BACKGROUND: Healthcare workers' (HW') mental health during pandemics may be challenged due to the demands of their professional work. There is a need for effective organisational wellbeing strategies so that HW' mental health is safeguarded. In this article, we sought to examine approaches to implementing wellbeing strategies in hospital trusts, which we hope will improve future workplace planning. METHODS: A pilot study comprising semi-structured interviews with five management staff in two NHS trusts (which employ approximately 5,000 staff each) in north-west England (NWE) were conducted to investigate and compare how COVID-19 impacted HW' mental health and what wellbeing strategies were implemented. RESULTS: Lack of guidance and communication, redeployment, fatigue, post-traumatic stress disorder (PTSD) and fear of infection were common stress factors. We identified that both trusts had implemented psychological support, and usage of online resources as well as providing adequate personal protective equipment (PPE). Trust A uniquely implemented psychological screening tools to identify vulnerable HWs, whereas trust B placed an emphasis more on offering practical support to HW. CONCLUSION: It is likely that a whole-systems approach to improve organisational culture and reduce stigma around accessing support would be beneficial to HW wellbeing. Further research is required to optimise this support for NHS staff.