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Workforce Planning for Health and Aged Care

Workforce Planning for Health and Aged Care
Workforce Planning for Health and Aged Care
Written by:
Emma Woodberry
Three connected circles forming a molecular structure icon on a dark blue background, with two blue circles and one grey circle linked by grey and white lines.
Written by:
Trace Insights
Publish Date:
Apr 2026
Topic Tag:
Workforce Planning & Scheduling

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Strategic Workforce Planning for Health and Aged Care in Australia

Australia's health and aged care sectors have a workforce problem that recruitment alone cannot fix.

The numbers are stark. Modelling from the Australian Government's Nursing Supply and Demand Study projects a national shortfall of more than 70,000 full-time equivalent nurses by 2035, with aged care, acute care and primary healthcare all affected. CEDA's analysis goes further, estimating the aged care direct-care workforce gap could reach 400,000 workers by 2050 under conservative assumptions. Allied health faces its own deficit, with approximately 25,000 additional professionals needed by 2033 just to meet the recommendations of the Royal Commission into Aged Care Quality and Safety.

These are not distant projections. The pressure is here now. Mandatory care minutes in residential aged care have lifted the floor on staffing requirements. The 24/7 registered nurse requirement is rolling out across facilities. The new Aged Care Act 2024 has introduced Outcome 2.8, requiring providers to maintain a documented workforce strategy that covers workforce planning, skills assessment, and contingency for shortages and vacancies.

The providers who are navigating this well are not the ones hiring the fastest. They are the ones who have moved from reactive recruitment to strategic workforce planning, treating the workforce as a system to be designed rather than a gap to be filled.

Why Recruitment Is Not a Workforce Strategy

Most health and aged care organisations still treat workforce management as a recruitment function. A vacancy opens. A requisition goes out. An agency gets called. The shift gets covered. The cost is absorbed. The cycle repeats.

This approach has three fundamental problems.

First, it is expensive. Agency and locum costs in healthcare have escalated significantly over the past five years, driven by the same supply-demand imbalance that creates the vacancies in the first place. Many providers are spending 15 to 25 percent more on labour than they would under a planned workforce model, simply because of the premium attached to urgent, unplanned staffing.

Second, it is fragile. A workforce that depends on last-minute agency fill creates inconsistency in care delivery, compliance risk around credentialing and orientation, and cultural fragmentation as permanent staff carry the organisational knowledge while rotating casuals carry the shifts.

Third, it does not scale. As demand grows (and it will, structurally, for the next two decades), reactive hiring gets harder and more expensive each year. The pool of available casual and agency workers is finite. The organisations competing for that pool are multiplying. The cost curve bends the wrong way.

Strategic workforce planning is different. It starts with demand, not vacancies. It models forward, not backward. And it connects workforce decisions to care outcomes, financial sustainability and regulatory compliance in a single framework.

What Strategic Workforce Planning Actually Looks Like

A strategic workforce plan for a health or aged care provider answers five questions:

What workforce do we need to deliver the care model we have committed to? This is a demand question. It starts with patient or resident acuity, care standards (including mandatory care minutes and registered nurse requirements), service delivery models, and the clinical and non-clinical roles required to execute them. The answer is a demand profile by role, by location, by shift pattern, by time horizon.

What workforce do we currently have? This is a supply question. It covers headcount, FTE, skill mix, qualifications, age profile, attrition rates, leave patterns, and geographic distribution. Most providers can answer this at an aggregate level. Very few can answer it at the granularity needed for planning, which means at the ward, facility or service level, by shift, by clinical capability.

Where are the gaps? The difference between demand and supply, modelled over time, produces a gap analysis. Critically, the gap is not just a headcount number. It has structure. It might be concentrated in registered nurses on night shift in regional facilities. It might be an allied health shortfall in a specific discipline that affects compliance with a particular care standard. The shape of the gap determines the response.

What levers do we have to close those gaps? This is where the strategy lives. The levers include recruitment (domestic and international), retention improvement, scope of practice reform (using existing staff more effectively), rostering optimisation, workforce model redesign (shifting task allocation between role types), training and development, and technology-enabled productivity improvement. Each lever has a different cost, lead time and risk profile. A workforce plan sequences them.

