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Exploring AI ethics in social care

Karolina Gerlich, Chief Executive, The Care Workers Charity

Karolina Gerlich, Chief Executive at The Care Workers’ Charity outlines the findings of their recent roundtable discussion around the ethics of AI in social care and it’s role in relieving pressures in the workplace.

In partnership with Oxford University, we recently conducted a roundtable discussion on the ethics of AI in social care. This event brought together 21 care workers with researchers to begin drafting guidance for a sector that urgently needs support in using AI ethically and safely in this rapidly evolving field. Care workers were brought in as experts and treated as such. We paid for their time and expertise, arranged accommodation and dinner the evening before the event, recognising frontline workers know best what is needed.

From the outset, it was evident that our discussion needed to address not only AI’s potential and pitfalls but also the broader context in which care is provided. Care workers shared that their work is often task-oriented, leaving them with little time to engage in meaningful activities with those they care for. So, what are the issues in the workplace, and how can AI, particularly generative AI, help relieve these?

The participants represented a diverse group, including individuals pursuing degrees and professionals with advanced qualifications in both related and unrelated fields. There were people who had worked in care for decades, others for months and several who had transitioned into care from a variety of other sectors. Despite their varied backgrounds and extensive skills, many felt their roles were often minimized, and their expertise was not always adequately recognised or respected. Some questioned if racial biases played a part in these experiences.

A recurring theme was the overwhelming number of tasks and insufficient time. Many expressed that they go beyond their paid hours to spend time talking or having a cup of tea with those they support, emphasising the necessity of personal connection in caregiving. They strongly advocated for paid sick leave so they can look after themselves and avoid compromising the health of those they care for when they are unwell. It was also highlighted that many only receive statutory sick pay, and those on zero hour contracts raised concerns about mandatory training that was unpaid.

The passion for providing the best possible care was clear. Care workers expressed a strong desire to support those they work with in engaging activities they enjoy, yet they felt a lack of adequate support and resources. This brought us to the second part of the discussion: how AI can support care workers in their roles and what this should look like.

They emphasised that care is a person-centered activity and AI should not be seen as a replacement for carers. However, they were also positive about the role AI could play in freeing up time, allowing them to focus more on meaningful interactions with those they care for. For instance, AI could assist with administrative tasks, scheduling, and routine monitoring, allowing care workers more time to engage meaningfully with those they support. This could transform the care experience, making it more holistic and centered on the needs and desires of the individual.

The roundtable highlighted that while AI has the potential to enhance efficiency and quality of care, its implementation must be carefully considered to ensure it supports rather than replaces the invaluable human element of caregiving. As we continue this discussion, it is crucial to prioritise the needs and insights of care workers, recognising their expertise and ensuring they have the resources necessary to provide the best possible care.

As part of this session, care workers and researchers began drafting guidance that will be shared across the care sector. In the next issue of Care Talk, which will focus on technology and innovation in care, I will share more insights from the roundtable, delving further into the possibilities presented by AI, its practical applications, and ethical considerations.

@KGerlich777 @CareWorkersFund

thecareworkerscharity.org.uk

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