Organising among paid care workers

A qualitative study exploring the priorities, experiences and progress of paid care worker organising in England, with a focus on pay, conditions and worker voice.

Key messages 

  • care workers identified pay and working conditions as central concerns 
  • systemic and structural issues shape everyday experiences of care work 
  • participants highlighted limited influence over decision-making processes 
  • organising was seen as a way to make care workers’ experiences more visible 
  • informal practices and collective action were used to address workplace issues. 

Policy implications 

  • decision-making in social care should better reflect frontline experience 
  • mechanisms to support worker voice could strengthen workforce sustainability 
  • pay and conditions remain key levers for recruitment and retention 
  • engagement with care worker organisations may improve policy relevance. 

Gaps 

  • findings are based on qualitative interviews 
  • the study does not assess the impact of organising on outcomes 
  • experiences may vary across regions and care settings 
  • longer-term analysis of organising efforts is needed. 

Commentary 
This study provides insight into how paid care workers in England understand their working conditions and the role of organising in addressing long-standing challenges. Participants described organising as both a response to low pay and poor conditions and a way of asserting professional identity within a marginalised sector. 

The findings show that care workers often feel disconnected from decision-making structures that shape their work. Organising activities were framed as efforts to make everyday realities visible to employers and policymakers, rather than solely as formal union activity. 

Considering care equity, the study highlights how unequal power within the workforce affects both workers and the people they support. When care workers’ voices are excluded from policy and practice, inequities in pay, security and conditions are sustained. These workforce inequities have downstream effects on continuity and quality of care, particularly in a sector employing large numbers of women and people from marginalised groups. 

Overall, the paper suggests that supporting care worker voices is not only a labour issue but a care issue. Strengthening avenues for collective input may contribute to fairer working conditions and a more equitable and stable care system. 

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