When people grumble about immigration, my impression was that "Nice ladies from Ghana, Poland and the Philippines who are looking after my Gran" never even entered their head.
But it's not like I've done research or anything so feel free to broaden my perspective here, fellow posters.
It's not easy NOW to get care workers, and it's not something you want unwilling or unsuited people to be doing, because BY DEFINITION their clients are extremely vulnerable!
So policy in this area has implications. If you say, Okay, we don't want to have care workers come from overseas. Granny isn't miraculously going to leap from her bed like Jesus just laid hands on her. She's still going to need looking after.
So how does that happen? At first, there will be resistance to raising wages. Granny's carers don't turn up because of staff shortages / her family have to take unpaid leave to step in, which affects their family, career, and workplace / she gets substandard carers who neglect, abuse or steal from her.
Say then that wages go up to attract people into the sector. Councils' costs go up. Their ability to raise money is capped, so either they cut back on education and child social care to fund it and/or the central grant from government has to be raised which means we all pay more in tax or see further cuts in other areas (NHS, benefits, pensions...).
As a country we do get to make choices, but whether we admit it or not, those choices come with consequences.