A survey was sent to 33 managers at units and centres involved in Higher Education student-to-student support services in the form of peer help programmes. The survey focused on managers' perspectives on peer help programme demographics, management, planning and resourcing, on intra-institutional and other linkages, as well as on institutional commitment to peer helping. It also requested their views on challenges experienced in these areas, concluding with challenges related to peer programme sustainability. Thirty managers from a wide variety of settings such as student counselling, academic support and student health responded. Their responses articulated the strategic alignment of their programmes with institutional top priorities, functional linkages and partnerships with other institutional support structures and the dedication of staff and students involved in peer helping. Securing sufficient financial, human and physical resources appeared to form the core of their challenges in terms of peer programme management and sustainability.