Caring Counts - Report of the Inquiry into the Aged Care Workforce

As many as 48,000 workers in New Zealand, the vast majority of them women, undertake indispensable but largely invisible employment every day. They care for older people either in their homes, in residential aged care facilities, or in hospitals.

The Human Rights Commission has used its Inquiry powers to examine equal employment opportunities in the aged care sector and has gathered evidence from 886 participants over a 12 month period in 2011-2012. Everyone, bar two participants who were managers for a residential aged care provider, want higher pay and more status for those who work as carers.

The Commission extends its immense appreciation to the hundreds of older New Zealanders and their families, carers, nurses, doctors, residential aged care providers, home health care providers, civil society groups, District Health Boards, government agency representatives and Members of Parliament who met with us. A very special thanks to Grey Power, the New Zealand Nurses Organisation, the Service and Food Workers Union and U3A who helped arrange meetings around the country.

A draft of the report was sent back to all those who participated asking for feedback which was incorporated in the final version. The recommendations were developed by the Equal Employment Opportunities Commissioner and the Inquiry team after this feedback and endorsed by the New Zealand Human Rights Commission.

In my time as Equal Employment Opportunities Commissioner there has seldom been the degree of unanimity about a work-related issue than there is about the low pay of carers. The consensus revealed by the Inquiry means that New Zealand has an unprecedented opportunity to address the indecency of poorly paid “emotional labour” undertaken by often marginalised workers looking after vulnerable older people. A much repeated comment up and down the country when the Commission undertook its field work was that the value we place on older people in New Zealand society is linked to the value we place on those who care for them.

The sense of crisis that surrounds aged care is partly a reflection of our collective knowledge that we are not being fair and that a large group of workers is being discriminated against. Inaction on pay inequality and inadequate compensation for travel are breaches of fundamental human rights. Given their significance, these breaches cannot be justified by affordability arguments.

To address the equal employment opportunities issues there needs to be a defined leadership within government. This should encourage a better developed sense of responsibility and accountability by all of us and particularly those with greatest influence such as the responsible government ministers; the Minister of Health, the Minister of Women’s Affairs and the Minister for Senior Citizens; the Ministry of Health; District Health Boards, providers, unions, and their peak bodies. The voice of older people and their families also needs to be legitimised, properly acknowledged and listened to.

The recommendations in Caring counts Tautiaki tika are solutions-focussed. The Commission has modelled the potential costs of a three-step process to restore some measure of equality to carers’ wages over three years. The report makes other recommendations aimed at eliminating discrimination and progressing equal employment opportunities.

The Human Rights Commission is committed to supporting the implementation of this Inquiry’s recommendations so that equal employment opportunities are properly realised in the aged care sector. It’s time for action. In the interest of justice we should not accept further delay in addressing a systemic inequality that is within our power to remedy.

The report is dedicated to all older New Zealanders, and especially our mums and dads, and our grandmothers and grandfathers. I waihangatia te pūrongo nei mā te hunga kaumātua katoa o Aotearoa, tae ake ki ngā whāea, ngā mātua, ngā koroua me ngā kuia.

Dr Judy McGregor
EEO Commissioner