Hmic

Issues related to paid work and care are of global importance, reflecting the twin pressures of population ageing and efforts to increase labour market participation. Informal carers of sick, disabled or older people can experience tensions between policies aimed at support for care and support for employment. This article discusses a study of carers’ decision-making around work and care, drawing on evidence from interviews with 80 working-age carers in England.

The views of people with experiences of using services and the views of their carers about the 2005 Mental Capacity Act (England and Wales) are reported in this article. Interviews with ten people about the detail of the Act prior to its implementation revealed that they welcomed the principles of the Act, and were able to relate these to aspects of their experiences. The Act's framework for planning around care and treatment and for making advance decisions was seen as offering greater choice and empowerment.

This paper examines the burdens experienced by caregivers of people with schizophrenia. In-depth interviews were undertaken with 107 caregivers (79 caregivers of clients with a forensic history and 28 caring for non-offenders) and categorised into burden dimensions using content analysis. The severity of the burdens faced was also recorded. The types of burden experienced by the two groups were examined using chi squared and t-tests. Results indicated that the two groups described a similar number of burdens.

Background: Patients with severe and enduring mental health problems are increasingly being cared for in the community. Whilst community services continue to develop it is recognized that family members and friends play an important role in the care process.

Aims: (i) to assess the level of service use and associated costs of carers, (ii) to compare service use to that pertaining in the general population, and (iii) to identify carer characteristics that are predictive of cost variations.

Objectives: To determine whether a social support intervention (access to an employed befriending facilitator in addition to usual care) is effective compared with usual care alone. Also to document direct and indirect costs, and establish incremental cost-effectiveness.

Design: The Befriending and Costs of Caring (BECCA) trial was a cost-effectiveness randomised controlled trial. Data on well-being and resource use were collected through interviews with participants at baseline and at 6, 15 and 24 months.

While the regulations allowing staff parental leave are quite specific, those governing other caring responsibilities are less clear. [Introduction]

This paper reports an analysis of the relative influence of work-related, care-related and personal factors on carer outcomes among 204 working female carers. To examine the importance of personal factors, the ‘Motivations in Elder Care Scale’ (MECS) and the ‘Relationships in Elder Care Scale’ (RECS) were developed. In a qualitative pilot study, interviews with working-age carers were drawn on to form the items for inclusion.

There are six million unpaid carers in the UK who look after relatives, friends, children or older people who are sick or disabled. The number of carers is growing and the Department for Work and Pensions (the Department) estimates that the number of carers it supports will increase by about a quarter by 2014-15. The nature of care obligations varies. Care may be provided throughout life, during a chronic condition, over distinct periods, or towards the end of a person’s life. Appendix One provides examples of caring responsibilities from our survey of carers.

NHS teams should also make carers aware of statutory right to social services assessment and explain process. [Journal abstract]