how could this affcet productivity, Carter also emphasised the critical importance of addressing issues such as absenteeism, bullying, and turnover, which serve as key indicators of staff well-being. Alarmingly, the NHS has consistently lagged behind other sectors in these areas, highlighting the urgent need for interventions to improve staff morale and satisfaction, which are closely linked to increased productivity. As evidenced in 2017/2018 Annual Report the NMHH have also been affected by these issues. The survey results reveal concerning findings notably, significant 35% reported instances of bullying or harassment