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Can I Self Manage My Home Care Package?

Navigating the complexities of home care can be a daunting task, especially when it comes to managing a home care package. However, with the right information and resources, you can take control and manage your home care package effectively. This guide will delve into the ins and outs of self-managing your home care package, providing you with a comprehensive understanding of the process, benefits, challenges, and practical steps to get started.

Understanding Home Care Packages

Home care packages are designed to provide support for older people who want to stay at home rather than move into a care facility. These packages can include a range of services such as personal care, domestic assistance, nursing services, and more. The goal is to help individuals maintain their independence and improve their quality of life.

Home care packages are funded by the government and come in four levels, each designed to meet different levels of care needs:

  1. Level 1: Basic care needs

  2. Level 2: Low-level care needs

  3. Level 3: Intermediate care needs

  4. Level 4: High-level care needs

Self-management of a home care package means that you take on the responsibility of organising and coordinating your care services. This can involve hiring and managing care providers, handling administrative tasks, and ensuring that your care needs are met within the budget allocated by your package.

Greater Control and Flexibility: You have the freedom to choose your care providers and decide how, when, and where your care services are delivered.

Cost Savings: Self-management can be more cost-effective as it allows you to negotiate directly with service providers and avoid agency fees.

Personalised Care: You can tailor your care plan to better suit your individual needs and preferences.

Empowerment: Taking control of your care can be empowering and enhance your sense of independence and well-being.

Time and Effort: Managing your own care package can be time-consuming and requires a significant amount of effort to coordinate services and manage paperwork.

Administrative Burden: Handling administrative tasks such as budgeting, invoicing, and compliance with regulations can be challenging.

Responsibility: You are responsible for ensuring that your care providers meet quality standards and deliver the necessary care.

Risk Management: There is a risk of choosing inadequate care providers or mismanaging funds, which could affect the quality of care you receive.

Assess Your Needs

Before you start, it’s essential to have a clear understanding of your care needs. Consider the following:

  • What types of services do you need (e.g., personal care, domestic assistance, nursing)?

  • How many hours of care do you require each week?

  • What are your preferences for care delivery (e.g., morning or evening, specific days)?

Create a Care Plan

A care plan outlines the services you need and how they will be delivered. This plan should be detailed and specific, covering:

  • The types of care services required

  • The frequency and duration of each service

  • The goals and outcomes you want to achieve

  • Any special requirements or preferences


Managing a home care package involves creating and managing a budget. Your budget should include:

  • The total amount of funding available from your home care package

  • A breakdown of costs for each service

  • Allocations for contingency or unexpected expenses

Find Care Providers

When hiring care providers, consider the following steps:

  • Research and identify potential providers

  • Check their qualifications, experience, and references

  • Negotiate rates and terms of service

  • Draft and sign contracts outlining the scope of services, rates, and expectations

Manage Administrative Tasks

Self-managing a home care package involves handling various administrative tasks, including:

  • Keeping accurate records of services provided and expenses incurred

  • Submitting invoices for reimbursement

  • Ensuring compliance with regulations and guidelines

Monitor and Adjust

Regularly review your care plan and budget to ensure that your needs are being met and that you are staying within your budget. Make adjustments as necessary to address any changes in your care needs or circumstances.

Comparing Self-Management with Provider-Managed Care

To help you decide whether self-managing your home care package is right for you, let’s compare self-management with provider-managed care.

Self Managed

Self Managed

Practical Tips for Successful Self-Management

Stay Organised: Keep detailed records of all care services, expenses, and communications with providers.

Build a Network: Connect with other self-managers for support, advice, and shared experiences.

Seek Professional Advice: Consult with professionals such as accountants, lawyers, or care consultants to ensure compliance and effective management.

Communicate Effectively: Maintain open and clear communication with your care providers to ensure that your needs and expectations are understood and met.

Regular Reviews: Conduct regular reviews of your care plan and budget to ensure that they remain aligned with your needs and goals.

Real-Life Examples of Self-Management Success

Example 1: Mary’s Story

Mary, a 78-year-old woman with mobility issues, decided to self-manage her home care package. She hired a personal care assistant and a domestic helper to assist her with daily activities and household chores. By self-managing, Mary was able to choose care providers who were a good fit for her personality and needs, resulting in a higher quality of care and a stronger sense of independence.

Example 2: John’s Experience

John, an 82-year-old man with early-stage dementia, chose to self-manage his home care package with the help of his daughter. They worked together to hire a specialised caregiver who had experience with dementia care. This personalised approach allowed John to receive consistent and familiar care, which significantly improved his comfort and well-being.


Self-managing a home care package can be a rewarding and empowering experience, offering greater control, flexibility, and cost savings. However, it also comes with challenges such as increased responsibility and administrative burden. By understanding the process, assessing your needs, and following practical steps, you can successfully manage your home care package and enjoy a higher quality of life in the comfort of your own home.

Remember, the decision to self-manage or use a provider-managed service depends on your individual circumstances, preferences, and capacity to handle the associated tasks. Whichever path you choose, the ultimate goal is to ensure that you receive the care and support you need to live independently and comfortably.


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