A lot do things to fill in spots but is it really necessary ?
What matters is what you do - you don’t get awards for serving ice cream at Baskin Robins or walking dogs at the shelter but those are great.
If you win an Olympic gold medal, it says something. Being in the NHS says little. The activity you might do as part of it says a lot more.
So many do force an award, but it’s likely useless in regards to impact.