iMatter Health & Social Care Staff Experience Survey 2025
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 2025 iMatter survey.
iMatter 2025 National Key Performance Indicators (KPIs)
Response Rate
- Overall Response Rate 57%
- Questionnaires Issued: 207,397
- Responses Received: 119,173
The response rate is calculated as the percentage of questionnaires issued that have been completed and returned within the allowable time.
In total 207,397 questionnaires were issued, 607 more than in 2024. A total of 119,173 usable responses were received, 361 less than in 2024.
The 2025 response rate is 57%, a decrease of 1 percentage point from 2024.
Employee Engagement Index Score (EEI)
- Employee Engagement Index (EEI) Score 77
The Employee Engagement Index (EEI) is calculated based on the number of responses for each point on the scale for component questions[3] (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 reported 2025 EEI Score for Health and Social Care is 77, an increase of one point (pt) from 2024. However, it is noted that the actual improvement to 3 decimal places is only 0.142 (from 76.426 in 2024 to 76.568 in 2025.) This is a statistically significant improvement.
Action Plans Agreed
- Action Plans Agreed: 56% within the 8-week deadline
Each team is invited to complete a continuous improvement Action Plan. 56% of teams had an agreed Action Plan in place within 8 weeks of receiving their team’s iMatter results.
This is unchanged from 2024.
iMatter KPIs Over Time
The following table summarises the national iMatter Key Performance Indicators (KPIs).
- The 2025 response rate is 1 percentage point (pp) lower than 2024 but remains higher than 2021 and 2022 levels.
- The overall EEI score of 77 for Health and Social Care is 1 point (pt) lower than the 2024 EEI, returning to the 2023 score.
- 56% of all teams completed Action Plans in 2025 within 8 weeks, the same proportion as in 2024.
|
Year |
Response Rate |
Movement from Previous Year |
EEI |
Movement from Previous Year |
Action Plan Completion |
Movement from Previous Year |
|---|---|---|---|---|---|---|
|
2025 |
57% |
-1 |
77 |
+1 |
56% |
0 |
|
2024 |
58% |
-1 |
76 |
-1 |
56% |
+1 |
|
2023 |
59% |
+4 |
77 |
+1 |
55% |
+8 |
|
2022 |
55% |
-1 |
76 |
+1 |
47% |
+5 |
|
2021 |
56% |
-6 |
75 |
-1 |
42%[4] |
-16 |
|
2019 |
62% |
+3 |
76 |
+1 |
58% |
+2 |
|
2018 |
59% |
-4 |
No Report[5] |
N/A |
56% |
+13 |
|
2017 |
63% |
- |
75 |
- |
43% |
- |
To view this table in its original format please see the PDF.
iMatter 2025 KPIs for Individual Boards
The table following summarises the iMatter KPIs for each individual Board.
|
Board KPIs |
Response Rate |
EEI |
Action Plans Agreed |
|---|---|---|---|
|
Health and Social Care |
57% |
77 |
56% |
|
National Boards (Patient-facing) |
|||
|
NHS Golden Jubilee |
59% |
75 |
66% |
|
NHS 24 |
82% |
79 |
95% |
|
Scottish Ambulance Service |
55% |
67 |
68% |
|
The State Hospital |
66% |
74 |
77% |
|
National Boards (Support) |
|||
|
Healthcare Improvement Scotland |
89% |
78 |
90% |
|
National Services Scotland |
77% |
78 |
91% |
|
NHS Education for Scotland |
90% |
84 |
90% |
|
Public Health Scotland |
87% |
79 |
82% |
|
Geographic Boards |
|||
|
NHS Ayrshire & Arran |
55% |
78 |
51% |
|
NHS Borders |
55% |
77 |
61% |
|
NHS Dumfries & Galloway |
61% |
75 |
40% |
|
NHS Fife |
62% |
76 |
43% |
|
NHS Forth Valley |
57% |
77 |
58% |
|
NHS Grampian |
59% |
76 |
58% |
|
NHS Greater Glasgow and Clyde |
54% |
76 |
58% |
|
NHS Highland |
52% |
76 |
25% |
|
NHS Lanarkshire |
60% |
78 |
67% |
|
NHS Lothian |
57% |
78 |
58% |
|
NHS Orkney |
69% |
76 |
66% |
|
NHS Shetland |
56% |
78 |
50% |
|
NHS Tayside |
53% |
77 |
42% |
|
NHS Western Isles |
70% |
74 |
66% |
To view this table in its original format please see the PDF.
A Team Story from NHS Lanarkshire provides a clear and compelling summary of the value of iMatter:
NHS Lanarkshire Infection Prevention and Control Team
“Overall, iMatter has had a positive impact on the team by promoting constructive communication and giving staff a platform to provide valuable feedback. It has provided helpful insight into what we are doing well as a team and highlighted areas for improvement. The process has also enhanced collaboration and helped focus efforts on continuous development. We recognise that this will be an ongoing, continuous process to ensure sustained progress and growth.”
Contact
Email: nationalimatterteam@gov.scot