Shereen Hussein

Abstract: Recent years have seen considerable increases in the number of internationally-qualified social workers in England. This article presents trends in the international labour mobility of social workers migrating to work in England alongside information on the supply of UK-trained social workers. It concludes that demographic changes and policy imperatives have accentuated structural issues making it difficult to ensure an adequate supply in the number of domestically-trained social workers. We suggest that more cross-national research is needed to achieve a better understanding of the factors influencing social workers’ decisions to work in international settings and the extent to which this reflects permanent or temporary migration between countries.

Abstract: Drawing from 81 interviews with practitioners in social care and housing with care services in the United Kingdom, this paper explores practice issues in rural areas when supporting the mental health and well-being of older people from Black and minority ethnic groups. The paper begins with a review of the literature which provides evidence that BME older people are likely to be increasingly part of the populations of rural areas. Next it presents interview data revealing that while practitioners are aware of such demographic changes in general terms; some feel that they lack training and skills in adapting their professional practice to support all older people. Others express feelings of professional isolation in seeking to support older people from minority groups and are concerned that older people from minority groups may be at risk of isolation and loneliness. The paper concludes with a discussion of the study's implications for rural practice, policy and research.

Abstract: Little is known about the social care workforce supporting people with dementia in England. This article seeks to compare the characteristics of people employed in the social care sector supporting people with dementia with other members of the social care workforce.

Abstract: • Summary: Understanding why people want to be social workers is important both for developing social work education and for the profession as a whole. This article presents evidence about the motivations of students enrolled on social work degree programmes in England and draws on data from 3000 responses of three successive intakes of students responding to six online surveys and 26 focus group interviews involving 168 students from nine different social work programmes in six case study sites. The article locates these data in the context of earlier studies of social workers’ motivations, the changing policy context and the changes introduced by the new degree. • Findings: Similar to previous studies, the current analysis shows that altruistic motivations dominated, but students were also influenced by career issues and the day-to-day aspects of social work. The data highlight continuities with the former qualification in social work in the UK (the DipSW) and provide evidence that the introduction of the social work degree has not dramatically changed the underlying motivations of social work students. • Applications: Understanding student motivations is important in terms of recruitment to social work qualifying programmes and subsequent retention within the profession. Social work educators and employers need to pay attention to the consequences of mismatches between motivations and expectations about what professional practice involves.

Abstract: This article reports part of the findings of research undertaken between 2007 and 2009 that aimed to investigate the contribution made by migrant workers to the care workforce in England. The study involved analysis of national statistics on social care and social workers and semi-structured interviews with a wide range of stakeholders, including ninety six migrant care workers. The interviews elicited some accounts relating experiences of racism and discrimination from some people using social care services, employers, and UK-born care workers. This included directly racist comments and refusals to receive services from workers from a visibly different ethnicity alongside more subtle racism. The research highlights the different kinds of racism experienced by migrant care workers and the importance of the support they receive in terms of balancing their right to protection, managing the workforce, and respecting the choice of people using social care services.

Abstract: Literature highlights the potential for refugees to contribute to the labour force of receiving countries. Such a contribution may be welcomed in sectors, such as social care, where demand for labour is increasing and high vacancy rates exist. This article reports on empirical data examining the potential of refugee communities to work in social care in England. The analysis is based primarily on 20 interviews with refugees and asylum seekers and five representatives of refugee support groups, conducted in 2008-2009. The findings of this sub-study are set within results obtained from other interviews as part of a multi-methods study examining the contribution of migrants to the English care sector. In-depth interviews were analysed thematically, guided by a theoretical framework linking employment, migration and the nature of care work. The findings highlight a general willingness of refugee participants to join the care workforce. Individual and structural barriers to increased employability were identified, as well as possible strategies to overcome them. Although the findings and discussions presented are based on data collected in England and are specific to the care sector, most are more generalisable and may inform strategies aiming at maximising refugees' employability in other sectors and in other developed states.

Abstract: This article reports part of the findings of research undertaken between 2007 and 2009 that aimed to investigate the contribution made by migrant workers to the care workforce in England. The study involved analysis of national statistics on social care and social workers and semi-structured interviews with a wide range of stakeholders, including ninety six migrant care workers. The interviews elicited some accounts relating experiences of racism and discrimination from some people using social care services, employers, and UK-born care workers. This included directly racist comments and refusals to receive services from workers from a visibly different ethnicity alongside more subtle racism. The research highlights the different kinds of racism experienced by migrant care workers and the importance of the support they receive in terms of balancing their right to protection, managing the workforce, and respecting the choice of people using social care services.

Abstract: Literature highlights the potential for refugees to contribute to the labour force of receiving countries. Such a contribution may be welcomed in sectors, such as social care, where demand for labour is increasing and high vacancy rates exist. This article reports on empirical data examining the potential of refugee communities to work in social care in England. The analysis is based primarily on 20 interviews with refugees and asylum seekers and five representatives of refugee support groups, conducted in 2008–2009. The findings of this sub-study are set within results obtained from other interviews as part of a multi-methods study examining the contribution of migrants to the English care sector. In-depth interviews were analysed thematically, guided by a theoretical framework linking employment, migration and the nature of care work. The findings highlight a general willingness of refugee participants to join the care workforce. Individual and structural barriers to increased employability were identified, as well as possible strategies to overcome them. Although the findings and discussions presented are based on data collected in England and are specific to the care sector, most are more generalisable and may inform strategies aiming at maximising refugees’ employability in other sectors and in other developed states.

