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The Effectiveness of Paid Services in Supporting Unpaid Carers’ Employment in England

  • LINDA PICKARD (a1), DEREK KING (a2), NICOLA BRIMBLECOMBE (a3) and MARTIN KNAPP (a4)

Abstract

This paper explores the effectiveness of paid services in supporting unpaid carers’ employment in England. There is currently a new emphasis in England on ‘replacement care’, or paid services for the cared-for person, as a means of supporting working carers. The international evidence on the effectiveness of paid services as a means of supporting carers’ employment is inconclusive and does not relate specifically to England. The study reported here explores this issue using the 2009/10 Personal Social Services Survey of Adult Carers in England. The study finds a positive association between carers’ employment and receipt of paid services by the cared-for person, controlling for covariates. It therefore gives support to the hypothesis that services for the cared-for person are effective in supporting carers’ employment. Use of home care and a personal assistant are associated on their own with the employment of both men and women carers, while use of day care and meals-on-wheels are associated specifically with women's employment. Use of short-term breaks are associated with carers’ employment when combined with other services. The paper supports the emphasis in English social policy on paid services as a means of supporting working carers, but questions the use of the term ‘replacement care’ and the emphasis on ‘the market’.

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Copyright

This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.

References

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Arksey, H. and Glendinning, C. (2007), ‘Choice in the context of informal caregiving’, Health and Social Care in the Community, 15: 2, 165–75.
Arksey, H. and Glendinning, C. (2008), ‘Combining work and care: carers’ decision-making in the context of competing policy pressures’, Social Policy and Administration, 41:1, 118.
Buckner, L., Fry, G. and Yeandle, S. (2009), Carers in the Region: Regional Factsheets on Carers, London: Department of Health.
Bullock, K., Crawford, S. L. and Tennstedt, S. L. (2003), ‘Employment and caregiving: exploration of African American caregivers’, Social Work, 48: 2, 150–62.
Care Act 2014 (c.23), London: The Stationery Office (TSO), http://www.legislation.gov.uk/ukpga/2014/23/contents/enacted/data.htm
Carmichael, F., Charles, S. and Hulme, C. (2010), ‘Who will care? Employment participation and willingness to supply informal care’, Journal of Health Economics, 29: 1, 182–90.
Children and Families Act 2014 (c.6), London: TSO, http://www.legislation.gov.uk/ukpga/2014/6/contents/enacted.
Colombo, F., Llena-Nozal, A., Mercier, J. and Tjadens, F. (2011), Help Wanted? Providing and Paying for Long-Term Care, Paris: OECD.
Covinsky, K. E., Eng, C., Lui, L.-Y., Sands, L. P., Sehgal, A. R., Walter, L. C., Wieland, D., Eleazer, G. P. and Yaffe, C. (2001), ‘Reduced employment in caregivers of frail elders: impact of ethnicity, patient clinical characteristics and caregiver characteristics’, Journal of Gerontology: Medical Sciences, 56A: 11, M707M713
Doty, P., Jackson, M. E. and Crown, W. (1998), ‘The impact of female caregivers’ employment status on patterns of formal and informal eldercare’, The Gerontologist, 38: 3, 331–41.
Evandrou, M. (1995), ‘Employment and care, paid and unpaid work: the socio-economic position of informal carers in Britain’, in Phillips, J. (ed.), Working Carers, Aldershot: Avebury, pp. 2041.
Evandrou, M. and Glaser, K. (2002), ‘Changing economic and social roles: the experience of four cohorts of mid-life individuals in Britain, 1985–2000’, Population Trends, 110: 1930.
Fine, M. D. (2012), ‘Employment and informal care: sustaining paid work and caregiving in community and home-based care’, Ageing International, 37: 1, 5768.
Fry, G., Singleton, B., Yeandle, S. and Buckner, L. (2011), Developing a Clearer Understanding of the Carer's Allowance Claimant Group, London: Department for Work and Pensions (DWP).
Heitmueller, A. (2007), ‘The chicken or the egg? Endogeneity in labour market participation of informal carers in England’, Journal of Health Economics, 26: 3, 536–59.
Henz, U. (2004), ‘The effects of informal care on paid-work participation in Great Britain: a lifecourse perspective’, Ageing and Society, 24: 6, 851–80.
HMG (1999), Caring About Carers: A National Strategy for Carers, London: TSO.
HMG (2008), Carers at the Heart of 21st-Century Families and Communities: ‘A Caring System on your Side – A Life of your Own’, London: TSO.
HMG (2010), Recognised, Valued and Supported: Next Steps for the Carers Strategy, London: TSO.
HMG (2014), Carers Strategy: Second National Action Plan 2014–2016, London: TSO.
HMG and Employers for Carers (2013), Supporting Working Carers: The Benefits to Families, Business and the Economy, London: Carers UK.
