Respite careUnderstanding respite care

What is respite care, and who is it for?

Respite care is a short, planned break for the person doing the caring, not a change to the care your relative gets. Someone else takes over for a few hours, a weekend or several weeks, so you can rest, work, or deal with your own life, and then caring continues as before. This guide covers what it involves, the ways to arrange one, who can help pay, and what it costs if you book it yourself.

By James Bowdler, founder of PrimeCarers  ·  Updated September 2026  ·  11 min read · See the ways to get a break

A carer resting a hand on the shoulder of a smiling older woman sitting in a chair, with a large clock on the wall behind them

Part of our guide to respite care.

The short answer

Respite care is a break for you, arranged so your relative is still looked after

The word covers more than one kind of arrangement, but the idea behind all of them is the same: somebody else takes over the day-to-day caring for a while, on purpose and planned in advance, so the person usually doing it gets a rest.

What respite care is

  • A short, planned spell where somebody else takes over the caring
  • Something you can ask for at any stage of caring, not only in a crisis
  • A way of sharing the load, rather than handing it over for good
  • Available whether or not your relative has a formal diagnosis

What it is not

  • A sign that you or the family cannot cope
  • The same as moving your relative into permanent care
  • Only available once things have become an emergency
  • One single service. It covers several different arrangements, covered next

The confusion about what respite care is usually comes from it being mentioned alongside other things at the wrong moment. A hospital discharge team or a district nurse might bring it up while discussing a parent's care, and it can sound as though respite only exists for families who are already deep into a serious illness. It does not. You can ask for a break the first month you take on caring for someone with a long-term condition. If you are wondering specifically whether respite only applies once end-of-life care has started, it does not, and is respite care end-of-life care? sets out the difference in full.

The ways to get a break

A carer at home, a day centre, a short stay away, or family and friends

How long you need is usually the thing that decides which of these fits. Here is roughly what suits each length of break, and what it tends to cost.

A few hours

A sitting or volunteer service, a companion carer, or an adult day care centre

From £15 an hour for a companion carer. Many hospice and charity sitting services are free; a council or charity-run day centre charges its own daily rate, so ask the centre directly.

A day centre suits a regular weekly gap and gives your relative company and activities away from home; a sitting service or companion carer suits a one-off or a visit at home.

A day or a weekend

A carer at home covering the visits, or a short stay at a care home or hospice

£18 to £25 an hour for visits on PrimeCarers. A hospice short stay is usually free where there are symptoms to manage.

The usual choice for a wedding, your own hospital stay, or a weekend away.

A week

A live-in carer, or daily visits with overnight cover added

From £1,050 a week for a live-in carer, or from £130 a night for overnight cover on top of visits.

A live-in carer usually works out cheaper than the same week built from separate day and night visits.

A fortnight or more

A live-in carer, or a short-term place in a care home

£1,050 to £1,400 a week for live-in care, or roughly £1,100 to £1,600 a week for a care home place.

Ask the care home whether it takes short-term bookings rather than assuming it only offers permanent places.

These can be combined rather than relying on one alone. A weekly morning at an adult day care centre, alongside a private carer booked for the odd weekend away, covers a broad range of what caring for somebody over months or years requires. A day centre is often the cheapest way to arrange a regular few hours off, since your relative goes to them rather than a carer coming to the house, though the fee and what is on offer vary by centre, so ask your council's adult social care team or Age UK what runs locally. Hourly care explains how visits work if you want a carer for part of the day, overnight care covers a carer sleeping in the house through the night, and live-in care covers a carer there around the clock for longer breaks. If you are choosing between a live-in carer and a short-term care home place for a longer break, live-in care vs a nursing home sets the two side by side.

When to consider it

Signs it might be time to arrange a break

Family carers are often the last to notice how much they are carrying, because the days that matter come one at a time rather than all at once. Tick anything that has been true in the last month, and treat two or more as a reason to arrange something rather than wait for a worse week.

Has any of this been true recently?

0 of 7 ticked

Your own health

Work and relationships

The person you care for

If most of these sound familiar, when to consider respite care looks at the decision in more depth, including what tends to hold people back from asking. Caring for the caregiver and the challenges of caring for elderly parents cover the wider pressures behind this list.

Who pays

The free routes, and when you pay for it yourself

There is no single system for paying for respite care in the UK. The following can be combined, and asking for one does not stop you booking a carer privately while you wait to hear back.

A carer's assessment (council)

Who it suits
Any unpaid carer, whatever your relative's own needs or savings
What it costs you
Free to ask for. The council may contribute towards a break if your relative's savings are below £23,250; below £14,250 savings are ignored entirely, though income is still taken into account
How to start
Contact the council's adult social care team and ask for a carer's assessment

NHS Continuing Healthcare Fast Track

Who it suits
Families where a doctor or nurse thinks health is declining quickly
What it costs you
Free, and not means-tested
How to start
Ask the GP, hospital doctor or district nurse to consider a Fast Track referral

Charities and grants

Who it suits
Carers who need help meeting the cost of a break
What it costs you
Varies by charity. Some grants cover the full cost, others contribute towards it
How to start
Ask your local Carers Trust network partner, or search Turn2us for a grant you may qualify for

Booking a carer yourself

Who it suits
Anyone, whether or not an assessment has happened
What it costs you
From £18 an hour on PrimeCarers, with our fee included
How to start
Search carers by postcode and agree the dates directly with them

Capital limits are for England; Scotland, Wales and Northern Ireland set their own rules. Carer's Allowance is a separate, ongoing benefit paid to you for the caring you do; it does not itself pay for a break, though the underlying eligibility often overlaps.

