Self-employed carers vs regulated homecare providers: what’s best for your family?

Choosing the right care for your loved one

When you start looking for support at home, it can feel overwhelming. Families often ask us whether they should arrange care through a self-employed carer (sometimes called a personal assistant) or through a regulated homecare company.

Both options can provide valuable help, but there are important differences to be aware of. The choice you make can have a big impact on the consistency, safety, and quality of care your loved one receives.

What is a self-employed carer?

A self-employed carer works independently, usually managing their own hours, fees, and availability. Some families like this option for the flexibility it can offer, or because it may sometimes appear less expensive.

But when you hire a carer directly, you also take on responsibility for things such as:

• checking references and training
• making sure they have the right insurance
• finding cover if they are ill or on holiday
• handling payments and contracts

For some families, this level of involvement feels manageable. For others, it can quickly become stressful.

What does a regulated homecare company provide?

A regulated provider, such as District Health, employs carers directly and is registered with the Care Quality Commission (CQC). This means we follow clear standards, and our services are regularly inspected.

The benefits for families include:

• carers who are carefully recruited, trained, and supported
• cover in place if your regular carer is unavailable
• oversight from a dedicated management team
• care packages that can adapt as your loved one’s needs change

For many families, this brings reassurance and peace of mind, knowing their loved one is safe and supported.

Comparing the two options

Self-employed carers:

• You are responsible for background checks, contracts, and payments
• No guaranteed cover if your carer is away
• May not have insurance or CQC regulation
• Flexible but less structured arrangement

Regulated homecare providers (like District Health):

• Recruitment, training, and contracts are all handled for you
• Cover arranged if your regular carer is unavailable
• Fully insured and registered with the CQC
• Structured, accountable, and reliable service
• Flexible care packages tailored to your loved one

Which is right for your family?

Self-employed carers can work well if you are confident managing the responsibilities yourself. But for many families, particularly when supporting elderly or vulnerable loved ones, a regulated provider feels like the safer choice. It means less stress, more support, and the reassurance that standards are always being met.

Why families choose District Health

At District Health, our mission is simple: to provide safe, compassionate, and reliable homecare. We take care of everything behind the scenes – from recruitment and training to ongoing support – so families can focus on what matters most.

Our carers are at the heart of what we do. They are supported by our management team, which means you and your loved one are never alone in your care journey.

Let’s talk about your options

If you’re unsure whether a self-employed carer or a regulated homecare provider is right for you, we’d be happy to help. Our friendly team can answer your questions and talk through what support could look like for your family.

Find your nearest District Health hub and get in touch today.