Remunicipalisation, Privatisation, Portugal, Finland, Europe

The Eurofound research agency has published its first major overview of trends in the eldercare sector noting the spread of private provision in some parts of Europe and the challenge to maintain adequate levels of public funding. A section of the report addresses employment issues, notably staffing levels, the education and training of staff and wages. There are examples of staffing ratios from eight countries and some indicators of pay (public and private) from seven countries and the study notes overall that personal carers' pay falls into to the bottom 40% of pay (two lowest quintiles).

(October 2016) Public service union JHL has written to local authority members across the country warning of many of the problems created by outsourcing. It quotes survey evidence indicating threats to service quality coming from cuts to jobs and working time as well as trends towards using less skilled staff. While noting that over 100 municipalities have brought services back in-house, JHL says there is still a trend towards outsourcing which, in healthcare, is now dominated by a small number of big companies.