This study examines:
- the extent to which the National Minimum Wage has become the benchmark for hourly pay in domiciliary care
- the changes in pay and hours during a period in which domiciliary care has been increasingly outsourced to the independent sector (and the pressure upon contracts has increased)
- changes to the earnings and working arrangements (including increased reliance on zero-hours contracts) of domiciliary workers
- the impact of the contracting process on paid induction, NVQ training, accreditation and supervision, workforce composition and the ratio of senior care workers to care workers
The analysis is based on 265,683 records for adult domiciliary care workers contained in the National Minimum Data Set for Social Care (NMDS-SC) for England between 2008 and 2012. These records are supported by 5 case studies of local authorities highlighting the arrangements for
the commissioning of domiciliary care.