National Health Service National Staff Survey, 2004

<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>
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<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>
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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>
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<b>背景</b><br>健康改善委员会（Commission for Health Improvement, CHI）联合卫生部（Department of Health, DH），委托阿斯顿大学（Aston University）于2003年启动一项全新的全国性国民保健署（National Health Service, NHS）员工调查的开发与试点工作，同时搭建配套咨询中心与官方网站以支撑相关工作开展。该项目的管理工作于2004年调查周期前移交至医疗保健委员会（Healthcare Commission, HC）。2009年4月1日，护理质量委员会（Care Quality Commission, CQC）正式成立并取代医疗保健委员会（请注意：2009年4月1日前开展的系列调查仍将归属于医疗保健委员会）。2011年，卫生部重新接管该调查的管理工作。自2013年起，英格兰国民保健署（NHS England, NHSE）负责统筹该调查项目。阿斯顿大学的研究人员负责该调查问卷工具的初始开发，以及<a href="http://www.nhsstaffsurveys.com/" title="NHS全国员工调查咨询中心">NHS全国员工调查咨询中心</a>的搭建工作。自2011年起，皮克欧洲研究所（Picker Institute Europe）接替阿斯顿大学担任调查执行承包商。所有参与方通力合作，就全新全国性调查的内容广泛征询NHS员工的意见。本次工作由利益相关方小组指导开展，该小组涵盖员工代表、护理质量委员会、卫生部、人力资源总监、战略卫生当局以及NHS员工队伍的代表。<br><br><b>调查的目标与实施流程</b><br>年度NHS员工调查的核心目标是收集员工对于其所在本地NHS信托机构的工作看法。该调查旨在取代各信托机构自行开展的年度员工调查、卫生部的“10个核心问题”调查以及医疗保健委员会的“临床治理审查”员工调查。此项单一年度调查将同时满足医疗保健委员会、卫生部以及各信托机构的调研需求，借此可获取用于制定全国绩效评估指标（包括星级评级）的数据，同时助力NHS在国家与地方层面落实“改善工作生活质量”标准。问卷设计还纳入了与“积极多元化计划”相关的调研问题。各信托机构可通过调查结果评估自身政策的实际落地效果。本次调查首次允许各机构基于多项员工满意度与意见调研指标，与其他同类NHS机构乃至全NHS体系开展对标评估。自2013年起，NHS员工调查覆盖所有主要信托机构类型——社会企业、临床委托集团与临床支持单位均可自主申请参与本次调查。各机构可采用电子化方式开展调查，并提交本机构的全员工普查样本或扩大抽样样本的调研数据，此前调查样本规模被限制为850名员工。<br><br>数据收集（即调查实地执行环节）由多家独立调查承包商负责（具体信息请查阅各调查的文档资料）。承包商由英格兰各NHS信托机构直接聘任，且必须严格遵循咨询中心提供的一套详细指导细则（详见上文网站链接），该细则涵盖调查所需的方法论要求，例如随机抽样方法、问卷印刷规范、致受访者的信函格式、数据录入与提交要求等内容。实地调研结束后，数据将被提交至咨询中心。基于提交的数据，咨询中心将为英格兰所有参与调查的NHS信托机构出具一份对标后的“反馈报告”；同时咨询中心还将代表卫生部编制一系列详细的电子表格，分别汇总英格兰各参与信托机构的调研问题详情，并发布一份涵盖全国层面调查结果的“核心发现”总结报告。更多关于本系列调查及相关出版物的信息可通过咨询中心官网获取（详见上文链接）。<br><br>