The short answer
- Most PAs are employed by the person they supportThe person you work for sets the hours and directs the work, usually in their own home. HMRC guidance says that normally makes a care worker an employee, with tax taken off through payroll.
- The facts decide your status, not the labelNobody can simply choose for you to be self-employed. HMRC, and the council paying the direct payment, look at how the work runs in practice. If the label is wrong, both of you can end up owing tax.
- Get the terms in writing before your first shiftAn employed PA should have a written statement of the main terms on day one, and a payslip on or before each payday. A self-employed PA needs a written service agreement.
- Working through PrimeCarers is a different arrangementOn PrimeCarers you are self-employed, you set your own rate, and commission of 20%, 15% or 12.5% comes out of it. You can do both kinds of work at once.
Law and tax points are for England, from gov.uk, HMRC's Employment Status Manual and Skills for Care, checked 22 September 2026. PrimeCarers figures come from our pricing rules and the contract every client and carer agree.
What a PA is
What a personal assistant is, and who pays for one
A personal assistant, or PA, supports one person to live the way they choose, usually in their own home, and works for that person directly rather than for an agency. The money often comes from the council as a direct payment, but the person you support is the one who takes you on.
The words you will hear when you are offered PA work
- Personal assistant (PA)
- Somebody who supports an individual to live more independently, at home, at work or out and about. Skills for Care, which supports the adult social care workforce in England, describes being a PA as the same as having any other job.
- Direct payment
- Money from the council, paid to the person so they can choose and buy their own support. The NHS equivalent is a personal health budget.
- Individual employer
- The person who directly employs a PA for their own care and support, or a family member who does it for them. This is who your employer is, not the council.
- Direct payment support service
- A service most councils fund to help individual employers with contracts and payroll. It does not employ you.
- Self-employed PA
- A PA who runs a small business, invoices for their work, and handles their own tax and insurance. Skills for Care calls this a SEPA.
gov.uk's page on direct payments tells people who receive them that they "may become an employer if you pay someone to care for you". Skills for Care puts it more plainly in its information for individual employers: an individual employer is "a person directly employing a personal assistant for their care and support". The employment rules are the same whether the money comes from a direct payment, a personal health budget or the person's own savings.
The different types of support worker sets PA work alongside other care roles. What makes PA work different is that there is no agency between you and the person you support, and nobody else to go to if the arrangement goes wrong. So status, pay and what is written down matter more than they would in an agency job. The carer resources hub has the rest of the guides on pay, checks and tax.
Employed PAs
Why most personal assistants are employed by the person they support
HMRC has specific guidance on care workers paid through direct payments, and it points one way for care in the client's own home. If the person you support tells you when to arrive and what to do, you are very likely to be their employee. That means they carry the employer's side of the arrangement, and you get an employee's rights.
Employed or self-employed PA: who carries each part of the job
| Part of the job | Employed PAThe usual arrangement | Self-employed PAUncommon, and decided by the facts |
|---|---|---|
| Income Tax and National Insurance | The person you support Taken off your pay through PAYE before it reaches you. Your employer registers with HMRC and runs payroll. | You Nothing is deducted. You register for Self Assessment, keep records and pay the tax and National Insurance yourself. |
| How you are paid | The person you support A wage, at least the National Living Wage of £12.71 an hour at 21 and over from 1 April 2026, with a payslip on or before each payday. | You You set a rate, send an invoice for the hours you worked and are paid against it. |
| Holiday | The person you support Paid holiday of 5.6 weeks a year for a full-time worker, less for part-time hours. | You None. A week off is a week without income. |
| Sick pay | The person you support Statutory Sick Pay if you are too ill to work, paid through payroll. | You None from the person you support. |
| Pension | The person you support Automatic enrolment into a workplace pension if you are 22 or over, under State Pension age and earn at least £10,000 a year from that job, with your employer paying in. | You Whatever you set up and pay into yourself. |
| Insurance | The person you support Employers' liability insurance of at least £5 million, in case you are injured or made ill by the work. It is not needed where the only person employed is a close family member. | You Your own public liability insurance, which the person you support may ask to see. |
| Hours and how the work is done | The person you support Your employer sets the hours and directs the work, within the law on working time. | Agreed between you Agreed as a service. The person you support says what they need, but cannot direct how you work. |
| If you cannot come in | The person you support You ring in sick or book leave. Your employer arranges cover. | You You may send a suitable substitute, whom you arrange and pay, or the visit does not happen. |
| When it ends | The person you support Notice under your contract and the law, and redundancy pay once you qualify for it. | Agreed between you Whatever notice your written service agreement says. No redundancy pay. |
Income Tax and National Insurance
- Employed PA
- The person you support
Taken off your pay through PAYE before it reaches you. Your employer registers with HMRC and runs payroll.
