Cost of careCosts

The cost of care by type, from an hour a day to round the clock

Care at home is sold in four different units: by the hour, by the night, by the week, and as two carers covering the 24 hours between them. That makes the prices hard to hold in your head, because an hourly rate and a weekly rate do not sit next to each other. This page puts one week of each arrangement side by side, at what carers on PrimeCarers charge with our fee included, and shows where one starts to cost less than another.

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By James Bowdler, founder of PrimeCarers  ·  Updated September 2026  ·  12 min read · See all four prices

A couple in their sixties comparing papers at the dining table with a calculator and cups of tea, an elderly parent dozing by the window

Part of our guide to cost of care.

All four, side by side

What each kind of care costs for one week

The four arrangements are charged in different units, which is why they are hard to compare on a price list. Below, each one is priced for a single week of the care it usually covers, so the figures can be read next to each other.

The four ways care at home is charged, and what one week of each costs on PrimeCarers
  1. Hourly visits

    By the hour, £18 to £25

    About £20 an hour is typical. The shortest visit you can book is an hour.

    £280

    a week

    Two one-hour visits a day, seven days

    Someone who manages between visits and sleeps through the night.

    The same hour from an agency is £28 to £35.

  2. Overnight care

    By the night, £130 to £160

    A sleeping night is £130 to £145. A waking night, where the carer stays up, is £150 to £160.

    £910

    a week

    Seven sleeping nights, nothing in the day

    Someone who is safe in the day but falls, wanders or is frightened at night.

    An agency night starts around £150 and reaches £240 for a waking night.

  3. Live-in care

    By the week, £1,050 to £1,400

    About £1,120 a week is typical. One carer lives in the house and sleeps there, so there is no hourly count.

    £1,120

    a week

    One carer in the house, day and night

    Someone who needs help at unpredictable times and has a spare room.

    A live-in agency week starts around £1,400.

  4. 24-hour waking care

    By the week, from £2,156

    Priced as two arrangements rather than one, because no single carer can be awake for 24 hours.

    £2,156

    a week

    A live-in carer plus a waking-night carer

    Someone who needs somebody awake and beside them at every hour.

    Two people are being paid, so this is the most expensive way to buy care at home.

Weekly figures are what families pay carers on PrimeCarers, with our fee included, for the week described beside each figure. Agency prices are the usual UK range for the same care and are not PrimeCarers prices. Nothing here is a quote: each carer sets their own rate, and the rate on their profile is the rate you pay.

The week described beside each figure matters as much as the figure itself. Two one-hour visits a day is a real arrangement for somebody who needs help getting up and help getting to bed, but it leaves fourteen hours of the day and the whole night uncovered. A live-in week covers every hour that carer is in the house. So a live-in week costing four times a visiting week is not four times the price of the same care. It is a different amount of care. The cost of care hub sets out the wider picture, including care homes and the funding routes.

If you are not yet sure how much care your relative needs, that question is worth settling before the price one. Our guide to how many visits a week a parent needs works it out from the tasks a carer would do rather than from a budget, and the care cost calculator will turn those hours into a local estimate.

Hourly visits

Hourly care: you pay for the time booked, an hour at a time

Hourly care is the smallest commitment of the four. A carer comes for a set length of time, does the tasks you have agreed, and then leaves. You pay for those hours and for nothing in between them.

£20

A typical hour on PrimeCarers

Carers advertise from £18 to £25 an hour, with our fee included.

£28–£35

A typical hourly agency rate

For comparison, not a PrimeCarers price.

£280

A week of two visits a day

14 hours a week at the typical rate, which is £1,213 a month.

£18

An hour on a long shift

Many carers advertise a lower rate for a single visit of six hours or more.

PrimeCarers advertised rates, September 2026.

The shortest visit you can book is one hour. That is deliberate: personal care in the morning takes about forty minutes on its own, and a fifteen or thirty minute call leaves a carer watching the clock while somebody is half dressed. If the budget is tight, spending it in fewer, longer visits usually buys better care than spreading it thinly, and some carers will charge their lower shift rate once a visit runs past six hours.

Hourly care is also the arrangement whose price changes most with the calendar. Under the PrimeCarers contract a bank holiday is charged at one and a half times the carer's normal rate and Christmas Day at double, so a December or an Easter invoice can look wrong when it is not. Our guide to weekend, evening and bank holiday rates sets out when those apply, and the full hourly cost guide shows advertised rates by area.

Overnight care

Overnight care: a sleeping night and a waking night are different prices

Overnight care is priced by the night rather than by the hour, and there are two kinds. The difference between them is whether the carer expects to sleep, and it is the single biggest thing that moves the price.

