Cost of careCosts

The costs people forget when they arrange care at home

An hourly rate is easy to multiply, and that is usually how a family works out what care will cost. The figure that arrives later is often a little different, because a few things sit outside the rate: bank holidays and Christmas Day, a cancelled visit, mileage if you agreed it, a live-in carer's food, and the equipment that makes the house workable. This page sets out each one and where it comes from.

By James Bowdler, founder of PrimeCarers  ·  Updated September 2026  ·  11 min read · See what sits outside the rate

A woman at the kitchen table with receipts spread out and a wall calendar behind her, a cup of tea going cold

Part of our guide to cost of care.

What sits outside the rate

Which costs are fixed, and which only happen if you agreed them

It helps to sort the extras by what decides whether you pay them at all, rather than by how much they are. Some are in the contract and apply to every booking. Others exist only because you wrote them down beforehand, and the rest are household spending that no invoice will show you.

Start from what the rate already covers. The rate on a carer's profile is what you pay for that hour, night or day. Our fee is inside it, no VAT is added on top, there is no deposit and no joining fee, and the price you agreed stays the same for the length of that contract. Insurance while the carer works is included, and so are the identity, right to work and enhanced DBS checks and the online interview a carer completes before they appear. Our guide to what is in the hourly rate has the detail, and the cost of care hub sets the rates for each kind of care side by side.

Everything that can sit outside the rate, and what decides whether you pay it

Set by the contract

These apply to every booking made through PrimeCarers, whoever your carer is. You do not opt into them and you cannot negotiate them away, so budget for them from the start.

  • Bank holidays and Christmas Day

    A bank holiday is charged at one and a half times the carer’s normal rate, and Christmas Day at double. Weekends are charged at the normal rate unless a carer advertises otherwise on their profile.

  • A visit you cancel

    Payable in full. The exceptions are unplanned hospitalisation, illness, or another reason you and the carer agree between you. A carer may waive part or all of it, at their own discretion.

  • A visit the carer cannot get into

    Where the carer was ready and willing to work and could not because of something at your end, such as a key safe nobody had the code for, they may charge the agreed fee for that visit.

  • The notice period

    Ending an arrangement takes 48 hours’ notice for hourly care. For live-in care it is also 48 hours until the carer has worked 168 hours, after which it becomes 7 days. Visits already booked inside that window are still payable.

Only if you agreed it in writing, in advance

Nothing here is chargeable by default. Each one exists only if you and the carer wrote it down before it happened, which is the protection for both of you.

  • Mileage and travel time

    Not charged at all unless you expressly agreed it in advance, and the agreement has to set out the rate and the circumstances and be recorded in writing. Where families do agree it, 55p a mile is the usual reference point, because that is the HMRC rate.

  • Shopping and out-of-pocket costs

    A carer is reimbursed for money spent on your relative’s behalf where you agreed the arrangement in advance and they can show a receipt. Travel is excluded from this and agreed separately.

  • Outings and tickets

    A ticket or a fare for the carer where they are there to support your relative. Agree a limit rather than leaving it open.

  • A managed service, if you want one

    Optional and nothing to do with the carer. Managed adds 5% to the rate for scheduling help and regular reviews, and Fully Managed, for live-in care only, adds 10%. Neither is on unless you choose it.

Household costs that never appear on an invoice

These are not billed by anyone. They still change what the week costs you, and they are the ones families are most often caught out by.

  • A live-in carer’s food

    A live-in carer eats in the house they are working in, so they go on the weekly shop. There is no published figure for what that adds, because it depends on your household. Agree what it covers before the first week.

  • The room, the heating and the wifi

    Live-in care needs a spare room the carer can sleep in undisturbed. Heating that stays on all day and an internet connection come with having somebody in the house.

  • Cover for breaks and time off

    A live-in carer rests during the day and takes leave across the year. If your relative cannot be left alone, somebody has to be there for those hours, and that is either family time or a second carer.

  • Equipment and adaptations

    A carer brings the equipment they need to do their own job. Grab rails, a raised toilet seat, a hospital bed or a hoist belong to the home, and the council may have to provide the smaller ones free.

The first two groups come from the standard client and carer contract, which is the same for every booking made through PrimeCarers and is the source of truth for anything about paying, notice or cancelling. The third group is money you spend as a household rather than money you owe a carer.

Nothing in the middle group is chargeable by default, so a conversation in the first week decides whether you ever pay any of it. That works both ways. A carer who has not agreed mileage cannot invoice you for it, and a carer who has driven your relative to three hospital appointments without agreeing anything is out of pocket. Both are avoided by writing it down, and a message on the platform counts.

Bank holidays and Christmas

What a bank holiday adds, and what it adds across a year

Two uplifts are set in the contract rather than left to the carer. A bank holiday is charged at one and a half times the carer's normal rate, and Christmas Day at double. Weekends are charged at the normal rate unless a carer says otherwise on their profile.