- Self-employed PA
- You
Nothing is deducted. You register for Self Assessment, keep records and pay the tax and National Insurance yourself.
How you are paid
- Employed PA
- The person you support
A wage, at least the National Living Wage of £12.71 an hour at 21 and over from 1 April 2026, with a payslip on or before each payday.
- Self-employed PA
- You
You set a rate, send an invoice for the hours you worked and are paid against it.
Holiday
- Employed PA
- The person you support
Paid holiday of 5.6 weeks a year for a full-time worker, less for part-time hours.
- Self-employed PA
- You
None. A week off is a week without income.
Sick pay
- Employed PA
- The person you support
Statutory Sick Pay if you are too ill to work, paid through payroll.
- Self-employed PA
- You
None from the person you support.
Pension
- Employed PA
- The person you support
Automatic enrolment into a workplace pension if you are 22 or over, under State Pension age and earn at least £10,000 a year from that job, with your employer paying in.
- Self-employed PA
- You
Whatever you set up and pay into yourself.
Insurance
- Employed PA
- The person you support
Employers' liability insurance of at least £5 million, in case you are injured or made ill by the work. It is not needed where the only person employed is a close family member.
- Self-employed PA
- You
Your own public liability insurance, which the person you support may ask to see.
Hours and how the work is done
- Employed PA
- The person you support
Your employer sets the hours and directs the work, within the law on working time.
- Self-employed PA
- Agreed between you
Agreed as a service. The person you support says what they need, but cannot direct how you work.
If you cannot come in
- Employed PA
- The person you support
You ring in sick or book leave. Your employer arranges cover.
- Self-employed PA
- You
You may send a suitable substitute, whom you arrange and pay, or the visit does not happen.
When it ends
- Employed PA
- The person you support
Notice under your contract and the law, and redundancy pay once you qualify for it.
- Self-employed PA
- Agreed between you
Whatever notice your written service agreement says. No redundancy pay.
England. From gov.uk's employment status, holiday, pension, payslip and employers' liability guidance, and Skills for Care's factsheets for individual employers, checked 22 September 2026. Which column you are in depends on how the work runs in practice, not on what anyone calls it.
HMRC's Employment Status Manual on care workers is written for its own staff, and it is direct about this. For care in the client's home, it says "the case law tests normally indicate that a careworker who looks after a client in the client's home is likely to be an employee", because there will often be "a significant right of control, for example the carer required to arrive at a pre-arranged time and perform tasks at the request of the client". Where the client is the employer, it expects them to operate PAYE, and suggests a simpler scheme or a relative's help where they would find that hard.
For you, being employed means your tax and National Insurance are taken off before you are paid. You are paid at least the National Living Wage, £12.71 an hour at 21 and over from 1 April 2026. You get paid holiday, Statutory Sick Pay and a workplace pension once you qualify. gov.uk's page on employee rights lists the rest, including minimum notice and protection against unfair dismissal.
Your employer carries the other side of it. They register with HMRC as an employer, run payroll and auto-enrol you into a pension. They must also hold employers' liability insurance of at least £5 million from the day they take you on, and gov.uk says they can be fined £2,500 for every day they are not properly insured. Skills for Care's factsheet for individual employers sets these duties out for your employer, and adds a right to work check on you and a written contract from day one.
Many employers get help from a direct payment support service or a payroll company, so your payslip may come from a firm you have never heard of. That does not change who your employer is.
Self-employed PAs
When a personal assistant can be self-employed, and who decides
Self-employed PAs do exist, and Skills for Care publishes a factsheet for people who engage one. But self-employment is not something you and the person you support can pick because it saves them paperwork. It depends on how the work runs day to day, and if the answer is challenged, HMRC or an employment tribunal decides it.
