Direct paymentsMilton Keynes
If the council has agreed to pay towards care at home, you can take the money as a direct payment and choose who provides the care. Milton Keynes City Council says a direct payment can pay a self-employed carer, with some checks first. Below is what the council publishes about its rates and rules, and what an hour of care costs near you.
117 self-employed carers within about 45 minutes of Milton Keynes
An hour of care in Milton Keynes
A budget worked out at the agency rate buys more hours from a self-employed carer. What a weekly budget buys each way is set out below.
What the council pays
Milton Keynes City Council does not publish its direct payment rates anywhere we could find. Your budget is set in your support plan, from the cost of meeting your eligible needs less anything you are assessed to pay yourself. Ask the council which hourly rate it used, because that decides how many hours the budget buys.
Hours for the money
A direct payment is a sum of money, so the useful comparison is how many hours of care it pays for. Move the slider to your own weekly budget.
Starts at ten hours a week at the agency rate. Move it to match the budget in your support plan.
At £20.00 an hour. The typical rate near you, our fee included. The carer invoices for the hours, and that invoice is your record for the council.
At £28.50 an hour. The median published by 13 agencies near you. The agency sends whoever is on its rota.
Hours are rounded down to the half hour. Bank holidays are charged at one and a half times a carer's rate and Christmas Day at twice, so leave room in the budget for them. Milton Keynes City Council decides what your direct payment can be spent on, and your support plan is the final word.
Choosing your carer
Milton Keynes City Council allows a direct payment to pay a self-employed carer, with conditions. A personal assistant can be paid as self-employed only where HMRC recognises that status, and the council warns that the person must hold their own insurance and that you could face backdated tax and national insurance if HMRC later decides they were employed by you.
“If the person is recognised as self-employed by HMRC you will not become the employer. They must provide you with insurance cover and they can choose if and when they work for you.”
Councils tend to ask for the same few things before a direct payment pays a self-employed carer:
How direct payments work covers asking for one, what the money can buy and the records councils want back, and self-employed carer or employee? explains the tax question.
The council's arrangements
What the council publishes about paying the money, getting help and getting in touch. Each card links to the page we checked it against.
How the money is paid: Prepaid card
The council's standard way of paying a direct payment is a prepaid card account, topped up in advance on a regular basis, with online or telephone banking access.
How the money is paid: Managed account
Connection Support can hold direct payment money and make the necessary payments on the person's behalf.
Provider: Connection Support
Help with running it
Connection Support. Is an independent service contracted by the council to help people set up and run a direct payment, including a helpline, advice on employing a personal assistant, a payroll service for staff you employ, and holding direct payment money and making payments on your behalf.
Where the council points you to find a personal assistant
Worth knowing
If you have been assessed as having to contribute towards your care, the council invoices you monthly for that contribution and you must keep paying those invoices to carry on receiving direct payments.
Worth knowing
Direct payment recipients in Milton Keynes complete quarterly returns on how the money has been spent, and Connection Support can teach you how to do them.
Worth knowing
Unpaid carers aged 18 or over who care for an adult and have had a Carers Conversation can get an annual payment of £240 from the council.
Who is available
117 carers are based within about 45 minutes of Milton Keynes. You can see their rates and experience, and message them, before committing to anything.
117 private carers are based within about 45 minutes of Milton Keynes
Filter by what they charge, who drives, who does nights, and who speaks your language, then message the ones you like. Free, and nothing is booked until you say so.
See private carers for Milton KeynesIn their words
“She never felt like a nanny, more like family - who to this date we sorely miss.”
Safina and mohammed L., 2024
About Catherine O.Carer based in Buckingham · 3 reviews“She has quickly adapted to his needs and he really enjoys being with her.”
Julie D., 2020
About Asma N.Carer based in Luton · 3 reviews“When Leander was visiting I knew that mum would be happy, content and in good hands.”
Lenka N., 2026
About Leander B.Carer based in West NorthamptonshireStep by step
Questions
Yes. A personal assistant can be paid as self-employed only where HMRC recognises that status, and the council warns that the person must hold their own insurance and that you could face backdated tax and national insurance if HMRC later decides they were employed by you. The checks a council asks for are usually the carer's employment status for tax, their insurance and their DBS certificate. Carers on PrimeCarers are self-employed, hold an enhanced DBS and are insured while they work, and they invoice for the hours worked.
We could not find a rate that Milton Keynes City Council publishes. The amount is set in your support plan, worked out from the cost of meeting your eligible needs, less anything the financial assessment says you pay yourself. Ask the council how it calculated the hourly figure, because that decides how many hours the budget buys.
Usually it buys more hours. Carers near you typically charge £20.00 an hour against £28.50 for agency care, so a budget worked out at the agency rate buys more hours from a self-employed carer.
In England a direct payment cannot normally pay the person’s husband, wife or partner, or a close relative who lives in the same household, unless the council considers it necessary. That is the direct payments regulations rather than this council's own rule, so ask the direct payments team how it applies it. Can my mum pay me to care for her? covers the other routes.
Only if you employ somebody. Paying a self-employed carer or an agency does not make anyone an employer. Taking on a personal assistant does, which brings payroll, holiday pay, sick pay, pension enrolment and employer's liability insurance. HMRC's Check Employment Status for Tax tool on gov.uk tells you which applies.
Milton Keynes City Council's direct payments team on 01908 253772 or at [email protected]. If you do not have a social worker or care assessment yet, start with a needs assessment from adult social care.
Direct payments in nearby council areas
If the care needed is mainly about health, the NHS may pay for all of it through Continuing Healthcare, decided by the NHS rather than the council. In Milton Keynes that is NHS Central East.
Council details were read from Milton Keynes City Council's published pages and checked against them on 17 September 2026. Councils change their rates each April, so check the linked page before relying on a figure. The local agency figure is the median of 13 agencies near Milton Keynes that publish a price. Carer rates are what carers near you advertise, read live.
See self-employed carers near you with their hourly rates, experience and reviews, and talk to the ones you like for free. Check with the council what your direct payment can pay for before you book.