Between Mandate and Morality: Navigating Care Home Recruitment and Mandatory Vaccination during COVID-19

We document the lived experience of Shiv, a care home recruitment manager, during the period of mandated employee vaccination in the COVID-19 pandemic. Care homes in the United Kingdom, as in many parts of the world, became a brutal front line in the battle to mitigate the pandemic’s worst effects. Residents and staff were among the most vulnerable to infection, a risk heightened by failure to test incoming residents and employees. In response to rising mortality in care homes, the UK government made vaccination a condition of employment from 11 November 2021. Through Shiv’s reflective narrative, we examine the ethical tensions and practical challenges of enforcing mandatory vaccination in care homes – and the confusion and consequences that followed its abrupt withdrawal.