How do we monitor and adjust? Workforce planning is not a one-off exercise. It is an operating cadence. The plan needs metrics, review cycles and triggers for intervention. The providers that do this well review workforce performance monthly, update the plan quarterly, and rebase the demand model annually or when the care model changes.

The Aged Care Specific Challenge

Aged care providers face a version of this challenge that is uniquely acute, for three reasons.

The regulatory floor is rising. Mandatory care minutes require a minimum of 200 minutes of direct care per resident per day, including at least 40 minutes of registered nurse time. The 24/7 RN requirement, being phased in through mid-2026, adds a further structural constraint. These are not aspirational targets. They are compliance obligations with consequences for providers that cannot meet them.

The workforce economics are punishing. Aged care wages have historically lagged acute and primary care settings for equivalent roles. The Fair Work Commission's aged care work value case has begun to address this, but the gap has not closed completely, and the sector is still competing for talent against hospitals, community health, disability services and increasingly non-health employers. Personal care workers, who deliver the majority of direct care minutes, are among the lowest-paid roles in the care economy.

The demand trajectory is steep. By 2031, nearly 20 percent of the Australian population will be over 65. Residents are presenting with increasing complexity, including chronic conditions, cognitive decline and multi-morbidity that require more skilled care over longer periods. The volume and intensity of care are both increasing.

For aged care providers, workforce planning is not a nice-to-have governance exercise. It is the mechanism by which you determine whether you can continue to operate, comply with the Act, and deliver care that meets the standards your residents and their families expect.

Demand Modelling: Getting the Foundation Right

The quality of a workforce plan is determined by the quality of the demand model that sits underneath it. And the most common failure in health and aged care workforce planning is building the demand model from the wrong starting point.

Too many providers start with current headcount and ask "how many more people do we need?" That is a workforce gap calculation, not a demand model. It assumes the current staffing structure is correct and simply needs to be scaled.

A proper demand model starts with the service. What care are we delivering, to whom, at what standard, across what hours, at what locations? From there, it translates care requirements into workforce requirements using activity-based logic.

In a hospital setting, that means linking workforce requirements to patient throughput, length of stay, acuity mix and service configuration. In aged care, it means linking to resident numbers, care classification (AN-ACC), mandatory care minute obligations and the clinical skill requirements of the resident cohort.

The output is a workforce demand profile that is independent of the current workforce. It describes what the organisation needs, not what it has. The gap between the two is where the planning starts.

This matters because many providers discover, when they model demand properly, that the gap is not just a headcount problem. It is a mix problem (not enough RNs relative to personal care workers), a distribution problem (staff concentrated in metro facilities while regional sites are critically short), or a capability problem (staff are present but lack the clinical skills needed for the increasing acuity of the cohort).

Each of those findings leads to a different intervention. A headcount gap requires recruitment. A mix gap requires scope of practice review. A distribution gap requires workforce deployment strategy. A capability gap requires training investment. Getting the demand model right is how you avoid spending money on the wrong lever.

Rostering as a Strategic Lever

Rostering is often treated as an administrative function. In health and aged care, it is one of the most powerful workforce planning levers available.

The way shifts are structured, allocated and filled determines how efficiently the workforce is deployed against demand. A poorly designed roster can waste 10 to 15 percent of available labour hours through overstaffing at low-acuity times, understaffing at peak times, excessive overtime, and avoidable agency backfill.

Demand-driven rostering starts with the care requirement, not the staff availability. It builds rosters around patient or resident need by time of day and day of week, then fits the available workforce to that demand curve. Where gaps remain, they are filled through structured overtime, casual pool or agency in that order of preference, with cost and care continuity both factored in.

For aged care providers, rostering reform is also a compliance tool. Mandatory care minutes are measured at the facility level on a quarterly basis. A provider that can demonstrate, through its rostering system, that care minutes are being met consistently, and that the skill mix within those minutes is appropriate, is in a materially stronger compliance position than one that monitors reactively.

The technology to support demand-driven rostering exists and is mature. The constraint is not systems. It is the willingness to move from a roster that suits staff preferences to a roster that matches care demand. That is a change management challenge, and it requires leadership commitment.