One two-hour visit a day, priced across the 2026 bank holidays
  1. New Year’s Day

    Thursday 1 January

    £60

    one and a half times the rate

    £20 more than an ordinary day

  2. Good Friday

    Friday 3 April

    £60

    one and a half times the rate

    £20 more than an ordinary day

  3. Easter Monday

    Monday 6 April

    £60

    one and a half times the rate

    £20 more than an ordinary day

  4. Early May bank holiday

    Monday 4 May

    £60

    one and a half times the rate

    £20 more than an ordinary day

  5. Spring bank holiday

    Monday 25 May

    £60

    one and a half times the rate

    £20 more than an ordinary day

  6. Summer bank holiday

    Monday 31 August

    £60

    one and a half times the rate

    £20 more than an ordinary day

  7. Christmas Day

    Friday 25 December

    £80

    double the rate

    £40 more than an ordinary day

  8. Boxing Day, substitute day

    Monday 28 December

    £60

    one and a half times the rate

    £20 more than an ordinary day

£180 across the year on top of the £280 a week this visit costs the rest of the time. It arrives as eight slightly larger invoices rather than as a bill of its own, which is why it is easy to miss when you first work out what you can afford.

Dates are the 2026 bank holidays in England and Wales published on gov.uk. Costs are one two-hour visit a day at £20 an hour, the rate most carers on PrimeCarers charge with our fee included, so an ordinary day is £40. The uplift is paid to the carer. PrimeCarers adds nothing of its own on these days.

There are eight bank holidays in England and Wales in 2026, and the dates are published on gov.uk. Scotland and Northern Ireland have their own lists. The uplift arrives inside an ordinary weekly invoice rather than as a bill of its own, which is why a family can be months into an arrangement before they notice it.

The uplift is paid to the carer, and PrimeCarers adds nothing of its own on those days. Our guide to weekend, evening and bank holiday rates sets out which days carry an uplift.

Mileage and travel

Travel is not charged unless you agreed it in writing first

The contract is clear about this one. Travel expenses and travel-related charges are not included at all unless you and the carer expressly agreed them in advance. Any agreement has to say what the rate is and when travel is chargeable, and it has to be recorded in writing.

What works

  • Deciding at the start whether the carer will ever drive your relative anywhere, and saying so either way
  • Agreeing the rate per mile and what counts as a chargeable journey, in a message you can both find again
  • Asking whether the carer holds business use on their car insurance before they carry your relative in it

What causes problems

  • Assuming the hourly rate covers driving to the surgery because the visit covers the hour
  • Agreeing a rate after the journeys have happened, when neither of you can check the miles
  • Paying for the carer's journey to and from your relative's home, which is their own commute

Where families do agree mileage, the usual reference point is the HMRC approved rate, 55p a mile for the first 10,000 business miles in the 2026 to 2027 tax year and 25p a mile after that, published in the HMRC travel, mileage and fuel rates and allowances tables. Nothing obliges either of you to use it, but starting from a published number makes the conversation shorter.

Whether a live-in carer can take your relative out in a car depends on whose car it is and how it is insured, and how travel pay works for live-in carers covers the journey to your house at the start of a placement. If driving is a regular part of what you need, search for a carer who drives rather than agreeing mileage with somebody who would rather not.

Live-in care at home

What live-in care costs the household on top of the weekly rate

Live-in care is quoted as one weekly figure, which makes it easy to compare against a care home and easy to under-budget. That figure is what you pay the carer. Having somebody living in the house costs the household a little more on top, and none of it appears on an invoice.

Their food

A live-in carer eats in the house they are working in. There is no published figure for what that adds, because it depends on the household and on what the two of you agree. Treat it as a line in the weekly shop, and settle what it covers before the first week.

On the weekly shop, not on the bill

A room of their own

A live-in carer needs their own room and a proper chance to sleep undisturbed. That is the practical thing that rules live-in care out of some houses, so check it early.

A spare room, not a sofa

Heating, hot water and wifi

A home with somebody in it all day costs more to run than one that is empty from nine until five. Add an internet connection, which a carer needs to stay in touch with their own family.

A house in use all day

Cover for breaks and leave

A live-in carer rests during the day and takes time off across the year. If your relative cannot be left alone, somebody has to be there for those hours.

Family time, or a second carer

The contract expects that a live-in carer will have opportunities for rest, and leaves the timing for the carer and the household to agree between them. Our guide to the live-in carer's daily break sets out what families usually arrange, and where live-in carers sleep covers what a carer reasonably needs of a room.

On PrimeCarers a live-in week starts at £1,050 and is typically £1,120, with our fee included. A care home charges a weekly fee with everything inside it, so the household costs above are part of the difference when you set the two against each other. The cost of live-in care has the full breakdown.

