Governance in small voluntary sector organisations: a call for more informal approaches based on the relationship quality with stakeholders

Small voluntary sector organisations with limited budgets often cannot afford expensive commercial software and may not need all the facilities such software provides. A large quantity of cheap software is distributed in the form of shareware but, for a number of reasons, is not widely used in the UK. This article describes the findings of a postgraduate project which aimed to assess the usefulness of shareware to information officers in small, voluntary sector organisations. A specific objective was to identify reliable shareware packages that could be used to manage reading lists, mailing lists, and other inhouse databases. The packages evaluated were 3by5, Business Librarian, File Express, Freefile, Instant Recall and PC‐File 5. The use of four of the packages was tested in two voluntary organisations (the National Self‐Help Support Centre and the Women's Nutritional Advisory Service) and is described.

There is a growing body of research on small Voluntary Sector Organisations’ (VSOs) contribution to tackling complex social challenges. It focuses on how small VSOs work to address these challenges, as opposed to what the measurable impact of that work is. This article adds to that body of work by providing a new analytical account of how a small VSO works; in this case what shapes that work is the extent to which it is collaborative, responsive and collective, and voluntarily driven in nature. This article also takes the research to a new setting; that of small VSOs working to better the welfare of Asylum Seekers and Refugees (ASRs).

Smaller voluntary and community organisations risk falling by the wayside under the proposed NHS reforms, according to a report from the King’s Fund. The Health and Social Care Bill aims...

Management and marketing techniques that are of great value in private firms may not prove as important in voluntary and nonprofit organizations. The author highlights problems in the direct application of the so‐called generic approach to third sector organizations by examining small voluntary organizations in the Danish sports sector. He argues, first, that it may be unnecessary to apply generic management techniques; second, that it may be dysfunctional with regard to leadership and management; and, third, that the consequences of the chosen (generic) strategies may be detrimental to the function and image of the associations. Instead, theories of organization, strategic management, and marketing should recognize the special mix of competing, complementary, and overlapping values, rationales, and evaluation criteria that characterize small voluntary organizations.

This article explores two partnerships that members of a small mutual support group for people with heart disease made with representatives of other organisations in order to gain funding and other resources. With a theoretical framework suggested by Pierre Bourdieu, the partnership process is examined in terms of the relationships between organisational representatives and the resources or potential resources available to the voluntary group. The substantive finding from this case study is that the mutual support group achieved collaborative advantage by gaining professional, therapeutic services while remaining largely true to its core mission. The Bourdieusian approach made it possible both to examine the dynamics of power relations within the voluntary organisation and also to look at the interaction and structural constraints in cross-sector partnerships. It proved to be a flexible, wide-ranging framework for research on the voluntary sector.

BackgroundSocial isolation in older adults is associated with morbidity. Evaluating interventions to promote social engagement is a research priority.MethodsA parallel-group randomised controlled trial was planned to evaluate whether telephone friendship (TF) improves the well-being of independently living older people. An internal pilot aimed to recruit 68 participants by 30 September 2012, with 80% retained at 6 months. Randomisation was web based and only analysts were blind to allocation. A service provider was contracted to train 10 volunteer facilitators by 1 April 2012 and 10 more by 1 September 2012. Participants were aged > 74 years with good cognitive function and living independently in an urban community. The intervention arm of the trial consisted of manualised TF with standardised training: (1) one-to-one befriending (10- to 20-minute calls once per week for up to 6 weeks made by volunteer facilitators) followed by (2) TF groups of six participants (1-hour teleconferences once per week for 12 weeks facilitated by the same volunteer). Friendship groups aimed to enhance social support and increase opportunities for social interaction to maintain well-being. This was compared with usual health and social care provision. The primary clinical outcome was the Short Form questionnaire-36 items (SF-36) mental health dimension score at 6 months post randomisation. Qualitative research assessing intervention acceptability (participants) and implementation issues (facilitators) and an intervention fidelity assessment were also carried out. Intervention implementation was documented through e-mails, meeting minutes and field notes. Acceptability was assessed through framework analysis of semistructured interviews. Two researchers coded audio recordings of telephone discussions for fidelity using a specially designed checklist.ResultsIn total, 157 people were randomised to the TF group (n = 78) or the control group (n = 79). Pilot recruitment and retention targets were met. Ten volunteers were trained by 1 September 2012; after volunteer attrition, three out of the 10 volunteers delivered the group intervention. In total, 50 out of the 78 TF participants did not receive the intervention and the trial was closed early. A total of 56 people contributed primary outcome data from the TF (n = 26) and control (n = 30) arms. The mean difference in SF-36 mental health score was 9.5 (95% confidence interval 4.5 to 14.5) after adjusting for age, sex and baseline score. Participants who were interviewed (n = 19) generally declared that the intervention was acceptable. Participant dissatisfaction with closure of the groups was reported (n = 4). Dissatisfaction focused on lack of face-to-face contact and shared interests or attitudes. Larger groups experienced better cohesion. Interviewed volunteers (n = 3) expressed a lack of clarity about procedures, anxieties about managing group dynamics and a lack of confidence in the training and in their management and found scheduling calls challenging. Training was 91–95% adherent with the checklist (39 items; three groups). Intervention fidelity ranged from 30.2% to 52.1% (28–41 items; three groups, three time points), indicating that groups were not facilitated in line with training, namely with regard to the setting of ground rules, the maintenance of confidentiality and facilitating contact between participants.ConclusionsAlthough the trial was unsuccessful for a range of logistical reasons, the experience gained is of value for the design and conduct of future trials. Participant recruitment and retention were feasible. Small voluntary sector organisations may be unable to recruit, train and retain adequate numbers of volunteers to implement new services at scale over a short time scale. Such risks might be mitigated by multicentre trials using multiple providers and specialists to recruit and manage volunteers.Trial registrationCurrent Controlled Trials ISRCTN28645428.FundingThis project was funded by the NIHR Public Health Research programme and will be published in full inPublic Health Research; Vol. 2, No. 7. See the NIHR Journals Library website for further project information.

