The standard advice to pastors these days is that they should under no circumstances do pastoral care. That’s been de rigueur in leadership circles since the late ’80s when John Maxwell began telling church growth conferees, “I don’t do hospital calls.”
The theory is that anybody can do pastoral care, so the pastor’s time is better spent energizing the leaders within the congregation. The sooner the pastor hands off hospital calling to small group leaders, the sooner the church will break attendance barriers.
Pastoral ministry doesn’t scale, which is why it’s taboo among pastors who style themselves as (or already are) leaders of a large organization. There’s no way for one person to do all the pastoral care for a congregation of 20,000 people. It’s a black hole that sucks time and energy without adding to attendance, so successful pastors avoid it.
I couldn’t care less.
Ministry of Word and sacrament is the primary task of a pastor. Here’s why every single one of them should be a pastoral care giver.