Caring for a parentLooking after yourself

When to hand over to a professional

This page is about you rather than about your relative. It sets out the signs that you have reached the end of what one person can carry, with no verdict attached to any of them, and what to do about it. Handing over part of the care is not handing over all of it, and care given by somebody who is not exhausted is usually better care.

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By James Bowdler, founder of PrimeCarers  ·  Updated September 2026  ·  12 min read · See the signs

Part of our guide to caring for a parent.

The signs

The signs that you have reached your limit

None of these means you have done anything wrong. They are what happens to a body and a temper that have been doing two people's days for a long time. Find the row you recognise, and the answer to it is on the right.

Your own health

Appointments

You keep cancelling the things that are for you

The appointment you made about your back has been moved twice, and your own blood pressure check is somewhere in that pile.

What takes the weight off it

A booked carer visit holds the slot open, because somebody else has committed to being there. Start with the hour your appointment falls in.

Sleep

You have not slept a full night for months

You lie listening for the bedroom door, you are up once because they called out, and then you are awake from four in the morning.

What takes the weight off it

Sleep responds fastest to paid help. One or two covered nights change what the other five feel like, and nights can be booked one at a time.

How the caring has started to feel

Anger

There is anger in you that you do not recognise

You snapped at your mother about something small and heard yourself doing it. The feeling frightens you more than the tiredness does.

What takes the weight off it

Resentment tracks how much you are carrying rather than how much you love somebody, so the task that generates it is the one to hand over.

Dread

There is a visit you have started to dread

You can name it. The Sunday shower, the Thursday shopping, the drive over after work. You set off later than you meant to.

What takes the weight off it

The task you dread is a good one to buy first, and it may be a task a carer does every working day and thinks nothing of.

What the caring has pushed out

Work

Your job has started to give way

Your annual leave has gone on appointments, you take calls in a car park, and you have turned something down without saying why.

What takes the weight off it

Two fixed visits in the hours you cannot cover can cost less than dropping a day of work. Ask whether your employer has a carers policy.

Home

The people you live with get what is left

Your partner has stopped asking when you will be back, and your own house is the one nobody is looking after.

What takes the weight off it

A carer covering two evenings hands those evenings back to your own home. It is a small change the rest of your family can feel.

If several of these are true at once, read what the signs of caregiver burnout are, or how to stop being resentful as a caregiver if the anger worries you most. If the nights are the worst of it, sleep deprivation and the case for a night carer sets out what covering one or two nights changes. If your job is where the pressure is landing, balancing work with caring covers leave and what to say to an employer.

Two questions get muddled here. This page is about you reaching your limit, and the answer is normally paid help working alongside you. Whether your relative's care at home has reached its limit is a separate question, and when home care stops being enough is the page for it. The rest of caring for a parent covers the hands-on side.

Three tasks

Three tasks where a paid carer is the safer answer

Some of this has nothing to do with stamina. There are three tasks where a paid carer can be the right answer even in a week when you feel fine.

Washing, toileting and dressing a parent

Intimate care between a parent and an adult child changes something that is hard to change back. Your mother has to be undressed in front of her daughter, then be that daughter's mother again over lunch. Some families manage it and are glad they did. Deciding you will not is a legitimate line, not a measure of how much you love her.

A line, not a failure

Medicines that have gone wrong once

A missed dose, a doubled dose or tablets on the carpet is a safety matter rather than proof you are careless. The NHS says making up a missed dose with a double one later is dangerous. Ask the GP surgery for a structured medication review, ask the pharmacy what would simplify the round, and consider handing the morning round to a carer.

Ask for a review, then hand the round over

Lifting that you have started doing alone

The NHS says the most common injuries carers get are back injuries, and a hurt back ends the caring for both of you on the same day. Ask the council for an occupational therapy assessment before it does. Councils can supply hoists, stand aids, transfer boards and slide sheets, and many run moving and handling training free of charge.

The commonest injury carers get

Bathing and toileting an elderly parent covers how a carer does it and what to say to a parent who is embarrassed. Moving elderly parents safely goes through the techniques and the equipment, and the NHS explains moving, lifting and handling someone else. On medicines, start with what a dosette box is and the NHS page of medicines tips for carers.

Handing over part of it

Handing over part of it is not handing over all of it

The decision people picture is all of the care going to strangers, and their parent left with nobody who loves them. That is not the decision in front of you. In front of you is one task, or one part of the day.

