top-down influence and encourage a positive culture change. Read our dozen dos of staff engagement to support you. 
  • Warrington and Halton Teaching Hospitals have a vision of making it the best place to work and receive healthcare. To support this vision, they have created a culture plan, so that all staff have a voice. Watch our video about this initiative.   

How organisations can fulfil higher level needs

  • Gain buy-in from your board and senior leaders to support fulfilling higher level staff needs. 
  • Ensure you are meeting all basic staff needs first and these are sustainable within your team/department and organisation. 
  • Actively support the personal development of your staff so they are able to work towards achieving their full potential. 
    • Encourage and allow your staff to access and implement their basic needs, such as taking sufficient breaks and staying hydrated. Build this in as part of someone’s shift, so staff are more likely to take their break instead of trying to squeeze this in. 

    • Empower staff to speak openly about their needs through a transformational leadership approach, which aims to embed honest conversations into organisational culture. Read the Leadership Framework and Team Development toolkitby the NHS Leadership Academy for more information on implementing effective leadership styles. 

    • Encourage your staff to use our poster and health and wellbeing conversations. 

    • Personalise your approach to individual staff circumstances. 

  • Sherwood Forest Hospitals NHS Foundation Trust introduced a rest, rehydrate, refuel project to understand any barriers to employees accessing sufficient hydration, breaks and refreshment facilities and how they could resolve them. After evaluating a staff survey, interventions such as setting break times as a team at the start of shifts, increasing restaurant food choices and opening hours, and increasing the number of ‘rest areas’ were implemented and well received by staff. 

    Imperial College Healthcare NHS Trust implemented an innovative pilot scheme to encourage flexible working for clinical staff allowing them to put their needs first. 

    North Cumbria Integrated Care NHS Foundation Trusthas replaced its annual appraisal with quarterly discussions between managers and staff, covering a range of topics including wellbeing, learning and development and performance. For each quarterly discussion, managers are given prompts to discuss elements of wellbeing with their staff members. For example, a discussion about factors which have a positive or negative impact on their wellbeing and identify things that would improve their wellbeing. 

    North East Ambulance Service created a mental maintenance campaign to shift focus from crisis response to regular, proactive approaches through tailored toolkits, education and peer support.  

    Doncaster and Bassetlaw Teaching Hospitals NHS Foundation trust launched a new five-year people strategy and a new cultural strategy titled The DBTH Way in collaboration with staff. Since the introduction of these strategies the organisation has seen improved NHS Staff Survey results, improvements to feedback mechanisms and seen a greater emphasis on staff experience.  

    Wrightington, Wigan and Leigh NHS Foundation Trustintroduced wellbeing champions into their organisation as a part of their quality improvement project. The trust now has around 150 wellbeing champions in post as well as six wellbeing leads. 

    The trust follows the following procedure to recruit for wellbeing champions: 

    • they are sent an application form (manager approval is required) and role descriptor 
    • once that is returned, they are then asked to complete E-learning packages on: three step process in having supportive conversations and mental health responder, each one takes around 40 minutes 
    • on completion of the training, they then schedule an induction with the wellbeing lead, this is an opportunity to give clarity and expectations and share what other champions within the network are doing. 

    The trust also offers a six-hour diffuser training they can access if they wish. This was put together by the company who trained the staff in crisis management. 

    Read about how Northumbria Healthcare NHS Foundation Trust were awarded the Freedom to Speak Up Organisation of the Year Award at the 2021 HSJ Awards for its demonstration of an integrated approach to speaking up. 

  • The links and information below provide further information to help you support the wellbeing needs for yourself and your colleagues: 

    • The COVID-19 Clinician Cohort (CoCCo) study: Empirically Grounded Recommendations for Forward-Facing Psychological Care of Frontline Doctors. Aimed to develop empirically grounded recommendations and a model of psychological care taken from the experiences and psychological care needs of COVID-19 frontline doctors. 
    • Welfare facilities for healthcare staff: Read the guidance from the NHS Staff Council’s Health, Safety and Wellbeing Partnership Group (HSWPG). It was developed to support NHS organisations to improve their provision of staff welfare facilities.  
    • NHS England's national standards for healthcare food and drink: These standards describe the methods by which organisations must ensure the quality and sustainability of their food and drink provision for patients, staff and visitors, and how they should be applied and monitored, as well as recommending future improvement aspirations and actions.