Volunteeringandearlychildoutcomes: ImplementationFramework Introduction Thereweretwomainaimsoftheevidencereview.Thefirstwastoreviewtheliteraturetodiscover whichmodelsormethodsofvolunteeringaresuccessfulincontributingtothethreeABSdevelopment outcomes.Thesecondaimwastocreateaframeworkandtoolstohelpusethefindingsfromthe evidencereviewinpracticetodevelopanddelivervolunteerprojects. Thissectionofthereportpresentsthatframeworkandtoolsalongwithsuggestionsonwaystousethe toolsandsomeworkedexamples.Theevidencereviewsectionshouldbereadfirstbeforeusingthe framework.Theframeworkusesthemainlearningpointsfromtheevidencereviewbutdoesnot reiteratethesourcesorthereasonswhythesepointsareimportanttoinclude.Therefore,the understandinggainedfromreadingtheevidencereviewisimportantinordertomakesenseofthe framework. HowtousetheFramework Keypointswithinthissectionwillreferencetherelevantpagesinthemainevidencereviewandwillbe shownlikethis, e.g. 24 willmeanthattheevidencerelatingtothispointcanbefoundonpage24ofthe evidencereviewreport. Somesectionsoftheframeworkpullevidencefromanumberofdifferentplacesinthereportinthose instancesthepagesarenotreferencedasitwouldmaketheframeworkmoredifficulttouse. Theframeworkdoesnotintroduceanynewevidencearoundvolunteering,itsimplypresentsitina waythatcanfitmoreeasilywiththeservicedesignprocessandimplementationplanning. Framework–AFormulaforSuccess TheframeworkdrawsonlearningfromimplementationscienceandfitswiththeABSServiceDesign process. Workinimplementationsciencehascreatedwhatisknownasthe‘FormulaforSuccess’.Thissaysthat toachievesignificanthealthandsocialoutcomesforapopulationanumberofelementswithina formulaneedtobeinplace.Theformulahighlightsthathavingavolunteerprogrammewhichhas showntobeeffectiveisnotsufficienttoachievetheoutcomes. TheformulaisshowninFigure1. 1 Figure1:FormulaforSuccess EffectiveIntervention Aninterventionthatactually works.Anintervention,that whendeliveredproperly,willhelp familiesachievetheoutcomes andgoals. Theinterventioncanbea volunteerprogramme,projector service. Foraninterventiontobeputinto practiceitmusthavea descriptionofwhatthe volunteerswillactuallydowith families,parentsandchildren, howvolunteerswillwork,and howdeliveryoftheintervention willbeassessed. EnablingContext Thecontextorenvironmenthas tosupportthedeliveryofthe intervention. Thecontextorenvironment includesmanyelements.For example,attitudesof professionalstovolunteer programmes,thefitofvolunteer programmeswithotherservices, andthewayvolunteerandother servicesandfundedand commissioned. EffectiveImplementation Aneffectiveimplementationplan setsouthowyouwillputthe interventionintopracticeinthe localcontext.Itincludes: - Whatyouwilldoandhowyou willworkwithother professionalsandstakeholders inthewidercontexttomake thechangesthatneedto happentosupportthe deliveryoftheprogramme. - Howtheprogrammewillbe runandwhatwillbeneeded organisationallytodeliverthe volunteerprogramme successfully. - Howyouwillmonitorprogress andthinkaboutimprovement overtime. - Howvolunteersarerecruited andtrained. 2 Althougheachelementissetoutinturn,thisshouldnotbeacompletelylinearprocess.Thereviewof eachelementshouldinformtheothers.Forinstance,youmaystartbychoosingaparticular interventionbecauseithasagooddealofhighqualityevidenceforitseffectiveness.However,on reviewingthelocalcontextitmaybecomeapparentthatitwillbedifficultforittosupportthedeliveryof thisintervention.Whencreatingtheimplementationplanitthenbecomesclearthatthetimeand resourcesrequiredtochangethecontexttoonethatismorehospitableisbeyondtheavailablecapacity oftheABSteam.Therefore,itmaybewisetochooseadifferentinterventionwhichyouaremorecertain canbeputintopracticesuccessfully. Whatfollowslooksateachelementoftheformulainturnandpresentstoolstoincorporatelearning fromtheevidencereviewtodesignanintervention,understandthelocalcontext,andcreatean implementationplan. EffectiveIntervention ChoosingordesigninganeffectiveinterventionisthefirstpartoftheServiceDesignprocess.Itbegins withthecreationofaTheoryofChange. Thequestionthenis,aretherevolunteeringprogrammeswhichcanbeeffectiveinachievingABS outcomes? ThereisevidenceofdirectimpactonABSoutcomesforanumberofvolunteerprogrammes. 