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For providers · Operations

When a worker calls in sick, the morning disappears

One unavailable worker can mean a dozen phone calls during your busiest hour. Here is what that really costs a care or services business – and how the job is changing.

A care coordinator on the phone reaching clients
By the Nearness team·Published ·6 min read

Every care, cleaning and community-services business runs on the same fragile assumption: that the people rostered for today will actually turn up. Most days they do. Then a worker wakes up unwell, a car won’t start, a family emergency lands – and suddenly ten, twenty, fifty clients are expecting a visit that isn’t coming, and someone has to tell every one of them, by phone, right now.

That job almost always falls on a coordinator during the busiest hour of the day. It is slow, it is stressful, and – because it is done by hand – it costs far more than it looks.

Why this is getting harder, not easier

These disruptions are not rare events you can wave away as exceptions. They are the daily weather of a sector under real workforce strain. Australia faces an estimated shortfall of around 35,000 aged care workers, and more than 60% of providers report difficulty filling key roles, particularly nurses and personal carers. By March 2025, roughly 88,000 Australians were waiting for approved in-home care, with a median wait close to nine months.

Fewer available workers means more last-minute reshuffling, more shifts covered late or not at all, and more clients who need to be told something changed. The notification problem isn’t a symptom of a bad week. It is a structural feature of running services with a stretched workforce.

The cost nobody puts on an invoice

Manual notification looks free – a coordinator already on the payroll, making calls that cost nothing. The real cost hides in four places:

51%

More than half of home-care agencies rank scheduling and its fallout as their single biggest operational challenge.

Industry scheduling surveys

What the work looks like once it’s automated

The task itself is simple; doing it by hand is the hard part. This is precisely the kind of repetitive, high-volume, time-critical job that automation is genuinely good at – and where a growing number of Australian providers are quietly handing the load to software.

Instead of one coordinator working down a list, every affected client is contacted at once. A warm automated call goes out, naming the worker and the business – “Sarah can’t make your 9:30” – and if the call isn’t answered, a plain-English text follows. Replies come back to one screen, the two or three people who genuinely need a human are flagged, and every call and message is logged and exportable. Twenty clients take about as long as one.

The point isn’t to strip out the human touch. It is to spend it where it matters – on the client who is upset, the visit that needs rearranging – instead of on the ninety seconds of dialling, redialling and re-explaining that plays out the same way every single time.

The bottom line for owners

You can’t hire your way out of a national workforce shortage, and you can’t stop workers getting sick. What you can change is what a disruption costs you when it happens. Handled by hand, it costs a morning and a little trust every time. Handled well, it costs about sixty seconds – and your coordinators get to do the job you actually hired them for.

Sources

  1. Aged Care Workforce analysis, ELMO / sector workforce reporting.
  2. Australian Institute of Health and Welfare, Older Australians: aged care and in-home care demand.
  3. KPMG Australia, Aged care sector analysis.