Australia’s ageing population and the implementation of the Support at Home Program are increasing demand for care models that manage complexity, support independence and enable ageing in place. A persistent challenge is ensuring the health and care workforce is equipped to deliver integrated, person centred care across physical, cognitive, emotional and social domains. Occupational therapy is well positioned to contribute to integrated care for older people, yet its capability is often under utilised or poorly understood within service planning and reform conversations. This limits system capacity to respond to multimorbidity, cognitive impairment, housing risk and functional decline. This presentation examines how the occupational therapy workforce is being prepared to meet current and future demands in ageing and integrated care. It will discuss national workforce initiatives led by Occupational Therapy Australia and consider how capability development aligns with policy, funding and service reform. The distinct contribution of occupational therapy to integrated care — including functional assessment, environmental design, participation focused intervention and multidisciplinary collaboration — will be explored. The presentation will also consider future workforce challenges as older Australians live longer with complex needs, and how occupational therapy can support system sustainability, quality and compliance under evolving legislative frameworks.