Exit Survey

The North Middlesex University Hospital NHS Trust is committed to the improving the working lives of our employees. We value your contribution to the Trust and ensure we are always focusing on the Trust values of caring, fair and open.

We value your feedback and your comments will be considered to help to improve the working environment of our employees. You can complete this privately or you have the opportunity to complete this with your line manager and discuss any issues you have with them. Alternatively please contact the HR department if you would prefer to.

The resignation interviews will be used to monitor the reasons staff give for leaving the Trust. If any information is received that requires further investigation, a member of the HR team will contact you to offer the opportunity to discuss your concerns and feed these back to your Divisional Boards

Thank you for taking the time to complete this form and please be assured that the information you provide will only be used to assess the effectiveness of our policies, procedures and practices and to improve these where possible.

Please complete this form clearly so that information can be easily taken for monitoring.

1. Personal Details

Surname
Forename(s)
Job title
Grade
Department
Start date in current position
Start date in Trust
Date of leaving
Division

2. Did the job and the job description match your expectations? *

Yes

No

If no please can you explain why

3. Reasons for looking for alternative employment (Please indicate all that may apply starting with 1 for the most important, 2 for the second most important and so on)

	1	2	3
Career prospects within the Trust	Career prospects within the Trust 1	Career prospects within the Trust 2	Career prospects within the Trust 3
Personal circumstances	Personal circumstances 1	Personal circumstances 2	Personal circumstances 3
Return to education	Return to education 1	Return to education 2	Return to education 3
Promotion	Promotion 1	Promotion 2	Promotion 3
Retirement	Retirement 1	Retirement 2	Retirement 3
Career change	Career change 1	Career change 2	Career change 3
Working relationship with colleagues	Working relationship with colleagues 1	Working relationship with colleagues 2	Working relationship with colleagues 3
Working relationship with line manager/supervisor	Working relationship with line manager/supervisor 1	Working relationship with line manager/supervisor 2	Working relationship with line manager/supervisor 3
Working relationship with other managers	Working relationship with other managers 1	Working relationship with other managers 2	Working relationship with other managers 3
Flexible working opportunities	Flexible working opportunities 1	Flexible working opportunities 2	Flexible working opportunities 3
Staff facilities	Staff facilities 1	Staff facilities 2	Staff facilities 3
Dissatisfied with working environment	Dissatisfied with working environment 1	Dissatisfied with working environment 2	Dissatisfied with working environment 3
Career break/family friendly policies	Career break/family friendly policies 1	Career break/family friendly policies 2	Career break/family friendly policies 3
Relocation	Relocation 1	Relocation 2	Relocation 3
None of the above	None of the above 1	None of the above 2	None of the above 3

4. How satisfied were you with the following factors of your employment with the Trust? (Please indicate the most appropriate number for each point).

	1 very satisfied	2 satisfied	3 dissatisfied
Location of Trust	Location of Trust 1 very satisfied	Location of Trust 2 satisfied	Location of Trust 3 dissatisfied
Relationship with colleagues	Relationship with colleagues 1 very satisfied	Relationship with colleagues 2 satisfied	Relationship with colleagues 3 dissatisfied
Relationship with line manager/supervisor	Relationship with line manager/supervisor 1 very satisfied	Relationship with line manager/supervisor 2 satisfied	Relationship with line manager/supervisor 3 dissatisfied
Relationship with other managers/supervisors	Relationship with other managers/supervisors 1 very satisfied	Relationship with other managers/supervisors 2 satisfied	Relationship with other managers/supervisors 3 dissatisfied
Staff facilities	Staff facilities 1 very satisfied	Staff facilities 2 satisfied	Staff facilities 3 dissatisfied
Career structure/progression	Career structure/progression 1 very satisfied	Career structure/progression 2 satisfied	Career structure/progression 3 dissatisfied
Working environment	Working environment 1 very satisfied	Working environment 2 satisfied	Working environment 3 dissatisfied
Staff benefits	Staff benefits 1 very satisfied	Staff benefits 2 satisfied	Staff benefits 3 dissatisfied
Pay	Pay 1 very satisfied	Pay 2 satisfied	Pay 3 dissatisfied
Job content	Job content 1 very satisfied	Job content 2 satisfied	Job content 3 dissatisfied
Appraisal (performance and development systems)	Appraisal (performance and development systems) 1 very satisfied	Appraisal (performance and development systems) 2 satisfied	Appraisal (performance and development systems) 3 dissatisfied
Communication with staff	Communication with staff 1 very satisfied	Communication with staff 2 satisfied	Communication with staff 3 dissatisfied
Equal opportunities	Equal opportunities 1 very satisfied	Equal opportunities 2 satisfied	Equal opportunities 3 dissatisfied
Induction	Induction 1 very satisfied	Induction 2 satisfied	Induction 3 dissatisfied
Valuing staff	Valuing staff 1 very satisfied	Valuing staff 2 satisfied	Valuing staff 3 dissatisfied
Training	Training 1 very satisfied	Training 2 satisfied	Training 3 dissatisfied
Other (please specify below)	Other (please specify below) 1 very satisfied	Other (please specify below) 2 satisfied	Other (please specify below) 3 dissatisfied

Comments:

5. If you any further comments you would like to add, please use this box below; for example

a) What aspects of the job did you most enjoy?

b) What aspects of the job did you least enjoy?

6. What will you be doing after leaving the Trust? (please tick which is applicable) *

Working in the NHS in London
Working in the NHS outside London
Working in private healthcare
Working outside the healthcare sector
Agency/temporary working
Not working/other (please specify below)

Other