
There are three ways to arrange care at home, and two very different shapes it can take. This guide covers what visiting care and live-in care really cost, how much control you keep, and what happens when something goes wrong.
All 18 pages as a PDF, including every rate table and the sources behind each figure. No email required.
PrimeCarers is a private carer platform. That is option three in this guide, and it is how we make our money. Read what follows knowing we have a horse in this race.
We have tried hard not to let that show, and we don't believe it has. This is written the way we would explain it to our own family: including the parts where a traditional agency is plainly the better answer, and the parts where finding someone yourself will save you thousands. Where we quote a price, we say where the number came from. Where there isn't a trustworthy number, we have left the space empty rather than fill it.
If an agency is the right answer for your situation, we would far rather you worked that out here than booked with us and regretted it. What matters is that you make the right decision, not that you make ours.
The trade-off between the three routes comes down to four things: cost, convenience, control and backup.
| Traditional agency | Private carer platform | Fully independent | |
|---|---|---|---|
| Typical cost, visiting | £26–£38/hr | £18–£25/hr | £15–£20/hr |
| Typical cost, live-in | From £239/day managed, £164+ introductory | £130–£190/day | £126–£171/day |
| Who chooses the carer | The agency, guided by your preferences | You, from carers in your area | You, from whoever applies |
| Same carer each visit | Not guaranteed; depends on the rota | Yes, while the arrangement works | Yes, while the arrangement works |
| Cover for sickness | Strongest; an office team owns it | A pool of other carers, plus support | None. You start again |
| Vetting and checks | Done for you | Done before joining; you verify | Your responsibility |
| Contracts and payments | Handled | Usually handled | Your responsibility |
| Effort required from you | Least | Moderate | Most |
| Best for | Complex rotas, multiple daily visits, two-carer calls | Continuity, price, plus a safety net | Simple, stable needs and a tight budget |
Agencies cost the most and ask the least of you. Going fully independent costs the least and asks the most. Platforms sit between the two.
If someone needs four visits a day, an agency is very probably the right answer, and we would tell you the same thing on the phone. The only good reasons to go private with a schedule that complex are that you want the same person every single day, or the budget will not stretch to agency rates.
We are a platform. Saying this costs us business. But a guide that never recommends anything except the thing its author sells is an advert, and you would be right to stop reading it.
The most common way to arrange care is through a traditional agency. Usually you'd search for care agencies in your area, contact five or six, ask about availability and pricing, and choose one that can provide what you need.
Agency care is generally the most expensive option. Across the UK self-funders typically pay £26–£38 per hour, with a national average around £32. It varies a lot by region.
Works well when
Less good when
The biggest advantage is that the agency takes responsibility for organising the care. You make a few calls, choose an agency, and they'll normally send someone to carry out an assessment. They help you decide what care is required, on which days, and at what times. Then they take responsibility for filling that schedule.
This matters most when someone needs several short visits every day. A typical pattern might be an hour in the morning, an hour around lunchtime, another visit in the afternoon and an hour in the evening. Organising that yourself is hard work, particularly if two carers are needed for some visits.
An agency also provides more backup. Their job is to make sure somebody turns up, even when the usual carer can't. That guarantee isn't absolute. Agencies do struggle to cover visits, particularly in rural areas or where there are staffing shortages. But they normally have an office team whose whole job is organising rotas and finding replacements.
With an agency you will not necessarily have the same carer every time. Carers change with the rota, with staffing levels, with holidays and with sickness. Agencies also reshuffle rounds to cut travel time between calls, which makes sense for them and can mean losing a carer your family has come to trust for reasons that have nothing to do with you. You can express preferences, but you have no real comeback.
That can matter a great deal where somebody has dementia, autism, anxiety or other needs where familiarity and consistency are part of the care itself.
The second option is to find a private carer directly. Private carers are usually much cheaper than agencies. Depending on location, experience and the type of care, you might pay around £15–£20 per hour when arranging everything yourself.
One of the best ways is through people you already know: friends, relatives, neighbours, other local contacts.
