For family and friends

Helping a parent or relative

Choose the situation closest to what is happening now. Start small, keep the person involved and use urgent help when safety cannot wait.

Offer help without taking over

Concern for a parent can make it tempting to organise everything quickly. Begin by asking what they have noticed and what kind of help, if any, they want. Choose a calm moment, describe specific observations rather than labels, and allow time to think. The person may accept one kind of help and decline another; that distinction matters. For a conversation about living arrangements, comparing home care, extra care and a care home can help structure questions around their preferences.

A practical first step could be going along to an appointment, writing a list of questions or helping to contact a service. If needs are changing, a care-needs assessment can help clarify what support might be available.

Make support practical and shared

Agree who will do what and how often, including what is outside your capacity. Share tasks where possible: another relative might manage shopping, while someone else helps with paperwork or transport. Keep the parent involved in decisions and ask before sharing personal information. If care is needed, write down routines, preferences and urgent contacts so that support is consistent.

Family help does not replace formal assessment or professional care when these are needed. A carer’s assessment can help a person providing regular unpaid support talk about their own needs. Working while caring explains workplace leave, flexible-working requests and benefit earnings rules. For grandparents raising a child, kinship care for grandparents outlines legal routes and financial support. If paid support is being considered, questions for choosing a home-care agency can guide a fair comparison and discussion of privacy, reliability and visits.

Prepare for decisions before a crisis

It can be easier to talk about wishes, documents and practical arrangements when there is no immediate emergency. Ask whether the person would like to record who should be contacted, where important papers are kept and who may help with decisions if needed. Do not assume that being a relative automatically gives you authority to access accounts or make choices for them.

For a sudden change, use the appropriate urgent service rather than trying to manage alone. For longer-term questions about future care, funding or legal authority, choose one topic at a time and ask what applies in the person’s part of the UK. Keep the parent’s own priorities visible throughout, and revisit the plan whenever they want or circumstances change.

A sudden change

Urgent health guide

Sudden deterioration: an action plan

A sudden deterioration action plan records what is normal, what has changed and who to call, so urgent help is clear when someone becomes unwell.

Useful if: Family members, friends and care workers who notice a sudden change in an older person and need an agreed, calm route to help.

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Urgent health guide

What to do after a fall: first steps and recovery

What to do after a fall depends on injury and symptoms: keep the person safe, call urgent help when needed and arrange follow-up.

Useful if: For someone who has fallen, and the family member, friend or unpaid carer they choose to involve in immediate help, assessment and recovery planning.

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Urgent health guide

Sudden confusion and delirium: urgent action and support

Sudden confusion can signal delirium or another urgent illness; recognise changes, seek prompt assessment and support the person safely at home.

Useful if: For anyone noticing a sudden change in a person’s attention, understanding, alertness or behaviour, including relatives and carers arranging urgent help.

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Arranging care

Care and funding

Signs that some help at home may be useful

Signs help at home may be useful include missed meals, falls, unopened post or harder routines; spot patterns and choose a first step together.

Useful if: Older adults who want to stay in control at home, and relatives looking for a respectful way to discuss practical support.

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Care and funding

Care needs assessment: eligibility, preparation and next steps

Find out what a UK care needs assessment covers, how to prepare, request a copy, understand eligibility and challenge an outcome.

Useful if: For adults who may need help with daily living, and the supporters or advocates helping them explain needs and follow up an assessment.

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Practical guide

How to choose a home-care agency

Choose a home-care agency by checking registration, visit plans, staffing, medicines, costs and complaints, then agree a clear written care plan.

Useful if: For people arranging paid home care for themselves or someone else, including families comparing agencies or reviewing an existing service.

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Practical guide

Managing several appointments and professionals

Manage several health appointments with one shared calendar, a clear action log and the person’s consent for family involvement and information sharing.

Useful if: People living with several health or care needs and the relatives or friends they have chosen to help coordinate appointments.

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Difficult conversations and consent

For family helpers

Helping a parent without taking over

Helping an older parent starts with listening, consent and practical offers. Share tasks clearly, respect privacy and involve professionals when needed.

Useful if: Adult children and relatives who want to support an older parent while preserving the parent’s control, privacy and everyday independence.

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Family support

When someone refuses help: respectful ways to respond

When an older parent refuses help, explore the reason, offer choices and respect capacity while responding to serious risks safely.

Useful if: Relatives and friends who are worried about someone’s safety but want to preserve their independence and trust.

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Practical guide

When family members disagree about care

When relatives disagree about care, centre the person’s wishes, clarify legal roles and use a calm meeting, advocate or mediator to find a workable plan.

Useful if: Families trying to resolve different views about a relative’s care while keeping that person’s wishes, rights and relationships central.

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Rights and decision-making

Supported decision-making and mental capacity

Support with decision-making helps a person make their own choices; understand capacity, unwise decisions and the different UK legal frameworks.

Useful if: People whose choices are being questioned, and family members or professionals who want to support a decision respectfully.

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Emergencies and safeguarding

Practical guide

Prepare an emergency information pack

An emergency information pack gives carers and responders key health needs, contacts and wishes without exposing unnecessary personal details.

Useful if: People who want essential care information ready for an emergency, and supporters helping them prepare it with consent.

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Care and funding

Carer breakdown and emergency replacement care

Plan for carer breakdown with clear backup triggers, emergency contacts and replacement care so the person is not left without safe support.

Useful if: Unpaid carers, the people they support and relatives preparing for a sudden illness, exhaustion or gap in care.

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Safeguarding guide

Abuse, neglect and financial control: how to get help

Recognise abuse, neglect and financial control, protect immediate safety, listen to the person and contact the right local safeguarding service.

Useful if: Adults experiencing or worried about abuse, neglect or financial control, and people supporting them safely and respectfully.

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Helping from a distance

For family helpers

Helping a relative from a distance

Distance caring works best with agreed local contacts, a shared plan and clear consent. Make visits useful and know when remote help is no longer enough.

Useful if: Relatives and friends who live far from an older person and want to coordinate useful support with that person’s agreement.

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Practical guide

Pets when health or care needs change

Pets when care needs change: plan walks, vet visits and backup care so an older person and their animal can stay together where possible.

Useful if: Older pet owners whose health, housing or care arrangements are changing and who want to keep an animal’s routine safe and familiar.

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Practical guide

Getting help when English is not your first language

Ask NHS and council services for a professional interpreter, translated information or BSL support so you can understand care and make informed choices.

Useful if: People who want to discuss health or care in a language they understand, including people who use British Sign Language or another communication method.

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When caring becomes too much

Care and funding

Carer breakdown and emergency replacement care

Plan for carer breakdown with clear backup triggers, emergency contacts and replacement care so the person is not left without safe support.

Useful if: Unpaid carers, the people they support and relatives preparing for a sudden illness, exhaustion or gap in care.

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Care and funding

Carer’s assessments: support for an unpaid carer

A carer’s assessment explores how unpaid caring affects your life and what support could help you continue, reduce or end caring safely.

Useful if: For unpaid carers supporting an adult, including people who are unsure whether their help counts as caring or want to plan a change in responsibilities.

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For family helpers

When a caring role ends

When a caring role ends, allow practical tasks and emotional adjustment to move at different speeds; review support, work and finances.

Useful if: Former unpaid carers facing a change after recovery, a move into supported or residential care, or the death of the person they supported.

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