Part of our guide to funding care.
James Bowdler
2 September, 2026
2 min read
Guide Contents
A late payment is an administrative item for the people processing it and a physical problem for the person waiting on it. When care funding stalls, hours get trimmed first, the carer at the end of the chain goes unpaid, and the person who needs the care ends up doing finance admin from bed. This is what a delay looks like from all three sides, and what actually helps.
Families assume that when a council approves extra hours, the care starts. In practice, approval and payment are two separate events, and the gap can run to weeks. The assessment says yes, but the money has not yet moved from the authority into the client’s direct payment account, or to the payroll company holding it. Until it does, the hours exist on paper and nowhere else.
The second surprise is who has to chase. A direct payment is legally the client’s own money, so the client is the person the finance team will talk to. Not the carer, who has already done the work. Not the platform or agency, which cannot demand money that was never theirs. The person least able to spend a morning on the phone is the only one entitled to make the call.
One client, weeks into a delay on funding already agreed, put it plainly: “I’m going to go downhill if we don’t get this sorted.” She was right, and she was still the one ringing the brokerage team herself. It helps to know how local authority funding is released and what a direct payment does and does not let you do, because that tells you which stage to ask about.
The first cost is the obvious one: fewer hours than a body needs. A client with a painful, complex condition told us her foot had flared badly and she could not safely be left alone, just as her account fell into arrears and no further visits could be booked against it. Another needed someone there at night simply so she did not fall out of bed.
The second cost is speed. Families think of care hours as something you can trim for a fortnight and put back. For someone with high needs, the deterioration is not measured in months. “There is no way I can medically manage on the hours the budget stretches to,” one young woman told us as her family worked out the fewest hours they could safely book.
The third cost is the admin, and it lands on the person least able to carry it. We regularly spend half an hour on the phone with a client untangling which of three outstanding invoices has cleared and whether next month drops to a bare minimum. One client with learning difficulties, whose social worker’s post had become vacant in a reorganisation and had not yet been filled, was doing the coordination herself and was frightened she was breaking a rule by doing it. “I’m not even allowed to be doing any of that,” she said. She was not in trouble. She had been left holding a job nobody had handed over.
One piece of advice we give often: if a month comes in under budget, do not spend the difference. A rainy day fund is worth more than the extra hours it would buy.
Self-employed carers are the last link and the least cushioned. A carer working close to full time told us she had gone three weeks without pay because her client’s account was not topped up after extra hours were approved. She could not afford petrol to reach the visits, was facing losing her home, and said: “If I lose my home, I have nowhere to go, and neither does my son.”
Another slid into overdraft charges and real debt while approved hours sat waiting to be transferred, and was close to quitting before the payment landed. In her case someone in our team pushed an advance through to keep her afloat. That was a one-off decision about one carer in a crisis, not a promise: a platform that advanced every delayed payment would not last long enough to arrange anyone’s care.
Long delays do happen. One carer in her sixties, who had looked after the same client almost single-handedly for years, was owed tens of thousands of pounds through social services and was simply exhausted. “Nobody is going to work for free,” another told us. “The care world is not as big as you think it is.” She meant it as information, not a threat: carers talk, and a placement known for late payment becomes harder to staff. It is part of a wider pattern of underpayment in care.
Some carers waiting on a stalled account are tempted to take the work off the platform and invoice the family directly. It is worth knowing what changes. Work booked through PrimeCarers is covered by PrimeCarers’ insurance; work arranged outside the platform is not, so a carer needs their own public liability cover for that, plus the right motor insurance if they drive a client (business use, and hire and reward only if they charge for mileage). PrimeCarers checks carers’ identity, right to work and DBS documents, and carers complete our onboarding, but that is a documents process rather than an assessment of clinical skill.
PrimeCarers is an introductory platform and does not provide, manage, supervise or clinically assess care. Clients remain responsible for checking carer documentation, interviewing carers, checking suitability for their specific needs, and agreeing the scope of care directly with the carer.
Coordinators get the hardest version of this conversation: the person on the line is frightened, and they cannot give her what she needs. One of ours put it as gently as she could: “I can’t just say, yes, here you go, have all the hours in the world. We haven’t got the money to pay the carers either.”
What the middle can do is narrower than families hope and more useful than it sounds:
None of it replaces the money arriving, but it buys time.
Council finance and brokerage teams carry heavy caseloads, and reorganisations leave posts unfilled for months. Almost every delay we see is system pressure rather than anybody’s decision, which matters practically: being specific and persistent moves a stalled case more reliably than being loud.
A delay is nearly always at one of three points: the authorisation is not signed off, the money has not moved from the authority into the account, or the account holder or payroll provider has not released it to the carer. Ask which. The answer tells you who to ring next.
Ask for the person handling it, a reference, and a realistic date, then agree what happens if it has not arrived. Keep one page of dates, contacts, amounts and what was agreed: it turns “this has gone on for ages” into something a manager can act on in five minutes.
“If this has not cleared by the end of next week I will have to reduce overnight cover, and I am not confident that is safe” is a fact about care rather than a complaint, and it is the kind of sentence that gets a case reprioritised.
If the delay is really a shortfall rather than a transfer, ask your social worker how a request for more hours or a higher rate should be worded to stand the best chance. Most will tell you. Our piece on the evidence that helps a council say yes covers the detail that makes an assessor’s job easier.
Protect the carer relationship first. It is the hardest thing to replace and the thing a delay damages fastest.
If a delay runs into months, escalate formally rather than repeating the same call. Use the authority’s complaints procedure in writing, with your log attached; if that does not resolve it, the local government ombudsman can look at it. Where the shortfall means somebody is genuinely unsafe, that has stopped being a billing question, and adult safeguarding can be asked to review it, which is not an accusation against anyone.
It is also worth checking you are in the right funding stream: families reach us after months of stalled council funding when the needs described are health needs, assessed by a different route. Our page on NHS continuing healthcare explains it.
Carers on the other side of this will find our payment checklist and our guide to when a client does not pay more practical.
Read next
If you need help at home
Who pays, and what help you can get. What it costs, what a carer does day to day, and how to hire one directly.
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James Bowdler
Author