Abstract: Amongst initiatives by social work employers in the United Kingdom (UK) to resolve recruitment difficulties is the use of secondment and sponsorship to attract entrants to the profession; commonly known as Grow Your Own schemes. This paper reports on part of a mixed-method research study that asked 'What works in Grow Your Own (GYO) schemes?' in England. One important research question for this study was whether the characteristics of seconded or sponsored social work students differ from those of other social work students. To explore this, the researchers analysed around 41,000 students' anonymous data records supplied by the General Social Care Council covering enrolments on social work programmes from 1998 to 2007. The findings indicate that GYO schemes have facilitated the participation of men, Asian groups and older applicants in social work qualifying programmes when compared to the general population of social work students. However, students from Black ethnic backgrounds and those with disabilities have been more likely to be under-represented in such schemes. The findings are discussed within the wider study remits and messages for educationalists and social work employers are drawn out.

Abstract: This paper reports the use of vignettes as a methodology to analyse the extent to which the new social work degree programmes enabled students to develop their analytical and reflective capabilities. Two vignettes, which focused on children and families and adult social care respectively, were developed for the study. Students were asked to respond in writing, from the perspective of a social worker, to a standard set of questions at the beginning (T1) and end of their degree programme (T2). Considering the responses to all questions across the two vignettes, a series of scales was developed to measure the key themes which had been identified by qualitative analysis. These included 'Attention to process of relationships' and 'Social/structural/political awareness'. Responses were also rated as 'descriptive', 'analytic' or 'reflective'. Students from six universities in England participated. From an original sample of 222 students, it was possible to match 79 T1 and T2 responses. Analysis of variance demonstrated statistically significant increases in nine of the 11 themes and increases in ratings for analysis and reflection. In conclusion, vignettes can be used to produce both qualitative and quantitative data in respect of changes in students' acquisition of knowledge and skills over time.

Abstract: This article outlines the reasons for the recruitment of migrant workers by the adult care sector in England, as revealed by participants in a multi-method study. The background to the study is the changing socio-demographic profile of the social care workforce, notably the employment of non-UK citizens in large numbers from outside traditional recruitment sources within the British Commonwealth. The article reports on 136 individual interviews with different stakeholders from the English social care sector undertaken in 2008–2009. Drawing on a theoretical framework developed during the first phase of the study, the analysis revealed a two-fold explanation of the demand for migrant workers in the English care sector. First, to fill specific staff vacancies, either through direct recruitment of workers from outside the UK or among those already in the UK; and, second, a more strategic, but less common, decision to recruit migrants with specific characteristics. The implications for social policy are set in the context of political concerns about migration and concurrent political aspirations to improve social care through resolving recruitment difficulties.

Abstract: Over recent years there has been a growing interest in the role of migrants in the social care sector in the United Kingdom (UK) and beyond. This article reports on the findings of an online survey of migrant social care workers in the UK, undertaken to complement a larger scale qualitative study on the subject. The survey aimed to test hypothesised relationships between migrant workers' characteristics, circumstances, experiences and future plans. The survey ran from February to May 2009 and was advertised widely. A total of 101 responses were received (73% of those sent a survey link). A focus group was held with seven newly appointed migrant social workers to discuss issues arising from their experiences. Survey respondents were aged 39 years on average and were predominantly (75%) women. They came from a wide range of countries and job roles, although almost half (47%) were social workers. Most mentioned financial needs and opportunity, in addition to altruistic motivations. Challenges, including bullying and mistreatment in the sector, were highlighted. These and other findings are discussed in the context of increased demand for social care workers in the developed world, and specific barriers and challenges facing different groups of migrant social care workers.

Abstract: The UK has long experienced a shortage of social workers and has recruited internationally to meet demand. There have been few specific data quantifying the scale of social work mobility to the UK through which such experiences can be set in context. The analysis reported in this article uses data from October 2008, relating to registered social workers working in England. As part of a wider study of migrant social care workers in England, the article reports analysis of data records of over 7,000 non-UK social workers registered to work in England and compares their characteristics to UK-qualified social workers. These analyses are supplemented by analysis of more recent application and registration data from the General Social Care Council pertaining to social workers qualified within and outside the European Union during 2008 and 2009. The findings highlight several important observations in terms of non-UK-qualified social workers' profile as well as some possible trends in migration and variations in rates of qualification verification. Over half of all international social workers in England were trained in four countries: Australia, South Africa, India and the USA. Findings are contextualised with qualitative data obtained from the wider study and policy debates.

