OCSA calls for an integrated cross-sector health human resource strategy
The long-term care staffing plan will decimate the home and community care workforce without a comprehensive approach
DOWNLOAD PDFTORONTO, December 18, 2020
– Yesterday, the government of Ontario released a staffing plan intended to address challenges in the long-term care (LTC) sector. The overall aim of the plan is to improve the quality of care for residents in the sector, a necessary goal. That being said, the newly released plan will undoubtedly have a negative impact on the home and community care sector and will cause staffing issues in an already precarious workforce. Without adequate health human resources to keep seniors and those with disabilities well and safe at home, the pressures on LTC homes will only increase.
This is why the government must develop an integrated and comprehensive strategy that recognizes the interdependencies between various health sectors and ensures a stable and resilient workforce across our health system. Only by developing an integrated plan, can we ensure that addressing staffing challenges in one sector does not come at the expense of individuals receiving care in other sectors across the continuum.
“We are currently dealing with crippling staffing shortages across our health system. Sectors across the system share the same pool of qualified health human resources,” said Deborah Simon, CEO of the Ontario Community Support Association (OCSA). “The competition for the very scarce health human resources is ferocious and home and community care organizations continue to find themselves at a significant recruitment and retention disadvantage due to historical funding discrepancies.”
The majority of home and community care organizations report losing staff to the LTC and hospital sectors, where pay is significantly higher. A recent survey of OCSA members found that for 60% of organizations low pay rates and opportunities in other health sectors were the primary reasons why PSWs left their organizations. The current wage gap for PSWs working in the community sector versus the hospital sector is an average of 18.7% or $3.57 an hour. The gap is 9.2% or $1.75 an hour for PSWs working in long-term care.
OCSA is committed to working with the province and other stakeholders to develop and implement a comprehensive and integrated health human resources strategy that ensures all sectors have an adequate supply of qualified staff in order to provide the best possible care to individuals who need it.
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About OCSA
Ontario Community Support Association (OCSA) represents close to 230 not-for-profit organizations that provide home care and community support services that help seniors and people with disabilities live independently in their own homes and communities for as long as possible. These compassionate and cost-effective services improve quality of life and prevent unnecessary hospitalizations, emergency room visits and premature institutionalization. They are the key to a sustainable health care system for Ontario.
For more information, visit www.ocsa.on.ca and https://twitter.com/OCSAtweets.
To arrange an interview and more information please contact:
Michele Vantrepote
Communications Manager
Ontario Community Support Association
416-256-3010 ext. 242
Michele.Vantrepote@ocsa.on.ca
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Ontario, March 27, 2026 — The Ontario Community Support Association (OCSA) welcomes the Ontario government’s continued investment in home care and community support services as part of the 2026 provincial budget. Building on recent commitments, this investment signals a sustained shift toward strengthening care in the home and community as a central pillar of Ontario’s health system. As demand continues to grow—driven by an aging population, increasing caregiver strain, and sustained pressure across hospitals and long-term care—expanding access to care outside of institutions is critical to improving system flow and long term sustainability. “We are listening closely to what Ontarians are telling us—and so is the government,” said Lori Holloway, CEO of OCSA. “People want to receive care at home and in their communities, surrounded by the people and supports that matter most. This investment reflects that reality and moves us further toward a system designed around where people actually want and need care.” Home care and community support services each play distinct but complementary roles. Home care provides essential clinical and personal care in the home, while community support services focus on prevention, independence, and quality of life through programs such as Meals on Wheels, transportation, adult day programs, and caregiver respite. Together, they form the foundation of a modern, community-based care system that helps people remain at home longer while reducing avoidable hospital use and delaying or preventing long-term care placement. This level of sustained investment has the potential to significantly expand access to care at home, strengthen community capacity, and improve outcomes for individuals and families across the province—while supporting a more balanced and sustainable health system overall. OCSA is committed to working with government and system partners to ensure these investments translate into real improvements in access, stronger community supports, and measurable impact for Ontarians. About OCSA The Ontario Community Support Association represents more than 200 not-for-profit organizations providing home care and community support services across the province. OCSA members deliver essential services that help people live independently, age at home, and reduce pressure on hospitals and long-term care. For media inquiries please contact: Karla Sealy (she/her) Manager of Communications 416-256-3010/1-800-267-6272, ext 242 karla.sealy@ocsa.on.ca

Ontario relies on community health workers every day to treat illness, support mental health, provide care at home, help people live independently, and keep families well, and in many cases, they provide this care 24/7. They care for people of all ages and backgrounds, often with highly complex needs, and they are essential to achieving a sustainable and high performing healthcare system. Closing the wage gap is not simply about fairness; it is about protecting access to care, reducing system pressure, and ensuring Ontario ’ s healthcare investments deliver maximum impact. The ten provincial community health associations are committed to working collaboratively with the government to build a stable, sustainable community health workforce, which supports a stable and sustainable healthcare system, a goal we all share.

