Explainer

Comment

Economics

4 May 2023

5 min read

Cleaning up cleaning: the problem with split shift work

Unhealthy and unnecessary working practices impact unseen cleaners. It doesn’t have to be like that argues Ryan Gilfeather.

Ryan Gilfeather

Ryan Gilfeather explores social issues through the lens of philosophy, theology, and history. He is a Research Associate at the Joseph Centre for Dignified Work.

A cleaner sweeps between large white interior walls of a concourse.

Photo by Verne Ho on Unsplash.

In offices across the country cleaners are often kept out of sight whilst the other workers do their jobs. Cleaners are instead brought in for two short shifts, the first starting as early as 1, 2 or 3 am, and a second beginning around 8pm. Most of us overlook this pattern of work, taking for granted that it is necessary.

However, dig a little deeper, and its insidious nature emerges. We begin to see how it is mostly unnecessary and harms the flourishing of cleaners in their health, family, and dignity. It treats small financial gains as worth more than human lives.

For many industries, cleaning does not need to happen in the early mornings and late nights. Consider the downsides of daytime cleaning. The cleaner would need to manoeuvre around colleagues at their desks and in meeting rooms, but they would still clean to a high standard in a similar timeframe. Their job does not need to be done during unsociable hours. There is a minor cost to the company in the office. The office worker might need to briefly step away from their desk for a moment as it is cleaned, they may be momentarily distracted by the sound of a hoover, and a meeting room may be out of action for a very short time. The only costs would be a tiny loss in efficiency and profits to the companies who hire these cleaners. Since the negative consequences of daytime cleaning, instead of split shifts at unsociable hours, are so marginal, the current working patterns are clearly unnecessary.

No choice, compelled to say yes

Importantly, these cleaners often do not have any other choice. I meet many of these cleaners in my work at the Joseph Centre for Dignified Work. None of them choose to work split shifts at unsociable hours. For many, employment with better conditions is simply not available. About 27 per cent are migrants and often they lack English-speaking skills, preventing them from getting other kinds of jobs. 59 per cent have attained an education below the equivalent of C or 4 at GCSE, so it is hard for them to find other work. 17 per cent are ethnic minorities, who face greater barriers accessing other kinds of work. They have to work, they often have no better choices than cleaning, and in this industry they cannot say no to these working patterns. In this way, they are compelled to say yes to these kinds of split shifts.

Split shifts deadly consequences

This working pattern damages health. A recent medical study demonstrates that working night shifts, a similar pattern to split shifts, more than doubles the odds of developing breast cancer Another study shows that shift-work disturbs worker’s circadian rhythms. This in turn leads to problems with cancer, heart health, mental health, and more. Split shifts have deadly consequences for cleaner’s health.

Eroding family time

Split shifts also steal cleaner’s time from their families. When cleaners earn below the real living wage, their family relationships suffer; 48 per cent say that their wage level has negatively affected their relationship with their children. For many, poverty wages force cleaners to take on two or more jobs. As Angus Ritchie, an Anglican priest, academic, and campaigner for marginalised communities puts it, poverty wages force workers to:

‘to choose between spending enough time with their children and having enough money to provide for them.’

These cleaners, who are often on poverty wages too, may only be able to briefly see their children between the end of school and the beginning of the nightshift, but will miss out on caring for them in the morning and enjoying extended periods of quality time. Therefore, when employers unnecessarily force these working hours upon cleaners, it also harms their relationships with their families.

Denying dignity

These patterns of work also render cleaners invisible. In an Equality and Human Rights Commission report from 2014, cleaners spoke about how they were made to feel ‘invisible’ and like the ‘lowest of the low.’ It is hardly surprising that they have this experience when the patterns of work we force upon them are designed to literally stop office workers from seeing them. Cleaners do crucial work which enables the broader enterprise of offices all around the country to function, yet they remain hidden away, their existence and contribution unseen and unacknowledged. Needless to say, these unnecessary split shifts take away their dignity.

Why value humanity

Campaigning to oppose this practice are Christians. Here’s why. The Bible and its tradition teaches that all human beings share the same inextinguishable value. As part of the story of creation says,

“God created humankind in his image, in the image of God he created them.”

Over the centuries Christians have interpreted this passage as affirming the same fundamental value of every person as one made in the image of God. Every person in some way dimly mirrors God’s inestimable goodness and love, and is, therefore, of greater value than all the riches of the world. To treat someone as less valuable than us or material goods is to deny the reality of how God created the world.

Split shifts at unsociable hours, however, represents the opposite belief. As argued above, these patterns of working are largely unnecessary, and only lead to small financial gains for the companies who hire the cleaners through tiny increases in efficiency. However, these small riches are treated as worth more than the flourishing of lives which are of inestimable value because they are made in the image of God. Fractional gains in money are placed above their ongoing health, their family relationships, and their dignity through recognition. These meagre financial rewards are more treasured than the flourishing of lives made in the image of God.

The working patterns are bad for cleaners. Not just because they damage health, but more fundamentally, because they deny the reality of God’s desire for creation. Enforcing split-shifts in pursuit of financial gain values small amounts of money above the flourishing of human beings, the infinitely valuable image of God, in their health, family, and dignity.