The major advantage is that there's already social trust involved. A carer who has been personally recommended has their reputation attached to that recommendation, so they may feel a stronger obligation to provide a good service. The person recommending them can usually also tell you what they're actually like to work with.
But a recommendation doesn't necessarily mean the right experience or skills for your particular situation, and your choice may be very limited. Perhaps one person has been recommended and happens to be available. If that relationship later breaks down, you can suddenly find yourself with no backup at all. There's an awkward social element too: when a carer comes through a friend or relative, it can be harder to raise problems or end the arrangement.
Even so, a strong personal recommendation remains an excellent way to find a private carer.
You can also advertise directly, on Facebook community groups, Facebook jobs and local care groups, Indeed, Gumtree, other classified advertising sites, or local online communities. You post details of the care you need and invite carers to contact you.
This is relatively inexpensive because you're doing everything yourself, and rates are typically around £15–£20 per hour.
The disadvantage is that you are effectively running a recruitment process. You need to work out whether the person is suitable, whether they have the right experience, whether their background checks are appropriate, whether they turn up, and whether they can actually do the job. There's also very little backup. If they leave, fall ill or simply don't work out, you start the search again.
More traditional local advertising still works: supermarket noticeboards, shop windows, community centre boards, church or village noticeboards and other local community spaces. The Lady magazine has carried domestic and care advertising for well over a century and is still worth a look. This works particularly well in smaller towns and rural areas.
The advantages and disadvantages are broadly the same as online classifieds. It can be one of the cheapest ways to find somebody locally, but you have very little support, you carry out the recruitment and checks yourself, and you may have relatively few candidates to choose from.
The final option is an online platform specialising in private carers. PrimeCarers is one example, alongside several other UK platforms.
Platforms sit between finding somebody completely independently and using a traditional agency. You still choose and work with a private carer, but the platform provides the infrastructure around that relationship.
Carers found through platforms normally cost a little more than somebody found entirely independently, because the platform charges a fee. As a rough guide, expect £18–£25 per hour depending on the carer, the location and the platform.
Rates are set by the carer, not by the platform, so the figure on a profile is what that person charges. Across PrimeCarers the averages look like this.
| Type of care | Typical rate | Notes |
|---|---|---|
| Visiting care | £18–£25/hr | Around £20 is typical. Longer bookings cost less per hour |
| Live-in | £130–£190/day | £910 to £1,330 a week for seven days |
| Live-in, couples | Around £1,350/wk | One carer supporting two people |
| Overnight, sleeping | £130–£145/night | Based on an 8 to 10 hour night |
| Overnight, waking | £150–£160/night | Based on an 8 to 10 hour night |
PrimeCarers rates, 2026. Live-in is covered on its own terms further down the page, and visiting rates are broken down by region.
That additional cost buys several things.
Rather than finding one person through a noticeboard or a recommendation, you can normally see several carers working in your area. That gives you a far better chance of finding someone whose experience, availability and personality actually match what you need. You are choosing somebody, rather than talking to whoever happens to contact you.
A platform can't offer quite the same coverage guarantee as an agency. But if your carer becomes unavailable there's normally a pool of others you can approach, and good platforms have a support team who help find alternatives. You're considerably less exposed than with a single independently-found carer.
Carers on platforms have a reputation to maintain. Their profile, their reviews and their ability to win future work all depend on doing a good job. That isn't quite the social pressure of a recommendation from someone you know, but it's far more accountability than an anonymous classified advert.
Carers are checked before they are allowed to join, and profiles set out experience, skills and availability so you can compare several people before deciding who to speak to. What a platform cannot do is warrant their skills or make the final judgement for you. See below.
Before a carer can use the platform we check their identity and their right to work, and we require an enhanced DBS certificate. We interview carers about their experience and their approach to care.
Interviewing somebody is not the same as vouching for them. We do not publish those documents on the platform, and we do not warrant a carer's skills or the authenticity of their paperwork. Checking those is not something we recommend you do. It is yours to do.
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.
