A focus on dementia: ongoing research at the Unit

Posted on May 19, 2026 by Stephen Martineau

As part of Dementia Action Week, Unit researchers Olivia Luijnenburg, Fauzia Knight and Kritika Samsi highlight some of our ongoing work in dementia care research in different settings and topic areas: homecare, care homes, support for carers, community work, reducing inequalities in dementia care and methodological work. (775 words)

Homecare

Our homecare work has led to some novel online guides and resources. Colleagues have produced visual and academic outputs on what the role of Dementia Champions in the homecare sector entails. We have also helped to develop dedicated websites for people living with dementia and those who support them: Forward with dementia is an online guide for people living with dementia and carers to support them after a dementia diagnosis; DemCon 2 (currently under evaluation by homecare workers) is a web-based toilet-use and continence care intervention for homecare workers supporting people living at home with dementia. This project builds on two previous studies to co-design guidance for family carers and health professionals in this context. DemCon 2 will also develop further practical guidance about continence care for use by people living with dementia themselves.

We are also part of the Alzheimer’s Society funded GRACE (Goal diRected, Accessible, & Evidence-based Care for Families affected by dementia), which is a new way to support family carers and people living with dementia, through a manualised intervention using goal setting. We are also contributing to PALLDEM-Homecare, Continue reading →

ARC South London, Knowledge Exchange Event 2026: Doing inclusive applied health and care research in turbulent times

Posted on January 20, 2026 by Stephen Martineau

Emily Porro is an 15 January 2026. (1,003 words)

On 15 January, ARC South London held their Knowledge Exchange event at King’s College London, with the focus on doing inclusive applied health and care research in turbulent times. I attended the event as an awardee on ARC South London’s SHARE Research Capacity Building Programme, supporting practitioners to build capacity for research in their workplaces. As an outreach Navigator in St Mungo’s, working with people rough sleeping in South London, I feel strongly about ensuring service users with high support needs and facing deep social exclusion are meaningfully included in research, in order to share their depth of knowledge and opinion. I was therefore particularly excited about the theme of this event, and the presentations certainly stood out for embedding excluded groups within every stage of their work, from the researchers themselves to the methods they used. Continue reading →

Building research capacity in social care research to improve care for older people in care homes

Posted on January 8, 2026 by Stephen Martineau

The NIHR-funded SHARE programme aims to build social practitioners’ skills and knowledge, to use research to inform and improve services in the workplace. The SHARE programme is a collaboration between Kingston University and King’s College London working closely with NIHR ARC South London and the NIHR Policy Research Unit in Health and Social Care Workforce. Filipa Maia, one of the people who have been awarded funding to take part in the programme, writes here about her experience of the SHARE programme and how her research could improve care for older people in care homes. Filipa is an education, research and engagement officer at Nightingale Hammerson, a care home provider. (1,249 words)

Please tell us a bit about your background and why you applied for the funding?

I moved to London in July 2021, shortly after completing a Master’s degree in Sociology at Nova University of Lisbon. I majored in English and Spanish studies, before my Master’s in Women’s Studies. By mixing my passions for literature and theatre, I wrote my thesis, “Women’s views of their own bodies: a study on representations of the female body in feminist theatre.” During that process, I discovered how much I like writing about people, their stories, their work and their motivations. Sociology felt like a good choice, a way to understand people more deeply in society and create space for their experiences to be explored and shared.

When I arrived in London, I stepped into the world of care by chance and found an entirely new way to connect with people. My first role was as a therapy assistant at Nightingale Hammerson, where I spent hours alongside residents and observed healthcare professionals of all kinds (physiotherapists, occupational therapists, healthcare assistants, registered nurses) all working with one shared goal of giving residents the best possible quality of life. Continue reading →

A new plan for homelessness

Posted on December 17, 2025 by Stephen Martineau

Carolin Hess, PhD student at the Unit, responds to the publication of the National Plan to End Homelessness. (530 words)

The Cross-Government Homelessness and Rough Sleeping Strategy was published on 11 December – pledging to improve the experience of people experiencing homelessness services. The Strategy is ambitious, placing new legal duties on public services to address homelessness collaboratively and setting out immediate and longer-term actions to address rough sleeping and (long-term) homelessness. Recognising domestic violence and abuse (DVA) as a major driver of homelessness, the strategy commits to reducing the number of people made homeless as a result of DVA.