HSCIC (2010a), Personal Social Services Survey of Adult Carers in England, 2009–1, Leeds: HSCIC.
HSCIC (2010b), Comparison of Results from Surveys of Carers, 2009–10, Leeds: HSCIC.
HSCIC (2010c), Survey of Carers in Households 2009–10, Leeds: HSCIC.
House of Commons (2014), Care Act 2014, Explanatory Notes, London: TSO, http://www.legislation.gov.uk/ukpga/2014/23/resources.
King, D. and Pickard, L. (2013), ‘When is a carer's employment at risk? Longitudinal analysis of unpaid care and employment in midlife in England’, Health and Social Care in the Community, 21: 3, 303–14.
Lewis, J. and West, A. (2014), ‘Re-shaping social care services for older people in England: Policy developments and the problem of achieving “good care”’, Journal of Social Policy, 43: 1, 118.
Lilly, M. B., Laporte, A. and Coyte, P. C. (2007), ‘Labor market work and home care's unpaid caregivers: a systematic review of labor force participation rates, predictors of labor market withdrawal, and hours of work’, The Milbank Quarterly, 85: 4, 641–90.
Lundsgaard, J. (2006), ‘Choice and long-term care in OECD countries: care outcomes, employment and fiscal sustainability’, European Societies, 8: 3, 361–83.
McLaughlin, E. and Glendinning, C. (1994), ‘Paying for care in Europe: is there a feminist approach?’, in Hantrais, L. and Mangen, S. (eds.), Family Policy and the Welfare of Women, Loughborough: European Research Centre.
Milne, A., Brigden, C., Palmer, A. and Konta, E. (2013), ‘The intersection of employment and care: evidence from a UK case study’, European Journal of Social Work, 16: 5, 651–70.
Motel-Klingebiel, A., Tesch-Roemer, C. and von Kondratowitz, H.-J. (2005), ‘Welfare states do not crowd out the family: evidence for mixed responsibility from comparative analyses’, Ageing and Society, 25: 6, 863–82.
Parker, G. (1993a), ‘A four-way stretch? The politics of disability and caring’, in Swain, J., Finkelstein, V., French, S. and Oliver, M. (eds.), Disabling Barriers: Enabling Environments, London: Sage, pp. 248–56.
Parker, G. (1993b), ‘Informal care of older people in Great Britain: the 1985 General Household Survey’, in Twigg, J. (ed.), Informal Care in Europe, University of York: Social Policy Research Unit.
Phillips, J., Bernard, M. and Chittenden, M. (2002), Juggling Work and Care, Bristol: The Policy Press.
Pickard, L (2001), ‘Carer break or carer blind? Policies for informal carers in the UK’, Social Policy and Administration, 35: 4, 441–58.
Pickard, L. (2012), ‘Substitution between formal and informal care: a “natural experiment” in social policy in Britain between 1985 and 2000’, Ageing and Society, 32: 7, 1147–75.
Pickard, L., King, D., Knapp, M. and Perkins, M. (2012), Overcoming Barriers: Unpaid Care and Employment. Findings from the Scoping Study, London: National Institute for Health Research (NIHR) School for Social Care Research (SSCR), http://www2.lse.ac.uk/LSEHealthAndSocialCare/pdf/Findings_10_carers-employment_web.pdf.
Pickard, L., King, D., Knapp, M. and Brimblecombe, N. (2013), Can We Save the Government £1.3 Billion in Benefits and Lost Taxes Annually by Supporting Carers to Stay in Work? London: NIHR SSCR, http://www.sscr.nihr.ac.uk/PDF/Insights/IN35.pdf.
Scharlach, A. E., Gustavson, K. and Dal Santo, T. S. (2007), ‘Assistance received by employed caregivers and their care recipients: who helps care recipients when caregivers work full time?’, The Gerontologist, 47: 6, 752–62.
Seddon, D., Robinson, C., Bowen, S. and Boyle, M. (2004), ‘Supporting carers in paid employment: developing a needs-led approach’, Quality in Ageing, 5: 1, 1423.
StataCorp (2011), Stata Statistical Software: Release 12.1, StataCorp LP, College Station, Texas.
Twigg, J. (1992), ‘Carers in the service system’, in Twigg, J. (ed.), Carers: Research and Practice, London: HMSO, pp. 5993.
Twigg, J. (1996), ‘Issues in informal care’, in OECD (ed.), Caring for Frail Elderly People: Policies in Evolution, Paris: OECD, pp. 8192.
Vickerstaff, S., Loretto, W., Milne, A., Alden, E., Billings, J. and White, P. (2009), Employment Support for Carers, London: DWP.
White-Means, S. I. (1997), ‘The demands of persons with disabilities for home health care and the economic consequences for informal caregivers’, Social Science Quarterly, 78: 4, 955–72.
Williams, F. (2004), Rethinking Families, London: Calhouste Gulbenkian Foundation.
Work and Families Act 2006 (c.18), London: TSO, http://www.legislation.gov.uk/ukpga/2006/18/pdfs/ukpga_20060018_en.pdf.
Yeandle, S., Bennett, C., Buckner, L., Fry, G. and Price, C. (2007), Managing Caring and Employment, London: Carers UK.
Young, H., Grundy, E. and Kalogirou, S. (2005), ‘Who cares? Geographic variations in unpaid caregiving in England and Wales: evidence from the 2001 Census’, Population Trends, 120: 2334.
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Journal of Social Policy
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