So before you engage anyone, see their DBS certificate, proof of identity and right-to-work documents for yourself, interview them, and satisfy yourself that their experience and training match what your situation needs.
This is the difference between a platform and an agency, and it is part of why a platform costs less. An agency employs the carer and carries that responsibility itself. A platform introduces you to a self-employed carer: you contract with them directly, and the final judgement about whether they are right for your family stays with you.
Set against a carer found through a classified advert it is still a meaningful difference. There, nobody has run any check at all and nobody has interviewed them. The whole job is yours from the first phone call.
One of the biggest advantages of any private care is continuity. You choose the person, and assuming it works well, that same person keeps providing the care. For people with dementia, autism or other conditions where familiarity, trust and routine matter, that consistency is part of what makes the care work.
With a traditional agency, the person providing care may change according to the rota. With private care, you have substantially more control over who enters your home.
Home care pricing varies more by geography than by almost anything else. These are visiting care rates; live-in is priced by the day and is covered in its own section below. Where no trustworthy figure exists, we have said so rather than fill the gap with a guess.
There is no trustworthy public rate survey covering every UK region for every route. Rather than interpolate numbers and present them as fact, we have shown only what we can source and left the rest visibly blank. For a figure specific to your own area, ask three local agencies for a written quote and compare it against the platform averages in this section. That is the most reliable regional data there is.
Everything so far has assumed visiting care: a carer arrives, does an hour or two, and leaves. Live-in works differently enough that most of the sums above stop applying. Plenty of families get here after pricing up visits and finding it does not add up.
A live-in carer moves into the home. They are there day and night, they get to know the person properly, and the price is a daily rate rather than an hourly one. Once the care needed passes roughly seven or eight hours a day, live-in usually costs less than buying the equivalent visits, and it is normally cheaper than a care home.
One carer, one household, priced by the day rather than the hour. Most people buy seven days a week, but nothing says you have to.
| Route | Per day | Per week | Source |
|---|---|---|---|
| Fully managed agency | From £239 | From £1,675 | Helping Hands, 2026 |
| Introductory agency | £164–£214 | £1,150–£1,500 | Elder and market range, 2026 |
| Private carer platform | £130–£190 | £910–£1,330 | PrimeCarers, 2026 |
| Found independently | £126–£171 | £880–£1,200 | Around 10% below platform rates |
Taken as a whole the UK live-in market runs from roughly £900 to £2,000 a week, depending on location, complexity and route.
Because live-in is a daily rate, plenty of families book five days on and cover the weekend themselves. Through a platform that takes a placement from £910 to £1,330 a week down to roughly £650 to £950. It only works if a relative lives close enough to do Saturday and Sunday, but where it does, it takes a big chunk off the bill.
Between the two sits overnight cover, for people who are safe in the day but not at night.
| Type | Typical cost | What it means |
|---|---|---|
| Sleeping night | £130–£145/night | The carer sleeps, and gets up if needed |
| Waking night | £150–£160/night | The carer stays awake throughout |
PrimeCarers rates, 2026, based on an 8 to 10 hour night. If waking nights are needed most nights, price up live-in with a second carer too. The two are closer than they look.
This depends on what you are paying now, not only on how many hours you need. The crossover comes much earlier if you are currently on agency hourly rates.
| If you are paying | Live-in wins past |
|---|---|
| Agency visits at £32/hr, moving to platform live-in | About 4 hours a day |
| Platform visits at £20/hr, moving to platform live-in | About 6.5 hours a day |
| Independent visits at £17.50/hr, moving to independent live-in | About 7 hours a day |
| Agency visits at £32/hr, staying with an agency for live-in | About 7.5 hours a day |
Where you land inside each band moves the number. Agency hourly rates run £26 to £38, which shifts that first row between roughly 3.4 and 7.3 hours a day. To check your own: six and a half hours a day at £20 is £910 a week, the bottom of the platform live-in range.
Five hours a day of agency care is about £160 a day. A live-in carer through a platform is £130 to £190 a day. So for somewhere between £30 less and £30 more, you go from five hours of cover to somebody in the house around the clock.
