Nevertheless, although these areas overlap, the subject of paid care work constitutes a separate analytical focus and is of significant consequence for public policy. A review of the literature reveals the lack of a single definition and a wide variety of approaches for deciding which jobs should be included. The first, and the most general, takes into consideration all occupations linked to physical and emotional care (nurturance) (England, 1992; England, Thompson and Amaru 2001) regardless of whether there is face-to-face contact or the relationship involves the provision of services to dependants.