12-15 Thereisalsoevidenceofindirectimpact,meaningthatthereisevidencethatvolunteer programmesmayimpactonintermediaryoutcomeswithinabroaderABSTheoryofChange. Youmaywishtouseandadaptanexistingvolunteerprogrammeordevelopanewvolunteerprogramme modelwithintheServiceDesignprocess.LikeallinterventionsaspartofABS,theyshouldbebasedona TheoryofChange.Theevidencereviewhasrevealedhowvolunteerscouldrealiseintermediate outcomesinthetheoryofchange,howvolunteerprogrammesshouldbedesigneddependingonthe desiredoutcomeandthetargetpopulation,andasetofprinciplesthatshouldunderpinallvolunteer programmesiftheyaretobesuccessful. Usingtheevidencereviewtodesignavolunteerprogrammeservicemodel Figure2showsaflowchartbasedontheservicedesignprocessincorporatingthekeylearningpoints fromtheevidencereviewwhicharepertinenttothis. 3 Figure2:FlowchartbasedonServiceDesignprocess 15-18 19-21 21-22 34 4 EnablingContext Considerthelocalcontextbeforemovingintoimplementation.Yourimplementationplanwill needtoincludemethodstoworkwithinthecontextandtoadaptthecontexttobecomemore enabling. Understandingthelocalcontexthelpswhenworkingouthowvolunteerprogrammesmightneedto beshapedoradaptedtofitlocally;whenplanningwhatwillneedtobedoneinordertogeta volunteerprogrammeupandrunning;andwhenthinkingabouthoweasilyaprogrammemightbe sustainedandscaled. Therearemanyaspectsofthecontextthatneedtobeconsideredwhenplanningthe implementationanddeliveryofanyinterventionanditcanbedifficulttomakesenseofthemall. Somefactorsintheenvironmentwillbehelpfulandsomewillcausechallenges.Beingabletouse theenablingfactorsandmitigatethechallengesiswhatwillmakeaprogrammedeliverableand sustainable. Understandingthelocalcontext Wehavecreatedtwotoolsfordescribingtheenablingandchallengingfactorsinyourlocalcontext. 1) CirclesofInfluence(Figures3and4)–thisprovidesawaytovisuallyrepresentthedifferent aspectsofthelocalenvironment.Startingwithotherindividualsthatwillworkwiththe volunteerprogramme,totheorganisationsdeliveringservices,tolocalpolicy,andthrough tonationalpoliciesforhealthandsocialcare. Analysisofcontextualfactors(Table1)–thisprovidesatemplatetoaddamoredetailed descriptionandanalysisofthekeycontextualfactorsidentifiedintheCirclesofInfluence. 1) CirclesofInfluence(Figure3) Howitworks Figure3showsthechildandparent(s)atthecentrewiththecontextuallayers/circleswrapped around.Thecirclescaninfluenceeachother.Thecloserthecirclesaretoeachotherthemore influencetheycanexert.Sointhefigure,thechildandfamilyareinfluencedmostbythevolunteer programmeandleastbylocalandnationalpolicy.Equally,thechildandfamilyhavemostinfluence overthevolunteerandtheprogrammeandleastovernationalandlocalpolicy. Itshouldbenotedthatthisdoesnotmeanthatchildrenandfamiliescannotdirectlyinfluencelocal policy.ThatlevelofinfluenceisattheheartoftheABSwork.However,ensuringthatinfluence takesmuchmoretimeandworktocreatethanisrequiredfortheparenttoinfluencethewaythe volunteerworks. Creatingalocalvisualcontext(Figure4) Eachofthecirclesshouldbepopulatedwithfactorswhichcouldaffectthedeliveryand sustainabilityoftheparticularvolunteerprogramme. Forinstance,iftheprogrammereliesonmidwivestoreferexpectantmothersthenitisimperative thatmidwivesseetheprogrammeasworthwhileandthereforewillreferexpectantmothers.Ifnot, thenitdoesn’tmatterhoweffectivetheprogrammeis,ifnooneisreferredthenitcan’twork.So ‘Attitudeoflocalmidwives’wouldbeputintothePractitioner/Otherservicescircle. 5 Thewayprogrammesarefundedisveryimportant.Iffundingforavolunteerprogrammeisonlyfor 1yearandfurtherfundingbasedonunrealisticoutcomemeasures,itdoesn’tmatterhowgreatthe programmeorhowkeenthemidwives,fundingwillbestoppedafter1yearandtheprogramme won’tbedelivered.Therefore,‘lengthofcontract’and‘expectedoutcomes’wouldbeputinthe Localpolicy&strategycircle. Yourknowledgeofthecurrentstateofeachofthesefactorswilldeterminewhereineachcirclethey areput.Iftheycurrentlyposeachallengethentheygointheredsectionofthecircle,ifcurrently enablingthengreenandifsomewhereinbetweenthentheygoinamber. Figure4givesanexampleofhowthatmightlook. Whenusingthistool,youmaywanttoaddotherlayersthatyoufeelarerelevanttoyourlocal contextandarenotcurrentlyincludedinthisversion. 