How Much Does Home Care Cost Per Hour in the UK?
Understanding the Complexities of Home Care Pricing
When considering home care for yourself or a loved one, one of the first questions that often arises is about cost. While a simple hourly rate might seem straightforward, the reality of home care pricing in the UK is more nuanced. This article aims to provide a comprehensive overview of home care costs, helping you navigate this complex landscape with confidence.
The Average Cost of Home Care
On average, home care in the UK costs between £20 and £40 per hour. However, this range can vary significantly based on numerous factors. According to a 2024 report by LaingBuisson, a leading healthcare market intelligence provider, the average hourly rate for home care in the UK was £23.50. But it’s important to understand that this figure is just a starting point for your considerations.
Here at Lidder Care, our pricing varies depending on needs and location, but on average, we have packages starting from: £22.50 (per midweek visit)
Factors Influencing Home Care Costs
Geographic Location
The cost of home care can vary dramatically depending on where you live in the UK. Generally, prices in London and the South East tend to be higher than in other regions. For instance, while you might pay £20 per hour in the North of England, the same level of care could cost £30 or more in central London. This disparity is largely due to differences in living costs and wage expectations across regions.
Type and Level of Care Required
The nature and complexity of care needed significantly impact the hourly rate. Basic companionship or help with household tasks typically costs less than personal care services or specialised medical support. For example:
- Basic companionship and light housekeeping might cost £15-£20 per hour
- Personal care, including assistance with bathing, dressing, and toileting, could range from £20-£25 per hour
- Specialised care for conditions like dementia or Parkinson’s disease might cost £25-£35 per hour or more
It’s important to have a thorough care needs assessment to understand exactly what level of care is required, as this will directly influence the cost.
Time of Day and Week
Many home care providers charge higher rates for care delivered outside of standard working hours. Evening, overnight, weekend, and holiday care often come with a premium, sometimes 1.5 to 2 times the standard hourly rate. This is to compensate carers for working unsociable hours and to ensure high-quality care is available round the clock.
Agency vs. Independent Carers
The choice between hiring through an agency or employing an independent carer can significantly affect costs. Agency care often comes at a higher price point, typically ranging from £20-£35 per hour, compared to £15-£25 for independent carers. However, agencies often provide additional benefits such as:
- Rigorous vetting and training of carers
- Backup care if your regular carer is unavailable
- Handling of payroll, taxes, and insurance
- Ongoing support and quality assurance
While independent carers might offer lower hourly rates, it’s crucial to consider the additional responsibilities that come with being an employer, including managing payroll, ensuring proper insurance, and arranging backup care.
Additional Costs to Consider
When budgeting for home care, it’s important to look beyond the basic hourly rate. There are several additional costs that might apply:
- Initial Assessment Fees: Some agencies charge for an initial assessment to determine care needs and create a care plan. This can range from £50 to £200.
- Care Management Fees: Ongoing care management, including regular reviews and adjustments to care plans, might incur additional fees.
- Travel Expenses: If your carer needs to travel a significant distance, you might be charged for their travel time or mileage.
- Specialised Equipment: Any specialised equipment needed for care, such as hoists or adjustable beds, may need to be purchased or rented separately.
- Home Modifications: Adapting your home to make it more suitable for care (e.g., installing grab rails or ramps) can be an additional expense.
Understanding these potential additional costs is crucial for creating an accurate budget for home care services.
Funding Options for Home Care
Understanding the various funding options available can help make home care more accessible and affordable. Here are the main avenues to explore:
Local Authority Funding
Your local council may provide financial support for home care, depending on your needs and financial situation. The process typically involves:
- A care needs assessment to determine the level of care required
- A financial assessment (means test) to evaluate your ability to contribute to care costs
If you’re eligible for local authority funding, you may receive:
- Direct payments to arrange your own care
- The council arranging and paying for your care
- A combination of both
It’s important to note that local authority funding often doesn’t cover the full cost of care, and you may need to pay a ‘top-up’ fee for your preferred care provider.
NHS Continuing Healthcare
For individuals with significant health-related needs, NHS Continuing Healthcare might be available. This is free at the point of use and can cover all care costs, including in-home care. Eligibility is based on a comprehensive assessment of your health needs, not your financial situation.
Benefits and Allowances
Several benefits can help offset the cost of home care:
- Attendance Allowance: For those over 65 with care needs
- Personal Independence Payment (PIP): For those under 65 with long-term health conditions or disabilities
- Carer’s Allowance: For those providing significant care to someone else
These benefits are not means-tested and can be used to pay for care services.
Self-Funding
Many people in the UK pay for their own care, often using a combination of:
- Savings and investments
- Pension income
- Equity release schemes
- Long-term care insurance policies
If you’re self-funding, it’s advisable to seek independent financial advice to explore the most cost-effective ways to fund your care.
Cost-Saving Strategies
While home care can be expensive, there are strategies to manage costs effectively:
- Accurate needs assessment: Ensure you’re only paying for the level of care you actually need.
- Flexible care packages: Some providers offer more cost-effective rates for longer care visits.
- Technology integration: Smart home devices and telecare systems can complement human care, potentially reducing overall costs.
- Family involvement: Combining professional care with support from family members can help manage costs.
- Regular reviews: Regularly reassess care needs to ensure you’re not over-provisioning care.
The True Value of Home Care
When considering the cost of home care, it’s important to weigh it against the alternatives, such as residential care homes. The average cost of a residential care home in the UK is around £750 per week, rising to over £1000 for nursing homes. In comparison, 14 hours of home care per week at £25 per hour would cost £350.
Moreover, the benefits of home care extend beyond just financial considerations:
- Maintaining independence and familiar surroundings
- Personalised one-to-one care
- Flexibility in care arrangements
- Reduced risk of isolation
- Potential for better health outcomes
Making an Informed Decision
Choosing the right care option involves balancing cost with quality of life considerations. At Lidder Care, we understand that every situation is unique. We offer:
- Transparent pricing structures
- Personalised care plans tailored to individual needs and budgets
- Assistance in navigating funding options
- Regular care plan reviews to ensure ongoing value for money
We encourage you to contact our team for a detailed discussion about your specific care requirements and how we can provide cost-effective, high-quality care that meets your needs.
While the cost of home care in the UK can seem daunting, understanding the factors that influence pricing, exploring funding options, and implementing cost-saving strategies can make it more manageable. Remember, the goal is to find a care solution that provides the best possible quality of life within your budget constraints.
At Lidder Care, we’re committed to providing excellent home care services that are both high-quality and cost-effective. Our experienced team can help you navigate the complexities of home care costs and find a solution that meets your unique needs and budget.
Don’t let the uncertainty of costs prevent you from getting the care you or your loved one deserves. Contact Lidder Care today for a free, no-obligation consultation. Our friendly advisors are ready to discuss your specific situation, explain our pricing structure, and help you explore all available options.

Manjas is the Managing Director of Lidder Care, overseeing all aspects of the group’s operations with a focus on long-term strategic goals. His connection to care began at an early age, working as a night carer at Lowmoor Nursing Home while still in school. This experience fostered a deep personal and professional commitment to delivering high-quality, person-centred care.
After completing an Accounting degree, Manjas established a successful career in media and property development, founding Film AM, PKL Investments, and The Stay Company. This expertise now allows Lidder Care to offer bespoke solutions through in-house design and construction capabilities.
Manjas’ early experiences in care continue to inspire his dedication to providing excellent care, investing in staff, services, and new technologies to enhance Lidder Care’s offerings.