A project to identify metrics for assessing the quality of open data based on the needs of small voluntary sector organisations in the UK and India. We used small structured workshops to identify users’ key problems and then worked from those problems to understand how open data can help address them and what the key attributes must be for successful use. We then piloted different metrics that could be used to measure the presence of those attributes. This user-centred approach to open data research highlighted some fundamental issues with expanding the use of open data from its enthusiast base.

The aim of this chapter is to explore the contribution that the voluntary sector makes within society, but more importantly, how the voluntary sector plays a crucial role in the higher education sector today. The chapter is comprised of three parts. The first part will provide a theoretical discussion on the voluntary and community sector organisations in the United Kingdom. The second part will set out the case study context. The final part will critically explore the case study of Pukar, a voluntary sector organisation. In this chapter, the authors argue that the voluntary sector plays a crucial role in society and that in a voluntary organisation there are a number of multiple users that utilise this service.

Information is a key issue for people who use health services and their families and friends. In the UK, this was raised consistently by those involved in a national ‘listening exercise’, in 2005.1 The resulting White Paper Our Health, Our Care Our Say2 reinforced much of the government information strategy published in the previous year.3 The Brain and Spine Foundation is a UK-based charity that aims to improve the quality of life for people with neurological conditions (http://www.brainandspine.org.uk). The organization was awarded a grant by the Department of Health to produce a toolkit to help health and social care professionals providing information to people affected by neurological conditions. The project forms part of the implementation of The National Service Framework (NSF) for Long-term Conditions, published last year.4 The toolkit is being developed in association with the Neurological Alliance (http://www.neural.org.uk) and the Long-term Medical Conditions Alliance (LMCA; http://www.LMCA.org.uk). A series of small discussion groups were held last year throughout England and Wales to explore: (i) current obstacles in the provision of and access to information, (ii) how a toolkit might be used and (iii) to refine the toolkit's content and shape. Discussions were held with groups of people affected by neurological conditions, with voluntary sector organizations concerned with neurological conditions and with mixed groups of health and social care professionals from a variety of settings. In addition, a questionnaire survey of health and social care professionals was conducted. Care for people with neurological conditions in the UK has been very patchy. While there are some world-class centres of expertise, there are also areas of the country where there is little specialist provision.5 Traditionally, for people with neurological conditions, the majority of input has been provided by specialists (e.g. neurologists and rehabilitation consultants). However, because of shortages in these workforces, and the long-term nature of many of the conditions, people have often been left without specialist support. Access to information has become a major issue for these people who may have little contact with health and social care professionals after initial diagnosis of their condition. This is consistently reported both by individuals affected by neurological conditions as well as organizations representing them.5 A key issue explored in developing the toolkit relates to why people do not get the information they want, despite much information apparently being available, and from a proliferation of sources. Two explanations were found. First, information provided by health professionals does not always match with the information sought after by people with neurological, and other long-term conditions. Secondly, people often want very local information, whereas what is generally available is not specific to their geographical location or situation. These issues are explored further below. Another issue that became evident was that health and social care professionals did not always recognize their role in relation to providing information to people with whom they came into contact. There is a need to encourage health-care professionals to view every consultation as an opportunity to assess information needs and ensure that these are met directly or by referral to a dependable alternative source. The toolkit will, therefore, aim to signpost to sources of information on the issues of concern to people with neurological conditions. It was found that there are four key areas consistently identified by people affected by neurological conditions where they want more information. Interestingly, the groups of health and social care professionals consulted also identified these issues as a problem area for information giving. The lack of information related to benefits, employment and finance was an issue raised repeatedly by people with neurological conditions when they discussed information. When asked what information requests they found difficult to address, health professionals also identified information about benefits. This is not a new issue and surveys from the neurological charities have been reporting this for years.6 It is possible that the reason this issue has not been addressed is that health professionals do not see such issues as within their remit. These ‘social care issues’ are often seen as being the province of those working outside health-care settings. There may be a tendency to see people with a diagnosis of a long-term condition as having a continuum of needs; starting with medical needs, and medical information needs, at the diagnostic phase and progressing to ‘social’ needs later on as someone adapts to their illness or disability, and particularly if it progresses/degenerates. However, when people with neurological conditions talk about their information needs, it is clear that some of their first concerns on diagnosis are their employment and financial status –Should I go back to work tomorrow? What should I tell my employer? If I leave work how will I support myself and my family? What support will my partner get if they need to look after me? Should I move house? The health professional is more likely at this time to be focused on providing information about possible treatment options or a drug regime. Concerns about sex and relationship issues were often raised (even in focus groups where people who did not know each other). People had found information on sources of support very hard to access. Health and social care professionals were similarly at a loss to know where to go for