iMatter Health & Social Care Staff Experience Survey 2024

Independent report by Webropol providing detailed information and analysis of staff experience in health and social care across Scotland. This report contains data from the 2024 iMatter survey.


Raising Concerns

Two additional questions were first included in the 2023 questionnaire covering how staff feel about raising concerns. These questions are not included within the EEI calculation of the Staff Governance Strand Scores.

The questions were not compulsory within the questionnaire, however in line with 2023, 98% of staff completing the iMatter questionnaire answered these questions in 2024.

Response Rate Number of respondents 2023 Percentage Number of respondents 2024 Percentage
Respondents completing iMatter survey 118,376 119,534
I am confident that I can safely raise concerns about issues in my workplace 116,317 98% 117,618 98%
I am confident that my concerns will be followed up and responded to 116,041 98% 117,390 98%

The scores have been calculated using the same method as used for iMatter score calculations.

Raising Concerns 2023 2024 Movement 2024 - 2023
I am confident that I can safely raise concerns about issues in my workplace 79 79 0
I am confident that my concerns will be followed up and responded to 74 73 -1

Confidence to safely raise concerns remains at 79, while confidence that concerns will be followed up has declined 1 point to 73.

70% of respondents agree or agree strongly that they are confident to safely raise any concerns they have. Over half of respondents (56%) agree or agree strongly that they are confident their concerns will be responded to.

Bar chart showing score distribution for Raising Concerns, with data show in table following.
Raising Concerns Strongly Agree/ Agree Slightly Agree Slightly Disagree Disagree/ Disagree Strongly
I am confident that I can safely raise concerns about issues in my workplace 70% 16% 6% 8%
I am confident that my concerns will be followed up and responded to 56% 22% 10% 12%

Boards

There is variation in scores across the Boards. NHS Education for Scotland has the highest scores for both measures and Scottish Ambulance Service the lowest.

The largest improvement is in Public Health Scotland where both scores have increased by 4 points from last year. NHS 24 has also improved both scores with ‘confidence to safely raise concerns’ up 2 points and ‘confident that concerns with be followed up on’ is up 3 points.

Healthcare Improvement Scotland have seen a decline of 7 points in both scores. NHS Western Isles has seen a decline of 4 points in ‘confident that concerns with be followed up on’ while ‘confidence to raise concerns’ has declined by 1 point.

I am confident that I can safely raise concerns about issues in my workplace I am confident that my concerns will be followed up and responded to
2023 2024 Movement from 2023 2023 2024 Movement from 2023
Health and Social Care 79 79 0 74 73 -1
National Boards (Patient-facing)
NHS 24 74 76 +2 68 71 +3
NHS Golden Jubilee 77 77 0 71 71 0
Scottish Ambulance Service 70 69 -1 62 60 -2
The State Hospital 73 74 +1 67 67 0
National Boards (Support)
Healthcare Improvement Scotland 81 74 -7 75 68 -7
NHS Education for Scotland 86 85 -1 83 81 -2
NHS National Services Scotland 80 79 -1 75 74 -1
Public Health Scotland 77 81 +4 70 74 +4
Geographic Boards
NHS Ayrshire & Arran 81 80 -1 76 75 -1
NHS Borders 80 79 -1 73 72 -1
NHS Dumfries & Galloway 77 77 0 71 71 0
NHS Fife 80 80 0 75 74 -1
NHS Forth Valley 79 78 -1 73 72 -1
NHS Grampian 80 79 -1 75 74 -1
NHS Greater Glasgow and Clyde 80 79 -1 74 73 -1
NHS Highland 78 78 0 72 71 -1
NHS Lanarkshire 81 81 0 76 75 -1
NHS Lothian 80 80 0 74 74 0
NHS Orkney 75 74 -1 65 66 +1
NHS Shetland 82 81 -1 76 75 -1
NHS Tayside 80 80 0 74 74 0
NHS Western Isles 77 76 -1 73 69 -4

Staff Groupings

Ambulance Services Staff are the least confident that they can safely raise concerns and that their concerns will be followed up with scores of 68 and 59 respectively. Local Authority Senior Managers score highest for the two measures, at 87 for confidence in raising concerns and 83 for confidence that concerns will be followed up on.

Strategic Development staff scores for both measures have declined by 3 points from 2023. Criminal Justice staff have declined 4 points from 2023 for ‘I am confident that my concerns will be followed up and responded to.

I am confident that I can safely raise concerns about issues in my workplace I am confident that my concerns will be followed up and responded to
2023 2024 Movement from 2023 2023 2024 Movement from 2023
Health & Social Care 79 79 0 74 73 -1
NHS Scotland Employees 79 79 0 73 72 -1
Administrative Services 80 80 0 75 74 -1
Allied Health Profession 80 79 -1 74 73 -1
Ambulance Services 70 68 -2 61 59 -2
Health Science Services 77 76 -1 69 68 -1
Medical & Dental 79 77 -2 71 70 -1
Medical & Dental Support 78 78 0 73 74 +1
Nursing & Midwifery 79 79 0 73 73 0
Other Therapeutic 80 80 0 75 74 -1
Personal & Social Care 81 82 +1 76 77 +1
Senior Managers 86 85 -1 81 79 -2
Support Services 77 77 0 71 71 0
Local Authority Employees 82 82 0 77 77 0
Adult Services 82 82 0 76 77 +1
Business Services 83 83 0 79 79 0
Children’s Services 81 81 0 76 76 0
Criminal Justice 82 80 -2 78 74 -4
Older People Services 81 81 0 76 76 0
Senior Managers 87 87 0 84 83 -1
Strategic Development 86 84 -3 83 80 -3

Contact

Email: nationalimatterteam@gov.scot

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