Abstract: This article reports the results of a scoping review examining the transition from student to newly qualified professional across the social work, teaching, nursing and allied health professions. The extent to which professional qualifying programmes prepare students to make the transition into the workplace is a dominant theme in the literature but there is limited consensus about how to measure this reliably and objectively. The perceptions of newly qualified professionals, their supervisors and line managers predominate, with little attention being paid to the role played by others, such as colleagues, in this transition. Tensions between employer and educator views can be observed across the professions. There is some evidence that induction has a beneficial effect. The article suggests that there is a role for more complex methodologies that encompass a broader range of perspectives, including those of colleagues and people using services, and look at the impact of preparedness upon newly qualified professionals' motivations to remain in their chosen career. The implications for social work are that efforts to improve the experiences of newly qualified social workers may need to be seen in the context of the wider system of practice and not narrowly focused on the individual practitioner.

Abstract: Migrant workers are increasingly important to the care sector in England as well as in other developed countries. The profile of migrants is likely to continue changing due to reforms in immigration policy and legislation limiting the range of jobs open to migrants from non-EU countries while facilitating migration from the new European Union accession countries. This article reports on detailed secondary analysis of newly available data on the characteristics of migrants working in the care sector as their first job. The analysis was undertaken in 2009 as part of research investigating the contribution made by migrant care workers in England. The sample was identified from the new National Minimum Data Set for Social Care (NMDSSC), which is completed by social care employers in England. Workers whose ethnicity was identified as not White British and who had their previous job abroad were used as a proxy of recent migrants. The analysis shows that this group of workers has a significantly different profile compared with other workers. Recent migrants in the care sector were significantly younger and held higher qualifications relevant to social care; however, there were no significant gender differences. They were also significantly concentrated in the private and voluntary sectors and in direct care work. There were variations between recent migrants' ethnicity and their job roles, with Asian workers more prevalent in senior care positions. These findings have a number of possible implications for social care workforce and providers, particularly within the current context of changing migration rules and social care reforms.

Abstract: In the light of expressed support for Grow Your Own or employer sponsored schemes for social work training, this article explores why they are not so frequently adopted. It draws on findings from a multi-method study of GYO activities and outcomes in England, in particular interviews with 27 participants from 20 organisations employing social workers and funding GYO activity. These interviews revealed that GYO was seen as a means to recruit and retain new social workers, specifically to recruit workers who were able to start practice immediately and needed minimal support, but also to widen access to the profession and to demonstrate evidence of the employers' wider commitment to its non-qualified staff by providing a career pathway. Not all those interviewed were able to provide firm data as evidence of their belief in the value of GYO schemes. The article concludes that the reasons for the decline in GYO schemes lie in the sizeable investment required to develop and sustain them. It identifies some mismatch between the need for immediate solutions to workforce shortages and the longer-term investment in students and in workforce development staff who are necessary to reap the benefits of such schemes.

Abstract: Despite recent policies and legislation promoting age-friendly employment in the UK, the effects of age discrimination are still evident in the hiring, retention and career development opportunities of older workers, and reflect wider societal perceptions. As well as the general challenges faced by older people who are seeking to join and stay in work, those who are members of certain groups face additional cultural, socio-economic and other barriers. This article investigates empirical data on the current stock of older workers in the adult social care sector in England, identified through the National Minimum Data Set for Social Care. It follows a previous discussion of the position of younger workers in the care sector presented in this journal. Using quantitative data analysis of a large workforce sample of the records of over 80 000 workers, we examine the changing profile of three closely related third-age cohorts and investigate the similarities and differences between those working in the care sector aged 60 years or older, and two younger age groups (50-54 and 55-59 years). The analysis shows that workers in the age range 50-75 years constitute nearly 40% of the whole workforce. In particular, the contribution of the oldest third-age group, aged 60-75 years, is substantial, at around 12% of the total. The implications of this diversity are explored.

Abstract: This paper develops a typology of people using social care services' preferences for care workers and satisfaction with social care services from a large multimethod study that explored international recruitment to the English social care sector (home and health care, including residential homes). We developed this typology with two questions in mind: (a) what led to satisfaction of care and (b) what led to preference and satisfaction with workers? Data were collected from face-to-face interviews with 35 people who were using social care services and carers (2007–2009) and these data were used to develop the typology. Using the theoretical concept of homophily, we explored contentions that people might prefer to receive care and support from individuals resembling themselves. We observed that preferences for care workers and satisfaction with social care services may be linked, but highlighted that the concept of meeting a preference is personal to the individual. The implications of users' preferences for certain care workers at a time where policy is promoting greater consumer-led care or self-directed support are discussed.

Abstract: The financial support available to students on social work qualifying programmes appears to be a neglected topic in published social work research. This article draws on a literature review and secondary data analysis of an existing dataset to discuss what is known about this topic and specifically considers the impact of a financial incentive to undertake social work qualifying education in England, the social work bursary. In the context of major changes to the funding of higher education in England, it suggests that the introduction of the social work bursary has helped increase the number of students enrolling on social work qualifying programmes in England and supported some students whose personal and financial circumstances might have prevented them from undertaking social work qualifying education. While students report their appreciation of financial assistance in the form of the bursary, many have additional needs in the form of support for children and other dependants, and for help in defraying the costs of travel while undertaking practice placements. The paper concludes that attention needs to be paid to the specific needs of social work students when considering the impact of changes to funding higher education.

