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What insurance does a home carer need?

Driving to a client's home for pay is not the driving your own car insurance already covers, and charging for mileage adds a second layer on top of that. This guide sets out the covers a self-employed home carer might need, whose car needs which, and which ones PrimeCarers arranges for you and which stay yours to sort.

By James Bowdler, founder of PrimeCarers  ·  Updated October 2026  ·  14 min read · See the four covers

A carer walking towards her car outside a client's home, papers in hand

Part of our guide to carer resources.

The cover you need

The four covers a home carer might need, in order

Nothing licenses this job the way a driving instructor or a taxi driver is licensed, so nothing forces you to hold a particular policy before your first visit. That does not make the choice optional. Here is where each cover sits, from the one any carer who drives to clients needs to the one that protects you rather than the person you look after.

  1. 1
    Always, if you drive to visits

    Business use car insurance

    Covers driving to and between clients rather than only social, domestic or commuting trips. Needed whether you drive your own car or a client’s.

    Who arranges it: You, with your own insurer or as a named driver

  2. 2
    Only if you charge or claim mileage for a trip

    Hire and reward cover

    Covers carrying a client as a passenger on a journey you are paid for. Business use alone does not include this.

    Who arranges it: You, confirmed in writing with the insurer

  3. 3
    Not compulsory, strongly worth having

    Public liability insurance

    Covers a claim if a client or their property is harmed by something you did while working, such as a fall you caused or an accident with an appliance.

    Who arranges it: PrimeCarers, per visit booked through the platform, if you do not already have your own

  4. 4
    Not compulsory, protects you rather than the client

    Personal accident insurance

    Pays out if you are injured while working and cannot earn, since a self-employed carer has no sick pay to fall back on. Public liability protects the client, not you.

    Who arranges it: You, through a specialist broker

None of this is checked before you appear in a search. PrimeCarers checks your identity and your right to work, checks you hold an enhanced DBS check (or a PVG in Scotland, or Access NI in Northern Ireland) issued within the last 2 years, and holds an online interview with you, and become a carer covers those checks in full. Insurance sits alongside them rather than inside them, which is why it is worth sorting before your first booking rather than after it.

Domiciliary care insurance

Domiciliary care insurance and business car insurance for visiting carers

Domiciliary care is the formal name for care in a person's own home, and a carer who visits several clients a day is a domiciliary care worker in all but job title. For an individual carer, domiciliary care insurance means two covers: business use on the car, and public liability for the work itself.

The driving is the part to get right first. Travelling from home to a first client, then on to the next, and sometimes to a pharmacy on a client's behalf, is driving as part of your work. A policy for social, domestic and pleasure use, even with commuting added, is written for one fixed place of work, and a round of visits to different addresses does not fit that description. Ask for business use on whichever car you drive between clients, and check it covers you as the driver, not only the policyholder.

What to tell your car insurer

0 of 3 ticked

Describe the work plainly

Keep it accurate as things change

The law expects you to take reasonable care not to give an insurer a wrong picture when you buy or change a personal policy, under section 2 of the Consumer Insurance (Disclosure and Representations) Act 2012, and an answer that does not match how the car is used can reduce or void a claim. Even if the car itself is insured, gov.uk says you can be penalised as an uninsured driver if you are not correctly insured to drive it. Public liability is the other half of domiciliary care insurance for a self-employed carer, and the liability and personal accident section below explains what PrimeCarers arranges for each visit booked through the platform and what stays yours. If you are new to the role itself, what is a domiciliary care worker? describes the day-to-day work, and domiciliary care explains the term from a family's side.

Business use

Business use car insurance, whichever car you drive

Car insurance is priced by what a car is used for, not only by who is driving it, and a personal policy that has never been asked to cover paid work will not stretch to it just because nothing has gone wrong yet. These are the four classes that decide what a carer needs, moving from ordinary personal driving to a policy that expects a paid passenger.

Social, domestic and pleasure

Shopping, visiting family, days out. It does not include driving to work, and it does not include driving as part of a job, paid or unpaid.

