Spending on long-term care as a share of GDP rises with the share of the population that is over 80 years old, which is expected to triple from 4 per cent to 11-12 per cent between 2005 and 2050. According to the OECD, this and other factors will add pressures not only on the long-term nursing care expenditures (in Belgium among the highest of the OECD) but also on the workforce of this highly labour-intensive sector. The working paper advances different solutions to manage a growing demand for long term care workers.