Abstract: More people will receive personal budgets to pay for social care services in England. Such people may or may not continue using services such as adult day care centres. Many day centres are under threat of closure. These trends will affect those working in adult day care. This article examines the profile of this workforce, using recent NMDS-SC data and applying multinomial statistical modelling. We identified nearly 6000 adult day care workers, over half supporting adults with learning disability. The results of the analysis show significant variations between the adult day care, residential care and domiciliary workforces. At the personal level, day care workers are significantly older and less ethnically diverse than other workers. They tend to have been working in the sector for longer, and their work patterns are more stable. The findings are discussed within the context of policy changes affecting learning disabilities and social care workforce strategies.

Abstract: Mobility of labour is common within Europe and globally, particularly in social and health care. This article examines the findings from a qualitative study of 15 expert or stakeholder views that explored supply and demand factors in international social care staff recruitment to the United Kingdom (UK). Findings are that international social care workers have a better reputation and are perceived as being harder workers, more productive, more reliable, more focused and more likely to stay in a post longer than local workers. However, there is also the perception that employment in social care is a stepping-stone into other forms of employment both in the UK and when returning to home countries, through access to training, experience and improved job opportunities. The impact of migration policies on the composition of international workers is further noted because greater numbers of social care staff are coming to the UK from the European Union and fewer from Commonwealth states. Changes in the profile of international workers are discussed, with a need identified to address cultural and language differences to ensure good outcomes for service users.

Abstract: In the light of extensive media coverage of social work education, this article uses information from the Department of Health funded 3-year evaluation of the social work degree qualification in England to discuss areas in which qualifying education might be improved. The evaluation was a multi-method longitudinal study combining national data with case studies of six higher education institutions offering nine social work qualifying programmes. This article concentrates specifically on two themes: perceptions that new social workers are not being prepared for the demands of the job; and concerns that the profession is under-valued and poorly understood. The article considers: how social work students are selected; the availability and quality of practice placements; and whether programmes prepare students for the workplace. It argues that too great a concern with the ‘A’ level performance of social work applicants risks not paying enough attention to the non-academic qualities that they will need to work in the changing world of children’s and adult services. Better partnership working between employers and universities will help students make the transition into the workplace. This includes greater opportunities for employers and practitioners to be involved in candidate selection and teaching on qualifying programmes.

Abstract: This article reports on an element of recently completed research that aimed to explore factors leading to placement on the Protection of Vulnerable Adults (POVA) List—a barring list unique to England and Wales. A multiple methods approach was adopted, involving in-depth quantitative analysis of POVA referral records and a set of discussion groups and interviews investigating how decisions were being made. This article focuses on this latter element, setting out and discussing the overall schema for decision making resulting from the analysis, which identified an interplay between emotional and moral responses to the individual referred and evidence about the alleged misconduct. The importance of involving all stakeholders in the development of such a decision-making system is raised through the research and the implications for social workers are explored.

Abstract: The business of admissions to higher education in England is a significant task for academic and support staff. This paper draws on the Evaluation of the New Social Work Degree Qualification in England (2004-2008) to describe the changes in admissions work for social work staff in higher education associated with the change from diploma to a degree level qualification for entry to the profession; to report how staff involved in admissions work are managing these changes; and to identify elements of admissions processes that are perceived to be fulfilling the new requirements of the degree and those which are identified as more problematic. The article draws on two telephone/email surveys of a national sample of social work programmes and on face-to-face in-depth interviews with a sample of teaching staff from nine social work programmes in six higher education institutions undertaken during 2005-2007. The work of admissions staff is rarely scrutinised in studies of higher education or specifically in social work programmes: this article discusses the spectrum of approaches. It recommends monitoring of the outcomes of practices in admissions work that are recasting Department of Health Requirements as the minimum.

Abstract: Research has emphasized the importance of practice learning to social work qualifying education but has tended to feature social work educator and student perspectives more strongly than the views of those responsible for assessing students' practice in the field. This article draws on 195 responses to a postal questionnaire sent at two points in time to practice assessors working with students from nine social work qualifying programmes run in six higher education institutions collected as part of the evaluation of the new social work degree qualification in England. While practice assessors described changes in their role and in the opportunities available to students, they also emphasized continuities, particularly in the skills that they expected students to possess. The key difficulty they identified was the heavy workload resulting from combining their role as practice assessors with their other responsibilities at work. Increases in the number of social work students and changes to the organization of services are likely to create further pressures on practice assessors. Given that these issues are faced by a number of different professions, the article concludes that there is potential for future studies to look at the experiences of practice educators across different professional qualifying programmes.

Abstract: In September 2008 the Nursing and Midwifery Council (NMC) approved plans to change pre-registration nursing education in England to an all-graduate qualification in 2015. In 2001 the Department of Health announced a similar decision for social work qualifying education and the first graduate-only qualifying programmes began in 2003–2004. This article presents findings from a national in-depth evaluation of the social work degree in England and describes ways in which efforts have been made to improve the quality of social workers, raise the status of the profession and link practice and theory as part of the transformation to a degree level qualification. Messages for nurse educators are drawn in the light of the professions’ commonalities.