Who decides when and how you work
Whether you have to do the work yourself
Whether you run a business of your own
How you are paid, and for what
These come from HMRC's care worker guidance and gov.uk's pages on employees and self-employed people. No single one settles it; they are applied to the whole arrangement. Skills for Care's factsheet on contracting a self-employed PA says it in a box of its own: employment status "is determined by the facts of the working relationship", "not by the title or label they give it".
That factsheet also explains why self-employment rarely fits a PA role. It says contracting a self-employed PA "is not ordinarily suited to people requiring an ongoing, personal service", where the person needs the same PA on the same days every week. If you are offered a regular PA job, several days a week, working to the person's routine, expect it to be employment, whatever the first conversation called it.
Councils look at the same facts, because the direct payment is public money. Warwickshire County Council, for example, tells people on direct payments that there are "very few instances" when a carer or PA working for them can be classed as self-employed, and that being self-employed in another role "does not determine their correct status when they work for you". That matters if you already work for yourself: being self-employed with your own clients does not make a PA job self-employed too. Other councils set their own rules on paying a self-employed worker from a direct payment, and those differ from one council to the next. HMRC's Check Employment Status for Tax tool gives HMRC's view on a particular arrangement, and either of you can use it. HMRC says it will stand by the result as long as the information given was accurate. Skills for Care also recommends the Low Incomes Tax Reform Group's guidance on whether a PA is employed.
If the arrangement is self-employed in fact, the tax is yours: how to pay tax as a self-employed carer covers Self Assessment, and handling tax and money as a self-employed private carer covers the records. Your own public liability insurance is yours too, and do I need insurance to become a self-employed carer? explains the cover.
Ask for it in writing
What to ask for in writing before you start
PA arrangements often start informally, with a family who already knows you, and the paperwork gets skipped. It is what protects you when hours change, a payment is late or the arrangement ends, so ask for it before your first shift.
What a PA should have in writing
0 of 10 ticked
If you are employed
If you are told you are self-employed
Either way
For an employed PA, the first items are the law. gov.uk's page on the written statement of employment particulars says the main statement must be given on the first day, and its page on payslips says an employee must have one on or before payday. If your employer is unsure how, the council's direct payment support service can help them.
Keep copies of everything, including messages agreeing changes to your hours. Payslips are proof of your earnings and tax paid, and a written agreement is what you point to if a payment is disputed. If you drive for the job, travel time and mileage for carers covers what to agree and what you can claim.
PA work and PrimeCarers
How PA work differs from working through PrimeCarers
Carers on PrimeCarers are self-employed, which is a different arrangement from being somebody's employed PA. You can do both, with a PA job for part of the week and your own clients for the rest, so it helps to know what changes between them.
| Employed PA | Self-employed carer on PrimeCarers | |
|---|---|---|
| Who you work for | One person, who employs you and directs the work | Clients you choose, each under their own contract with you |
| Your pay | A wage your employer sets, at least £12.71 an hour at 21 and over | The rate you set. A £20 hourly visit leaves you £16 after commission |
| Tax | Taken off through PAYE | Yours to declare and pay through Self Assessment |
| Paid holiday and sick pay | ||
| Checks | Right to work, by your employer. Anything else is their choice | Identity, right to work, an enhanced DBS from the last 18 months, and a recorded video interview |
| Ending it | Notice under your employment contract | 48 hours for hourly care, 7 days for live-in once 168 hours have been worked |
Who you work for
- Employed PA
- One person, who employs you and directs the work
- Self-employed carer on PrimeCarers
- Clients you choose, each under their own contract with you
Your pay
- Employed PA
- A wage your employer sets, at least £12.71 an hour at 21 and over
- Self-employed carer on PrimeCarers
- The rate you set. A £20 hourly visit leaves you £16 after commission
Tax
- Employed PA
- Taken off through PAYE
- Self-employed carer on PrimeCarers
- Yours to declare and pay through Self Assessment
Paid holiday and sick pay
- Employed PA
- Self-employed carer on PrimeCarers
Checks
- Employed PA
- Right to work, by your employer. Anything else is their choice
- Self-employed carer on PrimeCarers
- Identity, right to work, an enhanced DBS from the last 18 months, and a recorded video interview
Ending it
- Employed PA
- Notice under your employment contract
- Self-employed carer on PrimeCarers
- 48 hours for hourly care, 7 days for live-in once 168 hours have been worked
PrimeCarers is an introductory and payment service. It is not an agency, it does not employ carers, and it holds no CQC registration. The contract is between each client and the carer.
