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Do I need insurance as a self-employed carer?

No law makes you hold it. But a self-employed carer has no employer standing behind a genuine accident, which is the reason to weigh it up seriously rather than assume it will not matter. Here is what it covers, what it costs, what a policy expects of you in return, and why driving to a visit is a separate question with its own answer.

By James Bowdler, founder of PrimeCarers  ·  Updated September 2026  ·  13 min read · What it protects you from

A woman sheltering under an umbrella on a tree-lined street in the rain

Part of our guide to carer resources.

What it is

What carer liability insurance means in practice

Carer insurance is not one single, standard product with a fixed price and a fixed form. It is usually a bundle built from four separate covers, and knowing them apart matters more than knowing the umbrella term they sit under.

Public liability insurance

Pays a claim if a client, or their home or belongings, is harmed by something you did while working. This is the cover most people mean when they say carer insurance, and the one this page is mostly about.

Professional indemnity insurance

Pays a claim if advice or a judgement you gave, rather than a physical accident, cost a client money. Matters far less to a carer who does not give financial or medical advice as part of the job than public liability cover does.

Personal accident insurance

Pays you, not the client, if you are injured while working and cannot earn. A self-employed carer has no sick pay to fall back on.

Business use car insurance

Covers your car for driving that is part of the job, rather than only social or commuting trips. A different question from the three covers above, answered in full further down this page.

Nothing licenses this work the way a driving instructor or a taxi driver is licensed, so nothing forces you to hold any of these before your first visit. That does not make the choice a small one. Helping someone move, using their appliances and driving to their home are all ordinary parts of a visit, and each one carries a real chance of an accident. Public liability insurance is the cover built for exactly that.

What it protects you from

What proper cover answers, and what it does not

Not compulsory is not the same as not needed. These are six things that happen on an ordinary visit, and which cover, if any, answers each one.

You are helping someone stand or move and they slip and are hurt

Public liability insurance

This is the claim it exists for: an injury caused by something you did while working.

A washing machine door, a banister or an ornament breaks, or you scrape a client’s car while helping them into it

Public liability insurance

Covers accidental damage to a client's belongings caused by your work, whether it is something in their home or their car, not only their injury.

You strain your back lifting someone and cannot work for a few weeks

Personal accident insurance, if you hold it

Public liability protects a claim made against you. It does not replace your own income while you recover.

You are in a road accident driving to or between visits

Your car insurance, with business use added

Public liability does not cover the drive there. It is a separate policy, on your car.

A client says advice you gave about their money or medication caused them a loss

Professional indemnity insurance, if you hold it

Most public liability policies leave this out. It is worth asking a broker whether it is included or separate.

A client refuses to pay after a disagreement over what was agreed

A written contract, not insurance

No policy settles a dispute over pay or the tasks you agreed to do. That is what a contract is for.

The pattern worth taking from this list is that public liability insurance answers exactly one kind of question: did something you did while working hurt a client or damage their property. It says nothing about your own injury, your car, or a client's word against yours over what was agreed, which is why the covers further down this page exist alongside it rather than instead of it.

Cost and cover

What a policy typically costs, and what it includes

Specialist brokers write policies aimed specifically at self-employed carers, priced lower than general public liability cover because they know the work. What is included, and what is left out, is worth reading before you compare a price.

Usually included

  • £2 million to £5 million of cover for a single claim
  • Legal costs of defending or settling a claim, not only the payout itself
  • Cover while working in a client’s home, and often while accompanying them outside it
  • A policy schedule and certificate you can show a client if they ask

Usually excluded, or a separate cover

  • Your own injury or lost income, which needs personal accident cover instead
  • Your car, or any accident that happens while driving there
  • A task you were not trained or qualified for, if the claim traces back to that
  • Advice that caused a client financial loss, which is what professional indemnity cover is for

Where cover runs out

The conditions a policy attaches: training and using equipment as intended

A policy is not unconditional. Most carer liability insurance expects two things of you in return for the cover, and a claim can be refused if either one was not true when the accident happened.

What most policies expect of you

0 of 4 ticked

Training and qualifications

Equipment used as the manufacturer intended

The training condition is the one worth taking seriously before it is ever tested. Training for private carers covers what is worth doing early, and the Health and Safety Executive's guidance on moving and handling equipment sets out the standard a carer using any lifting equipment is expected to meet, insurance aside.

