Dr Ana Llena-Nozal is a senior economist with the OECD. She leads the Organization’s long-term care work, coordinating research and policy on such topics as dementia care, the future of the long-term care workforce, social protection and funding in long-term care, the impact of COVID-19 in long-term care services, policies to promote healthy ageing and end-of-life care. The COVID-19 crisis has hit the long-term care (LTC) sector particularly hard. This presentation analyses the effects of COVID-19 on LTC in OECD countries. It takes stock of the wide range of policy responses that countries have implemented, detailing the changes over time on testing strategies, reduction of interactions and isolation measures, digitalisation of services, and workforce. The presentation also assesses emergency preparedness in the sector, as well as the effectiveness of workforce and vaccination strategies. Finally, the presentation shows how policy responses affected care continuity and the well-being of residents while also outlining the organisational and coordination challenges.