That is why families already paying agency rates for a few hours a day are often better off with a private live-in carer. You gain roughly twenty hours of daily cover, you get a real choice of person rather than whoever the rota sends, and the risk of a gap drops because one carer is living there instead of travelling in four times a day.
Two things move the crossover earlier still. If any night cover is needed, overnight alone is £130 to £145 a night, which is £910 to £1,015 a week before you have bought a single daytime hour. And for a couple, one live-in carer covers both people.
This is the comparison most families are really making.
| Option | Typical weekly cost | What you get |
|---|---|---|
| Live-in via a platform | £910–£1,330 | One carer, one household, your own home |
| Residential care home | £1,350 | Shared staff, shared building |
| Nursing home | £1,581 | Shared staff plus nursing on site |
| Live-in via a managed agency | From £1,675 | One carer, with the agency running it |
Care home figures are the median of 534 English homes with a published fee, refreshed August 2026 by The Care Home Directory. Fees change, so always confirm with the home.
One live-in carer can usually support two people for about a fifth more than one. Roughly £1,350 a week through a platform, against £1,600 or more through an agency. Two care home places run to about £2,320 a week.
That is a saving of £750 to £1,250 a week, or more than £40,000 a year, and the couple stays together in their own home rather than being split between rooms or between buildings.
One carer will not cover everything. If both people have high physical needs, or nights are broken most nights, you need a waking night carer at around £148 a night or a short daily visit on top. Even then the total sits well below two care home places.
Care home fees vary as much by geography as home care does. These are self-funder averages by region, which are useful for judging the gap in your own area.
| Region | Residential | Nursing |
|---|---|---|
| South East | £1,312 | £1,579 |
| London | £1,289 | £1,543 |
| South West | £1,145 | £1,389 |
| East of England | £1,134 | £1,367 |
| West Midlands | £1,056 | £1,278 |
| East Midlands | £1,023 | £1,245 |
| North West | £1,012 | £1,234 |
| Yorkshire & Humber | £978 | £1,189 |
| North East | £897 | £1,098 |
Laing Buisson self-funder averages, 2025/26. These sit below the Care Home Directory medians above because the two count different things: this table is a market-wide average, that one is the midpoint of fees homes actually publish. Use this table for the gap between regions, and the one above for what a place is likely to be advertised at.
Live-in is the one arrangement where you are also, in effect, a host. None of this is optional, and a provider who glosses over it is worth avoiding.
With visiting care, cover is hard. If your carer is ill on a Tuesday, somebody has to be at a specific address by 7am, and they have to live close enough to get there. That is a narrow search, and it is why an agency's rota team earns its fee.
Live-in is the opposite. A replacement does not need to live nearby, because they are moving in. The search area becomes the whole country, the booking is a single block rather than a recurring slot, and carers actively want live-in work because it is continuous and pays well.
What that means in practice is this. An agency guarantees cover in its contract. A platform does not, and you should not accept a claim that it does. In practice a live-in vacancy is usually filled within 24 to 48 hours, often the same day, because the pool it draws on is national rather than local.
Family cover is an option here too, if you want it. Covering a live-in carer's break means one relative staying in the house for a few days. It is not hard to arrange and it is a practical way to hold the cost down, but nobody has to do it. The point is that it is possible at all. Covering four visits a day for a fortnight is a different proposition.
Published agency data is national or broad-bracket rather than region-by-region.
| Area | Indicative rate | Source |
|---|---|---|
| UK average | £32/hr | Care Advocate, 2026 |
| UK typical range | £26–£38/hr | homecare.co.uk, 2026 |
| London | £25–£35/hr | PrimeCarers, 2026 |
| London & South East | £38–£42/hr | Care Advocate, 2026 |
| Northern England & Wales | £26–£30/hr | Care Advocate, 2026 |
| England (minimum sustainable price) | £34.42/hr | Homecare Association, 2026/27 |
| Northern Ireland (minimum sustainable price) | £32.84/hr | Homecare Association, 2025/26 |
The Homecare Association's "minimum price" is not a market average. It is the hourly rate they calculate an agency must charge to pay carers legally and cover its costs. Treat it as a floor: a quote materially below it is worth questioning.
