Sustainable Care: connecting people and systems

我们的方案侧重于有慢性健康问题或残疾的住在家里的成年人的护理需要，并寻求解决联合王国当代“护理危机”的可持续办法。它的独特之处在于从整体上调查护理系统、工作和关系中的可持续性和健康；解决了不同学科的护理理论之间的脱节；并将其所有研究置于国际奖学金的背景下，积极与政策伙伴合作。它将填补知识空白，提供新的理论思想和数据分析，并为护理规划、提供和经验提供有用、准确的证据。它发展并批判性地参与以下方面的政策和理论辩论：护理基础设施（系统、网络、伙伴关系、标准）；护理工作的分工/护理的政治经济（不平等、剥削）；护理伦理、权利、认可和价值观（框架、标准、权利、福利结果）；护理技术与人-技术互动；以及情感、家庭、社区和代际环境中的关怀关系。我们的团队由来自7所大学的20名学者组成，与跨越15个国家的国际网络相连。我们的项目包括综合活动，在这些活动中，整个团队共同努力，制定一个关于可持续护理和福祉的新概念框架，以及两个工作链，每个工作链有4个相关项目，分别是“护理系统”和“护理工作与关系”。“护理系统”将：(i)研究在英格兰、北爱尔兰、苏格兰和威尔士运行的四种护理系统的前景、发展和差异，比较它们对市场、私有化和对无偿护理的依赖的方法；（ii）护理费用和缴费模式，包括照顾者和雇主的费用以及公共护理支出；（iii）评估新兴技术提高护理系统可持续性的潜力；（iv）在动态的政策背景下，分析流动护理工作者在家庭护理的可持续性中的作用。“护理工作与关系”将：(i)发展新兴家庭护理模式的案例研究，并评估其对可持续福祉的影响；（ii）重点关注兼顾就业和无薪护理的护理人员，填补有关工作场所支持有效性的知识空白，以及护理假和工作场所标准计划可有助于可持续护理安排的知识空白；（iii）探索如何整合护理技术来支持在职护理人员，确保整个护理网络的健康结果；（四）调查护理“到位”和“不到位”的情况，因为系统适应或面临与人口多样性和流动性相关的压力。每个项目都将与我们的国际合作伙伴合作。这些来自26个合作机构的学者将确保我们从其他人那里学习理解、衡量或解释护理组织和经验发展的方法，并与最新的研究和学术保持同步。我们的能力建设战略将在护理的可持续性和福祉研究方面建立未来的学术专业知识，并确保我们的概念、方法和研究成果达到卓越的国际标准。在我们的高级团队和合作伙伴的支持下，我们合作的大学将提供5名英国和12名海外博士研究生，使我们能够形成一个可持续护理的国际早期职业学者网络。我们的影响战略由英国护工协会领导，涉及英国和国际政策合作伙伴。我们将为政策、实践和辩论提供信息，共同编写分析和指导，提高数据质量，推广良好做法，并让决策者、政策制定者、公共、私营和志愿部门的从业人员、护理人员、有护理需求的人以及媒体参与进来。我们由知名学者、政策/实践人士和意见领袖组成的顾问委员会将指导我们的所有工作。

Our programme focuses on the care needs of adults living at home with chronic health problems or disabilities, and seeks sustainable solutions to the UK's contemporary 'crisis of care'. It is distinctive in investigating sustainability and wellbeing in care holistically across care systems, work and relationships; addresses disconnection between theorisations of care in different disciplines; and locates all its research in the context of international scholarship, actively engaging with policy partners. It will fill knowledge gaps, contribute new theoretical ideas and data analyses, and provide useful, accurate evidence to inform care planning, provision and experience. It develops and critically engages with policy and theoretical debates about: care infrastructure (systems, networks, partnerships, standards); divisions of caring labour/the political economy of care (inequalities, exploitation); care ethics, rights, recognition and values (frameworks, standards, entitlements, wellbeing outcomes); care technologies and human-technological interactions; and care relations in emotional, familial, community and intergenerational context.Our team comprises 20 scholars in 7 universities, linked to an international network spanning 15 countries. Our programme comprises integrative activities, in which the whole team works together to develop a new conceptual framework on sustainable care and wellbeing, and two Work Strands, each with 4 linked projects, on 'Care Systems' & 'Care Work & Relationships'. 'Care Systems' will: (i) study prospects, developments and differentiation in the four care systems operating in England, N. Ireland, Scotland & Wales, comparing their approaches to markets, privatisation and reliance on unpaid care; (ii) model costs and contributions in care, covering those of carers and employers as well as public spending on care; (iii) assess the potential of emerging technologies to enhance care system sustainability; and (iv) analyse, in a dynamic policy context, migrant care workers' role in the sustainability of homecare. 'Care Work & Relationships' will: (i) develop case studies of emerging homecare models, and assess their implications for sustainable wellbeing; (ii) focus on carers who combine employment with unpaid care, filling gaps in knowledge about the effectiveness of workplace support and what care leave and workplace standard schemes can contribute to sustainable care arrangements; (iii) explore how care technologies can be integrated to support working carers, ensuring wellbeing outcomes across caring networks; and (iv) investigate care 'in' and 'out of' place, as systems adapt or come under pressure associated with population diversity and mobility. Each project will collaborate with our international partners. These scholars, in 26 collaborating institutions, will ensure we learn from others about ways of understanding, measuring or interpreting developments in how care is organised and experienced, and keep up to date with latest research and scholarship. Our capacity-building strategy will build future scholarly expertise in the study of sustainability and wellbeing in care, and ensure our concepts, methods, and research findings achieve international standards of excellence. Universities in our partnership are contributing 5 UK & 12 overseas PhD studentships, enabling us to form an international early career scholar network on sustainable care, supported by our senior team and partners. Our impact strategy, led by Carers UK, involves leading UK and international policy partners. Informing policy, practice and debate, we will co-produce analyses and guidance, enhance data quality, promote good practice and engage decision-makers, policymakers, practitioners in the public, private and voluntary sectors, carers, people with care needs, and the media. Our Advisory Board of leading academics, policy/practice figures and opinion formers will guide all our work.