6 Figure3:CirclesofInfluence–drawingyourcontext 7 Figure4:CirclesofInfluence:drawingyourcontext-WorkedExample 8 2)Analysingthecontextualfactors Thenextstageistodescribeinmoredetaileachofthecontextualfactorsidentifiedinthecirclesof influence.Themorecomprehensivethedescriptionandanalysistheeasieritistothinkabouthow tousetheenablingfactorstosupportthevolunteerprogrammeandwhatwillneedtobedoneto mitigatethechallenges. Table1showsabriefexampleofwhatthismightlooklikeusingthefactorsfromCirclesofInfluence inFigure4. Pleasenotethattheexamplesarefairlyextremeandarebasedonexperienceacrossmanylocal authorities,CCGsandproviderorganisations.Itisnotdesignedtoreflectanyonearea. Boththesetoolscanberevisitedovertimetoidentifychangesinthecontextandtoseeprogress wherefactorswerechallengingatthestartbuthavebeenshiftedtonowbecomeenablers. 9 Table1:ContextualFactorsdescription:workedexample ContextualFactors Level National policy Localpolicy andstrategy Factor Devolution Description Thelocalareahasbeengranted‘devolution’statussohasthepotentialtomovebudgetsbetweenhealthandsocial careandtochangethewayservicesarecommissionedwhichmayenablesmallerorganisationstodeliverservices moreeasily.Theseorganisationsmaybebettersuitedtodeliveringvolunteerprogrammes Reductionin Children’sservicesbudgetshavebeenreduced.Thishasledtoareductioninpreventativeservicesandafocus localauthority solelyonstatutoryservicesandonchildrenontheedgeofcare. budgets Thereislowmoraleinchildren’sservicesstaffandaresentmentofotherservicesandABSwhoappeartobevery wellfunded. Funding ABShasgoodfundingstreamswithmoneyavailableforanumberofyearstodevelopnewprogrammesandwaysof streams working Commissioning ThereisanappetiteforvolunteeringprogrammesandthesehavebeenfactoredintoABScommissioningplans plans Commissioning Thereisamovetoanewcommissioningframeworkwhichbringsproviderstogetherasanalliance.Thiswould framework enablesmallerproviderstobepartofanallianceandbeabletodelivervolunteerprogrammes. Integration Themoveofcommissioningofthe0-5HealthyChildProgrammetolocalauthorityhasmeantthatdiscussionshave begunaboutbringingtogethercommissioningofall0-5services.Thiscouldmakeiteasiertocommissionvolunteer programmesthathavebothhealthandsocialoutcomes. Lengthof Newprogrammesarefundedas1yearpilotswithfurtherfundingonlyavailableonthebasisof‘outcomes’. contract Expected Theoutcomesaremediumtolongtermandthereforeunlikelytobeseenwithin1year.Thismodeldoesnotallow outcomes sufficienttimeforthedevelopmentandimplementationofprogrammes. Changesto otherservices Theprovidersofchildren’scentreshaverecentlychangedandtheneworganisationsarestillworkingon implementingthenewmodelofserviceprovision. 10 ContextualFactors Level Factor Qualityof leadership Cultureof volunteer Organisations ‘employing’ organisation Desireto deliver volunteering programmes Otherservices provided Linkswith other Practitioners/ stakeholders Other Capacity services availableto runtheservice Other professionals’ attitudes Description Therearesomemembersoftheleadershipteaminthestatutoryorganisationwhodounderstand,tosomeextent, whatisrequiredtodeliveravolunteerprogramme.Theyarealsowillingtolearn. Leadershipinanumberofsmallerlocalorganisationsisgoodandcoulddelivervolunteerprogrammeswell. Asthesystemcurrentlystands,thereisanexpectationthatavolunteeringprogrammewouldbedeliveredbya largestatutoryorganisationwithnoexperienceofdeliveringvolunteerprogrammes.Ithasaveryhierarchicaland blamecultureandstaffmoraleislow. Thereisnorealdesiretodeliveravolunteeringprogrammeandnounderstandingofwhatitwouldentail.However, membersoftheleadershipteamfeelthattheyshouldbetheorganisationtobecommissionedtodothis programme. AspartofABSthereareanumberofotherservicesbeingplannedordeliveredthatcouldworkwellwiththis volunteerprogramme. WithintheABSprogrammetherearegoodlinksacrossteamsandserviceswhichwouldsupportthedeliveryofa volunteerprogramme. Therehavebeenbudgetandstaffcutswithinthestatutoryorganisationwhichmeansthereareveryfewmanagers andtheyareextremelystretched.Itislikelythatthevolunteerprogrammewouldbeaddedtoanexistingoverstretchedmanager’sportfolio. Withinstatutoryorganisationswhosebudgetshavebeencut,thereisaverypoorattitudetovolunteers.Thereisa sensethatvolunteersareseenasacheapwaytoprovideservicesandthatprofessionalismisbeingundermined. 