Personal driving only

Plus commuting

Adds a fixed daily commute to a single address. Visiting different clients at different addresses needs more cover than this.

One regular workplace

Business use, often called Class 1

Covers driving to and between clients, running errands as part of caring, and other work journeys. This is the cover a carer who drives to clients needs, on whichever car they use for it.

For driving that is part of the job

Hire and reward

Covers carrying somebody as a passenger on a journey you are paid for. Business use alone does not include this, and some insurers treat it as a separate policy rather than an add-on.

For carrying a paying passenger

If you drive your own car, the checklist above covers what to tell your insurer. If you are asked to drive a client's car instead, the policy and the named drivers on it belong to them, not you, and can a live-in carer take a client out in a car? sets out what changes when that is the arrangement, including what a client needs to add to their own policy before you get behind the wheel. Carer car insurance: what you need to know covers the same four classes from a family's side of the arrangement, which is worth knowing if a client asks you what to check for.

Charging for mileage

Hire and reward, if you charge or claim mileage for a client's journey

Business use answers one question: can you drive as part of your job. It does not answer whether you can be paid for carrying a client while you do it, and that second question only comes up once mileage is charged or claimed for a trip.

What to check with your own insurer

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If you charge or claim mileage for a trip

Whatever is agreed

Beyond the car

Public liability and personal accident cover for the work itself

Car insurance protects the drive there. It says nothing about what happens once you are inside somebody's home, whether that is an accident you cause or an injury you suffer while working.

Public liability insurance

Covers a claim if a client or their property is harmed by something you did while working, such as a fall you caused while helping someone stand, or damage from an appliance you were using. Not a legal requirement for a private carer.

Protects the client, not you

Personal accident insurance

Pays out if you are injured while working and cannot earn. A self-employed carer has no sick pay to fall back on, so this is the cover that protects your own income rather than a claim against you.

Protects you, not the client

PrimeCarers arranges public liability cover for visits booked and accepted through the platform, if you do not already have your own, under the policy set out on our insurance page. Like specialist policies, it only covers tasks you have been trained to do, and it does not cover medical procedures such as injections, insulin, PEG feeding or catheter care (giving oral medicines is covered if you are trained). become a carer sets out what else changes if you register through a platform instead of going fully independent. That cover does not extend to your own injury or to the car you drive there in, which is why the two covers above sit alongside it rather than replace it. Some specialist carer policies also add professional indemnity, covering a claim that something you did or advised caused a client financial loss, though this matters less for a carer who is not offering medical or financial advice as part of the job.

Cost and conditions

What each cover answers, what a policy costs, and what it expects of you

Six things that happen on ordinary visits, and which cover, if any, answers each one. Then what a carer's own policy can cost, and two conditions to look for in the policy wording.

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.

Public liability answers one question: did something you did while working hurt a client or damage their property. It says nothing about your own injury or your car.

What a carer policy, including the one PrimeCarers arranges, can expect of you

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Training

Equipment

A claim can be refused if either condition was not met when the accident happened. Training for private carers covers what is worth doing early, and the Health and Safety Executive's guidance on moving and handling equipment sets the standard for lifting equipment, insurance aside.

Platform or independent

What PrimeCarers arranges for you, and what stays yours to sort

Registering through a platform and going fully independent are not the same insurance admin, and it helps to see the whole list side by side.

PrimeCarers arranges

  • Public liability cover for visits accepted through the platform, if you do not already have your own, for tasks you are trained for and not medical procedures
  • Checking you hold an enhanced DBS check (or a PVG in Scotland, or Access NI in Northern Ireland) issued within the last 2 years
  • Identity and right to work checked once, not for every new client

Yours to sort, on a platform or alone

  • Business use car insurance, on your own car or as a named driver on a client's car
  • Hire and reward cover, if you charge or claim mileage for a client's journey
  • Personal accident insurance, covering your own injury and lost income
  • Public liability cover for any work you take on outside a visit booked through the platform

Neither route is wrong. Going fully independent, or taking on clients outside the platform as well, means arranging every cover on the right yourself. Working through PrimeCarers narrows that list to business use insurance for your own driving, hire and reward if you charge mileage, and personal accident cover if you want it, while the liability cover and the checks on you are arranged once rather than for every new client. Self-employed carer documents lists what else to have ready alongside your insurance.

