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In May 2010, Cambridgeshire and Peterborough NHS Foundation Trust (CPFT) began training peer workers for employment in teams delivering mental health services throughout the Trust. CPFT defines a peer worker as "someone with significant experience of mental distress, who works alongside others with similar difficulties in order to facilitate recovery through promoting hope and providing support based on common experiences". The CPFT programme was one of the earliest, and is now one of the largest, of its kind in the United Kingdom. CPFT asked RAND Europe to evaluate the early stages of the programme's implementation. The findings of this evaluation, which took place between January 2011 and May 2012, are set out in this report. The evaluation focuses on the perceptions of different stakeholders of the programme's impact and the successes and challenges of its implementation. As part of this work, we set out a logic model, developed in collaboration with CPFT, to describe the theory of change underlying the peer worker programme, in order to inform future planning of the programme and ongoing performance measurement.

Table of Contents

  • Chapter One


  • Chapter Two

    Methodology and evaluation framework

  • Chapter Three

    Targeted literature review

  • Chapter Four

    Interviews with people who receive services

  • Chapter Five

    Focus groups with peer workers and other staff

  • Chapter Six

    Logic model and key performance indicators

  • Chapter Seven


  • Appendix A

    Participant Information Sheet (people who receive services)

  • Appendix B

    Focus Group Guide

Research conducted by

The research described in this document was prepared for Cambridgeshire and Peterborough NHS Foundation Trust and conducted by RAND Europe.

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