Private carersPrivacy and discretion

Private care for someone in the public eye

If your relative is well known, or simply wealthy enough that word getting out matters, arranging a carer for them means answering one extra question on top of everything else: who is told, and who is not. Searching, checking and agreeing a price works exactly the same as it does for any family. This page covers the part that does not: deciding what stays inside the family, and putting it in writing before the first visit.

By James Bowdler, founder of PrimeCarers  ·  Updated September 2026  ·  11 min read · Decide who is told

A woman walks down a sunny city street with a small crowd around her, one of them holding up a phone to take her picture

Part of our guide to private carers.

What changes

What changes when the person you are arranging care for is well known

Finding a carer, checking who they are and agreeing a price works the same whether or not anyone outside your family will ever hear about it. What is different is a layer around information: deciding who else finds out that your relative needs help, and who does not.

Finding a carer

Any family arranging care
Search by postcode and message the profiles that look right
When discretion matters too
The same search. Nothing on a profile flags this, so say so yourself in your first message

The checks before you meet them

Any family arranging care
Identity, right to work, an enhanced DBS check and an online interview, done before a profile appears
When discretion matters too
The same four checks, unaffected by who the patient is

What the carer needs to know

Any family arranging care
A care plan: routines, medication, what a good day looks like
When discretion matters too
The same care plan. Discretion is about who else sees it, not about telling the carer less

Who else finds out

Any family arranging care
Rarely written down, because it rarely needs to be
When discretion matters too
Worth agreeing in writing: named family, perhaps a GP, and nobody else unless you say so

What a carer can say about the work afterwards

Any family arranging care
Covered by the confidentiality clause in the standard contract
When discretion matters too
The same clause. Anything beyond it, such as no photographs, is a separate written agreement between you and the carer

Who is told

Deciding who is told, and what they are told

A carer needs the same information about a patient whoever that patient is: what has happened, what the medication is, what a good day and a bad day each look like. The decision that is different here is who else is allowed to know any of it, and it works better written down than assumed.

  1. Your family and the person receiving care

    Everything: the diagnosis, the mood, what is worrying you.

  2. A GP or another named professional

    Only what you decide to pass on, and only if you have named them as someone the carer can update.

  3. The carer

    What the visit needs: the care plan, medication times, what happened that day. Bound by the confidentiality clause in the standard PrimeCarers contract.

  4. PrimeCarers

    Booking and payment details, plus whatever care plan and medication detail you choose to enter on the platform to share with the carer. PrimeCarers does not review, verify or act on that content.

  5. Everyone else

    Nothing, unless you decide otherwise. Writing the list above down before the first visit is what makes that true in practice.

Start with a short, named list rather than a general instruction to "be discreet". Write down who is allowed to receive updates (a spouse, an adult child, perhaps a GP), how each of them prefers to hear it (a phone call rather than a message left on a screen someone else might see), and who is not on the list. Agree it with the carer before the first visit, and update it whenever it changes. This sits naturally alongside building a care plan with your carer, which covers the rest of what to write down before the first visit. If your relative has their own views on who should be told, involve them in writing the list wherever they are able to.

The confidentiality clause

What the standard contract already covers, and what to add yourselves

Every booking on PrimeCarers runs on the same contract between the client and the carer, and it already includes a confidentiality clause. Knowing what it covers tells you what still needs agreeing separately.

Confidentiality, checked against the standard contract

0 of 5 ticked

Already covered by the standard contract

Worth putting in writing yourselves

Choosing a carer

Finding a carer who has done this kind of work before

Searching and reading profiles works exactly as it does for any family. The difference is in what you ask once you are talking to someone, since nothing on a profile marks out this kind of experience.

Ask about it directly

Nothing on a profile flags experience with discretion, so raise it plainly: has this carer worked with a family that needed it, and what did that involve.

In your first message

Ask what discretion means to them in practice

A specific scenario says more than a general question. Ask what they would do if a stranger, or somebody with a camera, asked about your relative while they were out together.

At interview

Read the references on their profile

PrimeCarers does not verify references itself; carers add them to their own profile, so read them and follow up with a call where you can.

Before you decide

Talk to more than one carer

How someone talks about confidentiality on a call tells you more than a line on a profile. Most families choose after a conversation, not before one.

This week

Discretion is one thing to screen for, not the only one. The usual questions still apply alongside it: has this carer looked after someone with your relative's condition before, does their personality suit your relative and your household, and can they cover the days and times you need. A carer who is careful about privacy but wrong on those points is still the wrong carer.