PrimeCarers and your car

What PrimeCarers does not arrange for you, and where car insurance fits in

Registering with a platform changes several things about becoming a carer. Insurance is not one of the things it changes, and it is worth being clear about that before your first booking rather than after an accident.

Public liability insurance stays yours to arrange

PrimeCarers checks your identity, your right to work and runs an enhanced DBS check kept current on the Update Service, and every carer has an online interview. None of those checks are insurance. Your contract with a client asks you to hold public liability cover if they ask to see it, and arranging it is your responsibility either way.

If you drive to visits, or plan to, What Car Insurance Do I Need as a Home Carer? answers that question on its own: which class of cover to ask for, what hire and reward adds on top of it once travel is agreed in writing with a client, and what it costs to add either one to an existing policy. It is worth reading before your first visit that involves driving, not after.

Getting covered

How to get covered before your first visit

Four steps, and none of them need to wait until a client asks to see proof.

  1. 1

    Get a quote for public liability cover

    Before your first booking
    A specialist broker writing policies for carers, rather than a general public liability insurer, is worth comparing against a mainstream quote, since it already understands the work as a risk.
  2. 2

    Ask for a certificate, not a verbal confirmation

    Once you buy
    A genuine policy names the insurer, a policy number and the dates it runs between. Keep a copy you can send a client the moment they ask.
  3. 3

    Sort your car insurance separately, if you drive

    Before the first drive
    Ring your own insurer and say plainly that the driving is paid care work. What Car Insurance Do I Need as a Home Carer? has the exact wording to use.
  4. 4

    Review your cover whenever anything changes

    Ongoing
    A new client who wants transporting, a different car, or taking on qualifications that widen what you offer can all change what a policy needs to say.

Self Employed Carer Documents lists the rest of the paperwork worth having ready alongside your insurance certificate, so nothing is missing the first time a family asks to see it.

Questions

Questions carers ask about insurance

No, not to work directly for a client. Public liability insurance is not a legal requirement for a self-employed carer working alone. The one insurance that is compulsory by law is employer’s liability insurance, and that only applies once you employ another carer yourself.

It pays a claim if a client, or their home or belongings, is harmed by something you did while working, such as an injury caused while helping someone move, or accidental damage to an appliance you were using. It covers the payout and the legal costs of defending or settling the claim.

Specialist policies built for self-employed carers have been quoted from around £78 a year up to about £117 a year, for £2 million to £5 million of cover, depending on what else is added. Get a quote against your own circumstances; this page is general information, not insurance advice.

No. PrimeCarers checks your identity, your right to work and runs an enhanced DBS check kept current on the Update Service, and every carer has an online interview, but none of those checks is insurance. Your contract with a client asks you to take out and maintain public liability cover if they ask to see it, and arranging it is yours to do.

Usually not. Specialist policies typically only cover tasks you were trained or qualified for at the time, and name medication administration as an example directly. If a claim traces back to a task you had never been shown how to do safely, an insurer can refuse it.

Usually the same policy, with a condition attached to how you use the equipment. Cover generally expects you to follow the equipment’s own manufacturer instructions, which vary by model: some hoists are rated for one person, others need two, so check the specific equipment rather than assuming. The Health and Safety Executive’s guidance on moving and handling equipment sets out the training standard, separately from any insurance question.

No. Public liability insurance stops at a client’s door. Driving there is a separate question, answered by business use car insurance on your own policy, and by hire and reward cover on top of that once you and a client have agreed in advance and in writing that you will charge for travel. What Car Insurance Do I Need as a Home Carer? covers both in full.

Public liability protects a claim made against you by a client. Personal accident insurance pays you if you are injured while working and cannot earn, since a self-employed carer has no employer’s sick pay to fall back on. Specialist brokers commonly sell the two together as tiers of one policy rather than as entirely separate products.

It is worth having anyway. A family not asking does not mean an accident cannot happen, and going without cover means a genuine one is yours to put right yourself. What insurance does a private carer need? is the guide PrimeCarers gives families, and it tells them to ask, so having a certificate ready before you are asked is worth more than scrambling for one afterwards.

If you need help at home

Start with our guide to carer resources

Guides for professional carers. What it costs, what a carer does day to day, and how to hire one directly.

Carers near you