And there's another thing relevant to some doing care work for agencies - who are not paid for their travel time, only the time they spend with clients. I know this is a problem and it is not dissimilar to delivery drivers being paid by parcel drop rather than time on the road.
This has come up before in discussions about delivery drivers, with people saying that it's not fair on them to introduce changes which make their routes longer and therefore they make less money per hour. The same could be said for some people doing contracted care work, and various other things too.
But this is basically asking transport policy and also the layout and usage of our streets to fill in for deficiencies in other aspects of policy. The problems that need fixing are to do with the way people are employed.
Also - in anything but the short term, making it easier to get quickly between appointments is not really helping the people doing the work, it's helping the companies that employ them. In the end, the economics that determine the minimum pay the employer can get away with, and the largest proportion of their time the workers will tolerate being effectively unpaid, will remain the same. By allowing the workers to travel further in the same amount of time you are just allowing their employers to cover a wider scatter of deliveries or clients on each run. So this just encourages more traveling around in motor vehicles. It reduces the incentive for routes to be more tightly planned.
I believe we have actually already seen this with some delivery companies - the routes have changes and in some cases also the vehicles. This is policy working as it should. Anecdotally, I've also been told by two small building companies that they have decided to concentrate their jobs in smaller areas. Again, this is good, this is all positive feedback mechanisms which allow an overall reduction in vehicles on the road. It's stupid for some builders from Tottenham to be doing an extension in Streatham while some builders from Brixton are doing another extension in Holloway. In each case they spend the beginning and end of each day sitting in traffic jams crossing London.
As I said there will be certain categories of care or medical work that don't fit with this - where a vehicle is necessary, and where there's already a relatively tightly planned route around a limited area. This is where exemptions would be completely reasonable, just as they are for ambulances or certain types of hospital transport. As we all know, certain bits of the health service have been privatised out and thrown to the free market, the economics of which then determines who travels where and how, and this very often ends up with lots of unnecessary travel (the same is true in the wider logistics sector). Those economics just love things that make it easier for privately owned vehicles to travel around as much as they feel like it. This doesn't in the long term make things better for carers or those who they care for. It creates towns and cities built around motor vehicles instead of people.