Results of the latest NHS Wales staff survey are published today. The survey of over 22,000 staff found that more than eight in 10 staff say they are happy to go the extra mile at work, but concerns were also raised about the service.
The Royal College of Nursing Wales welcomed the results, describing the survey as an "essential tool" to assess pressures on health services.
We have pushed long and hard to get the NHS Survey in Wales reinstated, after it was abandoned some years ago. We see the survey as an essential tool for assessing the pressures within our health services across Wales, as perceived by staff working on the front line.
It is a credit to the Welsh Government that they have reinstated the survey and that are prepared to publically share its findings.
Although the headline findings are in many respects positive, close reading of the national report indicates an NHS in Wales that is under significant pressure. It is apparent that frontline clinical staff are bearing the burden of that pressure.
This survey will only be of benefit to the NHS and the patients it serves if action is taken to address the real issues that the results of the survey highlight. The RCN in Wales has played a lead role in shaping and overseeing this survey.
Health Minister Mark Drakeford said the NHS's biggest asset is its staff.
Shining through the survey results is the dedication and commitment of staff to go the extra mile in caring for their patients.
It is also encouraging that the majority of staff recognise that change in their organisation is necessary - it means that those at the coalface recognise that the NHS cannot stand still if it wants to improve.
However, the finding that only one in five believes change is well-managed shows the NHS has some work to do to involve staff more in decision-making processes.
On patients safety, there is evidence of a growing culture of openness and transparency.
Almost nine in 10 staff who witnessed an error said that it was reported, and four in five agreed that their employer encouraged staff to report such incidents.
The survey's findings also make clear that there are a number of areas where we need to improve.