Works ksho hop: p: A Post t Covid-19 Agenda nda for Integrated egrated Employ ploymen ment t Relations ns in Health h and Social al Care e
Purpose 1. A New Agenda? 2. Feedback 3. Other Issues 4. Next Steps 2 KING’S BUSINESS SCHOOL | kcl.ac.uk/business
Agenda 1. Migrants: Stephen Bach 2. Pay: Ian Kessler 3. Learning: Richard Griffin 4. Outsourcing: Damian Grimshaw 5. Discussants & Discussion: - Kathryn Mackridge, TUC - Rachael McIlroy, RCN - Jon Sutcliffe, LGA - Stephanie Tailby, UWE 6. Summary 3 KING’S BUSINESS SCHOOL | kcl.ac.uk/business
This workshop is supported by the National Institute for Health Research (NIHR) Policy Research Programme (Policy Research Unit in Health and Social Care Workforce: Ref. PR-PRU-1217-21002). The views expressed are those of the contributors and not necessarily those of the NIHR or the Department of Health and Social Care. 4 KING’S BUSINESS SCHOOL | kcl.ac.uk/business
Structure 1. Migrants Challenges 2. Pay Current Covid-19 Set-up 3. Learning & Imagined Development Futures 4. Outsourcing 5. Discussants & Discussion 5 KING’S BUSINESS SCHOOL | kcl.ac.uk/business
Integration Parity Fair Care Work Compliance Voice
The contribution of migrant workers in health and social care
The challenges of Covid-19 Role of migrant workers Impact of Covid-19 Systemic but uneven reliance on A dispensable and ‘temporary’ migrant workforce: workforce - sector - occupation - location Keeping staff safe? Experience of employment: Impact of precarious work and reliance - integral component employer strategy on SSP - informal employment practices - vulnerability of migrant workers Higher death rates Reinforces poor working conditions 8 KING’S BUSINESS SCHOOL | kcl.ac.uk/business
Mapping a way forward Goal Ensure migrant workers are an integrated, planned and valued part of the workforce that results in dignity and fairness at work and removes their status as temporary, disposable and marginal workers, Shifting the immigration regime Trade union, professional association and employer policy An opportunity: Made the invisible visible 9 KING’S BUSINESS SCHOOL | kcl.ac.uk/business
Pay KING’S BUSINESS SCHOOL | kcl.ac.uk/business 10
Pay Determination Pay Criteria Challenges Recruitment Comparability Outsourced: Deregulated Healthcare: Retention Social Affordability Care: AfC Workforce Labour Market Capacity Green Need PRB Book Skills Mix Restraint Worth COVID
Mapping the Way Forward • Bonus Fair Reward Skill Premium • Occupation • Informed CB Sector PRB • Fair Pay Rate Ethnicity • Commission Gender • Earnings Locality Indexation Sustainable • CoL Fair Pay Indexation • Comparability 12 KING’S BUSINESS SCHOOL | kcl.ac.uk/business
A new deal for health and social care workforce learning
Context • 1.5 million “unregulated” H&SC workers • Learning matters for everyone but access is uneven • Three reviews since 2006 - missed opportunities? • Recurring themes: siloes, quality, transferability, standardisation, progression • Improved learning improves outcomes 14 KING’S BUSINESS SCHOOL | kcl.ac.uk/business
Recommendations • “One workforce” approach • Learning entitlements • “System (ICS) by default” • Career information and guidance (LLL) • Training levy not (just) the apprenticeship levy • Greater role for trade unions/professional bodies (ULRs) • Common education and development frameworks & skills passports 15 KING’S BUSINESS SCHOOL | kcl.ac.uk/business
Outsourcing health and social care
Covid-19 challenges Extensive engagement of private sector firms is raising key questions • Two-tier working conditions? o Sickness absence benefits o Pay o High staff turnover/ discontinuity of care o Irregular employment contracts • Fragmented supply chains? Short-term outsourcing contracts/ unclear accountability • Clash of values – collective/social purpose versus shareholder dividends? 17 KING’S BUSINESS SCHOOL | kcl.ac.uk/business
A way forward: Social Purpose License • Learn from existing initiatives (Fair Work Wales, Unison’s Ethical Care Charter, Living Wage Foundation ‘Recognised Service Providers’, Two Tier Code • Establish forum for all stakeholders to negotiate a new UK-wide mandatory approach • Objective: a new Social Purpose License Public sector Provider Regulator commissioner/ client 1) All terms and conditions at least as favourable • Awards, monitors, 1) 5+ years contracts as Agenda for Change reviews and revokes 2) Fee to cover fair work 2) All conditions extended to temp. agency staff Social Purpose 3) High quality services 3) No zero hours contracts License 4) Oversee training 4) Union recognition • Adapt License with 5) Capital return less than 5% new research 6) Parent company uK domiciled evidence 7) No private equity fund control 18 KING’S BUSINESS SCHOOL | kcl.ac.uk/business
Summary and Next Steps
Parity: Integration -Skill - Providers -Occupation -Sectors -Nationality -Ethnicity -Locality Fair Care Work Compliance Voice - New regulation -Pay -Existing regulation -Learning -Research/evaluation -H&S
The Future: Making it Happen • What: Policy Development • Where: Spaces • Who: Stakeholders • How: Researchers • When: Timetable 21 KING’S BUSINESS SCHOOL | kcl.ac.uk/business
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