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Robert Anderson
Robert Anderson
Robert Anderson
Robert Anderson
Robert Anderson
Robert Anderson
Robert Anderson
Robert Anderson
Robert Anderson
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Robert Anderson

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  • 1. Robert Anderson EUROFOUND, Dublin Employment in home care services
  • 2. Human resources for care
    • EU Green Paper on the European Workforce for Health (and social care)
    • Formal providers + Informal carers – should be coordinated and mutually supportive – high commitment to care
    • Dominance of family and informal care in most Member States, e.g. EU – 80% of care hours are provided by informal care
    • But concerns (e.g. in 2009 Communication on Alzheimer’s
    • Disease) about shortages of carers, lack of support for informal
    • carers, and risk of social exclusion for carers.
  • 3. Care workers in the EU policy debate
    • Role and contribution of home carers begins to be visible
    • Recruiting and retaining an adequately qualified and skilled care workforce
    • Training and social protection and reconciliation of work with life
    • Sustainability and quality of the care workforce (Commissions in Finland, NRW)
  • 4.
    • Comparative data on home care workers
    • Difficult exercise because:
    • Variable definitions of which professions work in LTC and job categories vary between countries
    • Systems cover health and social care
    • Inclusion of non-formal/paid workers
    • Available international data on:
    • Budgets/expenditure on long-term care
    • Numbers of paid care workers
    • Some characteristics of the paid workforce and their working conditions
    • Users of care services
    • Quality and affordability of care services
  • 5. Economic and employment significance of workers in long-term care OECD 2006 estimates of LTC workers Projections: OECD LTC expenditure: 1% of GDP in 2005 to 2%-4% by 2050 EU population aged 80+: 5% in 2010 to 8% in 2030 to 12% in 2050 European Commission estimates: Shortage of 2m LTC workers by 2020 Not known 1.2m 100,000 Netherlands 800,000 4m 125,000 Italy 500,000 2.7m 11,000 Spain Family assistance Informal Formal
  • 6.  
  • 7. Working conditions in home care: example of Belgium (Proxima project) 2006
    • 1000+ workers completed written questionnaire:
    • 99% women, among whom 38% report experience of sexual harassment
    • 14% report worked in unhygienic houses
    • 52% report regular physical health problems, especially backache
    • Most are satisfied with their job and level of managerial support; enjoy wide variety of tasks in their job and working time flexibility
    • Criticise low societal recognition and low pay
  • 8. Characteristics of paid care work
    • Predominantly undervalued; low prestige
    • Mainly done by women
    • Poor visibility of the sector
    • Not regarded as high skill
    • Low pay although above average for low-skilled
    • Lack of career prospects
    • High staff turnover; part-time and atypical contracts
    • Tasks often intimate attention to personal needs
  • 9. Measures to improve image and attractiveness of care work
    • Promote public debate on societal significance of care; job recognition
    • Emphasise meaningful work and job enrichment
    • Enable flexible employment and work-life balance
    • Opportunities to gain qualifications through training
    • Promote retention, with active ageing policies
    • Employ technologies to assist carer and dependent person
    • Increase rates of pay

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