How to become a self-employed carer in the UK
9 min read
More carers than ever are leaving agencies and working for themselves — choosing their own clients, setting their own rate and deciding their own hours. This guide walks you through every step of becoming a self-employed carer in the UK, in plain English, from telling HMRC to finding your first client.
What being a self-employed carer actually means
A self-employed carer (sometimes called an independent or private carer) works directly for the people they support. The client — or their family — chooses you, agrees your rate with you, and pays you directly. You decide your hours, your round and your time off. Nobody rosters you, and no agency takes a cut of what you earn.
It also means the business side is yours. You're responsible for registering with HMRC, paying your own tax and National Insurance, holding your own insurance, keeping your training current, and having your own paperwork — contracts, policies and records. It sounds like a lot, but most of it is a one-off setup, and this guide takes you through it in order.
Step 1: Decide how you'll work
Before you register anything, get clear on three things: what care you'll offer (personal care, companionship, medication support, respite, live-in), roughly where you'll work (most carers keep to a 20–30 minute drive), and roughly how many hours a week you can commit to.
Almost every independent carer starts as a sole trader — it's free, quick and the simplest way to work for yourself. You don't need to set up a limited company, and most self-employed carers never do.
Step 2: Register as a sole trader with HMRC
You must register for Self Assessment once you earn more than £1,000 in a tax year from your caring work. It's free, done online on GOV.UK, and usually takes under half an hour. HMRC then posts you a Unique Taxpayer Reference (UTR), and you file a short tax return once a year.
The deadline to register is 5 October after the tax year you started. In practice, register as soon as you begin — it costs nothing and keeps everything clean from day one. We have a separate step-by-step guide to registering as a sole trader with HMRC that covers it in detail.
Step 3: Get your DBS check
Families, councils and people using direct payments will expect to see a DBS check before they let you into their home. As a self-employed carer you can't apply for an Enhanced DBS check on yourself — you have to go through an umbrella body, which is a straightforward process and costs a one-off fee (currently £49.50 for the check plus the umbrella body's admin fee).
If you plan to work with children as well, or in certain roles, you may need a different level of check. Once you have it, join the DBS Update Service (about £13 a year) so it stays current and families can check it themselves at any time. Our DBS checks guide covers umbrella bodies and the rules in Scotland and Northern Ireland.
Step 4: Get insured
Public liability insurance is the one policy you really can't work without — it covers you if a client is injured or their property is damaged while you're working. Specialist policies for self-employed carers start from around £6–£15 a month and often bundle in personal accident cover, lost keys cover and treatment liability.
Families increasingly ask to see your insurance certificate before agreeing to anything, and you'll need it to join most direct payments schemes. Our guide to insurance for self-employed carers explains what each cover does.
Step 5: Keep your training up to date
You don't need a nursing qualification, but you do need current training in the care you're providing. As a minimum, families and councils expect: moving and handling, safeguarding adults, medication support, basic life support, infection prevention and control, food hygiene, and dementia awareness.
Keep every certificate, and diarise the expiry dates. Expired training is one of the most common reasons a family or council scheme turns a carer away — and it's completely avoidable.
Step 6: Get your paperwork ready
This is the step that catches most new self-employed carers out. Families now routinely ask for written documents before they agree to care — and agencies won't work alongside you without them. What you need:
- A written self-employed carer contract or service agreement — your rate, notice period, cancellation terms and what you'll provide
- A consent to care and access form — what you're allowed to do, and how you get in
- Core policies: safeguarding, confidentiality and data protection (GDPR), medication, complaints, lone working and health & safety
- A client record for each person: contacts, access details, risk assessments and visit notes
Step 7: Set your rate
As a rough guide, self-employed carers in most of the UK charge between £18 and £30 an hour, more in London and the South East, with overnight and live-in work priced differently. But the right number is the one that covers everything an agency would have covered for you: your tax and National Insurance, no paid holiday, your insurance, training, DBS, mileage between clients, and the unpaid time you spend travelling and doing paperwork.
Price too low and you'll burn out; price fairly and explain what's included. Our guide on how much self-employed carers charge breaks it down in full.
Step 8: Find your first clients
Almost everyone's first client comes through people they already know. Beyond that, the things that work are: local Facebook and community groups, your council's direct payments and PA register schemes, a free Google Business Profile so families searching 'carer near me' find you, and a simple one-page profile you can leave with GP surgeries, pharmacies and carers' centres.
The families who hire privately decide quickly — the carer who can show their DBS, insurance, training and contract on the spot is usually the one who gets the work. Our guide to finding private clients as a self-employed carer covers every route in detail.
Step 9: Keep records from day one
Log every visit, invoice, expense and mile from your first client, not 'once it gets serious'. You'll need them for your Self Assessment return, for proving your income to a mortgage or benefits office, and — most importantly — for protecting yourself if anyone ever questions what happened during a visit.
Send proper numbered invoices with due dates and your bank details, and mark them paid when the money arrives. Chasing your own money is one of the hardest parts of working alone; clear invoices with a due date make it far less awkward.
Frequently asked questions
Do I need to register with the CQC? Almost always no. A carer working alone, chosen and paid directly by the person they support, is generally exempt from CQC registration in England. Registration only becomes relevant if you start employing other carers or running an agency. Scotland, Wales and Northern Ireland have their own regulators and slightly different rules.
Do I need a licence or special qualification? No licence is needed to work as a self-employed carer in the UK, and there's no single mandatory qualification. What families and councils expect instead is a DBS check, current training certificates and insurance.
How much can a self-employed carer earn? It varies hugely by area and hours, but carers charging £20–£25 an hour for a full round typically take home more than agency carers on the same hours — because no agency margin comes off the top. Remember to set aside money for tax and National Insurance.
Can I work while receiving benefits or a pension? Often yes, but the rules differ by benefit and your earnings count. Check with Citizens Advice or a benefits adviser before you start.
How long does it all take? Registration with HMRC is same-day online. A DBS check usually takes 1–4 weeks, insurance can be active the same day, and training courses take a few days. Realistically, most carers can be fully set up and working within a month.
How Care-Solo helps
Care-Solo puts the whole setup in one place on your phone: your documents and training with automatic expiry reminders, thirteen ready-written policies in plain English with your name filled in, contracts and consent forms you can sign with a client on the spot, numbered invoices with a pay-by-bank link, and a pay and tax calculator that keeps you ready for Self Assessment.
You can try it free for 7 days — everything a self-employed carer needs, for £7.49 a month after that. Cancel any time.
This guide is general information for the UK, not legal, tax or financial advice. Rules change, so always check the official source for your situation. Care-Solo members can book a free 30-minute session with an independent accredited care consultant.
Everything in one place
Contracts, consent forms, risk assessments, invoicing, document reminders and a consultant on call — all for £7.49 a month.
Join Care-Solo