Category Archives: Training

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

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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 →

Assessing practice: the OSCE adapted for social work

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photo of Imogen Taylor

Professor Imogen Taylor, University of Sussex, reports on the first seminar in a new series hosted by the Social Care Workforce Research Unit at which she was discussant. (332 words)

Professor Marion Bogo from the University of Toronto Faculty of Social Work gave the first of the new Social Work Seminar Series at King’s College London on Tuesday 5 May on the topic of the use of the OSCE, an Objective Structured Clinical Exam, in social work.

The invited audience for this virtual seminar [these are Prof Bogo’s presentation slides] came from social work policy, education, research and practice, including key members of stakeholder groups, to hear about the use of the OSCE in North America and debate its application to social work in England.  We learned that the OSCE was initially developed in medical education in the 1970s in Scotland and has been adopted by other health related professions. In North America, it is now being piloted and researched in social work. The essence of the social work OSCE is two-fold: first, practice competence is directly observed and assessed in 15-minute simulated interviews with standardised clients/users played by actors trained to enact the role of a client scenario; second, immediately post-interview, ‘meta-competences’ are assessed  in a rating of the students’ critical reflection on their practice, how they linked theory to practice and what they planned to take forward from the experience. Continue reading →

Piloting the Sababu Intervention in the wake of Ebola

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Meredith NewlinMeredith Newlin, Research Fellow at the Social Care Workforce Research Unit in the Policy Institute at King’s, reports from Sierra Leone. Her post incorporates photographs of the Sababu Training Programme in action last month. (1,386 words)

The Ebola outbreak, which reached Sierra Leone in May 2014, quickly became a global health crisis and caused significant psychosocial distress and a disintegration of communities across West Africa. The case numbers are now dropping and Sierra Leoneans talk about the ‘aftermath’ and a shift towards a recovery phase. However, amid a resource-limited system there is still an urgent call to address the psychosocial needs of individuals and families by enhancing the skills and capacity of the existing workforce. Continue reading →