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Workforce Planning, Rostering & Scheduling in Health and Aged Care
Across Australia and New Zealand, health and aged care providers are facing a perfect storm. Demand for services continues to grow, patient and client acuity is increasing, workforce availability is tightening, and cost pressures show no sign of easing. At the centre of this challenge sits one critical capability: workforce planning, rostering and scheduling.
For many organisations, workforce management remains heavily manual, reactive and fragmented. Rosters are built week-to-week under pressure. Shortages are filled with overtime or agency labour. Service reliability depends on heroic effort from frontline staff and managers. While these approaches may keep services running in the short term, they are not sustainable.
Done well, workforce planning, rostering and scheduling can transform how health and aged care services operate. They can improve continuity of care, reduce workforce fatigue, lower costs, and create a more resilient operating model. Done poorly, they drive burnout, inefficiency, compliance risk and compromised care outcomes.
This article explores why workforce planning, rostering and scheduling are so challenging in health and aged care, what “good” really looks like, and how organisations across Australia and New Zealand can take a more structured, sustainable approach. It also outlines how Trace Consultants can help organisations lift capability in this critical area.
Why Workforce Management Is a Strategic Issue in Health and Aged Care
Workforce cost is the single largest cost line for most health and aged care organisations. In many cases, it represents 60–80 per cent of the total operating cost base. Yet despite its importance, workforce planning and scheduling is often treated as an administrative function rather than a strategic capability.
Several factors have elevated workforce management to an executive-level issue.
Growing and Changing Demand
Australia and New Zealand are experiencing ageing populations, increasing chronic disease, and rising demand for both acute and community-based care. Demand is not only increasing in volume but changing in shape — more complex needs, higher acuity, and greater variability day-to-day.
Persistent Workforce Shortages
Across nursing, allied health, care workers and support roles, labour markets remain tight. Recruitment pipelines are constrained, and competition for skilled staff is intense. Reliance on agency labour has increased, often at a significant cost premium.
Increasing Regulatory and Compliance Pressure
Health and aged care providers must comply with minimum staffing requirements, skill mix rules, fatigue management, award conditions and accreditation standards. Manual rostering processes struggle to consistently manage this complexity.
Rising Expectations of Quality and Continuity
Patients, residents, clients and families increasingly expect consistent care, familiar carers, and reliable service delivery. Poor rostering and high turnover undermine these expectations.
Workforce Burnout and Retention Risk
Inefficient rostering, excessive overtime, and poor shift allocation contribute directly to burnout and attrition — further worsening workforce shortages.
Understanding Workforce Planning, Rostering and Scheduling
Although often grouped together, workforce planning, rostering and scheduling are distinct — and all three must work together.
Workforce Planning
Workforce planning is about determining what workforce is required, by role, skill, location and time, to deliver the desired level of service. In health and aged care, this means translating demand for care into workforce requirements.
This includes:
- Understanding demand drivers (patients, residents, clients, acuity)
- Defining care models and service standards
- Determining required staffing levels and skill mix
- Planning workforce supply over the short, medium and long term
Without effective workforce planning, rostering becomes guesswork.
Rostering
Rostering is the process of allocating staff to shifts over a defined period, typically weeks or months. Good rostering balances service requirements, workforce availability, award conditions, employee preferences and cost.
In health and aged care, rostering must account for:
- Shift coverage requirements
- Skill and qualification constraints
- Fatigue rules and safe working limits
- Fairness and equity across staff
- Leave, training and non-productive time
Scheduling
Scheduling focuses on the day-to-day and intra-day deployment of staff — responding to unplanned absences, demand variability, and service disruptions. In community and home-based care, scheduling also includes route planning and travel optimisation.
Scheduling capability is critical for maintaining service reliability without excessive overtime or agency use.
How to Select the Right Technology
Selecting the right workforce planning, rostering and scheduling technology requires far more than comparing feature lists or responding to vendor demonstrations. Health and aged care organisations should start by clearly defining their future-state operating model — including care models, workforce structure, decision rights and performance expectations — before assessing technology options. The most effective solutions are those that align closely with how services are delivered on the ground, integrate cleanly with payroll, HR and finance systems, and support both forward planning and real-time operational decision-making. Ease of use for frontline managers is critical, as overly complex systems often drive workarounds and undermine adoption. Just as importantly, organisations should assess data quality requirements, implementation effort, scalability, and the level of ongoing configuration and governance required to keep the system fit for purpose as demand, regulations and workforce conditions evolve. Choosing the right technology is ultimately about enabling better decisions and sustainable workforce practices, not simply automating existing problems.
Common Challenges in Health and Aged Care Workforce Management
Across hospitals, aged care providers, community services and disability organisations, similar challenges consistently emerge.
Reactive, Short-term Focus
Many organisations operate in perpetual “firefighting” mode. Rosters are built to get through the next week rather than aligned to forecast demand or longer-term workforce plans.
Limited Demand Visibility
Demand for care is often poorly quantified or not translated into workforce terms. Historical rosters, rather than actual care demand, become the basis for future planning.
Fragmented Processes and Systems
Workforce planning, rostering, payroll, HR and operational reporting are often disconnected. This creates duplication, manual workarounds and inconsistent data.