Christians are beginning to oppose this practice. For example, in 2017, three Christian organisations (Centre for Theology and Community, Church Mission Society, and the church, St Andrew by the Wardrobe) launched Clean for Good. This ethical cleaning company treats cleaners fairly; they pay the Real Living Wage and give holiday leave, sick pay, training and guaranteed working hours. Crucially, they also don’t force cleaners into working anti-social hours. They offer cleaners working conditions and hours which enable them to flourish in their health, family, and dignity, because they truly believe that these workers are infinitely valuable, being made in the image of God.

Article

Care

Comment

Economics

Ethics

2 December 2024

4 min read

NHS: How far do we go to feed the sacred system?

Balancing safeguards and economic expediencies after the assisted dying vote.

Callum Elwood

Callum is a pastor, based on a barge, in London's Docklands.

A patient eye view of six surgeons looking down.

National Cancer Institute via Unsplash.

“Die cheaply, protect the NHS” It sounds extreme, but it could become an unspoken policy. With MPs voting on 29th November to advance the assisted dying bill, Britain stands at a crossroads. Framed as a compassionate choice for the terminally ill, the bill raises profound ethical, societal, and economic concerns. In a nation where the NHS holds near-sacred status, this legislation risks leading us to a grim reality: lives sacrificed to sustain an overstretched healthcare system.

The passage of this legislation demands vigilance. To avoid human lives being sacrificed at the altar of an insatiable healthcare system, we must confront the potential dangers of assisted dying becoming an economic expedient cloaked in compassion.

The NHS has been part of British identity since its founding, offering universal care, free at the point of use. To be clear, this is a good thing—extraordinary levels of medical care are accessible to all, regardless of income. When my wife needed medical intervention while in labour, the NHS ensured we were not left with an unpayable bill.

Yet the NHS is more than a healthcare system; it has become a cultural icon. During the COVID-19 pandemic, it was elevated to near-religious status with weekly clapping, rainbow posters, and public declarations of loyalty. To criticise or call for reform often invites accusations of cruelty or inhumanity. A 2020 Ipsos MORI poll found that 74 per cent of Britons cited the NHS as a source of pride, more than any other institution.

However, the NHS’s demands continue to grow: waiting lists stretch ever longer, staff are overworked and underpaid, and funding is perpetually under strain. Like any idol, it demands sacrifices to sustain its appetite. In this context, the introduction of assisted dying legislation raises troubling questions about how far society might go to feed this sacred system.

Supporters of the Assisted Dying Bill argue that it will remain limited to exceptional cases, governed by strict safeguards. However, international evidence suggests otherwise.

In Belgium, the number of euthanasia cases rose by 267 per cent in less than a decade, with 2,656 cases in 2019 compared to 954 in 2010. Increasingly, these cases involve patients with psychiatric disorders or non-terminal illnesses. Canada has seen similar trends since legalising medical assistance in dying (MAiD) in 2016. By 2021, over 10,000 people had opted for MAiD, with eligibility expanding to include individuals with disabilities, mental health conditions, and even financial hardships.

The argument for safeguards is hardly reassuring, history shows they are often eroded over time. In Belgium and Canada, assisted dying has evolved from a last resort for the terminally ill to an option offered to the vulnerable and struggling. This raises an urgent question: how do we ensure Britain doesn’t follow this trajectory?

The NHS is under immense strain. With limited resources and growing demand, the temptation to frame assisted dying as an economic solution is real. While supporters present the legislation as compassionate, the potential for financial incentives to influence its application cannot be ignored.

Healthcare systems exist to uphold human dignity, not reduce life to an economic equation.

Consider a scenario: you are diagnosed with a complex, long-term, ultimately terminal illness. Option one involves intricate surgery, a lengthy hospital stay, and gruelling physiotherapy. The risks are high, the recovery tough, life not significantly lengthened, and the costs significant. Opting for this could be perceived as selfish—haven’t you heard how overstretched the NHS is? Don’t you care about real emergencies? Option two offers a "dignified" exit: assisted dying. It spares NHS resources and relieves your family of the burden of prolonged care. What starts as a choice may soon feel like an obligation for the vulnerable, elderly, or disabled—those who might already feel they are a financial or emotional burden.

This economic argument is unspoken but undeniable. When a system is stretched to breaking point, compassion risks becoming a convenient cloak for expedience.

The Assisted Dying Bill marks a critical moment for Britain. If passed into law, as now seems inevitable, it could redefine not only how we view healthcare but how we value life itself. To prevent this legislation from becoming a slippery slope, we must remain vigilant against the erosion of safeguards and the pressure of economic incentives.

At the same time, we must reassess our relationship with the NHS. It must no longer occupy a place of unquestioning reverence. Instead, we should view it with a balance of admiration and accountability. Reforming the NHS isn’t about dismantling it but ensuring it serves its true purpose: to protect life, not demand it.

Healthcare systems exist to uphold human dignity, not reduce life to an economic equation. If we continue to treat the NHS as sacred, the costs—moral, spiritual, and human—will become unbearable.

This moment requires courage: the courage to confront economic realities without compromising our moral foundations. As a society, we must advocate for policies that prioritise care, defend the vulnerable, and resist the reduction of life to an equation. Sacrifices will always be necessary in a healthcare system, but they must be sacrifices of commitment to care, not lives surrendered to convenience.

The path forward demands thoughtful reform and a collective reimagining of our values. If we value dignity and compassion, we must ensure that they remain more than rhetoric—they must be the principles that guide our every decision.