11 EffectiveImplementation Oncetheservicemodelisdescribedandthecontextreviewedforenablingandchallengingfactors, animplementationplancanbecreated. Theimplementationplanshouldincludeeverythingthatneedstobedonetodeliverthechosen programmeinthegivencontext. Learningfromimplementationsciencehasidentifiedthreecorecomponentsforsuccessful implementation.Allareequallyimportantandcanreinforceeachotherandalsocompensatefor eachotherifoneisweakeratsomepoint. Thesecomponentsare: 1) CompetentDeliveryofthevolunteerprogrammeitself 2) OrganisationalAbilitytoprovidewhatisneededtodelivertheprogramme 3) SystemsLeadershiptoensurethatthecontextenablesdeliveryandsustainabilityofthe programme. Qualityofprogrammedeliveryandthethreeimplementationcomponentsshouldbeassessedin ordertomonitorprogressandbeabletomakeimprovements.Ifallareworkingwellthenthis shouldresultinhighqualitydeliveryofthevolunteerprogrammeandtheexpectedoutcomesfor childrenandfamilies. Eachofthreeimplementationcomponentsincludesanumberofspecificelementswhichare describedinTable2andillustratedinFigure5. 12 Table2:Keyelementswithineachofthecorecomponentsrequiredforeffectiveimplementation Components CompetentDelivery Programmecoordination - - Apersonorteamofpeoplewhowill runtheprogrammeonadaytoday basisandleadtheprogrammewithin theproviderorganisation. Programmecoordinationwillperforma numberofroleswhicharevitaltothe successofavolunteerprogramme. Elements Training - Volunteerswillneedtolearnaboutthe programme,howtodeliverit,andhow toworkwithparents. OrganisationalAbility Helpfulmanagersandmanagement processesandstructures Commissioningtosupportdeliveryand sustainability - - Theseareimportantinordertoestablisha hospitableorganisationfortheprogrammeand foritsimplementationtobeeffective. - Thewayservicesarecommissionedandtheway commissionersworkwithprovidershasahuge influenceonwhetheravolunteerprogrammewill succeed. Informationcollectionandanalysisto supportqualityimprovement Engagement,selectionand retentionofparentsandvolunteers SystemsLeadership Positiveworkwithotherstakeholdersandthe localcontext Anessentialelementforestablishingthe programme,reviewingthequalityof implementationelements,andassessing intermediateoutcomes.Forinstance,thedata mightshowagreaterdrop-outrateforvolunteers workingwithinaparticularvenue.Thismay highlighttheneedtoworkwithstaffatthatvenue tohelpthemsupportvolunteersmorepositively. Thisdescribesthewaysthatthechallengeswithinthe contextcanbemitigatedandovercomeandhowthe enablingfactorscanbeused. Policieswhichalignwiththeprogramme - Thisincludespoliciesaroundcommissioningand contracting.Forinstance,dotheysupportsmall organisationstobidforanddeliverservices? - Itmayincludepoliciesaroundsafeguarding.Dothey worktoallowvolunteerstoworkwithvulnerable families? 13 Figure5:Implementationplancomponentsandelements Theimplementationplanshoulddescribe‘whatgoodlookslike’foreachoftheseelementsanda planforhowthatcanbeachieved. Theliteratureandevidencereviewhasmuchtoofferonwhateachofthesecomponentsand elementsshouldlooklikeforthesuccessfulimplementationofvolunteerprogrammes. Thelearningfromtheevidencereviewoneachoftheseelementsiscollatedinthetablesbelow. Eachofthepointsinthetablesareincludedbecausethereisgoodevidencethattheseare importantforsuccessfuldelivery,orthereisconsensusacrossanumberofvolunteerprogrammes thatthesearekeytosuccess.Formoredetaileddiscussionandsourcesreferbacktotheevidence reviewreport. Notethatthepointstakenfromtheevidencearenotanexhaustivelistofeverythingthatneedsto beincludedintheimplementationplan.Theyarejustthosepointsthathavebeenincludedinthe publishedliteratureandforwhichthereisgoodevidence. 