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Efficiency and Equity Considerations in the Employment of Health Care Assistants and Support Workers

Published online by Cambridge University Press:  01 April 2008

Carole Thornley*
Affiliation:
School of Economic and Management Studies, and Director of Postgraduate Research, Institute for Public Policy and Management, Keele University, Staffordshire, ST5 5BG E-mail: ida10@keele.ac.uk

Abstract

A major policy plank in health and social care involves rebalancing ‘skillmix’ or occupational grademix to effect cost efficiency savings. In line with this, there has been a large expansion in recent years in the employment of care assistants/support workers. This article focuses on the largest employment area for these occupations – healthcare. It draws upon commissioned research projects to detail the context for the introduction of these new grades, to highlight issues in practice and usage to date, and to analyse tensions between policy objectives around efficiency and equity in the employment of these workers.

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Articles
Copyright
Copyright © Cambridge University Press 2007

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