Reflective of issues affecting the broader health and social care sector, the HSE and lead agencies are experiencing ongoing recruitment and retention challenges in disability services. Ensuring that the Disability Sector is fully resourced is a key priority of Government, and recruiting and retaining skilled staff in respite and community support services is critical if we are to continue providing reliable quality care for children with lifelong disabilities. This is in line with defined actions in the Progressing Disability Services Roadmap, the National Service Plan 2025 and the Programme for Government.
While acknowledging the challenges, it is important to recognise that the disabilities workforce is growing year on year. From end December 2019 to August 2025, the disabilities workforce in HSE and Section 38 providers grew by over 20%. Progress has also been made in Children’s Disability Network Teams (CDNTs) recruitment over recent years, with the HSE CDNT Workforce Survey data for April 2025 showing a 26% increase in CDNT staffing levels nationwide, since October 2023.
Building on growth achieved in 2025, Budget 2026 will allow for further targeted expansion in the workforce across key services, including Residential and Respite Services, Day Services, CDNTs, and Neurorehabilitation.
The HSE has appointed an Assistant National Director for the Disabilities Workforce to drive disability workforce initiatives with particular emphasis on enhancing recruitment and retention in CDNTs.
During 2025, the HSE has primarily focussed on implementing recruitment initiatives to support sustained growth of CDNTs and the wider disability service. Building a skilled pipeline of professionals involves active and sustained engagement with the employment market and with students, to improve the perception of and interest in working in the disability sector.
The HSE has also commenced analysing retention challenges, with a view to understanding why workers stay and why they leave, to inform the development of meaningful retention strategies. International research points to the importance of factors such as career progression, work flexibility and professional development and support in this regard.
A dedicated Disability Workforce Strategy will be developed by the HSE in 2026, to meet growing service demands and address recruitment and retention challenges across specialist disability services, including respite and community support services for children with disabilities.
Increasing the disability workforce is key to delivering on the step change in disability services commitment contained in the Programme for Government.