Abstract: Collaboration or partnership between different agencies is seen as an important part of resolving problematic social issues. This article reports on findings from interviews with 32 managers working in 26 local authority social services departments that were undertaken as part of a larger study of interagency working in adult protection in England and Wales (2004-2007). Themes of managing relations, system development and prioritisation emerged from the analysis of the interviews. These findings are set in the context of developments in adult protection or safeguarding in England and Wales. The article concludes that managers perceive relationships as key in implementing aspirations for adult safeguarding, in the context of a lack of statutory obligations and sets this in the context of policy and practice.

Abstract: In September 2008 the Nursing and Midwifery Council (NMC) approved plans to change pre-registration nursing education in England to an all-graduate qualification in 2015. In 2001 the Department of Health announced a similar decision for social work qualifying education and the first graduate-only qualifying programmes began in 2003-2004. This article presents findings from a national in-depth evaluation of the social work degree in England and describes ways in which efforts have been made to improve the quality of social workers, raise the status of the profession and link practice and theory as part of the transformation to a degree level qualification. Messages for nurse educators are drawn in the light of the professions' commonalities.

Abstract: This paper reports the findings of a scoping study designed to describe the evidence base with regard to support workers in social care in the United Kingdom and to identify gaps in knowledge. Multiple bibliographic databases were searched for studies published since 2003. The results revealed that the support worker role, though not well-defined, could be characterised as one aimed at fostering independence among service users, undertaking tasks across social and health-care, and not being trained in, or a member of, a specific profession. The studies identified were predominantly small-scale qualitative projects which considered issues such as role clarity, training and pay, worker satisfaction, service user views and the amount of time support workers are able to spend with service users compared to other staff. The review concluded that the research base lacks longitudinal studies, there is definitional confusion and imprecision, and there is limited evidence about employment terms and conditions for support workers or about their accountability and performance. The desirability and value of training and how it is resourced need further analysis. It is concluded that moves to self-directed support or personalisation and the increased reliance on and use of support workers, in the form of personal assistants, call for closer scrutiny of the role.

Abstract: There is a shortage of examples of arrangements and practice approaches that focus on mental wellbeing in black and minority ethnic (BME) older people. This article draws on our practice enquiry1, which brought together accounts of social care practice across different types of social care settings from four parts of the UK, away from the areas of high demographic concentration that have been the focus of most previous research. Over 80 practitioners, managers, older people and carers were interviewed over 2009-2010. They described and reflected on the support for older people from BME backgrounds, particularly focusing on how they might promote mental well-being.

Abstract: Little is known about the impact on social work educators and social work programmes of employer sponsorship of social work students through secondment or traineeship schemes, often referred to as Grow Your Own (GYO) schemes. This article reports on social work educators' views of sponsorship, the effects on their activities and the dynamics of mixed student cohorts. The study took place in England during 2007-2009 and comprised a review of the literature, interviews with a range of social work educators (n = 23), GYO students (n = 35), and employers (n = 27), and the production of a good practice guide based on stakeholder contributions. Social work educators reported that GYO activity may enhance and enrich social work programmes. They valued secured and guaranteed practice placements, considered that employer-sponsored students enriched the total student cohort, facilitated an expansion of student numbers, and strengthened partnerships with local employers. A further advantage was that GYO benefited the teaching programme overall with more robust employer/university relationships. Social work educators reported that such schemes required careful management and investment of time and might lead to some tensions about the balance between education and training. These findings are placed in the context of developments in social work education in England.

Abstract: Social work and social care vacancies in England have partly been filled by international labour migration. Some staff are recruited from their home countries; others are recruited post arrival in the UK. The business of recruitment is often undertaken by commercial employment agencies; however, there is little literature on the workings of this sector. This article reports the first phase of a study of international recruitment in social care in England. It outlines the findings of a scoping review of the literature and of semi-structured interviews with a convenience sample of twenty recruitment agencies undertaken in 2007–08. The interviews revealed new information on employers' reported needs and preferences, on changing profiles of people seeking work in England, and staff motivations and ambitions. This article concludes that social care migration is a multifaceted phenomenon and that the position of intermediaries in the employment relationship, such as recruitment agencies, is largely but mistakenly ignored.

Abstract: The social care sector is one of the fastest growing employment sectors in England, but it faces considerable challenges in recruiting and retaining its workforce. There are proportionally few young workers in this sector, making it less diverse in age than it might be. In England the government has sought to realise the potential of young people in the labour market, and a number of initiatives have been designed to attract this group to social care work. This article argues that existing data can be used to understand the composition of this group in the care workforce, and to devise tailored recruitment strategies. The authors provide an original indepth comparative statistical analysis of the National Minimum Data Set for Social Care, examining how the profile of young workers in the care sector differs from that of older workers. Findings from regression model and time series analyses show that young workers are significantly less diverse in terms of both gender and ethnicity compared with other age groups, and that they are more likely to work in the private and voluntary sectors. They tend to travel shorter distances to work. Indications that the proportion of young people in this workforce is growing raise questions for social care providers and policy makers. This article discusses conceptual reasons for such findings and their implications for the sector.

