And less than a third of all NHS staff say senior managers act on feedback from staff.
The results are from the latest annual NHS England employee survey and were based on responses from 203,000 staff.
More encouragingly, the percentage of staff who said they would recommend their organisation as a place to work increased from 55 per cent in 2012 to 58 per cent in 2013.
And 74 per cent of respondents said they did have the opportunity to raise suggestions with their managers about how the work of their team or department could be improved.
Sue Covill, director of Employment Services for the NHS Employers organisation, said: “Employers know that building staff engagement and pride in the organisation helps deliver high-quality, compassionate care.
“Staff feeling valued and being valued is absolutely vital to the effective delivery of patient care and we believe it is an important factor behind many of the positive results.
“However, some tough issues remain and employers will be working with their staff to review their local survey results and to focus on further improvements. ”
For the full employee survey click here