Friends and Family Test

The Friends and Family Test (FFT) for patients is a single question survey which asks patients whether they would recommend the NHS service they have received to friends and family who need similar treatment or care. It was initially for providers of NHS funded acute services for inpatients (including independent sector organisations that provide acute NHS services) and patients discharged from A&E (type 1 & 2) from April 2013. As of 1st October 2013 the survey was extended to include women of any age who use NHS funded maternity services.

From April 2014 the Staff FFT was introduced to allow staff feedback on NHS Services based on recent experience. Staff are asked to respond to two questions. The ‘Care’ question asks how likely staff are to recommend the NHS services they work in to friends and family who need similar treatment or care. The ‘Work’ question asks how likely staff would be to recommend the NHS service they work in to friends and family as a place to work. Staff FFT is conducted on a quarterly basis (excluding Quarter 3 when the existing NHS Staff Survey takes place).

For further guidance click here.

The FTT Review published in July 2014, recommended a move away from the Net Promoter Score (NPS). As a result the percentage of respondents that would recommend/wouldn’t recommend the service have been used in place of the NPS for the Staff FFT. From 2nd October 2014 this change will take place across all existing FFT publications. For further guidance on this change please follow the link below:
Guidance on the Change to the FFT Headline Measure (DOCX, 18KB)

An assessment of the extent to which production of these statistics complies with the Code of Practice for Official Statistics is planned to start in 2015.


Click here for latest data

Statistical Commentary

(Click on below links to download)
FFT_commentary Staff – Quarter 1 2014-15 (PDF, 166KB)
FFT_commentary AE and IP – July 2014 (PDF, 196KB)
Maternity FFT commentary – July 2014 (PDF, 203KB)

Pre-Release Access List

Staff FFT Pre-Release Access list (PDF, 105KB)
FFT Pre-Release Access list (PDF, 29K)

Guidance and Information

FFT Publication Guidance (PDF, 2142K)
FFT Maternity Guidance (PDF, 457K)
Link to the Guidance and Professional Letter issued to the NHS

Contact Us

For further information about the published statistics, please contact us at:

Analytical Service (Patients & Information)
NHS England
Room 5E11
Quarry House
Leeds LS2 7UE
Great Britain