Nearly half of integrated care boards (ICBs) opted out of the 2025 Staff Survey, and those that took part saw a huge drop in morale amid restructuring.
The 2025 data covers just 23 ICBs, because the remaining 19 decided not to take part amid major restructures.
The share agreeing they “would recommend my organisation as a place to work”, on average across the ICBs, plummeted from 54% to 36.9%. It was already lower than most provider trusts.
Drastic cuts to ICB budgets and a narrowing of their role were announced a year ago, followed by months of uncertainty and redundancy schemes running over the winter. Many ICBs have merged their leadership with neighbours.
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Source: HSJ, 13 March 2026
Related reading on the hub:
Patient Safety Learning’s response to the NHS Staff Survey Results 2025
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