Nursing and midwifery retention self-assessment tool

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This tool enables organisations to undertake a self- assessment against the seven elements of the NHS people promise plus key elements that support staff to deliver high quality care, enhancing job satisfaction and supporting the retention of nurses and midwives. Organisations are encouraged to use the information gathered in the dashboard to develop and implement their local evidence-based retention improvement plans.

A toolkit is available to support line managers and employers and includes a template retention improvement plan.

If you have any questions about the tool, please email


The tool has been developed in collaboration with the Nursing and Midwifery directorate, the National Retention Programme in the People directorate and in conjunction with nurses, midwives, human resources professionals and subject matter experts. It brings together a synthesis of evidence on factors which are influential in nursing and midwifery retention.


This document includes relevant questions from the NHS staff survey that have been mapped to each element of the NHS people promise and these are likely to be an important source of evidence and comparative data.



In this letter Professor Em Wilkinson-Brice and Dame Ruth May, DBE set out the principles and high impact actions which will support the retention of nurses and midwives.