On PrimeCarers the rate you set is the rate the client pays, and our commission comes out of it rather than being added on top: 20% on visits of less than six hours, 15% on a single visit of six hours or more, and 12.5% on live-in care. The VAT on it is paid out of our commission. Carers typically advertise £18 to £25 an hour, with our fee included. Nothing is deducted for tax, so you set that aside yourself, and payment follows each client's billing rather than a fixed day for everyone. What carers earn on PrimeCarers sets out the commission and a week of work in full.
The checks are different too. Before a profile goes live, PrimeCarers arranges a digital identity check through Yoti, a right to work check, an enhanced DBS check issued within the last 18 months, and a recorded video interview: 14 questions, about 45 minutes in one sitting, with one retake of each answer. The interview looks at how you care for people, not clinical knowledge. Your skills and experience go on your profile in your own words. There is no place for certificates, but you can invite past employers or families to leave a reference on your profile. PrimeCarers does not verify either, so have referees and certificates ready for a family who asks. DBS changes for self-employed carers explains how a self-employed carer, or a PA employed directly by the person they support, can now apply for their own enhanced check.
What families are told about direct payments says a direct payment can pay a self-employed carer the family has chosen, that the contract for the care is between the person and the carer, and that a direct payment does not change its terms. It also tells families that the carer's invoice is their spending record, and that each council has its own rules on paying a self-employed carer, which direct payments by council collects. For a younger disabled adult arranging their own support, what families are told about a live-in personal assistant sets employing a PA beside engaging a self-employed carer.
You can be employed and self-employed at the same time, and gov.uk says so on its page about self-employed people. Nothing in the contract you sign with a PrimeCarers client stops you working for other people as well, but read what your PA contract says about other work. If you want families near you to be able to find you for the days you are not working as a PA, you can register as a carer on PrimeCarers, or first see the carer jobs open near you. Families search and choose, so registering does not bring bookings on its own. Holiday pay, sick pay and pensions when self-employed covers what you give up on the self-employed side, and self-employed or agency carer compares the two ways of working more widely.
Questions
Questions carers ask about PA work
Sometimes, but not because you or the person you support choose it. HMRC guidance says a care worker looking after somebody in that person's home is likely to be an employee, especially where they arrive at set times and do tasks at the client's request. Self-employment fits better where you look after several people at the same time and run your own business. HMRC's status tool gives HMRC's view on a particular arrangement.
No. The person you support, or somebody acting for them, is your employer. The council provides the money and often funds a support service to help your employer with payroll and contracts, but it does not employ you.
If you are employed, your employer must hold employers' liability insurance of at least £5 million, which covers you if the work injures you or makes you ill. It is not needed where the only person employed is a close family member. If you are self-employed, public liability insurance is yours to arrange, and the person you support may ask to see it. If you drive for the job either way, your own car insurance needs to cover business use.
Yes. gov.uk says someone can be employed and self-employed at the same time. Your PA wages are taxed through payroll, and your self-employed income goes on a Self Assessment return. Check your PA contract for anything it says about other work, and make sure the hours do not clash.
The carer terms say that every client you meet through PrimeCarers, and anybody they refer you to, is booked and paid through PrimeCarers. That includes a family who would like to take you on as their PA or pay you outside the platform. Let PrimeCarers know if a client suggests it. The carer terms of service have the full wording.
It depends on your circumstances. gov.uk (checked 22 September 2026) says you can work up to 20 hours a week in another job or for your own business while still doing your sponsored job, but only in a higher skilled occupation, one on the immigration salary list, or one in the same sector and at the same level as your main job. A medium skilled job is allowed only if your first certificate of sponsorship was issued before 22 July 2025 and you have held Health and Care Worker visas continuously since. You may need to update your visa first. Read gov.uk on taking additional work, and for your own case ask an adviser regulated by the Immigration Advice Authority, which replaced the OISC.

