Ambulance trusts face particular challenges to staff engagement. Dispersed and mobile workforces and intense workload pressures make it more important to find effective methods for engaging with ambulance staff. 


In recent years, the NHS Staff Survey scores for ambulance organisations have shown considerable improvement, but there is scope for further progress as there is still a large gap between the scores for the ambulance service and the wider NHS. 

Here we share some ideas and examples of what employers, line managers and staff can do to help develop and sustain engagement in the ambulance service.



  • Gather staff feedback through a locally designed staff satisfaction survey or other route, to supplement the national NHS Staff Survey.
  • Provide a route through which staff can put forward ideas for improvement and provide feedback on service issues.
  • Consult with staff on major organisational changes.
  • Work in partnership with trade unions through a local partnership forum.
  • Ensure line managers have the support, time and information to help them engage with their staff.

Line managers


  • Communicate regularly with your team and seek their views to ensure they are fully engaged and involved.
  • Encourage staff to give feedback through national and local surveys.
  • Encourage staff to share ideas for improvement.



  • Take up the opportunities for engagement.
  • Take part in the national NHS Staff Survey and any local staff surveys.
  • Develop and put forward ideas for improvement and keep up to date with communications. 

For more information and support on staff engagement take a look at our case studies to see how South Western Ambulance Service NHS Foundation Trust improved staff health through their Staying Well Service, how East Midlands Ambulance Service NHS Trust enhanced their Staff Engagement, and to learn about North East Ambulance Service NHS Foundation Trust's efforts in restructuring its management to better engage staff.

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