Home care in the United Kingdom is supportive care provided in the home. Care may be provided by licensed healthcare professionals who provide medical care needs or by professional caregivers who provide daily care to help to ensure the activities of daily living are met. In home medical care is often and more accurately referred to as home health care or formal care. Often, the term home health care is used to distinguish it from non-medical care, custodial care, or private-duty care which is care that is provided by persons who are not nurses, doctors, or other licensed medical personnel.
Home care providers
Home care is purchased by the service user directly from independent home care agencies or as part of the statutory responsibility of social services departments of local authorities who either provide care by their own employees or commission services from independent agencies. Care can also be purchased directly from independent carers or via care platforms. Care is usually provided once or twice a day with the aim of keeping frail or disabled people healthy and independent though can extend to full-time help by a live-in nurse or professional carer. The United Kingdom Home Care Association is the trade organisation for providers of care at home.
Statutory regulation
Home care agencies are regulated by statutory bodies in three of the four home nations. The regulator's function is to ensure that home care agencies work within the applicable legislation:
Legislation covering the homecare sector in Northern Ireland is not yet fully operational. Regulator: The Regulation and Quality Improvement Authority
The Health and Personal Social Services Order 2003
Domiciliary Care Agency Regulations 2007
Domiciliary Care Agencies National Minimum Standards
The precise arrangements of a care package can have implications for planning law. Residential institutions fall into Class C2 while residential dwellings fall into Class C3. This distinction can have significant planning and development implications.
