Ryan Williams, from care provider Connected Health, told the committee that the decision not to pay the Real Living Wage to staff had “exacerbated the problem” over retaining staff.

“The breach of trust that we had in terms of this was that carers doing the same job inside the (NHS) system did get a pay award, and carers outside the system didn’t,” he said.

“That kind of betrayal probably hurt us more than anything else, in that we weren’t valued in the same way, and that’s why carers just went: ‘Look, I have had enough of this profession’.”