This is not medical advice. Big on Health is a UK review site. For health worries, speak to your GP, pharmacist, or NHS 111.
When someone needs more help at home, families often mix several options. This short page compares the main types in plain English.

| Option | Who pays (typical) | Best when | Watch for |
|---|---|---|---|
| NHS / local authority care | Public funding after assessment | Eligible needs, longer-term support | Waiting times; eligibility rules |
| Care agency | Family / private | You want the agency to cover rotas and backups | Hourly rates; minimum hours |
| Private carer via a platform | Family / private | You want to choose a person from profiles | Vetting, contracts, tax/NI if employing |
| Live-in care | Family / private | High hours; prefer one household presence | Cost; carer rest days |
| Care home | Family / local authority / mix | Home care is no longer safe or enough | Fees; CQC rating; distance |
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If private home care looks right, read Finding a private carer in the UK.
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