The four checks behind every profile, an identity check, a right to work check, an enhanced DBS check and an online interview, are the same for every carer regardless of who books them. How we vet every carer sets out the process in full, background checks on a private carer covers exactly what each of the four checks does and does not tell you, and reviews from families is worth reading alongside a profile's own references before you decide. How to check a private carer walks through the whole process, checks and interview together, step by step.

How much you hand over

Choosing how much of the day-to-day PrimeCarers handles

Discretion is often easier to hold when fewer people are relaying messages back and forth between you, the carer, and anyone covering a gap. PrimeCarers offers three levels of support, and which one suits you is a separate decision from which carer you choose.

Bookings

Basic service
You book and message carers yourself
Managed service (+5%)
Handled for you by WhatsApp, email or phone
Fully managed (+10%, live-in only)
Handled for you

Scheduling and cover for time off

Basic service
Arranged directly with your carer
Managed service (+5%)
Help with scheduling and holiday cover
Fully managed (+10%, live-in only)
Full scheduling and holiday cover arranged for you

Contact with the carer day to day

Basic service
Direct, whenever you choose
Managed service (+5%)
PrimeCarers can message the carer on your behalf
Fully managed (+10%, live-in only)
Full liaison and briefing handled for you

If a live-in carer needs replacing

Basic service
You search again yourself
Managed service (+5%)
A guaranteed replacement within 7 days, or 48 hours where applicable
Fully managed (+10%, live-in only)
The same guarantee, with more dedicated time on urgent searches

Every tier includes the same onboarding checks, contract and payment handling. Fees are a percentage added to what the carer charges. Full detail on the managed service page.

A family managing this from a distance, or through a personal assistant, often finds the fully managed tier reduces the number of people who need to know the details, since PrimeCarers handles scheduling and cover directly with the carer rather than relaying it back through you each time. Our managed service sets out all three tiers and what each covers.

Getting started

From here to a carer in place

Four steps, and the list in the second one is the part most families have not thought to write down before.

  1. 1

    Write the information list

    Today
    Who is allowed to know your relative needs care, how each of them prefers to hear it, and who is not on the list. This becomes the working agreement the carer follows.
  2. 2

    Search and message carers

    Free
    Search by postcode, read the profiles, and mention discretion directly in your first message rather than waiting to see if it comes up.
  3. 3

    Interview two or three

    This week
    Ask the specific questions above, read their references, and agree anything beyond the standard contract, such as photographs or what to say if approached, in writing.
  4. 4

    Book the first visit, and choose a service tier if it helps

    Week 1
    Start on the basic service if you want to stay hands-on, or move to managed or fully managed if you would rather fewer people relayed messages on your behalf.

Questions

Questions families ask about privacy and discretion

PrimeCarers does not provide or become a party to a non-disclosure agreement. The standard contract between every client and carer already includes a confidentiality clause covering what the carer may not disclose. If you want something more specific in writing, such as a formal NDA, arrange it directly with the carer, ideally through your own solicitor.

Care plan and medication detail you choose to enter on the platform is held there so the carer, or carers, you give access to can see it. PrimeCarers does not review, verify or act on what is in it, and does not pass any of it on beyond the people you have chosen to share it with. The privacy policy sets out what is held and who it is shared with.

Yes. Agree a named list with the carer, including a GP if you want one included, and how each person prefers to be contacted. The carer is bound by the confidentiality clause not to share it more widely, with narrow exceptions for the law, an emergency, or continuity of care through a substitute.

The confidentiality clause already prevents a carer from disclosing what they know. It is still worth agreeing in advance what you would like them to say if asked, such as nothing at all, and who any approach should be referred to, so the carer has a clear answer ready rather than having to decide on the spot.

No. Carers on PrimeCarers set their own rate, typically £18 to £25 an hour with our fee included, whoever their client is. The managed and fully managed tiers add a percentage fee for extra admin and scheduling support, not for a premium carer.

Yes, at any time. It is a working agreement between you and the carer rather than a term fixed in the contract, so message them whenever the list needs to change.

No. Carer profiles are public; nothing about a client or a booking is. Only a carer you have messaged sees what you choose to tell them, and only after you have started the conversation.

If you need help at home

Start with our guide to private carers

Hire a carer directly, without an agency. What it costs, what a carer does day to day, and how to hire one directly.

Carers near you

Search carers, and raise discretion in your first message

Every carer has had their identity, right to work and enhanced DBS checked, and an online interview, before you ever see their profile. Free to search, free to message.

Free to searchNo obligationVetted & insuredYou choose the carer