14 OrganisationalAbility HelpfulManagersandmanagementprocesses Understandtheroleoftheprogrammecoordinatorandwhatisrequired - Flexibleworking - Sufficientcapacity o Realisticnumberofvolunteerspercoordinator Providesupportforsafeguarding Providegoodquality,regularclinicalsupervisionfortheprogrammecoordinator Allprogrammecostsarerecognisedandprovided Volunteerexpensespaidpromptlyorupfrontifrequired Protectvolunteers - Loneworkingpolicies Usearecognisedvolunteergovernancestructure 26 - E.g.InvestinginVolunteers Provideasuitablebase/officespace - Sufficientdeskspace - Sufficientstoragespace - Abilitytobookroomsformeetings - Privatespaceforsupervision - Accessibleandacceptabletovolunteers Provideallequipmentthatisrequired - IT - Phones Informationcollectionandanalysistosupportqualityimprovement ‘Justenough’datacollection - Sufficienttobeabletolookatprogressandimprovetheprogrammeandits implementationbutnottoomuchtobecomeonerous Realistic - Whatcanbemeasured - Whatispossibletocollect Measure - Toaidqualityimprovement - Tomeasureimpact - Todeliverwithfidelitytotheservicemodel - Tomeasureimplementationelements Determine - Howinformationwillbecollected - Howdatawillbeanalysed - Howanalyseddatawillfeedbackintothequalityimprovementcycle Reviewandreflectoninformationcollectionanduse 15 Competencyinprogrammedelivery ProgrammeCoordination Projectcoordinatorisvital Coordinatorrole - Recruitvolunteers - Trainvolunteers - Buildtrustingrelationshipwithvolunteers - Supervisionofvolunteers - Debriefingsessionswithvolunteers - Networkwithotherprofessionals Coordinatorskills - Safeguarding - Supervision - Buildsgoodrelationships - Modelstheunderpinningprinciplesofvolunteerprogrammes Supervisionofvolunteers - Mustdoifvolunteersdoing1to1workwithparents - Includesafeguarding - Includesettingandmaintainingboundaries Administrationsupport - Dedicatedtojustthevolunteerprogramme - Goodorganisationalskills - Goodcommunicationskillswithvolunteersandparents - Workstomatchparentstovolunteersquickly Training 31 Enablevolunteerstobuildmutualrespectwithparents Strengths–based - Buildsonvolunteers’strengthsandabilities - Increasevolunteers’confidence Collaborativewithvolunteers Teachskillsfortherolenotjustknowledge Suitedtoadultlearners Providesocialopportunitiesforvolunteers Provideexpenses Providechildcare Useeasilyaccessibleandfamiliarvenue Include: - Safeguarding - Settingandmaintainingboundaries - Helpvolunteerstobuildresilienceinparentsnotdependency Aligntrainingwithparentrecruitment - Ensureshorttimebetweentrainingandfirstvolunteeringexperience Provideregularon-goingtrainingafterinitialtrainingsessions Accreditationoftrainingoffered 16 Engagement,SelectionandRetentionofparentsandvolunteers EngagingParents - Explainclearlywhattheprogrammeentailsandthattheyarevolunteersnot 28 professionals - Useinformalwaystoengage o Opportunitiestomeetvolunteersfacetofaceinavarietyofcommunitysettings - Useformalwaystoengage o Referrals/notificationsfromprofessionals - Useacceptablevenuestomeetvolunteers o NotnecessarilyChildren’sCentres - Programmebrandidentification o Warm o Positive o Normalising RetentionofParents - Volunteersneedtobe: 29 o Reliable o Consistent o Non-judgmental o Strengths-focused - Programmecoordinator‘matches’volunteertoparent o Transparentprocess o Donotmatchifalreadyknoweachotherorliveveryclosetoeachother - Samevolunteerovertheperiodofsupport - Suitablefrequencyofcontact - Volunteerandparentareclearabouttheirrelationshipwitheachotherandthe boundaries SelectionofVolunteers - Ongoingprocessofrecruitment 30 - Multiplemethodsofadvertisingopportunities o Leaflets o Localmedia o Onlinemedia o Socialmedia o Communitygroups o Existingvolunteers - DBSchecksforvolunteers - Interviewforvolunteerroles - Selectforrightqualitiesandethosinrelationtoproposedroles: o Empathy o Enthusiasm o Communicationskills o (Languagesspokenifrequired) - Clearlydefinetheroletopotentialvolunteers - Provideatastercourse - Offeringarangeofvolunteeringrolesattractsdifferenttypesofpeople - Personalapproachtopotentialvolunteersbythecoordinator