Elder Care: The Unseen Workplace Crisis

With an increasing number of employees caring for aging family members, employers' failure to recognise this burden is setting the scene for burnout, absenteeism, and talent loss.

By Grishma Jashapara, Managing Partner at Fusion Associates.

As populations age, elder care responsibilities strain employees who lack workplace support. Traditionally, multigenerational homes shared caregiving, but the shift to nuclear families and dual-income households has disrupted this support, with the burden increasingly falling on single caregivers, often women. Addressing this challenge requires rethinking workplace policies to support employees balancing careers with caregiving.

Historical Context of Elderly Care Needs and Family Responsibilities

Elderly care demand has risen as life expectancy soars and family structures change. The global average life expectancy increased from 46 years in 1950 to over 73 years today, bringing long-term care needs. Previously, single-income, multigenerational households offered shared support. However, dual-income pressures now limit this, with women disproportionately affected. The growing elderly population highlights the urgent need for workplace policies supporting family caregiving.

Current Challenges in Elderly Care Leave

Employees face mounting challenges balancing careers with caregiving. Many experience high stress and mental health issues, especially “sandwich carers” who manage children and elderly parents. Limited workplace flexibility and gender disparities add pressure, as women often reduce work hours or leave jobs. Unpaid caregiving, worth £132 billion annually in the UK, risks caregivers’ economic stability. Physical and mental health impacts are significant, contributing to higher rates of illness among caregivers and costing UK businesses £5.3 billion annually due to absenteeism and lower productivity.

Comparative Analysis of Elderly Care Leave Policies Globally

Elderly care leave varies widely across nations, with policies differing in accessibility, financial support, and flexibility. Some nations offer structured support with robust policies, while others leave families to shoulder caregiving responsibilities without sufficient aid.

  • United States: The Family and Medical Leave Act (FMLA) offers up to 12 weeks of unpaid leave annually for family care, including elder care, but applies only to larger employers and lacks pay, limiting access for lower-income workers. Nearly 53 million Americans are unpaid family caregivers, with many unable to take formal leave due to financial constraints.

  • Sweden: Sweden leads in elder care leave, offering up to 60 days of paid leave annually for family caregiving. This includes job protection, allowing caregivers, especially women, to balance work and family without risking financial security or employment.

  • Germany: Germany provides a mix of short-term and long-term leave, including 10 days of partially paid emergency leave and up to six months of unpaid leave with job protection. A “care time” arrangement allows reduced working hours for up to two years, supporting long-term caregiving needs with some security.

  • Japan: Faced with one of the most rapidly ageing populations in the world, Japan has implemented paid family leave specifically for elderly care. Japanese employees are entitled to up to 93 days of paid family leave, which can be taken over the course of a family member’s illness or care needs. However, workplace culture often limits its full use, suggesting that formal policies alone are not enough without workplace cultural adaptation.

  • France: France provides the Allocation Personnalisée d'Autonomie (APA), a monthly allowance to help cover elderly care costs, and allows up to three months of unpaid leave. However, the short duration and lack of pay restrict its effectiveness for extended support needs.

  • United Kingdom: The UK lacks statutory elder care leave. Employees can request unpaid “time off for dependants” for emergencies, though enhanced policies vary by employer. Only 30% of UK employers offer formal elder care support, leaving most carers to rely on informal solutions.

Challenges in Implementation: Countries with structured policies, like Sweden and Japan, face cultural hurdles that limit leave use, while less supportive policies in the US and UK leave families without adequate options.

These policy comparisons highlight a need for broader global standards in elder care support as demographic shifts increase demand for effective solutions worldwide. Sweden and Japan exemplify supportive frameworks, yet even robust policies struggle against cultural constraints. Countries with limited support leave families financially vulnerable, underscoring the need for consistent global standards.

Benefits of Formalised Elderly Care Leave Policies

Formalised care leave policies support employee well-being, reduce attrition, and boost productivity. With reliable care options, employees experience lower stress, enabling better retention. Gender disparities lessen, as women can continue careers without sacrificing income. Economic productivity improves with reduced absenteeism and healthier, engaged employees. Inclusive policies attract diverse talent, creating workplaces that value personal responsibilities and contribute to societal health and resilience.

Policy Considerations for Addressing the Need for Elderly Care Leave

Effective policies should prioritise flexibility, financial support, and accessible resources:

  • Flexible Work Options: Remote work and flexible hours help caregivers manage responsibilities without excessive leave.

  • Comprehensive Leave and Financial Support: Wage replacement models enable lower-income workers to take elder care leave affordably, as shown in Sweden.

  • Employee Assistance Programs (EAPs): EAPs connect caregivers with mental health and caregiving resources, enhancing job satisfaction.

  • Awareness and Education Initiatives: Informing employees of caregiving options promotes a supportive workplace culture.

  • Employer Training: Training managers to understand caregiving needs improves workplace support and employee retention.

  • Regular Policy Review: Adapting policies based on demographic trends ensures that caregiver support remains relevant.

Developing supportive policies is essential for sustaining a resilient workforce and a compassionate, inclusive society. It lays the foundation for gender equality, workforce productivity, and economic health. Countries like Sweden demonstrate the benefits of structured leave policies, while gaps in regions like the UK and US reveal the hardships faced by unsupported caregivers. Elderly care leave transcends workplace benefit, embodying a societal duty to care for the ageing. Comprehensive policies that support caregivers strengthen both economies and communities, creating a more inclusive future.


About Fusion Associates

Since 1998, Fusion Associates has been placing experienced professionals across the globe within consumer markets including consumer goods, fashion, sporting goods, healthy living and luxury.

Environmental, humanitarian, social and political concerns are close to the Partners both in and out of the business. We pride ourselves in partnering with industry leaders who wish to contribute to a better, more sustainable future. Working with global companies that are at the forefront of innovating and integrating sustainability into the heart of their business, we have helped build purpose-led teams from leadership to subject experts in biodiversity and animal welfare.