Retention: The Lever Most Providers Underinvest In

Recruiting a registered nurse into an aged care facility costs, on average, somewhere between $15,000 and $30,000 when you account for advertising, agency fees, onboarding, orientation and the productivity gap during the first three to six months. Losing that nurse within 12 months and replacing them costs the same again.

The single highest-return workforce investment most providers can make is improving retention. And the evidence on what drives retention in health and aged care is remarkably consistent.

Workload predictability matters more than workload volume. Clinicians accept that healthcare is demanding. What drives burnout and attrition is unpredictability: shift changes at short notice, chronic understaffing that creates unsafe conditions, and the absence of reliable support when things go wrong.

Professional development is a retention lever, not a cost centre. Nurses and allied health professionals who can see a career pathway within their organisation are significantly less likely to leave than those in static roles. Structured development, mentoring, and supported progression into specialist or leadership roles all contribute to retention.

Culture and leadership are not soft issues. The relationship between a frontline worker and their direct supervisor is the single strongest predictor of whether they stay or leave. Organisations that invest in frontline leadership capability, giving team leaders the skills and time to manage people well, retain staff at materially higher rates than those that treat leadership as a secondary responsibility bolted onto a clinical role.

Flexibility has become table stakes. The post-pandemic workforce expects more control over when and how they work. Providers that offer genuine flexibility in rostering, including self-rostering within demand parameters, compressed work weeks, and transparent shift-swap mechanisms, attract and retain staff more effectively than those that do not.

Regional and Rural: A Different Planning Problem

The workforce challenges in metropolitan health and aged care are significant. In regional and rural Australia, they are structural.

The supply side of the equation is fundamentally different outside the major cities. Local workforce pipelines are thinner. The pool of available casual and agency staff is smaller. The cost of attracting permanent staff (including relocation, housing and retention incentives) is higher. And the facilities themselves are often smaller, which means a single vacancy has a disproportionate impact on operations.

Workforce planning for regional providers requires different tools. Grow-your-own strategies, where the provider invests in training and developing local residents into care roles, have longer lead times but produce staff with genuine community connection and lower attrition. Hub-and-spoke clinical models, where specialist expertise is concentrated in a regional centre and deployed to surrounding facilities on a structured rotation, can address capability gaps without requiring every facility to recruit independently. Telehealth and remote clinical support can extend the reach of specialist staff across multiple sites.

The key planning insight for regional providers is that the workforce model itself may need to be different. Applying a metropolitan staffing model to a regional facility and then trying to recruit into it will fail. Designing the workforce model around what is achievable locally, and supplementing with structured external support, is more likely to succeed.

How Trace Consultants Can Help

Trace works with health and aged care providers to build workforce planning capability that connects care delivery, regulatory compliance and financial sustainability in a single framework.

Workforce demand modelling: We build activity-based workforce demand models that translate care requirements into workforce requirements by role, location, shift and time horizon, giving providers a clear picture of what they actually need rather than what they currently have.

Rostering and deployment optimisation: We design demand-driven rostering models that improve labour utilisation, reduce avoidable agency spend, and support mandatory care minute compliance, working within existing systems and industrial frameworks.

Workforce strategy development: We develop medium-term workforce strategies that sequence the full range of available levers, from recruitment and retention through to scope of practice reform, training investment and workforce model redesign, with clear accountability and measurement frameworks.

Regulatory readiness: We help providers build the workforce documentation, metrics and governance processes required under the Aged Care Act 2024, including Outcome 2.8 workforce strategy obligations.

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Where to Start

If you are a health or aged care provider and you do not have a documented workforce strategy that connects demand modelling, gap analysis, and a sequenced set of interventions, the starting point is straightforward.

Commission a workforce diagnostic. A two to four week exercise that maps your current workforce against your care delivery model, identifies the structural gaps (not just the vacancies), and produces a prioritised action plan. It does not require a large investment. It does require honest data and a willingness to look at the workforce as a system, not a series of individual hiring decisions.

The providers that navigate the next decade successfully will be the ones that treat workforce planning as a core operational discipline, not a human resources side project. The regulatory environment, the demographic trajectory and the economics of care all point in the same direction. Planning is not optional. It is how you stay viable.

Read more health and aged care insights from Trace Consultants.

Contact our team to discuss your workforce planning priorities.

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