o Ifwantspecifictypesofpeople,e.g.asylumseekers - Recruitpeoplefromarangeofdifferentlifestages - Specifyaminimumexpectationofvolunteeringaftertraining 17 RetentionofVolunteers - Makeclearwithpotentialvolunteerswhattherolewillbeandlevelof 32 commitmentrequired - Opportunitiestosustainsocialrelationshipsoncetrainingisfinished o Groupsupervisionsessions o Socialevents o Groupmeetings o Opportunitiestovolunteerinpairs - Enablethevolunteerexperiencetofitwiththeindividual’smotivationtovolunteer - Individualsupervisionwithvolunteers o Reflectivepractice o Supportpersonalgrowth o Emotionalsupport o Helpdealwithfeelingofrejectionifaparentdoesn’twanttoseethevolunteer - Provideopportunitiesformutualsupportbetweenvolunteers - Methodstoreceivefeedbackfromclientsontheimpactofsupport - Givepositivefeedbackfromotherservicesandprofessionals - Provideemploymentopportunities 18 SystemsLeadership Commissioning 6 Chooseaproviderwhohastheorganisationalabilities Facilitatelinksbetweenvolunteersandprofessionals Modeltheprincipleswhichunderpinvolunteerprogrammes - Strengths-basedworking - Relationalworking - Collaborative Understandvolunteeringprogrammesandwhattheyrequire - Sufficienttimetosetupandrecruitvolunteers - Sufficientfunding - 3yearsfundingatleast - Notasubstituteforprofessionals Plananappropriatescale - Nottoobig,toosoon - Programmemustbeableto: o Supportallvolunteers o Balanceparentreferralstovolunteernumbers o Besustainable Setrealisticgoals - Chooseindicatorswhichshowprogresstowardsgoalsinthefirst1-2years - Beclearonwhattheprogrammeisactuallyabletoachieve Workwithstakeholders Creategoodrelationshipswithkeyprofessionalsasneedtheirsupportfortheprogrammeto work - Involveprofessionalsveryearlyonintheplanningoftheprogrammeandthe 35 steeringgroup - Beclearontheroleofthevolunteersandthetrainingtheyreceive - Clearlyarticulatetheboundariesofvolunteerprogramme - Volunteershaveshareddesiretosupportfamilies - Volunteerscanassistintheachievementofprofessionalgoals - Involvekeyprofessionalsinthetrainingofvolunteers - Provideclearreferralguidelinesfortheprogramme 19 Creatinganimplementationplan Creatinganimplementationplaniscomplex.Asyoucansee,itrequiresbringingtogether knowledgeandunderstandingaboutthevolunteerprogrammeitself,theanalysisofthelocal context,andthelearningfromtheevidencereviewonwhatisrequiredforsuccessful implementation.Itshouldbeclearaboutwhatgoodlookslikeforeachofthecomponentsand elementsforsuccessfulimplementation.Itshouldthendescribewhatneedstobedonetoachieve ‘good’,howitwillbedoneandbywhom. 1)Mind-mappingtheplan Inordertostartmakingsenseofallthatthefirststepofcreatingtheimplementationplancanbeto useamind-mappingapproach. Thisisahelpfulmethodologyforanumberofreasons: - Creatinganimplementationplanisnotalinearprocess.Asimplementationisdiscussed, ideaswillbegeneratedwhichmayfitintodifferentcomponentsandelementsofthe implementationmodel.Amindmapletsyoueasilykeeptrackofwherealltheideasshould go. - Itallowsyoutokeepaddingtodifferentaspectsoftheplanasthediscussionprogresses.For instance,youcanadddetailof‘how’youmightachievesomeofthecrucialaspectsof implementationidentifiedintheevidence,e.g.addingtothe‘selectionofvolunteers’partof theplanbyincluding:whowillinterviewthevolunteers;whatquestionswillbeasked;what answerswouldyouwanttodemonstratethequalitiesyouarelookingfor. - Itprovidesavisualrepresentationoftheplanwhichcanmakeiteasiertoseeconnections betweenthedifferentcomponents.Forinstance,asyouexpandonwhathelpful managementandprocesseswouldneedtolooklike,itmaybecomeclearerhowthe commissioningprocessmightworkinordertocontractwithanorganisationthatcould deliverthatmodelofmanagement. Figure6showsanexampleofhowthismightstarttolook.Itstartsbyusingthetrianglediagram fromFigure5whichincludesallthekeyelementsforsuccessfulimplementation.Themind-mapping isthenusedtodescribewhateachofthoseelementswilllooklikeandhowtheymightbeachieved locallyforthechosenvolunteerprogramme. 