You are right. All organisation’s are not the same. There is an issue with supply. Some are charging over £30 in some areas and still paying minimum wage. If you delivered 1000 hours a week care at that rate, how would you be doing then? In my experience, it’s the large hedge fund companies that dominate the market that are keeping profit margins in home care purposefully low, as they work on volume and can take hours from smaller companies like yourself. It’s not the same in all services types, such as supported living where travel expenses and travel time don’t matter, but the rates stay the same.

I’m not saying all do this, but In order to maintain a profit, some companies also hold on to packages of care, rather than requesting reviews to acknowledge reductions. This is because they are making money. In house would be working hard to not have to reduce the demand..

The majority of care providers are small independent companies. People have the assumption that eveey provider is a fat cat creaming the profit. Do the maths if the nhs and local authority pay the provider £23 per hour, the provider pays £12 per hour to the carer, out of the remaining £11 we then have to pay the employers contribution for national insurance and pensions which is a higher rate than the employees, ssp, travel and annual leave so lets round it up to £18 per hour. From the remaining £5 we have to pay for training, uniforms, ppe, specialist insurance, specialist software, office rent, rates and utilities, stationery, payroll software, office staff wages and a host of other things. If we manage to make a profit after that lot we have corporation tax. Please tell me where this huge amount of profit actually is as I for one live in a rented house and drive a 16 year old car.