iMatter EEI per organisation
The Employee Engagement Index (EEI) is calculated based on the number of responses for each point on the scale (Strongly Agree to Strongly Disagree) multiplied by its number value (6 to 1). These scores are added together and divided by the overall number of responses to give the score to show level of engagement.
The overall EEI score of 75 for Health and Social Care is one point below the 2019 EEI score of 76. This returns the score to the 2017 score. No report was issued in 2018 as the response rate was below the normally observed threshold of 60%.
This overall movement of just one point from 2019, masks some much greater movement in EEI scores for individual Boards (see following chart). Whilst many Boards have declined by one or two points, there are number of notable exceptions:
Three national support Boards, increased their EEI scores in 2021:
- NHS Education for Scotland (+2 points to 84)
- Healthcare Improvement Scotland (+3 points to 81)
- NHS National Service Scotland (+2 points to 78)
NHS Education for Scotland have shared their thoughts on why their already high scores have increased still further:
NHS Education for Scotland
"During the course of the pandemic, NES has been contributing to the overall health and social care system through our Digital, HR, and Clinical Directorate colleagues. We think this will be a source of pride both for those individuals who have made the contributions and also their colleagues.
NES has adopted a proactive, wellbeing focus to supporting our staff throughout the pandemic. A very positive approach to working from home, with lots of practical and psychological support, and clear messages around looking after self and others. We continue to provide a high level of support and flexibility around home working. During lockdown this was especially beneficial in enabling people to balance caring commitments and NES work"
Head of Programme in Workforce
In contrast, patient-facing Boards have EEI scores more than 2 points below their 2019 scores:
- NHS Orkney (-5 points to 70)
- Golden Jubilee Foundation (-5 points to 72)
- The State Hospital (-3 points to 74)
- NHS 24 (-3 points to 75)
Although these are smaller Boards, the movements in EEI scores from 2019 are all statistically significant (see Appendix 6 for details).
Actions are already under way in these Boards to address staff experience concerns as illustrated by these examples:
"We focussed our action plan on involving the workforce in decisions relating to the organisation and their jobs, on building confidence and trust in, and visibility of, the EMT and Board, and on managing performance well and acting on ideas and suggestions where we can."
Learning and Organisational Development Co-ordinator
"This year the iMatter did not include Social Care staff, who had already received a staff survey through the Local Authority and so the baseline group was different, which has led to an irregular comparison.
There is an acknowledgement that work needed to take place and has been delivered through our Listening Project. The wellbeing group has also been restarted after an 18-month hiatus and will build in key performance indicators to measure success, including monitoring the iMatter results."
Organisational Development & Improvement Advisor
Comparing 2021 EEI to Previous Years
The long-term trend in EEI scores illustrates how staff experiences are evolving. The table following includes the comparison of 2021 scores to those achieved in 2017.
The Health and Social Care EEI score is currently at the same level as it was in 2017. Of the 18 Boards that have scores for 2017, eight of them achieved the same scores in 2021 as they did in 2017.
The largest positive movement over the five years is for NHS Education for Scotland, up 4 points from the 2017 EEI score of 80.
The largest negative movements are:
- Golden Jubilee Foundation, down 6 points from an EEI of 78 in 2017
- NHS Orkney, down 5 points from an EEI of 75 in 2017
|EEI Score||2017||2018||2019||2021||Movement from 2017|
|Health and Social Care||75||No Report (NR)||76||75||0|
|Golden Jubilee Foundation||78||78||77||72||-6|
|Scottish Ambulance Service||67||67||NR||65||-2|
|The State Hospital||76||77||77||74||-3|
|Healthcare Improvement Scotland||80||80||78||81||+1|
|NHS Education for Scotland||80||81||82||84||+4|
|NHS National Services Scotland||77||76||76||78||+1|
|Public Health Scotland||77||New|
|NHS Health Scotland||81||81||81||N/A|
|NHS Ayrshire & Arran||76||NR||76||75||-1|
|NHS Dumfries & Galloway||75||NR||74||72||-3|
|NHS Forth Valley||75||75||75||73||-2|
|NHS Greater Glasgow & Clyde||NR||NR||NR||74||N/A|
|NHS Western Isles||NR||NR||NR||76||N/A|
EEI Score Distribution across Teams
Across the whole of Health and Social Care the distribution of teams across each of the score bands is as shown below. 73% of teams that received a report score in Strive to Celebrate (67-100). Across the whole of Health and Social Care there are only 15 teams that have an EEI score of 33 or less (less than 1% of all teams). Teams with 4 or less staff and a response rate of below 100% did not receive a report.
|Organisation||Number of Teams||Percentage of Teams|
|Strive & Celebrate (67-100)||11050||73%|
|Monitor to Further Improve (51-66)||2075||14%|
|Improve to Monitor (34-50)||265||2%|
|Focus to Improve (0-33)||15||<1%|
|Total Health and Social Care||15183||100%|
The table following shows the number teams in each EEI score band across each of the Boards.