Sleeping night

What the carer does
The carer sleeps in the house and gets up if they are needed, usually once or twice. They need a bed and a proper chance to sleep.
A night on PrimeCarers
£130 to £145
Seven nights
£910 to £1,015

Waking night

What the carer does
The carer stays awake for the whole shift, because your relative is up often, needs turning, or is not safe alone at any point in the night.
A night on PrimeCarers
£150 to £160
Seven nights
£1,050 to £1,120

A waking night on top of live-in

What the carer does
A second carer covers the night so the live-in carer can sleep and still work the next day.
A night on PrimeCarers
about £148
Seven nights
£1,036

Agency prices for the same cover start at around £150 for a sleeping night and reach about £240 for a waking night. Those are typical UK agency figures for comparison, not PrimeCarers prices.

Getting this choice right is worth doing carefully. Seven waking nights instead of seven sleeping nights adds about £140 a week, and that difference is being paid every week. The rule carers use is about how often somebody is up: if it is once or twice, a sleeping night covers it, and if it is most of the night, a carer who has to stay awake should be paid for staying awake. Our guide to choosing between a waking night and a sleeping night goes through the signs, and the night care cost guide has the fuller picture on price.

Live-in care

Live-in care: one weekly price rather than an hourly one

A live-in carer moves into the spare room and is there through the day and the night. There is no hourly count and no visit schedule, so the price is a weekly one that moves with how demanding the care is rather than with how many hours are used.

Companionship and light help

Somebody mostly independent who needs company, meals, prompting and a hand with the day. The carer is there for reassurance more than for tasks.

£1,050 to £1,120 a week

Standard personal care

Washing, dressing, continence, medication and the housekeeping that goes with it. This is what a live-in week usually involves.

About £1,120 a week

Complex or specialist care

Advanced dementia, hoisting, a PEG tube or a stoma, or behaviour that needs an experienced carer. Fewer carers take this work, and they charge for the experience.

£1,260 to £1,750 a week

A couple, one carer

One carer looking after two people costs roughly a fifth more than one, not double. It is the reason live-in care can work out well for couples.

About £1,350 a week

A live-in carer is entitled to a proper break, usually two hours a day, and to an undisturbed night's sleep. That is what separates live-in care from 24-hour care, and it is why somebody who is up several times a night needs a second carer rather than a bigger live-in rate. Budget for the carer's food as well, since they eat with the household, and read the cost of live-in care for the full breakdown. If you are weighing this against a care home, whether live-in care is cheaper than a care home sets the weekly figures against each other.

24-hour care

24-hour care: three ways to build it, and what each costs

24-hour care means somebody awake and available at every hour. Because no single carer can do that, it is always built from two people, and there are three common ways to put the week together.

A week of 24-hour cover at home, three ways
  1. Live-in plus waking night£2,156One carer lives in and covers the day. A second carer works the nights so the first can sleep.
  2. Two live-in carers£2,240Two carers share the house and split the 24 hours between them. It needs two spare rooms.
  3. Hourly, round the clock£3,024168 hours a week at the £18 shift rate carers advertise for visits of six hours or more.

PrimeCarers rates, September 2026, with our fee included. A single live-in carer for comparison is about £1,120 a week.

The first route costs the least of the three and asks for only one spare room. The second suits a household with the room for two carers and a preference for the same two faces all week. The third, booking hourly carers around the clock, is the most expensive by a long way, and it is usually a short-term answer while something else is being arranged rather than a plan for the year.

None of these prices are small, and it is worth being sure that 24-hour cover is what is needed before pricing it. Somebody who is up twice a night does not need a waking carer. Our guide to what 24-hour care costs and the three ways to build it goes through each route in more detail, including the point at which one sleeping carer stops being enough.

Where one overtakes another

The point where the cheaper arrangement changes

A question that comes up as soon as the hours start rising is at what point live-in care costs less than visits. The answer depends almost entirely on whether the nights are being paid for as well, so it is worth working through with your own week rather than taking a single figure on trust.

One week of care, priced five ways
  1. Visits only, 14 hours£280
  2. Visits only, 35 hours£700
  3. Live-in care, typical£1,120
  4. Care home place£1,160
  5. 14 hours plus 7 sleeping nights£1,190

PrimeCarers rates, September 2026, with our fee included. The care home figure is a typical UK weekly fee for a residential place, shown for comparison.

On visits alone the money does not cross over quickly. 35 hours of visits a week at the typical rate is £700, still well below a live-in week starting at £1,050. On price alone you would have to book more than fifty hours of visits a week before live-in care became the cheaper choice. What changes the answer is the night. Two one-hour visits a day plus seven sleeping nights comes to £1,190, which is already more than a typical live-in week of £1,120, and it buys far fewer hours of a carer being in the house.

So the question worth asking is not only how many hours of care your relative needs, but which hours. Somebody who needs an hour twice a day and sleeps soundly is well served by visits for a long time. Somebody who needs less help in total but is unsafe alone at three in the morning is usually better served, and often more cheaply served, by a carer who is in the house. Our guide to the point where live-in care becomes cheaper than hourly visits works through the arithmetic with different weekly patterns.