such information. There seemed to be a tendency to hope the questions were not asked and very few health-care professionals said that they would ever raise the issue as they would not know how to deal with this or whom to refer to. This is a significant quality of life issue for people affected by many neurological, and other long-term conditions, including cancer. There is a need to address it and ensure that health and social care professionals are signposted to sources of information and advice. Complementary therapies have played a large part in the management of neurological conditions, partly because of the fact that there are often very few surgical or drug treatments available. Many health professionals find it difficult to provide information about treatments that they feel do not have a robust evidence base and that have not been traditionally available in the National Health Service (NHS). While for some conditions this is changing, it is likely that people with a life-long illness for which there is no cure will continue to seek both ‘wonder cures’ and palliative treatments. Using the toolkit health professionals will be able to signpost people to information about various complementary therapies and information about which therapies people with a similar condition have found helpful. This kind of information is often available through local and national voluntary sector organizations. Providing a diagnosis and prognosis is clearly within the domain of health-care professionals, yet all agree it is a difficult area to address. People affected by neurological conditions often report that they do not get adequate information about what to expect. Again this possibly stems from the fact that there was, and still is for many, very little that can be offered in the way of treatment and cure. Neurological conditions can also be very unpredictable. If health-care professionals view their domain as providing information about treatment options and medicines there may well be limited information they can give. There are, however, as outlined above, a range of other information needs that people with neurological conditions have at diagnosis. If these needs are addressed it is likely both that people would feel more able to manage their condition and also report that their information needs had been met. The information people often valued the most, and which they found hard to access, was about local services and sources of support. For example, people talked about finding someone who could help them fill in their benefit form, the local rehabilitation service that accepted self-referrals, the MS support group that met two streets away, yet had taken 18 months to discover. Addressing local information presents a challenge for a toolkit that has been designed for health and social care professionals across England and which will necessarily be focused at a countrywide level. As noted above, however, this is a crucial finding of the work conducted with people affected by neurological conditions. Those working on the Better Information3 strategy also identified the need for local information and the Department of Health has recently announced their intention to pilot a local integrated approach to information in order that local health and social care organizations jointly maintain an accessible database of all services and support groups in their local area.2 The project will provide a template for local information in the toolkit outlining what information should be available, based on issues that people affected by neurological conditions have raised as information needs, and indicating possible local sources of information and support locally. The ground work will necessarily be conducted at a local level, but it is hoped by providing a template and sources list we will avert excessive duplication of effort, whilst ensuring that the content of local directories and databases are focused on the needs of people affected by neurological conditions. In addition, it will be very important to ensure local voluntary organizations supporting and representing people with neurological conditions are involved in commissioning local information databases. This will be essential; to ensure firstly that the resource is focused on local needs; secondly, that the very valuable services and support provided by voluntary sector groups are included and thirdly, because of the local knowledge they have about sources of health and social care support in its widest sense. Often, during the discussions with people affected by neurological conditions, they talked about eventually tracking down the information, or service or person, through contact with a local support group or voluntary organization. For example, if you wanted to know who could help you fill out a benefit form, how to get a wheelchair, where to get hydrotherapy, who to talk to about a relationship problem the local branch of the Parkinson's Disease Society or MS Society would be a very good starting point. At national level, voluntary sector organizations produce the information often reported to be the most useful by people affected by neurological conditions. Most include in their information portfolios fact sheets and booklets about the issues raised above (complementary therapies, sex and relationships, prognosis, benefits) and about many other aspects of living with a neurological condition. There is reluctance, however, amongst health and social care professionals to provide information about these organizations to people affected by neurological conditions. A survey by the Motor Neurone Disease Association7 in 2002 found that 44% of people diagnosed with motor neurone disease that year had not been told of the Association or given contact details. In the discussions to develop the toolkit people often reported stumbling on a local or national voluntary organization ‘by accident’. The toolkit will need to make it easier for health professionals to signpost to these sources of information and support. Health professionals may feel better assured about directing people to voluntary sector sources of information if they could guarantee the quality. The Department of Health have also recently announced the intention to develop an Information Accreditation Scheme (IAS).3 It will be very important that voluntary sector providers of information are enabled to participate in this scheme in order that they can continue to disseminate the information that people affected by neurological, and other long-term conditions find so useful. A pilot version of the toolkit is currently being produced. This will be a signposting tool with generic checklists and templates. It is anticipated there will be a launch towards the end of 2006. Nikki Joule is an independent health policy consultant and Project Officer at the Brain and Spine Foundation (http://www.brainandspine.org.uk). She is also on the Steering Group of the Patient Information Forum (http://www.pifonline.org.uk).