NHS Education for Scotland has 96% of teams scoring in 'Strive & Celebrate' and Healthcare Improvement Scotland has 93%. NHS Shetland is the highest performing Geographic Board with 91% of Teams scoring in 'Strive & Celebrate'. In contrast only 56% of teams in Scottish Ambulance Service score in 'Strive & Celebrate'.
|Boards that received a report in 2021||Strive & Celebrate 67-100||Monitor to Further Improve 51-66||Improve to Monitor 34-50||Focus to Improve 0-33||Report Issued|
|NHS Ayrshire & Arran||761||116||20||1||898|
|NHS Dumfries & Galloway||214||50||7||1||272|
|NHS Forth Valley||386||99||7||0||492|
|NHS Greater Glasgow & Clyde||2322||464||61||5||2852|
|NHS Western Isles||49||11||0||0||60|
|Healthcare Improvement Scotland||125||10||0||0||135|
|Public Health Scotland||81||6||2||0||89|
|NHS Education for Scotland||180||8||0||0||188|
|National Services Scotland||274||23||2||0||299|
|Golden Jubilee Foundation||129||28||5||0||162|
|Scottish Ambulance Service||250||164||35||0||449|
|The State Hospital||51||11||0||0||62|
In previous years this report has contained data on 'No Report'. This included information on the distribution of team EEI scores and analysis of the proportion of teams not receiving an EEI Report because they had not reached the required response rate threshold. The two thresholds previously in place were:
- 60% response rate for teams of 5 or more staff
- 100% response rate for teams with 4 or less staff
With the removal of the 60% threshold, the only teams that will not have received a report in 2021 are those with 4 or less staff and a response rate of below 100%. Consequently, the percentage of teams receiving a report has risen from 76% in 2019 to 88% in 2021.
Almost all Boards have between 87% and 95% of their teams receiving reports. The exceptions are
- NHS 24 where 78% of Teams received a report
- NHS Lothian where 80% of Teams received a report
|Board||Report Issued||No Report Issued||Total|
|No. of Teams||Percent||No. of Teams||Percent|
|NHS Ayrshire & Arran||898||89%||110||11%||1,008|
|NHS Dumfries & Galloway||272||88%||36||12%||308|
|NHS Forth Valley||492||88%||68||12%||560|
|NHS Greater Glasgow & Clyde||2852||89%||357||11%||3,209|
|NHS Western Isles||60||92%||5||8%||65|
|Healthcare Improvement Scotland||135||91%||14||9%||149|
|Public Health Scotland||89||95%||5||5%||94|
|NHS Education for Scotland||188||94%||11||6%||199|
|National Services Scotland||299||95%||17||5%||316|
|Golden Jubilee Foundation||162||95%||8||5%||170|
|Scottish Ambulance Service||449||91%||42||9%||491|
|The State Hospital||62||94%||4||6%||66|
The variation seen in the percentage of teams that did not receive a report is directly impacted by the volume of small teams (less than 5 staff) within each Board. The table following shows the share of teams in each Board with less than 5 staff and the % of those that have received a report.
Overall, 22% of teams have less than 5 staff in them, though this ranges from 73% of teams in Healthcare Improvement Scotland to 11% of teams in NHS Western Isles and Public Health Scotland.
The percentage of small teams receiving a report is 54% across Health and Social Care. Again, there is considerable variation across the Boards, from 90% of small teams in NHS Education for Scotland receiving a report, to 39% of small teams in NHS Forth Valley.
|Board||Number of Teams||Small Teams Receiving a Report|
|Total||Small Teams||% of all Teams||No. of Small Teams||Percent of Small Teams|
|Health & Social Care||15,187||3,316||22%||1,800||54%|
|NHS Ayrshire & Arran||1,008||175||17%||93||53%|
|NHS Dumfries & Galloway||308||163||53%||129||79%|
|NHS Forth Valley||562||106||19%||41||39%|
|NHS Greater Glasgow & Clyde||3,209||557||17%||276||50%|
|NHS Western Isles||65||7||11%||5||71%|
|NHS Education for Scotland||199||110||55%||99||90%|
|Healthcare Improvement Scotland||149||109||73%||95||87%|
|NHS National Services Scotland||316||77||24%||60||78%|
|Public Health Scotland||94||10||11%||5||50%|
|NHS Golden Jubilee||170||46||27%||39||85%|
|Scottish Ambulance Service||491||96||20%||54||56%|
|The State Hospital||66||20||30%||17||85%|
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