An hour every morning

What it gives back
Your parent is up, washed, dressed, fed and given their tablets before you arrive, so your visit can be a visit again.
A week on PrimeCarers
£126 to £175 for seven hours

Two evening visits

What it gives back
Two evenings back in your own house, with the meal, the medication and the locking up.
A week on PrimeCarers
£36 to £50 for two hours

One sleeping night a week

What it gives back
One night when you are not listening for the bedroom door.
A week on PrimeCarers
£130 to £145 a night

An afternoon of company

What it gives back
Three hours that are yours, and somebody other than family to talk to and go out with.
A week on PrimeCarers
£45 to £60 for three hours

A fortnight of respite cover

What it gives back
A holiday, or a fortnight at home, with a live-in carer in the house while you are away.
A week on PrimeCarers
from £1,050 a week

Figures are what carers advertise on PrimeCarers, our fee included. The carer sets their own rate, so nothing here is a quote. An agency charges £28 to £35 an hour.

Nothing on that list takes over the relationship, the decisions or the conversations. What stays with you is the part only you can do, which is being the daughter or the son. Personal care covers the washing and toileting side of a visit, and respite care covers a break of an afternoon or a fortnight.

What you can ask for

A carer's assessment is your own right, and it is separate from theirs

You have rights here in your own name. They do not depend on your relative agreeing to anything, or on either of you having a particular amount of money.

Under section 10 of the Care Act 2014 a council must assess a carer when it appears the carer may have needs for support, whatever it thinks of the level of that need and whatever the financial resources of the carer or of the person needing care. The assessment has to consider whether you are able and willing to go on caring and whether you are likely to remain so, and it must take account of your work, your education or training, and your recreation. Willing sits in the law next to able, so you are allowed to say you no longer want to do a particular part of this.

What to ask for, and who to ask

0 of 9 ticked

From the council, in your own name

From the DWP

From the GP and the pharmacy

The council route and the paid route are not alternatives; starting one does not close the other. What a carer's assessment is explains how the conversation goes, and the NHS has guides to the carer's assessment and to carers' breaks and respite care. Carer's Allowance explained sets out the conditions, and GOV.UK has the current rules. Carers UK is a charity giving unpaid carers information, advice and support, and a place to ring when you want to talk to somebody outside the family.

How to start small

How to start small this week

You do not have to settle the whole question to make this week better. Four steps, and the first two are free.

  1. 1

    Write down the one thing you would hand over first

    Ten minutes
    Not the whole week. One task or one part of the day, such as the visit you dread or the night costing you sleep. Note the days and the times; that becomes the care plan a carer works from.
  2. 2

    Ring adult social services and ask for a carer's assessment

    Free, and it is yours
    Ask for it in your own name, even if you intend to pay for help yourself. It is also the route to equipment, to moving and handling training and to replacement care while you take a break, and it commits you to nothing.
  3. 3

    Look at carers near your relative's home

    This week
    Search by postcode and compare profiles, rates, reviews and availability. Every carer on PrimeCarers has had their identity and right to work checked, holds an enhanced DBS on the Update Service and has been interviewed online, and they are insured while they work. Experience and training are the carer's own account, so ask about those yourself.
  4. 4

    Book the one thing, and leave the rest alone

    Week one
    Start with the single task you wrote down and give it a fortnight before changing anything else. You agree visits with the carer directly, so adding a second is a conversation rather than a new contract. Notice for hourly care is 48 hours.

Questions

Questions family carers ask

A bad month has an end you can point to, such as a chest infection or a fortnight of hospital appointments, and afterwards things go back to how they were. A limit does not lift when the crisis passes. If your sleep, your temper and your health have been like this for longer than you can date, that is the difference. You need not be certain to ask for a carer's assessment.

No. Intimate care between a parent and an adult child is a real line rather than a test of devotion, and drawing it is a decision you are entitled to make. Your mother may find it easier with a carer than with her daughter, because a carer does not carry the history. Bathing and toileting an elderly parent covers raising it.

An adult who understands the decision can refuse care, and that is their right. A small, specific offer is easier to accept than a general suggestion that they need looking after. One hour on a Tuesday for the shopping, with a named person and an end time. How do you get someone to accept care? goes through the conversation.

Carer's Allowance depends on you spending at least 35 hours a week caring, not on being the only person who does. A few paid hours a week need not take you below that, but check your own position: GOV.UK asks you to report it if you stop caring for more than 28 days, or if either of you will be in hospital, a nursing home or respite care for more than 12 weeks. Carer's Allowance explained has the conditions.

Carers on PrimeCarers charge £18 to £25 an hour, our fee included, so two one-hour visits a week is £36 to £50 and an hour every morning is £126 to £175. A sleeping night is £130 to £145. The carer sets their own rate, so this is a range rather than a quote.

Yes. Cover for a holiday or a break is respite, and it can be visits, nights or a live-in carer in the house for the week. Book further ahead than feels necessary, because the carer you want may already be committed. Respite care covers how it works.

If you need help at home

Start with our guide to caring for a parent

Practical help for family carers. What it costs, what a carer does day to day, and how to hire one directly.

Carers near you

Start with one part of the week

Search hourly carers near your relative's home, compare rates and reviews, and message the ones who could cover the visit you want to hand over. Free, and no obligation.

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