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Health and wellbeing of care workers must have a place in UK social care reform

The health and wellbeing needs of the social care workforce must be brought in line with the standards set for NHS workers as part of the reform of UK social care, according to public and occupational health experts at Imperial College London. Writing in the Journal of the Royal Society of Medicine, they say it is impossible to understand what is happening across the fragmented care sector with respect to workforce health and wellbeing.

There are an estimated 17,700 different organisations providing care in the sector. Just like healthcare workers, social care workers come into close contact with patients at their most vulnerable. Yet, unlike healthcare workers there is no national guidance around worker health.

The government has pledged to use the new Health and Social Care Levy to improve training and support in the care sector, as well as bring an end to the high costs of care faced by those who need it.

Lead author Dr Lara Shemtob, Honorary Clinical Research Fellow at the School of Public Health, Imperial College London, said: “Carers delivering care at the bottom of the organisational hierarchy are least protected. With no carer unions or professional bodies and workforce health and wellbeing falling outside of the CQC’s remit, a national approach to standards and audit is necessary to protect carers and those they care for.”

In a recent survey over 70% of care providers reported increasing challenges in recruiting and retaining staff and maintaining staff morale.

“The importance of baking occupational health into social care reform is twofold”, said Dr Shemtob. “Firstly, the fragmented sector needs cohesive guidance around workforce health to protect staff and patients. Secondly, improving workforce wellbeing and strengthening the appeal of social care work will go some way to tackling the recruitment crisis.”

The authors say there is a need to improve the infrastructure around workforce heath in care, from an immunisation programme to protect both carers and patients, to support with the emotional burden of dealing with mentally unwell or distressed patients and the physical demands of personal care.

“Carers need avenues for support, standards for dealing with periods of workforce illness and policies tackling absenteeism and presenteeism”, added Dr Shemtob.

Notes to editors

Why workforce health should have a place in UK care reform (DOI: 10.1177/01410768221090673) by Lara Shemtob and Kaveh Asanati will be published by the Journal of the Royal Society of Medicine at 00:05 hrs (UK time) on Wednesday 6 April 2022.

The link for the full text of the paper when published will be:

For further information or a copy of the paper please contact:

Rosalind Dewar

Media Office, Royal Society of Medicine

DL: +44 (0) 1580 764713

M: +44 (0) 7785 182732


The Journal of the Royal Society of Medicine (JRSM) is a leading voice in the UK and internationally for medicine and healthcare. Published continuously since 1809, JRSM features scholarly comment and clinical research. JRSM is editorially independent from the Royal Society of Medicine, and its editor is Dr Kamran Abbasi.

JRSM is a journal of the Royal Society of Medicine and it is published by SAGE Publishing.

Sara Miller McCune founded SAGE Publishing in 1965 to support the dissemination of usable knowledge and educate a global community. SAGE is a leading international provider of innovative, high-quality content publishing more than 1000 journals and over 800 new books each year, spanning a wide range of subject areas. A growing selection of library products includes archives, data, case studies and video. SAGE remains majority owned by our founder and after her lifetime will become owned by a charitable trust that secures the company’s continued independence. Principal offices are located in Los Angeles, London, New Delhi, Singapore, Washington DC and Melbourne. 

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