Abstract: • Summary: Understanding why people want to be social workers is important both for developing social work education and for the profession as a whole. This article presents evidence about the motivations of students enrolled on social work degree programmes in England and draws on data from 3000 responses of three successive intakes of students responding to six online surveys and 26 focus group interviews involving 168 students from nine different social work programmes in six case study sites. The article locates these data in the context of earlier studies of social workers’ motivations, the changing policy context and the changes introduced by the new degree. • Findings: Similar to previous studies, the current analysis shows that altruistic motivations dominated, but students were also influenced by career issues and the day-to-day aspects of social work. The data highlight continuities with the former qualification in social work in the UK (the DipSW) and provide evidence that the introduction of the social work degree has not dramatically changed the underlying motivations of social work students. • Applications: Understanding student motivations is important in terms of recruitment to social work qualifying programmes and subsequent retention within the profession. Social work educators and employers need to pay attention to the consequences of mismatches between motivations and expectations about what professional practice involves.

Abstract: One of the most resounding impacts of the introduction of the new social work degree in England in 2003 has been an increase in the number of applications to social work courses. However, the processes used by applicants to reach decisions about where to study social work are little understood. This article reports data from six preparatory focus groups and four interviews (n = 38), 17 focus group interviews with first year students (n = 112) from nine social work programmes run in six universities, and 2,606 responses to three online surveys administered to first year students, which were collected as part of the national Evaluation of the New Social Work Degree in England funded by the Department of Health. They show that students use a range of sources to find out about social work education, with rising reliance on electronic media as an information resource. Although the majority cites convenience of location as the chief reason for selecting a particular university, academic reputation appears to be growing in importance. Observations from these data are discussed in the context of consumer behaviour in higher education and in social work education at a time when universities are developing marketing strategies to compete for students.

Abstract: Since July 2004, employers of social care staff working with vulnerable adults in England and Wales have been legally required to refer workers or volunteers dismissed for misconduct because they have harmed vulnerable adults or placed them at risk of harm to the Protection of Vulnerable Adults (POVA) list. The POVA list is unique to England and Wales, and is a powerful tool of quality assurance for the care sector and for the safeguarding of vulnerable adults. This article reports on part of a multi-method study including quantitative and qualitative elements to produce a rounded picture of the factors involved in decisions to place staff members on the POVA list. Based on secondary data analysis of all records of POVA referrals from August 2004 to November 2006 (5294 records) as well as a detailed sample of 298 referrals, this article focuses on the prevalence of different types of alleged harm and their association with various staff, employer and service-users' characteristics. The most common form of alleged abuse was physical abuse (33%), while the least was sexual abuse (6%). Some of the other key findings are the over-representation of men referred (31% compared to an average of 15% in the workforce) and significantly different types of abuse in care home and domiciliary settings, where financial abuse was less likely in care homes [odds ratio (OR) 0.17; P < 0.001], while physical abuse more likely in the same setting (OR 3.60; P < 0.001).

Abstract: The vetting and barring scheme known as the POVA (Protection of Vulnerable Adults) List established in England and Wales by the Care Standards Act (2000) was intended to provide greater assurance about the quality of social care for adults. This article discusses referrals to the POVA List in the period 21 May 2004 to 17 November 2006, details of which were made available to the researchers. These comprised 5,294 cases. Further data relating to the investigation process were provided through drawing on all material supplied in a purposively selected sample of 298 referrals. These have been analysed and findings are reported here in respect of referrals and prior disciplinary action, interactions with local and national agencies and the involvement of the police. What happened to the referrals and the length of time for decisions about Listing are also reported. The article concludes with some policy recommendations for the future of the scheme and sets this in the context of regulation.

Abstract: Little is known about the relationship between organisations charged with the protection of vulnerable adults in England and Wales. This paper investigates adult protection1 inter-agency relationships in the context of an adult protection framework that gave local authorities the lead role and charged other agencies with working in partnership with them. The data reported are from focus groups undertaken with members of 26 Adult Protection Committees (APCs) from England and Wales during 2005-2006. The APCs were selected using a stratified sampling frame and 271 professionals participated. Analysis revealed that participation in the local strategic decision-making setting of the APC was influenced by the local history of partnership working, information-sharing, affective relationships, understanding of respective roles and a shared acknowledgement of the importance of adult protection. The implications of these findings are discussed in the light of government reviews of local discretion around adult protection systems.

Abstract: The vetting and barring scheme known as the POVA (Protection of Vulnerable Adults) List established in England and Wales by the Care Standards Act (2000) was intended to provide greater assurance about the quality of social care for adults. This article reports on part of a larger research study investigating the Protection of Vulnerable Adults (POVA) List. It focuses on different kinds of mitigation used by staff to counter allegations of harming vulnerable adults and how these differ in relation to various types of abuse as well as other factors. The results are based on quantitative analyses of a detailed sample of 298 referral records of the POVA List and qualitative interviews with civil servants administering the POVA scheme. Details of the mitigation claimed by 135 workers are examined and these elements are described in relation to mitigation for the person and mitigation of the misconduct. Messages from the analysis are discussed in relation to the workforce, employers and adult safeguarding systems.