By its nature, independent care has no published rate data. No platform or agency is recording what changes hands, so these are the ranges most commonly reported.
| Area | Typical rate | Source |
|---|---|---|
| UK, typical | £15–£20/hr | Commonly reported range |
| London | £15–£25/hr | PrimeCarers, 2026 |
| All other regions | No reliable data exists | – |
This is the one route with real region-by-region data: the average advertised rates of carers on PrimeCarers, grouped from published county averages.
| Region | Average advertised rate | Based on |
|---|---|---|
| London | £19.80/hr | London |
| South East | £19.89/hr | Kent, Surrey, Hampshire, Essex |
| South West | £19.92/hr | Bristol, Devon, Cornwall, Somerset |
| Midlands | £19.89/hr | Nottingham |
| Yorkshire | £19.54/hr | West Yorkshire |
| North West | £19.50/hr | Manchester |
| North East | £19.32/hr | Durham |
| Scotland – Lowlands | £19.46/hr | Edinburgh, Glasgow |
| Wales, Scotland – Highlands, N. Ireland | Not yet published | – |
Carers set their own rates, so these are averages of what carers advertise, not a fixed price list. Longer bookings cost less per hour: six-hour shifts average around £18/hr against £20.59/hr for short visits.
For most families the right answer depends on the complexity of the care, how much continuity matters, how much help they want finding carers, and how comfortable they are managing the arrangement. These six questions usually settle it.
Add up the hours actually needed, then look at what you are paying now. On agency hourly rates live-in overtakes at about four and a half hours a day. On platform or private rates it is nearer seven. If any night cover is needed, price live-in straight away. For a couple it is barely a contest. Settle this before anything else.
Three or more visits a day, or any double-up calls, and an agency's rota team starts to earn its fee.
With dementia, autism or anxiety, continuity is part of the care. That points firmly towards private care.
For visiting care this is the hardest question in the guide. Somebody has to be at your door by 7am and they have to live nearby. If nobody in the family can do that, you need an agency or a platform with a support team. For live-in it matters far less: a replacement can come from anywhere in the country, and a relative staying in the house for a few days is a realistic fallback.
DBS, right to work, references, insurance and a contract. Someone has to. Decide whether that's you.
The gap between £16 and £34 an hour is around £9,000 a year at ten hours a week. That difference is often what decides it.
The full guide as a PDF, including every rate table and source. No email required.
Finding a carer completely independently, through a personal recommendation or a classified advert, is usually the cheapest at around £15 to £20 per hour. You take on the recruitment, the background checks, the contract and the cover when your carer is unavailable.
Across the UK, self-funders typically pay £26 to £38 per hour, with a national average around £32. London and the South East run higher, at £38 to £42. The Homecare Association calculates a minimum sustainable price of £34.42 per hour for England in 2026/27.
It depends on the schedule. If someone needs several short visits a day, or two carers for some visits, an agency is usually the right answer because an office team owns the rota and arranges cover. If continuity matters most, which is often the case with dementia, autism or anxiety, private care gives you the same person every visit.
Before a carer can use the platform we check their identity and their right to work, and we require an enhanced DBS certificate. We interview carers about their experience and their approach to care. Interviewing somebody is not the same as vouching for them: we do not publish those documents, and we do not warrant a carer's skills or the authenticity of their paperwork. Clients remain responsible for checking carer documentation, interviewing carers and checking suitability for their specific needs, so you must see those documents yourself before you engage anyone.
An agency employs the carer and carries responsibility for the care. A platform introduces you to a self-employed carer who you contract with directly. That is why a platform costs less, and why the final judgement about whether a carer suits your family stays with you.
Prices are indicative and change over time and by locality. This guide is general information, not financial or care advice. Always confirm current rates and terms directly with any provider.