This presentation compares policy levers influencing allied health delivery in long-term care in Australia and the UK. Previous research has demonstrated that allied health reablement models improve outcomes such as function, frailty, and quality of life, yet these benefits cannot be realised at scale without supportive policy. In Australia, aged care reforms mandated minimum nursing and personal care minutes but not allied health. Over time allied health minutes decreased as personal care and nursing minutes increased, resulting in reduced access for residents despite recognised evidence of benefit. In the UK, the policy direction is for greater prevention and out-of-hospital care, encouraging falls prevention, however in practice, there is geographic variability as to which teams provide allied health services; social services or health (NHS). We discuss the implications of policy context as well as other regulatory levers for sustainable implementation of embedded allied health services delivering evidence based reablement within long term residential aged care.