When care cannot happen

What you pay when care does not happen

One of the costs families ask about most is not an extra charge at all, but paying for care that did not happen. The contract sets out when that applies and when it does not.

You cancel a booked visit

What you pay
Payable in full. The carer may waive part or all of it at their own discretion, but that is their decision rather than your right.

Your relative goes into hospital unexpectedly

What you pay
Not payable. Unplanned hospitalisation is a named exception in the contract, along with illness.

You book a holiday and the visits are not needed

What you pay
A planned cancellation, so payable in full unless the carer agrees otherwise. Give as much notice as you can.

The carer cannot get into the house

What you pay
The carer may charge the agreed fee where they were ready to work and the reason was at your end, provided they take reasonable steps to keep the cost down.

The carer sends a substitute

What you pay
The carer arranges, pays and manages any substitute, so you are not paying twice. You can object for a reasonable reason.

Either of you ends the arrangement

What you pay
Visits already worked are payable. Notice is 48 hours for hourly care, and 48 hours for live-in care until the carer has worked 168 hours, after which it is 7 days.

From the standard client and carer contract, the source of truth for cancellation and notice. PrimeCarers charges nothing of its own when a visit is cancelled and does not set these terms. It can help pass messages between you and the carer, but it does not decide who is right.

Tell your carer as early as you can when a visit will not be needed. A carer who has three days' warning can often fill the slot, and is more likely to waive the fee than one told on the morning. It is also worth planning for the weeks when your carer is away. Our guide to cancellations and late-running visits covers the everyday version, and deposits, cancellation and notice sets out the contract position on paying.

If your relative goes into hospital, talk to the carer rather than simply stopping the visits. When your parent goes into hospital covers what happens to a live-in arrangement while the house is empty.

Equipment and the weekly figure

Equipment, and the weekly figure to budget for

The last group of costs is the house itself. A carer brings the equipment they need to do their own job, but grab rails, a hospital bed or a hoist belong to the home. Some of that you may not have to pay for at all.

Work through these before you fix a budget

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Equipment and the house

The money side of the week

The free equipment route is set out by the NHS in its guide to care and support you can get for free, and larger adaptations go through a Disabled Facilities Grant from the council. Both start with asking adult social services for an assessment, which costs nothing and does not depend on savings. On our own site, home adaptations that reduce the need for care covers what makes the biggest difference, and how to claim Attendance Allowance walks through the form.

The weekly figure to budget for is then the rate you agreed, plus the few things above that apply to your household. That is the point to look at what carers near your relative charge, because the rate on a profile is the rate you pay, and comparing a few of them tells you more than an average will. You can search for carers near you and compare their rates before you commit to anything, and the care cost calculator turns a weekly pattern of visits into a local estimate. If the total is more than you can manage, ten ways to bring the cost of care down is the place to start rather than cutting the hours your relative needs.

Questions

Questions families ask about the extras

The rate on a carer's profile on PrimeCarers covers the hour itself, with our fee inside it and no VAT added. What sits outside it is short: the bank holiday and Christmas Day uplifts in the contract, anything you agreed separately in writing such as mileage or shopping money, and household costs like a live-in carer's food or equipment for the home. What is in the hourly rate has the full list.

Only if you agreed it in advance and in writing, with the rate and the circumstances set out. Travel and travel-related charges are not included otherwise, so a carer cannot add mileage to an invoice after the fact. Where families do agree it, the HMRC approved rate of 55p a mile for the first 10,000 business miles is the usual reference point. You are not paying for the carer's own journey to your relative's home.

One and a half times their normal rate on a bank holiday, and double on Christmas Day. Both are set in the standard contract rather than left to the carer. Weekends are charged at the normal rate unless a carer advertises a higher weekend rate on their profile. On one two-hour visit a day at £20 an hour, the 2026 bank holidays add about £180 across the year, and it is paid to the carer.

A live-in carer eats in the house they are working in, so their meals go on the weekly shop rather than on an invoice. There is no published figure for what that adds, because it depends on your household and on what the two of you agree. Settle what it covers before the first week. Do live-in carers buy their own food goes through the ways families handle it.

No, if the hospital admission was unplanned. That is a named exception in the contract, along with illness. A visit you cancel for any other reason is payable in full unless the carer agrees otherwise, so a holiday booked months ago is treated differently from an ambulance on a Tuesday night.

A carer provides the equipment they need to do their own job. Anything belonging to the house does not come from the carer. Ask the council for a home assessment first: in England, where the assessment finds you need equipment or a change to the home costing less than £1,000, the council must provide it free. Larger work such as a stairlift goes through a Disabled Facilities Grant from the council.

A carer may arrange a substitute, and where they do, the carer is responsible for arranging, paying and managing that substitute, so you are not paying twice. You can object for a reasonable reason. Otherwise you would book another carer for those weeks as you booked 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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