20 Figure6:Exampleofawholeimplementationplanmind-map 21 2)Stagesofcreationofanimplementationplan Thefirstiterationoftheimplementationplanmind-mapwillprobablycontainthe‘WHAT’oftheplan.These areyourinitialideasaboutwhatgoodwilllooklikeandwhatyouwillneedtodo.Forexample,theprogramme coordinatorwillneedtobenotifiedofallpregnantwomenintheABSarea. $ Thenextstepisthe‘HOW’oftheplan.Asyouworkthroughtheplanovertimeeach‘WHAT’willrequirea detailed‘HOW’.Usingtheexamplefromabove,HOWcouldtheprogrammecoordinatorbenotifiedofallthe pregnantwomenlocally?Thedetailcanthenbeaddedtothemind-map,e.g: - adiscussionwiththeleadmidwifeonhowthiscouldbedone aprocessformidwivesoradministratorstopulldataofftheirsystem asecurewayoftransferringinformationtotheprogrammecoordinator awayofgettingconsentfromparentsifthat’srequired informationgovernanceprocessesbeingfollowed policiesandproceduresinplacetostoredata $ Thefinalstepisthe‘WHO’ofimplementation.WHOwillactuallydoalltheworkandtasksrequiredwithinthe implementationplan.Theprogrammecoordinatormaydoalotoftheimplementationwork.However,itis vitallyimportantthatthereisanotherpersonorteamwiththededicatedcapacity,skills,andappropriatelevel ofinfluenceintheorganisationorsystemtodeliveraspectsoftheinterventionplanbeforethecoordinatoris recruitedorthatfalloutsidethecoordinator’ssphereofinfluence. Figure7showsthedetailofthestartofamind-mapexercise.Atthisstageitincludesmostlythe ‘WHAT’oftheplan.TheexampleusesavolunteerDoulaproject. 3)Creatingaprojectplan Thecomplexityofcreatinganeffectiveimplementationplanmeansthatitisdifficulttogostraight tothecreationofatraditionalprojectplan.Themindmapcanenablethatcomplexitytobe managedtocreateaplanwherenocrucialelementsaremissed. Oncethemind-mapiscompleteitcanthenbetranslatedintotheprojectplanorchecklistanda timeframeadded. 22 Figure7:Mindmapexamplecomponents Performance Assessment Reinforce and Compensate Proper database (not just excel) Database Collect all information Referral source Organisational ability Ethnicity Client group overview Numbers who accept/decline Reason why Geography Demographics Allow/enable flexible working Contract with security company who knows the doula project Organisation policies Individual client Organisational Ability Electronic record Robust lone working policy Needs Doulas Data shared Office maintenance Funders IT weight Office infrastructure Suitable mobile phones birth type/experience Birth outcomes Easy room hire/availability Baby/Birth dedicated to the project Good Admin support Sufficient Helpful managers and management processes continuation Maternal outcomes Follow structured interview Co-ordinator with client Petty cash available Finances Promote claiming Easy to claim expenses Do before talk to doula Evaluation at end of match Structured discussion Co-ordinator with doula Structured Regular initiation breast feeding Information and analysis for Quality Improvement Include client feedback Supervision for co-ordinator Client location Informal as required Locate/link to organisation with large enough infrastructure to make things happen Children’s centres Mapping Service location GPs Agency location Information forms Doula folder Notes forms Paper record Supervision with doula straight after birth Co-ordinator folder per match Record birth information Record notes on that match Supervisions with doula 23 Performance Assessment Reinforce and Compensate Do It website Volunteer opportunities website Constant promotion Organisational ability Word of mouth Social media Advertise when posts available Keep expression of interest list Can be back-up All who wish to be interviewed are seen Understand challenges the doulas face Questions Competency Structured Regular Contact when posts available Must have attended open day Initial selection Co-ordinators trained as a volunteer Supervision for co-ordinator Interviews Set by Goodwin Need to know what type of person you need Co-ordinator do training before interviewing Doulas on the panel Informal as required Go out to interview again if not the right people first time Only recruit people you want Must model/mirror the project working style Children’s services