Over-reliance on Overtime and Agency Labour
When base rosters do not match demand, organisations rely on expensive short-term fixes. Over time, this inflates costs and accelerates burnout.
Poor Skill Mix Alignment
Rosters may meet headcount requirements but fail to align skills and experience with patient or resident needs — affecting quality and safety.
Lack of Performance Visibility
Many organisations struggle to answer basic questions:
- What is our true cost per hour of care?
- Where are we over- or under-staffed?
- How much of our workforce cost is reactive?
- Which services are most vulnerable to disruption?
Why Traditional Approaches No Longer Work
Historically, workforce management in health and aged care relied on experienced managers using spreadsheets, local knowledge and manual adjustments. While this approach worked in simpler environments, it is increasingly unsustainable.
The scale and complexity of modern service delivery — combined with workforce constraints and regulatory requirements — exceed what manual processes can reliably manage. More importantly, traditional approaches are not designed to optimise outcomes; they are designed to cope.
To move beyond coping, organisations must rethink workforce planning, rostering and scheduling as an integrated operating model capability.
Designing Workforce Models Around Care Demand
At the heart of effective workforce management is a simple principle: start with demand.
Translating Demand into Workforce Requirements
Demand in health and aged care may be driven by:
- Occupancy and acuity in residential settings
- Patient flows in hospitals
- Client schedules in community and home care
- Service level commitments and care minutes
Effective workforce planning translates this demand into:
- Required hours of care
- Skill mix by time of day and day of week
- Variability and peak requirements
- Minimum safe staffing levels
This creates a fact-based foundation for rostering decisions.
Aligning Care Models and Workforce Design
Different care models require different workforce structures. For example:
- Continuity-focused models prioritise stable assignments
- Flexible response models require multi-skilled staff
- Community models require travel and scheduling optimisation
Workforce planning must align explicitly to the chosen care model.
Building Better Rosters: Balancing Care, Cost and Workforce Experience
Good rostering is about trade-offs. There is no perfect roster — only better-informed decisions.
Key Principles of Effective Rostering
- Demand-aligned: Rosters reflect when care is actually needed
- Skill-appropriate: The right mix of qualifications and experience is available
- Fair and transparent: Staff understand how rosters are built
- Compliant by design: Awards and fatigue rules are embedded
- Cost-aware: Overtime and premium labour are minimised
Importantly, good rosters reduce the need for constant rework during execution.
Scheduling in Dynamic Care Environments
Even the best rosters cannot predict everything. Absences, demand spikes and unplanned events are inevitable.
Effective scheduling capability allows organisations to:
- Rapidly redeploy staff
- Minimise disruption to care continuity
- Reduce reliance on overtime and agency staff
- Maintain service quality under pressure
In community and aged care settings, scheduling also includes managing travel time, sequencing visits, and adjusting routes as conditions change.
The Role of Technology in Workforce Planning and Scheduling
Technology is a critical enabler — but only when implemented with a clear operating model in mind.
What Technology Should Enable
Rather than focusing on systems alone, organisations should focus on capability:
- Forecasting workforce requirements based on demand
- Building compliant, optimised rosters
- Managing real-time changes effectively
- Providing visibility into cost, utilisation and risk
- Supporting managers rather than burdening them
Why Technology Alone Is Not Enough
Many organisations invest in rostering systems but see limited improvement. This usually occurs because:
- Demand modelling is weak or absent
- Processes are poorly defined
- Data quality is inconsistent
- Change management is underestimated
Technology should support better decisions — not replace the need for them.
Measuring What Matters
Sustainable improvement requires clear performance measures.
Effective workforce metrics may include:
- Cost per hour of care delivered
- Overtime and agency utilisation
- Rostering stability
- Skill mix compliance
- Workforce utilisation
- Absenteeism and turnover
- Service reliability and continuity
Importantly, metrics should support learning and improvement, not just reporting.
How Trace Consultants Can Help
Trace Consultants works with health and aged care organisations across Australia and New Zealand to strengthen workforce planning, rostering and scheduling capability in a practical, sustainable way.
Trace supports organisations to:
- Understand demand drivers and care requirements
- Design workforce models aligned to care strategies
- Improve workforce planning and forecasting processes
- Redesign rostering and scheduling operating models
- Select and configure enabling technology
- Improve performance visibility and governance
- Reduce reliance on reactive labour solutions
- Build capability within management teams
Trace brings experience across hospitals, aged care providers, community services and disability organisations, with a strong understanding of the regulatory, operational and workforce realities unique to the sector.
Critically, Trace’s approach is independent and grounded in operational reality — focused on outcomes, not tools or theory.
Looking Ahead: Workforce Sustainability as a Competitive Advantage
The organisations that will thrive in health and aged care over the coming decade are those that treat workforce management as a core capability, not an administrative burden.
Effective workforce planning, rostering and scheduling enable:
- Better care outcomes
- More engaged and sustainable workforces
- Lower and more predictable costs
- Greater resilience in the face of disruption
The challenges are significant — but so is the opportunity.
By investing in the right foundations now, organisations can move beyond constant firefighting and build workforce models that support both care excellence and financial sustainability.
Ready to turn insight into action?
We help organisations transform ideas into measurable results with strategies that work in the real world. Let’s talk about how we can solve your most complex supply chain challenges.




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