As my own work focuses on gender-specific and intersectional barriers for women with multiple disadvantage, I particularly welcome its commitment to gendered and intersectional support for people experiencing homelessness, acknowledging some of the barriers faced by women and other groups who face discrimination or find services failing to meet their needs. Continue reading →

An MCA roundtable

Posted on December 2, 2025 by Stephen Martineau

Stephen Martineau reports from a gathering held at Melbourne House, King’s College London on 26 September 2025. (1884 words)

Introduction

The Mental Capacity Act 2005 and homelessness study is an ongoing examination of the mental capacity assessment of people in England who are homeless and who have experienced other forms of disadvantage. The research team have conducted a national practitioner survey (674 responses) and interviews with experts (n=13). The core of the study has involved interviews in three local authority sites with people with lived experience (n=32) and with practitioners (n=46). Together with expert collaborators, we are developing practice guidance. The project ends in March 2026.

Mid-way through the analysis of the site interviews we invited a group of experts in the field of mental capacity, homelessness – or both – to discuss some of the emerging findings. In particular, we asked this roundtable to think about the ‘diagnostic’ or ‘impairment’ part of the definition of incapacity in section 2(1) of the Mental Capacity Act 2005 (MCA). We met to do this at Melbourne House, King’s College London on 26 September 2025.

We are hugely grateful to those people who came along for this half-day event. In addition to thinking about the place of substance use, executive dysfunction and trauma in these assessments, participants also considered when MCA assessments may be misused, or where the Act may be the inappropriate ‘prism’ through which to decide practice approaches. The purpose in this blog post is to summarise the observations that were made during the roundtable – hopefully not, in the act of synthesis, doing damage to the particular points being expressed. It is worth stressing that the following is not a ‘consensus statement’ and, although we list the participants at the end of the post, we all contributed on the understanding that none of the views recorded in any subsequent publication, including this one, would be attributed to any individual who took part. Continue reading →

New research shows how better pay and training could rescue social care in England

Posted on November 15, 2025 by Stephen Martineau

Republished from the LSE Business Review Blog (12 October 2025).

Low pay, job insecurity and post-Brexit recruitment challenges are plaguing the adult social care sector in England. With rising demand and chronic underfunding, work conditions are only getting worse. Andreas Georgiadis and Andreas Kornelakis suggest ways to improve the situation, including better pay and training.

Adult social care suffers from a long-standing “workforce crisis” in England. Recent reports from industry bodies highlight the challenges to the sector’s workers and their ability to offer high quality care. Staff in social and health care are overworked, exhausted and stressed, sometimes to the point of becoming ill, leading to absenteeism or quitting altogether.

Increased workloads and time pressures arise partly due to increased demand for services by a rapidly ageing population. At the same time, over half of adult care providers said they faced challenges recruiting new staff; 31 per cent struggled to retain employees. Difficulties in recruitment and retention intensified after Brexit, as the sector relied heavily on migrant workers.

It is widely known that adult care is one of the lowest paying jobs in the UK. Forty-three per cent of all adult social care workers in England are paid below the real living wage. It will continue to be challenging for care providers to retain pay differentials between those on the wage floor and those with more experience and qualifications. But pay levels are not the only challenge for care workers, as they also face problems of job insecurity and unpaid overtime.

