These are not in conflict. The recent changes make almost impossible for a low-wage worker in the elderly care sector to get permanent residence and hence become a "burden" to society longterm, but on the other hand, specified skilled worker visa (SSW) program expands even more. The gist of it is that the worker can come and work for a specific industry (in reality it almost always means specific company) for a 5 years max and then fuck off back to their country.
I shit you not, this is the plan.