Partnerships with health and private voluntary organizations: what are the issues for health authorities and boards?

The aim of this article is to recognize the crisis currently experienced by the voluntary and community sector (VCS) and to consider a creative response to this crisis utilizing VCS assets. The article uses a creative assets based response to the VCS crisis, utilizing sustainable livelihoods’ analysis (SLA) as a means of identifying VCS assets. SLA, traditionally used to explore vulnerabilities and assets at a household level, will be expanded and utilized to analyze the effects of austerity on small voluntary organizations. We use SLA as a theoretical lens through which to analyze our data, we propose that small VCS organizations can consider their position using SLA as a tool. The VCS can use SLA to consider its assets and vulnerabilities in the context of austerity; in engaging in this process, the VCS can recognize opportunities. The small VCS organization typically has high-quality community-based social capital, and it has a human capital and community knowledge. This integrated grassroots social capital expertise and strong community-based human capital is unique to the VCS. In mobilizing its assets, the VCS as a sector can seek to overcome the funding crisis that it is experiencing and develop creative solutions to austerity.

BackgroundWeaknesses in the provision of mental health crisis support are evident and improvements that include voluntary sector provision are promoted. There is a lack of evidence regarding the contribution of the voluntary sector and how this might be used to the best effect in mental health crisis care.AimTo investigate the contribution of voluntary sector organisations to mental health crisis care in England.DesignMultimethod sequential design with a comparative case study.SettingEngland, with four case studies in North England, East England, the Midlands and London.MethodThe method included a scoping literature review, a national survey of 1612 voluntary sector organisations, interviews with 27 national stakeholders and detailed mapping of the voluntary sector organisation provision in two regions (the north and south of England) to develop a taxonomy of voluntary sector organisations and to select four case studies. The case studies examined voluntary sector organisation crisis care provision as a system through interviews with local stakeholders (n = 73), eight focus groups with service users and carers and, at an individual level, narrative interviews with service users (n = 47) and carers (n = 12) to understand their crisis experience and service journey. There was extensive patient and public involvement in the study, including service users as co-researchers, to ensure validity. This affected the conduct of the study and the interpretation of the findings. The quality and the impact of the involvement was evaluated and commended.Main findingsA mental health crisis is considered a biographical disruption. Voluntary sector organisations can make an important contribution, characterised by a socially oriented and relational approach. Five types of relevant voluntary sector organisations were identified: (1) crisis-specific, (2) general mental health, (3) population-focused, (4) life-event-focused and (5) general social and community voluntary sector organisations. These voluntary sector organisations provide a range of support and have specific expertise. The availability and access to voluntary sector organisations varies and inequalities were evident for rural communities; black, Asian and minority ethnic communities; people who use substances; and people who identified as having a personality disorder. There was little evidence of well-developed crisis systems, with an underdeveloped approach to prevention and a lack of ongoing support.LimitationsThe survey response was low, reflecting the nature of voluntary sector organisations and demands on their time. This was a descriptive study, so evaluating outcomes from voluntary sector organisation support was beyond the scope of the study.ConclusionsThe current policy discourse frames a mental health crisis as an urgent event. Viewing a mental health crisis as a biographical disruption would better enable a wide range of contributory factors to be considered and addressed. Voluntary sector organisations have a distinctive and important role to play. The breadth of this contribution needs to be acknowledged and its role as an accessible alternative to inpatient provision prioritised.Future workA whole-system approach to mental health crisis provision is needed. The NHS, local authorities and the voluntary sector should establish how to effectively collaborate to meet the local population’s needs and to ensure the sustainability of the voluntary sector. Service users and carers from all communities need to be central to this.FundingThis project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full inHealth Services and Delivery Research; Vol. 8, No. 29. See the NIHR Journals Library website for further project information.

