Arksey, Hilary

Governments of advanced European welfare states with ageing populations are struggling to reconcile what seem to be conflicting policies. On the one hand, they are trying to increase the labour market participation of women and older workers. On the other hand, they are making more demands on people to care for disabled, chronically ill and frail older relatives and friends. Those caregivers are more likely to be women and older people.

Carers and people with disabilities are two disadvantaged groups at risk of social exclusion. Work is an important route to social inclusion, but carers and people with disabilities are under-represented in the work force. The present paper reports key findings from a new study that evaluated People into Employment (PIE), a pilot employment project in the north-east of England designed to support people with disabilities, carers and former carers in gaining mainstream work.

The Department for Work and Pensions (DWP) commissioned the Social Policy Research Unit at the University of York to conduct research exploring the aspirations and decisions around work and retirement of people looking after disabled or sick relatives, friends, or older people. The study involved three elements: a literature review; in-depth interviews with 80 carers; and focus groups with professionals from Jobcentre Plus, social services departments and carers organisations who worked with carers.

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.

Mental ill health is very common. Most people with mental health problems live in the community, and as many as 1.5 million people in the UK may be involved in caring for a relative or friend with a mental illness or some form of dementia. Recent legislation and policy initiatives such as the National Strategy for Carers, and the National Service Frameworks for Mental Health and Older People emphasise the importance of providing support for this particular group of carers.

The aims of the study were to summarise available research evidence, to identify key gaps in existing knowledge and to identify priorities for further research in the area of services to support carers. The literature review examined and summarised evidence from published and unpublished literature (both UK and international) between 1985 and 2001 about effective and cost-effective services to support carers.