Health inspectors have revealed a morale gap in the U.K's National Health Service between popular health trusts with highly motivated staff and others that are struggling to maintain employees' enthusiasm and loyalty. Between October and December 2008, the Healthcare Commission asked 160,000 employees across 390 NHS organizations in England whether they would recommend their trust as a place to work. At the top end of the scale, 87% of staff at Queen Victoria foundation hospital in East Grinstead said they would recommend it. At the bottom end, only 16% of staff at the Great Western ambulance service said they would recommend it.