The study discussed in this paper uses case studies of six small voluntary organizations to determine the primary factors that influence electronic commerce (EC) adoption. The findings indicate that perceived benefits, including efficiency, information sharing, marketing and increased donations have a strong influence on EC adoption. The results also indicate that organizational readiness, including ability to attract volunteers and/or in-kind donations, ability to raise funds, and strategic readiness had a positive influence on EC adoption. Consistent with prior research on EC adoption in the commercial sector, strong support was found for the influence of perceived pressure, including pressure from both internal and external stakeholders. The study also concluded that perceived social risks associated with the loss of human contact and the perception of dollars being diverted from client programs to finance the EC investment had a strong influence on EC adoption. Implications for EC adoption and future research on EC adoption in the voluntary sector are discussed.

PurposeIntegration is a complex, contested and multidimensional concept. This paper aims to examine the impact of small voluntary agencies (SVA) in the integration of refugees into social, economic and citizenship structures in the UK.Design/methodology/approachThis study is rooted in in-depth interviews with 20 participants and a case study (ethnography research) that focuses on a refugee-assisting organisation in Southeast England.FindingsThe findings reveal cases of exemplary leadership in actions and social solidarity exhibited by SVA through innovative actions aimed at helping individuals and communities which may be particularly disadvantaged. It revealed the mixed embeddedness that these agencies create that enable refugees to pursue a new life, employment and citizenship.Research limitations/implicationsOne of the limitations of the study is the focus on one case study. However, this provided an opportunity to conduct in-depth interviews and examination of the research objectives.Practical implicationsWith the ever-decreasing government revenues, there is evidence of the tremendous achievement of the voluntary sector in many endeavours in the community. This provides an opportunity for a more strategic partnership between public and private actors.Social implicationsThe activities of the SVA are the catalyst to refugees’ integration as policies that enable regaining self-esteem, seeking employment or starting a business.Originality/valueThis study provides the opportunity to explore the relatively under-research and under-publicized role of SVA in the migrants and refugee literature.

The focus of this paper is on organisations which do not have the aim of securing and distributing profits to their stakeholders. These organisations are often called ‘associations’, or ‘voluntary organisations’ or ‘not-for- profit’ or non profit (or even nonprofit) organisations or, in the UK, charities. The descriptor used in this paper is ‘non profit’, but these different names are used interchangeably in this paper, as a deliberate reflection of the lack of unanimity on exactly what these organisations should be called. The particular focus of this paper is an examination of the impact of business expertise on the governance of ‘non profit’ or ‘voluntary’ organisations. The governance of these organisations is a highly topical and contentious issue. There is increasing evidence of a convergence between for profit and not for profit organisations in the adoption and use of management practices (Tamburrini, 2009; Ramirez and Janiga, 2009). Landsberg (2004) has expressed the view that a disproportionate business influence on charities may undermine their fundamental ethos and missions. However, it has also been suggested that business expertise can make significant enhancements to the effectiveness of non profit organisations (Bradley, Jansen and Silverman, 2003). In this paper, we address this issue by exploring the impact of business members on the boards of charities. The specific charitable organisations which we examine in this chapter are those which operate in the arts, science and cultural fields in Scotland.