The good care framework: Workforce

Healthwatch Waltham Forest undertook research on workforce and employment issues within health and social care. They engaged 1,092 survey respondents, 430 attendees at community events and members of several seldom-heard groups through the Big Conversation programme to explore what local people believe is needed to attract, retain and support the health and care workforce. 

The research found that many people were interested in careers in health and care because they wanted to help others, make a difference and use transferable skills. Those already working in the sector often reported high levels of job satisfaction and a strong sense of purpose. However, people considering leaving health and care cited poor work-life balance, workforce shortages, high workloads, increasing patient demand, low morale, inadequate pay and concerns about resources and funding. 

Participants highlighted the importance of flexible working, good mental health support, clear career progression, living wages, mentoring opportunities and training pathways that allow people to earn while learning. They also emphasised the need for workplaces to support disabled people, parents, carers and people from under-represented backgrounds, as well as improving access to careers through apprenticeships, community outreach, ESOL provision and stronger links between employers, schools and training providers. 

Healthwatch Waltham Forest developed a Good Care Framework for workforce development based on four principles: care should be accessible, competent, person-centred and trustworthy. The report recommended creating more flexible and inclusive workplaces, improving staff wellbeing and retention, strengthening training and career development opportunities, increasing diversity in recruitment, and ensuring health and care professionals feel valued, supported and empowered to deliver high-quality care.