National Health Service National Staff Survey, 2006

<b>Background</b><br>
The Commission for Health Improvement (CHI), in conjunction with the Department of Health (DH), appointed Aston University to develop and pilot a new national National Health Service (NHS) staff survey, commencing in 2003, and to establish an advice centre and web site to support that process. Administration of the programme was taken over by the Healthcare Commission in time for the 2004 series. On the 1st April 2009, the Care Quality Commission (CQC) was formed which replaced the Healthcare Commission (users should note that some of the surveys in the series conducted prior to this date will still be attributed to the Healthcare Commission). In 2011 the Department of Health took over management of the survey. Since 2013 NHS England (NHSE) have been in charge of the survey programme. Researchers at Aston University were responsible for the initial development of the survey questionnaire instrument, and for the setting up of the <a href="http://www.nhsstaffsurveys.com/" title="NHS National Staff Survey Advice Centre">NHS National Staff Survey Advice Centre</a>. From 2011, Picker Institute Europe took over from Aston University as survey contractors. All organisations concerned worked in partnership to consult widely with NHS staff about the content of the new national survey. The work was conducted under the guidance of a stakeholder group, which contained representatives from the staff side, CQC, DH, human resources directors, Strategic Health Authorities and the NHS workforce. <br>
<br>
<b>Aims and conduct of the survey</b><br>
The purpose of the annual NHS staff survey is to collect staff views about working in their local NHS trust. The survey has been designed to replace trusts' own annual staff surveys, the DH '10 core questions', and the HC 'Clinical Governance Review' staff surveys. It is intended that this one annual survey will cover the needs of HC, DH and trusts. Thus, it provides information for deriving national performance measures (including star ratings) and to help the NHS, at national and local level, work towards the 'Improving Working Lives' standard. The design also incorporates questions relating to the 'Positively Diverse Programme'. Trusts will be able to use the findings to identify how their policies are working in practice. The survey enables organisations, for the first time, to benchmark themselves against other similar NHS organisations and the NHS as a whole, on a range of measures of staff satisfaction and opinion. From 2013, the NHS Staff Survey went out to all main trust types - social enterprises, clinical commissioning groups and clinical support units were able to opt themselves in to the survey. Organisations were allowed to conduct the survey electronically and to submit data for an entire census or extended sample of their organisation. Previously the sample was restricted to 850 staff. <br>
<br>
The collection of data (i.e. the survey fieldwork) is conducted by a number of independent survey contractors (see documentation for individual survey information). The contractors are appointed directly by each NHS trust in England and are required to follow a set of detailed guidance notes supplied by the Advice Centre (see web site link above), which covers the methodology required for the survey. For example, this includes details on how to draw the random sample, the requirements for printing of questionnaires, letters to be sent to respondents, data entry and submission. At the end of the fieldwork, the data are then sent to the Advice Centre. From the data submitted, each participating NHS trust in England receives a benchmarked 'Feedback Report' from the Advice Centre, which also produces (on behalf of the Department of Health) a series of detailed spreadsheets which report details of each question covered in the survey for each participating trust in England, and also a 'Key Findings' summary report covering the survey findings at national level. Further information about the survey series and related publications are available from the Advice Centre web site (see link above).<br>
<br>

<b>背景</b><br>健康改善委员会（Commission for Health Improvement, CHI）与卫生部（Department of Health, DH）联合委托阿斯顿大学开发并试点一项新的全国性国家医疗服务体系（National Health Service, NHS）员工调查，该调查于2003年启动，并建立了一个咨询中心和网站以支持这一过程。该项目的管理工作由医疗保健委员会在2004年系列调查前及时接管。2009年4月1日，护理质量委员会（Care Quality Commission, CQC）成立并取代了医疗保健委员会（用户需注意，该日期之前开展的部分系列调查仍将归属于医疗保健委员会）。2011年，卫生部接管了该调查的管理工作。自2013年起，英格兰国家医疗服务体系（NHS England, NHSE）负责该调查项目。阿斯顿大学的研究人员负责调查问卷工具的初步开发，并建立了<a href="http://www.nhsstaffsurveys.com/" title="NHS National Staff Survey Advice Centre">NHS全国员工调查咨询中心</a>。2011年起，欧洲皮克研究所接替阿斯顿大学担任调查承包商。所有相关机构合作，就新全国性调查的内容广泛咨询NHS员工。这项工作在一个利益相关者小组的指导下进行，该小组包含员工代表、CQC、DH、人力资源总监、战略卫生当局和NHS工作人员代表。<br><br><b>调查的目标与实施</b><br>年度NHS员工调查的目的是收集员工对其所在当地NHS信托机构工作情况的看法。该调查旨在取代信托机构自身的年度员工调查、DH的"10个核心问题"以及医疗保健委员会（Healthcare Commission, HC）的"临床治理审查"员工调查。该年度调查旨在满足HC、DH和信托机构的需求。因此，它为制定国家绩效指标（包括星级评定）提供信息，并帮助NHS在国家和地方层面朝着"改善工作生活"标准迈进。调查设计还纳入了与"积极多元化计划"相关的问题。信托机构可利用调查结果了解其政策在实践中的实施效果。该调查首次使各机构能够在一系列员工满意度和意见指标上，与其他类似的NHS机构及整个NHS进行基准比较。自2013年起，NHS员工调查覆盖所有主要信托类型——社会企业、临床委托小组和临床支持单位可自行选择参与调查。各机构可采用电子方式进行调查，并提交其机构全体普查或扩展样本的数据。此前样本规模限制为850名员工。<br><br>数据收集（即调查实地工作）由若干独立调查承包商进行（详见各调查的文档信息）。承包商由英格兰各NHS信托机构直接任命，并需遵循咨询中心提供的一套详细指导说明（见上文网站链接），其中涵盖了调查所需的方法学。例如，这包括随机抽样方法、问卷印刷要求、致受访者的信件、数据录入与提交等细节。实地工作结束后，数据将被发送至咨询中心。根据提交的数据，英格兰每个参与的NHS信托机构都会收到咨询中心提供的基准化"反馈报告"，咨询中心还代表卫生部生成一系列详细的电子表格，报告英格兰各参与信托机构在调查中每个问题的详细情况，以及一份涵盖全国层面调查结果的"主要发现"摘要报告。有关该系列调查及相关出版物的更多信息可从咨询中心网站获取（见上文链接）。<br><br>