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‘Going the extra mile’ for older people with dementia: Exploring the voluntary labour of homecare workers

Turner, Nicola; Schneider, Justine; Pollock, Kristian; Travers, Cheryl; Perry-Young, Lucy; Wilkinson, Samantha


Justine Schneider

Cheryl Travers

Lucy Perry-Young

Samantha Wilkinson


Homecare workers provide essential physical, social and emotional support to growing numbers of older people with dementia in the UK. Although it is acknowledged that the work can sometimes be demanding, some homecare workers regularly ‘go the extra mile’ for service users, working above and beyond the usual remit of the job. This form of voluntarism has been interpreted as an expression of an essentially caring nature, but also as the product of a work environment structured to tacitly endorse the provision of unpaid labour. This paper draws on a qualitative study of what constitutes ‘good’ homecare for older people with dementia. Using homecare workers’ reflexive diaries (n = 11) and interviews with homecare workers (n = 14) and managers (n = 6), we explore manifestations of, and motivations for, homecare workers going the extra mile in their everyday work. We describe three modes of voluntary labour based on these accounts which we characterise as affective, performative and pragmatic. Our study highlights the complex relationships between job satisfaction, social benefit and commercial gain in the homecare work sector. Further research is needed to define the full range of affective and technical skills necessary to deliver good homecare, and to ensure that homecare work is appropriately credited.


Turner, N., Schneider, J., Pollock, K., Travers, C., Perry-Young, L., & Wilkinson, S. (2018). ‘Going the extra mile’ for older people with dementia: Exploring the voluntary labour of homecare workers. Dementia,

Journal Article Type Article
Acceptance Date Nov 14, 2018
Online Publication Date Dec 12, 2018
Publication Date Dec 12, 2018
Deposit Date Dec 13, 2018
Publicly Available Date Dec 17, 2018
Journal Dementia
Print ISSN 1471-3012
Electronic ISSN 1741-2684
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Keywords Sociology and Political Science; General Social Sciences; General Medicine
Public URL
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