An international overview of long-term care workforce challenges

presenter(s) Tim Muir | OECD

Tim is a policy analyst at the OECD and is leading the Organisation’s work on long-term care. His work covers a number of aspects of long-term care and ageing, including how to ensure adequate social protection for long-term care needs and how best to address dementia. Before joining the OECD, Tim worked for a number of years as a policy analyst for the UK government, mostly in the area of health and social care. During his time at the UK Department of Health he was involved in developing a new performance and accountability framework for the NHS (the NHS Outcomes Framework); designing a new social insurance system for long-term care with the Dilnot Commission; and overseeing budget negotiations for social care.


Long-term care (LTC) is labour-intensive – that is, to a large extent it involves one person providing support to another. As such, the ability of LTC systems to provide people with the support that they need is dependent on having an adequate supply of LTC workers with adequate skills and training. However, with demand for LTC expected to increase in the future, many OECD countries are struggling to develop a workforce that can meet the needs of their populations. Low pay and tough working conditions mean that recruitment can be difficult and turnover is high. Drawing on the data that the OECD collects on the LTC workforce, as well as the international literature on this topic, this presentation will give an overview of what the LTC workforce looks like now, how it may have to change in the future, the challenges that countries face in growing and developing the workforce and the types of policy that countries have implemented to try to address these challenges.

date 6 September 2016

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