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And what makes you think they do not like working on these jobs? and I am sorry but it is fair unless you have a better alternative - which I presume would amount to state interference.
Go and ask anyone who does visiting care work in people's houses. They are paid by the amount of time spent in the patient's home. Not paid for the time travelling between houses, let alone mileage.....
Over the past 15 years agencies have competed away all their margin to the extent that the only way councils and others will employ them..... is to reduces costs to the minimum. That means keeping costs to an absolute minimum and to do that the entire industry offers 0 hour contracts or nothing.
The annoying thing is that this is a job were consistency (in having the same carers visiting at the same times every week) and quality (as in having enough time to do both the caring required and being polite, caring and talking to the patient) should be essential. However, councils, the NHS and the agencies in their desire to keep costs to a minimum have reduced those items to optional extras.