Before you rely on any of this
This is general guidance to help you ask the right questions — it isn't legal, tax or financial advice, and we aren't regulated to give any. Rules differ between England, Scotland, Wales and Northern Ireland, and the figures change most Aprils. Every link below goes to the official source, and that is always the one to trust over us.
Going self-employed as a carer is mostly straightforward, but there are two or three things that catch people out badly — and one of them is a criminal offence to get wrong. This is the order we'd do it in.
1. First: do you need to register with a regulator?
This is the one that catches people out, so it goes first. In England, providing personal care — helping someone wash, dress, use the toilet or eat — in their own home is a regulated activity. Doing it unregistered, when you were required to register, is a criminal offence, not a paperwork slip.
The exemption most self-employed carers rely on is this: if the person you care for (or their representative) employs you directly and directs your work, they are the employer and you don't register. Plenty of introductory agencies are built around exactly that arrangement.
If instead you are contracting with people as your own business and directing the care yourself, registration is likely to apply to you. The line between the two is genuinely fine, and it depends on the detail of your arrangement rather than what you call yourself.
Ask the regulator before you take your first client — they would far rather answer the question than find you later. In England that's the Care Quality Commission; in Scotland the Care Inspectorate; in Wales Care Inspectorate Wales; in Northern Ireland the RQIA. Their rules are not the same.
2. Tell HMRC you've started
Register as self-employed with HMRC. The deadline is the 5th of October after the end of the tax year you started trading in, and the tax year runs 6 April to 5 April. Register early rather than late; there is nothing to gain by waiting.
From then on you file a Self Assessment return each year and pay income tax on your profit — what you invoiced, minus what it genuinely cost you to earn it — plus National Insurance. Put money aside as you go. A rough third of everything you're paid, moved into a separate account the day it lands, keeps most people out of trouble in January.
Two things worth knowing early: there is a small trading allowance that covers your first slice of self-employed income, and you must keep your records for several years after the filing deadline, not just until the return is in. Both figures change, so check them on gov.uk rather than taking ours.
3. Work out what to charge — properly
Don't take a number off a Facebook group. The commonest and most expensive mistake is pricing against the hourly rate an agency charges, forgetting that the agency's rate is covering everything below and yours has to as well.
Work up from what you actually need:
- What you need to take home in a year, and how many hours you can genuinely work
- Unpaid time — travel between calls, writing notes, invoicing, phone calls to families. It's usually far more than people expect, and none of it is billable
- Costs: fuel, car, insurance, DBS, phone, training, software
- Holiday and sick days. Nobody pays these for you any more
- Tax and National Insurance, set aside before you count anything as yours
Then sense-check the figure against what's normal locally. If it's well under, the gap is usually one of the items above that hasn't been counted.
4. Insurance, before the first call
Most carers going independent need public liability and professional indemnity cover, and employers' liability if you ever take anyone on. Specialist care insurers understand the work better than a general small-business policy will.
The one almost everybody forgets: your car insurance. Social, domestic and pleasure does not cover driving between clients for work. You need business use on the policy, and it is usually a small difference in premium and an enormous difference if you ever claim.
5. Your DBS — and the catch nobody warns you about
Care work needs an enhanced DBS check, usually with the adult barred list. Here is the catch: you cannot apply for your own enhanced DBS as a self-employed person. Enhanced checks have to be requested by an organisation, which means going through an umbrella body or an introductory agency you work with. Nearly everyone discovers this the day they try to apply.
Once you have the certificate, join the DBS Update Service quickly — there is a short window after the certificate is issued. It keeps the check current and lets a new client verify it online in a minute instead of you paying for another one.
6. Start your records on day one, not in month six
This is the part people put off, and the only part that is genuinely painful to fix later. Three things matter:
Visit notes, written at the time
Date, time, what you did, and anything that concerned you. Written at the door or the same evening — not reconstructed a fortnight later, which is worth far less if anyone ever asks. If something went wrong, a contemporaneous note is the difference between a difficult conversation and a serious problem.
Mileage, logged as you drive it
Business miles are a real deduction and one of the biggest a carer has. They are also the one most often lost, because nobody can rebuild a year of driving from memory in January. Log them the day you drive them.
Care plans and next of kin
What each person needs, how they like it done, and who to ring when something is wrong. Standing in a hallway at seven in the morning is the wrong moment to be looking for a phone number.
7. Your first clients
Most independent carers get their first few by word of mouth — former colleagues, families who already know them, district nurses and social workers locally. Introductory agencies are the other common route, and worth understanding properly because the arrangement affects question 1 above.
Be clear from the first conversation about what you do and don't do, your hours, your notice, and what happens when you're on holiday or unwell. Writing it down once saves an awkward conversation later.
A short checklist
- Asked the regulator whether your arrangement needs registering
- Registered as self-employed with HMRC
- Worked out your rate from your own costs, not somebody else's
- Public liability and professional indemnity in place
- Business use added to your car insurance
- Enhanced DBS obtained, and joined the Update Service
- A separate account for the tax you set aside
- Somewhere to write visit notes, log miles and raise invoices — from the first call, not the fiftieth
Built with a carer who did all of this
Carer Companion exists because someone went through the above and found the software either priced for agencies or built for a different job. It's £19 a month with every feature included, and the first 7 days are free without a card. Start your free 7 days, or see what it does first.