Local authority funding explains how a carer's assessment and any money that follows it work, and Carer's Allowance explained covers the separate benefit mentioned above. Carers Trust runs a grants programme through local partner organisations, and Turn2us searches a wide database of UK charitable grants, including ones aimed at carers.

What it costs

What a break costs if you book a carer yourself

These are the figures for booking a carer directly on PrimeCarers, with our fee included, alongside what an agency typically charges for the same cover.

£18-£25

An hour, on PrimeCarers

Agencies charge £28 to £35 for the same visit.

£130+

A night for overnight cover

A carer sleeping in the house through the night.

£1,050+

A week for a live-in carer

Agencies typically charge from £1,400 for the same week.

£23,250

Savings threshold for council help

Below this figure the council may contribute; below £14,250 it is disregarded entirely.

PrimeCarers rates and council capital limits (Department of Health and Social Care), September 2026.

A short break has no minimum period. You pay for the hours, nights or week you book, and there is no extra PrimeCarers charge for a one-off arrangement rather than an ongoing one. Cost of care sets out current rates across every type of visit if you want to compare a longer arrangement against a one-off break.

How to arrange it

Getting a break arranged, in five practical steps

There is no fixed order. If your relative already has an assessment or a nursing team involved, start there; if not, you can book a carer directly and sort out funding afterwards.

  1. 1

    Ask for a carer's assessment

    Free, any time
    Contact the council's adult social care team and ask for a carer's assessment under the Care Act 2014. You do not need your relative's agreement, and it does not depend on your own income. Local authority funding explains how the assessment and any money that follows it work.
  2. 2

    Ask what is available locally

    If a hospital or hospice team is involved
    Ask the hospital, hospice or district nursing team directly whether there is a sitting service, a day centre, or short stays nearby. What is available varies a great deal by area, so ask rather than assume there is nothing.
  3. 3

    Ask about NHS Fast Track if health is declining quickly

    Free, not means-tested
    If a doctor or nurse thinks your relative's health may be entering a rapid decline, ask them about the Fast Track route mentioned above. It is aimed at putting a package of care in place within days rather than weeks, and that package can include the cover that gives you a break.
  4. 4

    Book a carer directly for the days you need

    From £18 an hour
    You do not have to wait for an assessment to arrange a break yourself. Search carers near you by postcode, agree the dates directly with them, and pay only for what you book. See current rates before you start looking.
  5. 5

    Write down what the person covering needs to know

    Before you go
    Medication times, the GP and district nurse's numbers if a health condition is involved, what a bad day looks like, and who to call if you cannot be reached. A short handover matters more than which route paid for the cover.

While you are away

What happens to your relative's routine while you are away

This is usually the worry underneath every other question: if you step back for a few days, does everything change for the person you care for? It should not.

The same routine, in the same home

Whoever is covering follows the day you would normally run: when your relative gets up, what they eat, and when their tablets are due. Nothing has to change just because you are not there.

If a carer covers at home

A face your relative has met before

Meeting the carer, or the family member covering for you, in advance means your relative is not managing a stranger and a break at the same time. A short visit or call beforehand is worth arranging even for a single afternoon.

Before you go

As much contact as you want, or none at all

Some people want a message each evening, and others want a proper break from checking in. Say which you would prefer, and whoever is covering can work to it.

Your choice

A plan for if something changes

Agree in advance who to call if there is a fall, an illness, or a carer who cannot make a visit, so a decision does not have to be made from scratch while you are away.

Just in case

Questions

Questions families ask about respite care

No. You do not need a diagnosis, a prognosis, or a formal assessment of your relative to ask for a break or to book one yourself. A carer’s assessment can help pay for it, but it is not a condition of arranging respite privately. What is a carer’s assessment? explains what the assessment adds if you want one.

Anywhere from a few hours to several weeks. There is no single UK-wide limit on a privately booked carer or a family rota; a council-funded stay in a care home is capped by that council’s own policy, so ask what it is if the council is contributing. Cost of care has more on current rates for longer stays.

Both are possible. A carer's assessment can lead to council funding if your relative's savings are below £23,250, hospice and volunteer sitting services are usually free, and NHS Fast Track funding is free where a doctor thinks it applies. Outside those routes, you pay for it yourself, in the same way you would pay for any other home care. What does fully funded care mean? covers when the state pays in full.

It is an assessment of your own needs as a carer, separate from any assessment of your relative, carried out by the council under the Care Act 2014. Contact your local authority’s adult social care team and ask for one; it is free and does not depend on your income. Carers UK has a plain guide to what to expect.

Yes. A carer’s assessment is your right as the carer, and your relative does not have to agree to council involvement, or be assessed themselves, for you to have one. Local authority funding covers how the assessment and any money that follows it work.

It should not. Whoever covers for you, whether that is a carer, a family member or a short stay away from home, works from the routine you would normally run: mealtimes, medication and the small habits that make the day feel normal. A short handover note before you go is what makes that possible.

On PrimeCarers, hourly visits run from £18 to £25 an hour, an overnight carer from about £130 a night, and a live-in carer covering a week away from about £1,050, all with our fee included. Agencies typically charge £28 to £35 an hour, or from £1,400 a week for live-in cover. See current rates.

Yes, and it counts as respite just as much as a paid service does. It works best as a rota agreed in advance and written down, rather than a favour asked for during a bad week, so everyone knows which days they are covering. Balancing work with caregiving has more on sharing caring around a job.

Say so when you contact the council or the hospital, because both can move faster where there is an urgent reason, such as your own hospital admission or a sudden change in your relative’s health. A privately booked carer can often be arranged within a few days rather than weeks. Funding care after a hospital stay covers one common version of this.

If you need help at home

Start with our guide to respite care

Short-term cover for family carers. What it costs, what a carer does day to day, and how to hire one directly.

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