Abstract: At a time of policy review of adult safeguarding in England and Wales, this article provides an in-depth analysis of perceptions and dynamics of multi-agency working in adult protection and explores whether perceptions of its strengths and challenges vary in relation to the composition and decision-making processes of Adult Protection Committees (APCs). The findings are drawn from a survey of local authorities that took place during 2004-2005 as part of a wider study. Fully completed questionnaires were received from 123 local authorities. The findings look at how perceptions of local authority representatives differ according to how the APCs in their areas are constituted, how they are led, which agencies are members of the committees, and the dynamics of the decision-making processes. Analysis of the results enabled aspects of multi-agency working to be scrutinised. Three key points emerged: working with the NHS is not simply a matter of crossing health and social care divides; broad membership seems to help with developing local strategy; and sharing information and expertise become significantly more of a problem when the private sector is involved. The results highlight the complexities of multi-agency working, the areas of tension for those with responsibilities for implementing it at local levels, and the challenges arising from the compositions of APCs.

Abstract: Identifying the reasons why students leave higher education without completing their studies has become an increasingly important issue in higher education in the United Kingdom. This paper reports on a series of interviews held with social work students, social work educators, and higher education staff with responsibilities for recruitment and retention in four English higher education institutions (HEIs). The interviews aimed to identify some of the reasons why students might consider leaving before achieving a social work qualification and some of the initiatives the HEIs had set in place to reduce this risk. The findings suggest that some of the widening participation initiatives established in many HEIs are aimed at students at the beginning of their studies but that social work students might benefit from additional support at other periods, for example, both during and on their return from practice placements. Furthermore, the changing profile of social work students may have implications for cohort dynamics and social work educators need to be alert to these developments.

Abstract: After many years of debate in the UK about the need for a degree-level qualification in social work, the arguments for a minimum degree-level qualification were accepted. The requirements for the degree in England were developed drawing on work from a number of sources, including a benchmark statement for undergraduate degrees in social work and focus groups with stakeholders. The new degree in England, launched in 2003, involves one extra year’s study; improvements in the qualifying standard for social work; and specific curriculum and entrance requirements. At the time of launching the degree, the government department responsible for funding (Department of Health) commissioned a three-year evaluation of the implementation of the new degree to establish whether the new qualifying level leads to improvements in the qualified workforce. The aim of the evaluation is to describe the experiences of those undertaking the degree, collect the views of the various stakeholders about the effectiveness of the degree and measure the impact of a degree-level qualification on those entering the workforce. This article, written by the team undertaking the evaluation of the England degree, explores the reasons for the methodological approach adopted and the issues that have arisen in setting up the research.

Abstract: This article reports on the views of 92 social workers about their practice in adult protection in England and Wales as part of a wider study of adult protection working and regulation that took place between 2004-2007 in 26 sample local authorities. The article explores social workers' reported experiences of partnership or multiagency working and how this, along with overarching regulatory frameworks, affected their practice within and across agencies. Among findings from the study were that social workers considered that sharing information and responsibilities led to positive outcomes for service users and that the incorporation of different agency perspectives supplemented sharing of best practice.

Abstract: There has been no large-scale study looking at the proportion of social work students in the UK who achieve the professional qualification, although there is some evidence that different groups experience different rates of progression. This article examines progression rates among students studying for the DipSW in England and analyses the factors that influence whether students achieve an award on time (defined as achieving an award without being referred, deferred, failing or withdrawing). The results show that male students, students from a black and minority ethnic group, and students with a self-reported disability have poorer progression rates. However, contrary to the picture in higher education as a whole, older students and students with previously lower levels of educational attainment do not have poorer progression rates. Social work education has important lessons to share with higher-education colleagues in terms of working with an increasingly diverse student group. However, work is needed to identify students at greater risk of non-progression than others and to develop more effective student support strategies.

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Abstract: This article describes research investigating the steps involved in recommending to the Secretary of State for Health whether a care worker should be included on the Protection of Vulnerable Adults (POVA) list, which records individuals barred from working and volunteering with vulnerable adults in England and Wales. The aims of the study were to investigate patterns of referrals to the list; factors associated with the collection of evidence to present to the Minister and to detail the operation of the list. The article focuses on the preliminary part of the research that covered discussion groups with purposive sample of older people, managers and staff during which a vignette approach was used to explore their perspectives.

Abstract: This article examines the effectiveness of the multi-agency approach in adult protection and draws on findings from research that examined the effectiveness of both partnership working and perceptions of the regulatory framework to protect vulnerable adults. The research findings were collected through the use of a survey of all local councils with social services responsibilities in England and Wales. Examples of good practice in partnership working were found. However, resource pressures, insufficient information sharing and a lack of clarity about roles and responsibilities were reported to hinder a multi-agency approach.

