EU unveils strategy for accessible, affordable long-term care

Dubravka Suica – Photo © European Union 2022

(BRUSSELS) – The Commission laid out plans for a ‘European Care Strategy’ Wednesday to ensure quality, affordable care services across the EU and improve the situation for care receivers and those caring for them.

The Strategy is accompanied by two Recommendations for EU Member States on the revision of the Barcelona targets on early childhood education and care, and on access to affordable high-quality long-term care.

Investing in care is seen as important to attract and retain talents in a care sector often characterised by difficult working conditions and low wages, as well as to address labour shortages.

Investing in high-quality care also means improving women’s participation in the labour market, as women still bear the brunt of care responsibilities, with 90% o

The Commission is proposing that Member States revise the targets on early childhood education and care to enhance women’s labour market participation, also called ‘the Barcelona Targets’, set in 2002. The current targets call on Member States to provide childcare to 33% of children under 3 and to 90% of children from age 3 until mandatory school age. The Commission proposes to set new ambitious yet realistic targets so that by 2030 at least:

  • 50% of children below the age of 3 are in early childhood education and care;
  • 96% of children between the age of 3 and the starting age for compulsory primary education are in early childhood education and care, as already agreed in the European Education Area framework.
  • The Commission is also recommending that, among others, Member States:
  • Ensure that childcare services are affordable, accessible and of high quality, available in urban as well as rural or disadvantaged areas;
  • Introduce a legal entitlement to early childhood education and care, ideally with no gap between the end of paid family leave and the legal entitlement; Have targeted measures in place to enable and increase participation of children from disadvantaged backgrounds, with disabilities or with special needs in education and care, to close the gap with the overall population of children;
  • Look at the number of hours children spend in childcare (‘time-intensity’) and ensure that childcare is available for a duration that allows parents to engage meaningfully in paid work; and
  • Encourage equal sharing of childcare between parents by combating gender stereotypes and support family-friendly working-time arrangements.

Regarding long-term care, the EU executive recommends that Member States draw up national action plans to make care in the EU more available, accessible and of better quality for all, for instance by:

  • Ensuring that long-term care is timely, comprehensive and affordable, allowing a decent standard of living for people with long-term care needs;
  • Increasing the offer and mix of professional long-term care services (homecare, community-based care and residential care), close territorial gaps in the access to long-term care, roll-out accessible digital solutions in the provision of care services, and ensure that long-term care services and facilities are accessible to people with disabilities;
  • Ensuring high-quality criteria and standards for long-term care providers;
  • Supporting informal carers, who are often women and relatives of care receivers, through training, counselling, psychological and financial support; and
  • Mobilising adequate and sustainable funding for long-term care, including by using EU funds.

To improve working conditions and attract more people – in particular men – to the care sector, Member States are recommended to:

  • Promote collective bargaining and social dialogue with a view to improving wages and working conditions;
  • Ensure the highest standards of occupational health and safety;
  • Design continuous education and training for care workers;
  • Tackle gender stereotypes around care and launch communication campaigns;
  • Ratify and implement ILO Convention 189 on domestic workers.

For its part, the Commission will:

  • Explore the creation of a new sectoral social dialogue for social services at EU level;
  • Promote the establishment of a skills partnership under the Pact for Skills for the long-term care sector;
  • Fund projects and research to assess the social and economic value of work and working conditions in the care sector;
  • Review the application of EU standards governing working conditions;
  • Map the current admission conditions and rights of long-term care workers from non-EU countries and explore the feasibility of developing EU-level schemes to attract care workers; and
  • Promote the opportunities available for early childhood education and care staff under the Erasmus+ programmes.
European Care Strategy - background guide

Factsheet – European Care Strategy for carers and care receivers

European Care Strategy Communication

Proposal for a Council Recommendation on the revision of the Barcelona targets on early childhood education and care

Proposal for a Council Recommendation on access to affordable high-quality long-term care

2021 Long-term care report

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