Getting covered

How to get covered before your first visit

Four steps, and none of them need to wait for your first booking.

  1. 1

    Ring your insurer and say exactly what the car is used for

    Before your first visit
    Say whether it is business use, hire and reward, or both, and name the job: paid care work, carrying a client. A vague description gets a vague answer.
  2. 2

    Ask for it in writing

    Before the first drive
    A certificate of insurance or a confirmation email, not a verbal assurance from a call centre. Keep it with the car, and keep a copy of any liability certificate you can send a family who asks to see it.
  3. 3

    Decide on personal accident cover

    This week
    Weigh what a few weeks without income would cost you against a specialist policy's premium. Public liability and PrimeCarers' cover protect a client's claim against you, not your own injury.
  4. 4

    Review it whenever anything changes

    Ongoing
    A different car, a new client who wants to be driven, or taking on work outside the platform can all change what your policy needs to say. Ask whether a change mid-term carries an administration charge before you agree it.

Questions

Questions carers ask about insurance

Not to work directly for a client. Public liability insurance is not a legal requirement for a self-employed carer working alone. The one cover the law makes compulsory is employer’s liability insurance, and only once you employ another carer yourself. Driving for work is different: without business use on your policy, it counts as driving uninsured.

Specialist carer policies have been quoted from around £78 to about £117 a year for £2 million to £5 million of public liability cover, depending on what else comes with it. Get a quote against your own circumstances; this page is general information, not insurance advice.

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

Yes, if you drive to or between clients as part of the job. Standard social, domestic and pleasure cover, even with commuting added, does not include driving that is part of paid work. That needs business use, often called Class 1, on your own car.

Hire and reward covers carrying somebody as a passenger on a journey you are paid for. You need it in addition to business use only if you charge or claim mileage for a trip that carries a client. If you never charge for a journey, hire and reward should not be needed, though it is still worth confirming your policy covers carrying a passenger at all.

No. PrimeCarers arranges public liability cover for visits booked and accepted through the platform, if you do not already have your own, but that covers a claim from a client, not your car or your own driving. Business use and hire and reward, if you need them, are yours to arrange with your own insurer.

Not for visits you have accepted through the platform: PrimeCarers arranges public liability cover for those if you do not already have your own. Like specialist policies, it only covers tasks you have been trained to do, and it does not cover medical procedures such as injections, insulin, PEG feeding or catheter care (giving oral medicines is covered if you are trained). Our insurance page sets out the policy in full. If you also take on clients outside the platform, whether privately or through another route, that cover does not extend to them and you would need to arrange your own.

It is treated in law the same as driving with no insurance at all. The police can issue a fixed penalty of £300 and 6 penalty points on the spot, and the vehicle can be seized. A case that goes to court can bring an unlimited fine and disqualification. An insurer can also refuse a claim outright if the use at the time does not match the policy, which is the point it matters most. Driving without insurance, on gov.uk.

It is not compulsory, but it is worth thinking through. As a self-employed carer you have no employer's sick pay if you are injured and cannot work, and public liability insurance protects a client's claim against you rather than your own income. A specialist broker can quote a policy against your own circumstances.

Not usually, and not on a "driving other cars" extension if your own policy has one, since that is normally third-party only and rarely covers business use. The more reliable route is being added as a named driver on the client's own policy, with business use added to it. Can a live-in carer take a client out in a car? goes through this in detail.

It varies by insurer, by your driving history and by the mileage expected, so there is no single figure that applies to every policy. Ask your insurer directly for a quote against the exact use, rather than budgeting from a number quoted elsewhere. This page is general information, not insurance advice.

If you work as a carer

See the work near you, or register and set your own rate

Hourly visits, waking nights and live-in placements are posted town by town. Registering is free: you set your own rate and you choose which clients you work with.

What Insurance Does a Self-Employed Home Carer Need? | PrimeCarers