Abstract: Large surveys of the general population's perceptions of the neglect and mistreatment of older people are few. This article provides evidence about the public's awareness of ‘elder abuse’ at a time of considerable media and political interest in the subject in many countries. It presents the findings of a survey of 1,000 adults' knowledge of the neglect and mistreatment of older people in the UK. Descriptive and multivariate analyses were used to examine: variations in the perception of the existence of neglect or mistreatment of older people, the perceived relative prevalence of knowing an older person who had been subject to such experiences, the type and place of such experiences and knowledge of sources of help in such circumstances. The key findings are that older people believed that there is less neglect and mistreatment of older people than younger people, that women perceived more than men, and that there were regional variations in these perceptions. One-quarter said they knew an older person who had experienced neglect or mistreatment, and such reports were most likely among the middle aged and women. The most frequently reported locations of abuse were care homes and hospitals, and the most commonly reported form was inadequate or insufficient personal care. Most people said they would contact social services or paid carers if they encountered neglect or mistreatment. The findings are discussed in the light of increased policy attention to the safeguarding of vulnerable adults, and the implications for research, practice and campaigning organisations are considered.

Abstract: The aim of this article is to assist the understanding of social workers in Europe of marriage and family dynamics among women from Middle East and North African countries who have moved to Europe. The focus of this article is on husband selection processes and family dynamics after marriage in Egypt, which is used as a case study reflecting culture and norms surrounding marriage in this region. This article reports on the findings of doctoral studies which examined marriage patterns and family dynamics in North Africa and in particular in Egypt where more in-depth data were available. The authors reflect issues surrounding values and process of marriage not only in terms of the implications for practice with social work clients or service users, but also in relation to the potential of women from this region who may join the social care workforce.

Abstract: This article describes and discusses 27 interviews that explored perceptions of the effectiveness of advocacy services for people with learning disabilities in the UK. The views of stakeholders on the current position of advocacy services, how services are evaluated and recommendations for change are central themes in the analysis of the interviews. The discussion suggests that although evaluation of effectiveness is increasingly important in the light of policy change and funding constraints, it is not universally in place and available tools are considered to be inadequate for the task. The explanation of this may lie in the continuing debates over the meaning and purpose of evaluation and fears that it is one-dimensional. Future investment and commitment to advocacy schemes will need to address these issues.

Abstract: Increases in funding of advocacy schemes are leading to their general expansion in the UK. Little is known of how their activities are evaluated by funders. This article examines how local authorities evaluate the outcomes of advocacy schemes. It reports on and discusses the findings of a survey of local authorities. Respondents identified the types of support they provided to advocacy schemes and their requirements for service reports. Data are presented on the length of time that schemes have been funded, geographical variations and whether schemes are generalist or specialist. This analysis is set in the context of discussion with stakeholders. The authors conclude that monitoring and review systems are not well known or extensively used, that while user involvement in evaluation is seen as appropriate this is not well developed, but that advocacy services themselves are interested in contributing to processes of improvement and accountability.

Abstract: Advocacy schemes have been established throughout the United Kingdom (UK) but their evaluation by funders is varied. This article reviews the literature in respect of models of evaluation of advocacy schemes for people with learning disability. It discusses the six main models and the issues that arise in evaluation. The advantages and disadvantages of each model are analysed. The article concludes that whilst fears exist about the potential for evaluation to infringe advocacy schemes' autonomy, funders need to undertake such a process for reasons of public accountability. Advocacy schemes may find it useful to consider which model of evaluation works best for them and will be appropriate and useful for their funders.

Abstract: Social work education in England underwent significant change in its move to degree status in 2003. It is hoped that the result will be increased professional standing for social workers, an improvement in the current widespread problems with recruitment, and assurance that all newly qualified social workers meet the National Occupational Standards for Social Work (Available from: http://www.topssengland.net/files/cd/). This change has pre-occupied social work educators and debate within the profession has concentrated on the practicalities and expectations of reform. This paper suggests that those working in nurse education may observe a number of similarities with its own earlier reforms and with current debates on whether nursing should move to an all-graduate profession. It then highlights three aspects of the new requirements for social work training: service user involvement, the place of research-minded practice, and the primacy of practice--that may be of interest and relevance to nursing colleagues.

Abstract: The life expectancy of people with learning disabilities has increased substantially. Services for older people with learning disabilities are provided by various sectors and practitioners (generic health and social care, or specialist learning disability or old age). The literature suggests that practitioners do not feel well-equipped to support people with learning disabilities as they grow older, and older people's services do not always have the opportunity to share experiences and skills. This paper highlights areas such as dementia support, where the intersection between services is not clear, and explores what might help practitioners to meet the needs of people with learning disabilities as they grow older.

Abstract: The developed world's population is aging, due to trends of increased life expectancies and decreased fertility rates. These trends are predicted to increase demand on long-term care services. At the same time, the long-term care workforce is in shortage in most of the developed world. Moreover, such shortages are expected to increase due to parallel socio-demographic factors. The increase in demand for longterm care, coupled with shortage in supply of care workers, has promoted some attention from policymakers. The current paper provides an international review of institutional arrangements for long-term care in different developed countries and in particular explores different strategies used or proposed to resolve the shortage in the long-term care workforce.

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