What is not in the price

The things that sit outside the headline rate

Whichever arrangement you choose, a few costs sit outside the hourly, nightly or weekly figure. None of them are large on their own, and all of them are easier to handle if they are agreed before the first visit rather than argued about after it.

Agree each of these with your carer before care starts

0 of 9 ticked

Dates and hours

Money the carer spends

Live-in only

All of this comes from the standard agreement between a client and a carer. The PrimeCarers contract is the source of truth for it, and it is worth reading once at the start so nothing in it is a surprise later. PrimeCarers charges nothing to cancel and does not set the terms between you and the carer; our guide to paying for care at home and managing expenses covers how the weekly payment and reimbursement work in practice.

Help with paying

Help with the cost, whichever type of care you choose

None of the routes below depend on which kind of care you buy. Attendance Allowance and NHS Continuing Healthcare are not means-tested at all, and a care needs assessment is free to ask for whatever your relative has in savings, so none of them are ruled out before you start.

  1. 1

    Claim Attendance Allowance

    Not means-tested
    It is paid at £76.70 or £114.60 a week in 2026/27, depending on whether help is needed by day, or by day and night. Savings and income do not affect it, and it can be spent on anything, including a carer.
  2. 2

    Ask the council for a care needs assessment

    Free, whatever the savings
    Anyone can ask for one, and the assessment itself does not depend on money. A financial assessment follows it. In England the council may pay towards care where savings are below £23,250, and a direct payment lets you spend that money on a carer you choose rather than on a council service.
  3. 3

    Ask about NHS Continuing Healthcare

    Not means-tested
    Where the main need is a health one rather than help with daily living, the NHS can fund the whole care package, including care at home. Ask the GP, the district nurse or the hospital discharge team for a checklist to start it off.
  4. 4

    Check what the family carer can claim

    £86.45 a week
    Carer's Allowance is for a family member giving 35 hours a week or more of care, where their own earnings are low. It is taxable and it affects some other benefits, so read the rules before claiming.

The figures above are the 2026/27 rates published by the government for Attendance Allowance and Carer's Allowance, and the savings threshold is the one the NHS sets out for when the council might pay for your care in England. On our own site, how to claim Attendance Allowance walks through the form, local authority funding covers the assessment and the direct payment that can follow it, and NHS Continuing Healthcare explains who qualifies for a fully funded package.

Questions

Questions families ask about the cost of each type of care

For a small amount of help it is hourly visits. Two one-hour visits a day is £280 a week on PrimeCarers, against a typical live-in week of £1,120. That changes as soon as nights are needed as well: two visits a day plus seven sleeping nights comes to £1,190, which is more than a live-in week for far fewer hours of a carer in the house.

From about £2,156 a week on PrimeCarers, built as a live-in carer during the day and a waking-night carer overnight. Two live-in carers sharing the 24 hours is about £2,240, and booking hourly carers around the clock comes to about £3,024. Two people are being paid in every version, which is why the figures are what they are.

Because the carer does not sleep. On a sleeping night they go to bed in the house and get up if they are needed, usually once or twice. On a waking night they are up for the whole shift. On PrimeCarers a sleeping night is £130 to £145 and a waking night £150 to £160. Which one you need depends on how often your relative is up.

A typical live-in week on PrimeCarers is £1,120, and a residential care home place is around £1,160 a week, with nursing homes higher again at about £1,410. For a couple the gap widens, because one live-in carer looking after two people costs about £1,350 a week against two care home places. The full comparison against a care home is here.

On visits alone you would need more than fifty hours a week at the typical rate before live-in care cost less. The figure families usually quote, around 35 hours, is the point at which visits stop covering the day properly rather than the point at which the money crosses over. Once overnight cover is needed as well, live-in care usually costs less straight away.

They are what families are paying carers on PrimeCarers, with our fee included, so there is nothing added afterwards. Each carer sets their own rate, so the rate shown on the profile you choose is the rate you pay. Rates move a little by area and by how demanding the care is. The care cost calculator will give you a local estimate.

Under the standard contract a bank holiday is charged at one and a half times the carer's normal rate, and Christmas Day at double. Some carers set a higher weekend rate, and where they do it is shown on their profile. PrimeCarers does not add anything of its own on those days. Weekend, evening and bank holiday rates explains how it works.

Yes, and families often do, usually moving from visits to nights as well, or from visits to live-in care. Ending an arrangement takes 48 hours of notice for hourly care, and 48 hours for live-in care until the carer has worked 168 hours, after which it becomes 7 days. You would then search for and choose a carer for the new arrangement in the same way as the first.

If you need help at home

Start with our guide to cost of care

What care costs, by type and area. What it costs, what a carer does day to day, and how to hire one directly.

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