TY - JOUR
T1 - The experiences of English National Health Service professional communicators during the Covid-19 pandemic
AU - Gregory, Anne
AU - Davies, Eleanor
AU - Nichols, Bill
AU - Wolski, Urszula
N1 - Funding Information:
To understand the context of this study, it is necessary to provide some detail about the health system in which NHS communication professionals operated during the Covid-19 pandemic. The UK NHS is the world’s largest publicly funded health system and the world’s fifth largest employer ( Nuffield Trust, 2023a ). It embraces the four publicly-funded health services of England, Scotland, Wales and Northern Ireland, which are structured and administered separately. It is the largest service, the English NHS, that is the subject of this study. Funding for the service comes from the UK Government via the Department of Health and Social Care (DHSC). Commissioning of primary and secondary health services is overseen by NHS England, an Arms-Length Body 2 of the DHSC. At the time of the research, 2020 to 2022, commissioning was operationalised locally through Clinical Commissioning Groups (CCGs), which were in transition to larger organisations. Provision of health services through, for example, community doctors and hospitals, is funded by these commissioning bodies. There are approximately 3000 professional communicators working across English NHS organisations, the most senior holding board level positions. Communication teams can be small, two or three full time equivalent staff, or much larger, over 20 people.
Funding Information:
The research team is grateful to an Advisory Group of four senior NHS Communicators who provided valuable support and advice for the project. Their roles at the time of the research are given here: Zuleika Henderson (Head of Communications, NHS London Procurement Partnership), Victoria Parker (Director of Communications and Engagement, Royal Berkshire NHS Foundation Trust), Dan Charlton (Director of Communication, Sussex Partnership NHS Foundation Trust) and Nick Pearson (Chief of Staff, NHS Devon Clinical Commissioning Group). 1. Public relations practitioners are known as communicators in the UK public service and so this nomenclature is used in the article. 2. Arms-Length Bodies (ALBs) are non-ministerial organisations attached to ‘parent’ Departments who fund them and determine their remit. Examples of ALBs for the DH&SC are NHS England, the Health Research Authority and the Medicines and Healthcare Products Regulatory Authority.
Publisher Copyright:
© 2024 The Authors
PY - 2024/3/1
Y1 - 2024/3/1
N2 - This article presents the findings of empirical research on the experiences of senior National Health Service communication practitioners in England during the Covid-19 pandemic, viewed through the prism of their emotional responses. Using narrative interviews with 15 senior communicators, the study discovered that contextual factors elicited the strongest emotional reactions, rather than dealing with the health crisis itself. Five common contextual factors were identified: ‘command and control’, working from home, social media, technology, and professional recognition. Linked to these factors were a range of emotions which can be clustered into eight main categories: stress and anxiety, guilt, frustration and anger, inadequacy, isolation, pride, excitement and a growing sense of confidence. The findings lead to a conclusion that internal contextual factors rather than the challenges posed by the progress of the disease itself determined the most significant elements of the experience of these practitioners. The study also identified the sources of personal support for communicators and their own recommendations for policy changes. The study concludes that health communicators were hindered by the environment in which they undertook their duties. Necessary policy changes will assist in ensuring this professional group can perform more optimally during major health crises in the future.
AB - This article presents the findings of empirical research on the experiences of senior National Health Service communication practitioners in England during the Covid-19 pandemic, viewed through the prism of their emotional responses. Using narrative interviews with 15 senior communicators, the study discovered that contextual factors elicited the strongest emotional reactions, rather than dealing with the health crisis itself. Five common contextual factors were identified: ‘command and control’, working from home, social media, technology, and professional recognition. Linked to these factors were a range of emotions which can be clustered into eight main categories: stress and anxiety, guilt, frustration and anger, inadequacy, isolation, pride, excitement and a growing sense of confidence. The findings lead to a conclusion that internal contextual factors rather than the challenges posed by the progress of the disease itself determined the most significant elements of the experience of these practitioners. The study also identified the sources of personal support for communicators and their own recommendations for policy changes. The study concludes that health communicators were hindered by the environment in which they undertook their duties. Necessary policy changes will assist in ensuring this professional group can perform more optimally during major health crises in the future.
KW - Emotion
KW - Experience
KW - National Health Service
KW - Policy
KW - Support
UR - http://www.scopus.com/inward/record.url?scp=85185276196&partnerID=8YFLogxK
U2 - 10.1016/j.pubrev.2024.102434
DO - 10.1016/j.pubrev.2024.102434
M3 - Article
AN - SCOPUS:85185276196
VL - 50
JO - Public Relations Review
JF - Public Relations Review
SN - 0363-8111
IS - 1
M1 - 102434
ER -