RT Book, Section T1 Long-term care for older people during the COVID-19 pandemic in decentralised Spain A1 Hernández-Moreno, Jorge A1 Perna, Roberta A1 Pereira-Puga, Manuel A1 Cruz Martínez, Gibrán Alberto A2 Del Pino, Eloísa A2 Moreno-Fuentes, Frnacisco Javier AB This chapter examines the challenges Spain’s long-term care (LTC) sector faced during the COVID-19 pandemic, focusing on the implications of its decentralised governance structure. Spain’s care home sector was severely impacted, with significant mortality rates among older residents. Weak coordination between health and social services and a fragmented governance model across regional administrations delayed the implementation of crucial containment measures. Pre-existing issues, including underfunding, precarious employment conditions, and insufficient staffing, further hindered the sector’s ability to respond effectively. The chapter highlights how the pandemic exposed systemic vulnerabilities and inefficiencies within Spain’s LTC system, emphasising the urgent need for better integration, resource allocation, and crisis preparedness to safeguard the elderly population. PB Policy Press SN 978-1447367284 YR 2025 FD 2025-07 LK https://hdl.handle.net/20.500.14352/122587 UL https://hdl.handle.net/20.500.14352/122587 LA eng NO Hernández-Moreno, J. Perna, Roberta, Pereira-Puga, M. & Gibrán Cruz-Martínez (2025): Long-term care for older people during the COVID-19 pandemic in decentralised Spain, in E. Del Pino & J. Moreno-Fuentes. Long-Term Care and Older People in Western Europe. Bristol: Policy Press, pp.252-271 NO CSIC, Mc-COVID19 Coordination mechanisms in Coronavirus management between different levels of government and public policy sectors in 15 European countries DS Docta Complutense RD 25 dic 2025