For example, most of those who do home visits are not compensated for the time they spend travelling to homes, which can make up to a fifth of their working day. The use of contingent contracts in social care may deliver some cost savings for providers, but has the drawbacks of job insecurity for workers, and concerns about service quality. Continue reading →

The important role of homecare workers in dementia palliative care and interventions to support them

Posted on September 26, 2025 by Stephen Martineau

Fatima Mujtabah, right, recently graduated from King’s College London in Adult Nursing. (797 words)

Dementia Palliative Care and Homecare Workers

Dementia is a term used to describe a range of conditions affecting the brain that get worse over time. With no cure, dementia is a life-limiting condition, but few people recognise this. As such, the care needs of people affected by dementia are not always met. It is reported that around 90,000 of people diagnosed with dementia require formal social care and about 2/3 of this population live and die at home. This highlights the importance of homecare in the provision of high-quality palliative and end of life care. Yet, current research shows that people with dementia who live at home are more likely to receive poorer quality end-of-life care compared to those in formal care settings such as care homes. Homecare workers have a central role in allowing people to die within their own homes. Continue reading →

At HSR 2025: On new roles in UK health and social care

Posted on August 1, 2025 by Stephen Martineau

Dr Antonina Semkina is Research Associate at the NIHR Policy Research Unit in Health and Social Care Workforce, King’s College London. Antonina brought together contributions for this blog from the other presenters at this Health Services Research conference session in Newcastle. (773 words)

One of the core functions of conferences is to allow colleagues to present and discuss work in progress. Here we share the results of a fruitful session where colleagues researching the introduction of new roles in health and social care saw many important parallels that will help them in developing and sharpening their analysis.

On the 2 and 3 July 2025 Newcastle University hosted the 18^th annual Health Services Research conference. It featured nine thematic streams including Person Centred Care, Workforce, Digital, Social Care and Health Inequalities. Delegates had an opportunity to attend research discussions and Pecha Kucha sessions (short form presentations), workshops (e.g., ‘How do we know if HSR impacts on Policy?’ led by Unit Director Professor Annette Boaz), plenary sessions (e.g., ‘The 2030 workforce: how will innovative research deliver impact’?), meet ups (e.g., for Early career researchers) and to view research posters.

One of the research discussion sessions in the Workforce stream featured four presentations related to various new roles being developed in UK health and care services. Unit researcher Dr Antonina Semkina presented on the ‘New Roles in Health and Social Care: What is the nature of new care coordinator roles?’ project that she is conducting as part of the Health and Social Care Workforce Policy Research Unit programme of work. The research project, developed in collaboration with the Unit Public Contributors Involvement and Engagement group, focuses on what kinds of new care co-ordinator roles are being created, what tasks are delegated to them and the implications for various stakeholders (e.g., colleagues’ workload). Continue reading →

The role of relationships when women navigate experiences of homelessness and violence

Posted on July 15, 2025 by Stephen Martineau

Carolin Hess in Rabat

PhD student at King’s, Carolin Hess, reports from the International Sociological Association Forum.

I am grateful to have received a SSPP PGR grant to attend the ISA (International Sociological Association) Forum in Rabat, Morocco (6.-11^th of July 2025).

With over 4,000 presenters from over 100 countries, and a (multilingual) schedule running from 9am to 8pm over five days, the conference offered a great overview of current debates in sociology and an excellent environment for connections. I attended presentations and met other scholars working on (women’s) homelessness, healthcare access and social policy in the UK and internationally. Some interesting conversations following these sessions sparked ideas for future research and potential collaborations. Being in Rabat and having some time in the evenings to drink mint tea together and explore the medina (old city) and local food, added to the experience.

At the forum, I also had the opportunity to present findings from my doctoral research project on “the role of relationships when women navigate experiences of homelessness and violence”. I presented in a session on Bodies, (trans) Genders and Violences, alongside researchers exploring the materiality of the gaze, conceptualization of violence, and experiences of (trans) bodies. With about 15-20 people attending the session, the subsequent discussion provided some helpful new perspectives on gender and performativity.

I would like to thank the SSPP, as well as my NIHR doctoral fellowship for their financial support to attend the conference and to make it possible for me to travel overland from London via Paris and Madrid. While a slower, and often more expensive way to travel, taking train, bus, and ferry felt like a more memorable and sustainable choice, allowing me to appreciate the distance (and providing ample of time to get some work done along the way!).

Carolin Hess is a PhD student at the NIHR Policy Research Unit in Health and Social Care Workforce in the Policy Institute at King’s.

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Welcome to the blog of the NIHR Policy Research Unit in Health and Social Care Workforce at King's College London