Only fairer wages and a national care service can solve social care crisis, says Unison

The recruitment crisis in social care won't be resolved until wages rise in the sector, according to Unison, and achieving this with the government's promised fair pay agreement will be the first step towards a much-needed national care service in England

© National Cancer Institute/Unsplash

© National Cancer Institute/Unsplash

The recruitment crisis in social care won't be resolved until wages rise in the sector, according to Unison, and achieving this with the government's promised fair pay agreement will be the first step towards a much-needed national care service in England.

Unison's standing up for care workers motion was the first debate of the four-day Trades Union Congress (TUC), in Brighton. The union's proposal also calls for a credible workforce strategy and an end to the exploitation of migrant care staff.

Social care employers in England already have 131,000 fewer staff than they need. As long as pay rates in care stick around the minimum-wage mark, the sector won't be able to recruit and retain the workers needed to meet the growing demands of an ageing population, says Unison.

The new government has also committed to establishing a national care service, a move which the union says is essential to provide quality support to everyone who needs it and their families. A national service would also relieve pressure on the NHS, and help promote care work as fairly paid and a career worth having, the union adds.

The development of a fair pay agreement will additionally help to stop the illegal underpayment of wages especially among the migrant workers who are essentially stopping the sector from going under, says Unison.

In its motion, the union says ‘unions must hold Labour to account on its plans to ensure providers behave responsibly'.

The motion to the TUC Congress also highlights how poor pay and working conditions – such as a lack of sick pay – explain why skilled care staff are leaving for better-paid, less-stressful jobs elsewhere, and care firms are struggling to attract new employees. 

In addition, the motion adds: 'This crisis has been caused by a toxic combination of years of chronic underfunding, privatisation and workforce exploitation. Employment in the sector is frequently insecure and largely underpaid, often illegally so.

'Proper sick pay remains elusive for thousands of care workers, along with training and progression opportunities. Congress is particularly alarmed at the exploitation of the migrant workforce.'

Unison general secretary, Christina McAnea, said: ‘Care workers will only feel valued enough to stay when they are paid higher wages and treated better. The crumbling care system is in desperate need of reform, but real change can only begin when salaries reflect the skilled work staff do.

'A national care service would mean fewer older people going into hospital because of a lack of support, freeing up beds and allowing the NHS to cut waits and delays for patients. It would also put a stop to the appalling treatment of employees from overseas.'

Unions slam government's suggested pay rise for healthcare professionals in 2026

Unions slam government's suggested pay rise for healthcare professionals in 2026

By Liz Wells 31 October 2025

Trade unions representing healthcare professionals have reacted angrily to the government's submission to the NHS Pay Review Body for 2026/27.

State of district nursing workforce a 'reality check' Government's NHS reforms

By Liz Wells 31 October 2025

Government plans to move more NHS care into the community won’t be achievable unless action is taken to address the ‘dire state’ of district nursing, with an...

Hospital leaders report surgery delays due to anaesthetist shortages

By Liz Wells 30 October 2025

Patients are facing regular delays to their planned operations because hospitals do not have enough anaesthetists, a new report reveals.


Popular articles by Liz Wells