“They make the tea and make you welcome”: public perceptions of volunteer roles in public health Jane South Karina Kinsella Centre for Health Promotion Research UKPHA, 24 th -25 th March 2010
Jan 13, 2016
“They make the tea and make you welcome”: public
perceptions of volunteer roles in public health
Jane SouthKarina Kinsella
Centre for Health Promotion Research
UKPHA, 24th-25th March 2010
Acknowledgements• This independent study was funded through the National Institute
for Health Research (NIHR) Service Delivery and Organisation (SDO) Programme.
• The views expressed in this presentation are those of the research team and not necessarily those of the NHS, the NIHR or the Department of Health.
• The study was delivered by a partnership between:– Centre for Health Promotion Research, Leeds Met– Policy Research Institute, Leeds Met– NHS Bradford & Airedale – Public health group, Government Office Yorkshire & Humber
• The research team would like to thank the research team, advisory and steering group and all the people contributed to this study sharing advice and experience; helping with the public involvement events; and providing research and library support.
Public Health Skills and Career Framework (2008)
Level Examples
Level 1 Has little previous knowledge, skills or experience in public health. May undertake specific public health activities under direction.
Volunteer workers – e.g. breastfeeding
Level 2 Has gained basic level public health knowledge through training and/or development.May undertake a range of public health activities under guidance.
Peer educator, lay health worker.
Classroom assistant, refuse worker.
Level 3 May carry out a range of public health activities under supervision. May assist in training others and could have responsibility for resources used by others.
Community food worker, health trainer, dog warden.
‘People in Public Health’Study Aims
• To improve understanding of valid approaches to identifying, developing and supporting lay people who take on public health roles in community public health activities.
• To undertake research on public perspectives regarding the acceptability and value of lay people in public health roles
• To aid public health commissioning and planning by identifying elements of good practice and how these might be applied to different contexts.
Scientific KnowledgeLiterature Review
Practice based knowledgeExpert Hearings
Site visits
Primary ResearchCase Studies
Study design
Case studies• Walking for health (local
scheme)
• Breastfeeding peer support
• Neighbourhood health project
• Sexual health outreach
• Community Health Educators
• Interviews with 90 participants:– Public health workforce – Lay people in public health
roles– Other partners
• Interviews and focus groups with 46 service users in 3 of the case studies:– Walking for Health (20)– Breastfeeding peer support
(11)– Neighbourhood health
project (15)
Roles – being the lynchpin for activities
“Well it wouldn’t be running if it wasn’t for them would it? They’ve organised it. Well they work a lot in all the sort of voluntary things. And they don’t get paid do they, they put lots of hours in and it seems a shame that they don’t get anything for what they do. Sometimes they work quite late in the evening by the time they’ve finished.”
Neighbourhood health project
Roles - being the ‘glue’• “They are the glue aren’t they, they keep us all together.
[name] is a great communicator, even though I haven’t been for a few weeks he gave me a call to see how I am, he makes you feel as though you are part of the group”.
• Well I moved to [area…] 9 years ago and I find it very hard to get to know people, how do you meet people and I used to get very depressed actually, I never said hello to anyone, there was never a familiar face and I wanted to feel I belonged, and after joining the group I do feel like I belong, I feel I have an investment in the area whereas before I felt like I was just someone who’d moved here…”
Walking for health
Roles - improving connections
“P1: […] with the volunteers they make the tea and make you welcome […] We have a little raffle; we have a laugh and joke. Sometimes it can get out of hand. We have speakers come in and…
P2: We have speakers come in once a month to give us little talks like dentist people come in and say something.”
Neighbourhood health project
Awareness of boundaries
• P3: Yes because she tells us like if we have like a medical query she’ll actually tell us I can’t answer that and she’ll advise us to go to a doctor if we’re worried about our baby or something. She wouldn’t give us medical advice […]
• P4: She points you in the right direction. She directs you.”
Breastfeeding peer support
A caring and personal relationship
• “He’s not just a good communicator but he has got good people skills, and also he is friendly, warm and hospitable and he is aware of everyone’s pace.”
Walking for Health
• “She’s like a mum and she gives you support and sometimes you need that”
Breastfeeding peer support
• “You can talk to them if you want to. If you want to talk quietly you can go to one side and talk to them. They’re patient with you.”
Neighbourhood health project
Skills and qualities
Service users’ views• Good communication
skills• Approachable and non-
judgemental• Basic health knowledge• Language and cultural
skills
Other stakeholders’ views• Good communication
skills• ‘People’ skills• Empathy and caring• Confidence• Open-minded• Enthusiasm• Local knowledge
Levels of participation• “Well she always asks have you got any ideas who we
should call in to talk to you. She always asks our opinion and we tell her and she tries to arrange what’s suitable for us.”
Walking for Health
• “Having said that I'm happy to help, taking the back post of the walk and stuff and making sure everybody is alright, I’d quite like to help and I’ll quite happily communicate things but I wouldn’t particularly want to be a leader.”
Walking for Health
Public Health Skills and Career Framework (2008)
Level Examples
Level 1 Has little previous knowledge, skills or experience in public health. May undertake specific public health activities under direction.
Volunteer workers – e.g. breastfeeding
Level 2 Has gained basic level public health knowledge through training and/or development.May undertake a range of public health activities under guidance.
Peer educator, lay health worker.
Classroom assistant, refuse worker.
Level 3 May carry out a range of public health activities under supervision. May assist in training others and could have responsibility for resources used by others.
Community food worker, health trainer, dog warden.
A community workforce?
Conclusions• Recognition of volunteer/lay contribution
by service users• Recognition of skills required – most
importantly ‘people skills’• Distinction between professional and lay
support• BUT social connections within and
outside programme blur boundaries between volunteer and ‘service user’
Find out more• The report from the study is due to be
published through the NETSCC
• Summary planning guidance is being produced
• Visit the PIPH website and Register your interest in the study
http://www.leedsmet.ac.uk/piph