Clinical commissioning groups demonstrate the highs and the lows of the staff survey. The high was South Tyneside CCG, where 19 out of 20 staff would recommend it as a place to work – the highest level of any NHS organisation in the 2020 staff survey and a remarkable achievement by any measure. The low was undoubtedly Kent and Medway CCG, where only 42.9 per cent would give the same recommendation. It was beaten to bottom place by East of England Ambulance Services Trust on 40.4 per cent. Not all CCGs take part in the staff survey – less than half did this year – and some of those that did have been through the turmoil of reorganisation in the last 18 months. That can make comparisons with previous years more difficult and lessons harder to draw.