Local co-ordinator should ultimately choose the people Supervision of people Skills/knowledge CPD if wanted Working with families Listen to doulas Project Management Engagement, Selection and Retention of parents and volunteers Build relationships Attention to detail Compassionate e.g. need a break Act on what doulas say Build rapport with families Qualities Build relationships Doulas Back-up doula opportunities Stay connected Monthly meetings for all Facebook page Co-ordinator/Lead/Manager Voice Passion for the project Doulas on project steering group Be available 24/7 Part of bigger picture Understand how they fit in to the system Willingness to learn Well respected project Value the doulas Genuinely appreciate the doulas Volunteer at centre of planning Programme Coordination Build trust of doulas of co-ordinator Retention Currently active Get to the know the volunteers For all doulas Conscious doulas are volunteers Easy to come back after a break Monthly meetings Show what happens to data Ensure stakeholder knowledge of project Positive Day to day management Allocating referrals Stay connected Not active 24 hours Feedback from other stakeholders Valued Monitoring referrals Take on board feedback from doulas Maintain contact Access to local other training CPD Teach medical model Other local services can present Lead tours of birth centre Refresh training Builds relationship with midwives Project Co-ordinator role Available Responsive Be honest and transparent with doulas From Goodwin Organise doula catch-up meetings Build community Use local midwives Training Accredited syllabus Different levels Separate Co-ordinator support for doulas during training Refresher courses Jobs Volunteering increases confidence Further education All have back up doula for support Match new doula with experienced doula Join sessions for new cohorts Smooth running of project Take administrative responsibility away from volunteers Enable 24/7 working Staffing structure Planned to fit locally Informal debriefs after visits Supervision of doulas Boundaries Formal supervision 24 Performance Assessment Reinforce and Compensate CCG Maternity Partnership Bradford Teaching Hospital Trust Local Authority Organisational ability Find key influencers Networking Children’s Centres Baby Steps Building Relationships NSPCC Systems Leadership Action for Refugees Find Champions allay fears Focus on prevention work Demonstrate benefits to existing workforce Short visit Visit team meetings Able to give contracts for greater than 1 year Policy Alignment with programme Midwives Commissioning frameworks enable small organisations to provide services Regular visits Joint consultation forums CCGs City wide Volunteer co-ordinators Maintaining Relationships Work with Stakeholders Network events Locate in organisation set up to do new things VCSO Provider Organisation Health and Wellbeing hub Has organisational abilities Sub-group of Health and wellbeing Board Strengths-based Baby Buddy App leader Getting Funding Commissioning Model principles of volunteer programmes Collaborative Joint funding bids Shared back office functions Doula project sits under ACL Sufficient set-up time Governance Structure Requirements of volunteer programmes Quarterly reports to the Board Goodwin Trust External Support Relational Funding 3 year funding at least Steering group Goodwin Lead within midwifery Good external support Find champions who can embrace and lead change 25 Conclusion Reviewingthecontextforenablingandchallengingfactors,andthecreationofawellthought throughimplementationplanwithdedicatedcapacitytodeliveryitareoftenoverlookedwhen thinkingaboutdeliveringanewprogrammeorservice.Asaconsequence,manynewinitiativesand programmesdonotsucceedinachievingtheoutcomestheyintendortheyarenotsustainedbeyond 1or2years.Evaluationofimplementationhashighlightedagainandagainthatthisiswhynew programmesfailordonotlast.Thisimplementationworkhastaughtusalot.Thechallengenowis to...implementit. 26
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