Live-in care in Hackney, London

Our care, where you live

Our live-in care in Hackney

Live-in care means one-to-one support in your own home: personal care, medication support, meals, help around the house, getting out and about, and someone close by at night. Whether it suits the person, and whether one carer can support a couple, is worked out at the free assessment. Read more in live-in care explained and how it works day to day.

How we arrange live-in care in Hackney

Day and Nightcare provides fully managed live-in care across Hackney, from £1,550 a week. One main carer lives in the home; a relief carer covers their holidays and time off, and a manager is on call. Care starts with a free assessment, a written quote and a written care plan.

Care can be paid for privately, by Hackney Council (including direct payments) or by NHS Continuing Healthcare. We have provided Discharge to Assess (D2A) care since 2014. If someone is in hospital, tell us the expected discharge date (see care after hospital). Our care team is on 01865 715780.

Arranging care and funding in Hackney

Hackney Council runs adult social care and collects council tax. To ask for help, call 020 8356 6262 (Monday and Tuesday 9am to 5pm, Wednesday 9am to 4pm, Thursday and Friday 9am to 5pm), email access@hackney.gov.uk, or fill in the online request form. The council calls you to find out what support you need, then carries out a social care assessment. The needs assessment is free, and anyone can ask for one. Out of hours, call 020 8356 2300. Some or all of your care costs may be covered, depending on a financial assessment.

Read more: arranging care and funding in Hackney

For a carer’s assessment, the person’s social worker should offer one if they are known to adult social services. If not, City & Hackney Carers Centre (020 8533 0951) can request an assessment for you and help you prepare, or call the council on 020 8356 6262. It does not matter how much care you give, what your finances are or whether you live with the person.

Council tax: Hackney’s disregard discount covers people who live with and care for someone, people who are severely mentally impaired, and care workers for a charity or the council. If one adult is still counted the discount is 25%; if everyone is disregarded it is 50%. The council sends an updated bill within 14 days and backdates the discount. There is also a disabled band reduction for homes adapted for a disabled person. See council tax discounts.

Urgent care and leaving hospital in Hackney

A&E: Homerton University Hospital, Homerton Row, E9 6SR, open 24 hours for all ages.
Primary Urgent Care Centre: inside the Homerton’s A&E department, alongside a GP out-of-hours service; the trust does not publish separate hours for it.

The Homerton’s Integrated Independence Team brings together health and social care staff who work in A&E, on the wards and in people’s homes. It helps people avoid a hospital admission, supports them when they leave hospital, and offers up to six weeks of rehabilitation or reablement at home for adults living in City and Hackney. Only health professionals can refer, and for someone in hospital the referral is made no more than a week before the expected discharge date, so ask the ward whether one has been made.

NHS Continuing Healthcare for Hackney is arranged by NHS North East London. Its City and Hackney team is on 020 7683 4813 (Monday to Friday, 9am to 5pm). A decision on whether someone needs a full assessment should usually be made within 28 days.

Local help in Hackney

Carers' services, dementia support, transport, befriending and other local help, with phone numbers.

Useful contacts in Hackney

The council, NHS teams, hospitals and local services you are most likely to need in Hackney, with links to their official pages. Open any heading for the details.

Council and care assessments

Adult social care in Hackney is arranged by London Borough of Hackney. Anyone who appears to need care can ask for a free care needs assessment, whatever their savings. If the council funds care, you can usually take it as a direct payment and use it for live-in care from us.

London Borough of Hackney: ask for a care needs assessment (telephone 020 8356 6262); carer's assessment.

NHS Continuing Healthcare

When someone's main need is a health need, the NHS pays for all of their care through NHS Continuing Healthcare, and it is not means-tested. For Hackney it is arranged by NHS North East London ICB (Continuing Healthcare information). See our NHS Continuing Healthcare guide.

Hospitals near Hackney

If someone is in hospital, tell us the expected discharge date as early as you can, and we will work with you and the discharge team on when live-in care can start.

Homerton University Hospital: Homerton Row, E9 6SR; A&E open 24 hours, all ages; a Primary Urgent Care Centre and a GP out-of-hours service work within the A&E department (no separate hours published); integrated discharge and reablement through the Integrated Independence Team
St Leonard's: Nuttall Street, Hoxton N1 5LZ (020 7683 4527); Homerton community health services, including the Adult Community Rehabilitation Team and the City & Hackney Wheelchair Service
St Joseph's Hospice: Mare Street, E8 4SA; hospice with inpatient and community palliative care; 24/7 Advice & Support Line 0300 30 30 400 for City and Hackney, Tower Hamlets and Newham

Local support and charities

City & Hackney Carers Centre: Carers' support (020 8533 0951)
City & Hackney Dementia Service (East London NHS Foundation Trust): Dementia support (0203 222 8500)
Age UK East London: Age UK (020 8981 7124)
St Joseph's Hospice: Hospice (0300 30 30 400)
Hackney Council welfare transport: Community transport (020 8356 4550)
TfL Dial-a-Ride: Community transport (0343 222 7777)
Healthwatch Hackney: Healthwatch: your independent voice on health and care

Council tax

Council tax in Hackney, including discounts for people with a severe mental impairment, for disabled people and for some carers, is handled by London Borough of Hackney. See council tax discounts for care.

Areas around Hackney

Dalston
Stoke Newington
Hackney Central
Homerton
Clapton
Stamford Hill
Hoxton
Shoreditch
Hackney Wick
De Beauvoir Town
Haggerston

Your questions

Questions about live-in care in Hackney

Who do I call in Hackney to ask for a care assessment?

Hackney Council's adult social care team on 020 8356 6262 (Monday and Tuesday 9am to 5pm, Wednesday 9am to 4pm, Thursday and Friday 9am to 5pm), or email access@hackney.gov.uk. You can also fill in the council's online request form. The council then calls to find out what support is needed and carries out a social care assessment; while you wait, it can connect you with other services. Out of hours, the council's number is 020 8356 2300.

Can a carer get money off council tax in Hackney?

You may well be able to. Hackney does not count (disregards) some adults when it works out a bill, including people who live with and care for someone, people who are severely mentally impaired, and care workers for a charity or the council. If only one adult in the home is still counted, the bill falls by 25%; if everyone is disregarded, by 50%. Apply online: the council sends an updated bill within 14 days and backdates the discount to the date you became eligible.

Where are memory problems assessed in Hackney?

At the City & Hackney Dementia Service, run by East London NHS Foundation Trust at Felstead Street Clinic, Hackney Wick (0203 222 8500, weekdays 9am to 5pm). It is for adults registered with a City or Hackney GP. If dementia is suspected, the GP, a community matron or the Homerton refers. If the person already has a diagnosis, anyone can refer, including the person themselves or their family. The service contacts people within six weeks of receiving a referral.

Is there a 24-hour hospice advice line in Hackney?

Yes. St Joseph's Hospice, on Mare Street, runs a 24/7 Advice & Support Line on 0300 30 30 400, available 24 hours a day, 365 days a year, for people in City and Hackney, Tower Hamlets and Newham. Patients, family carers and professionals can all call for advice about managing pain and symptoms or supporting the person who is ill; the person does not have to be known to the hospice. The line cannot provide counselling.

How much does live-in care cost in Hackney?

Live-in care with Day and Nightcare costs from £1,550 a week in Hackney, the same as everywhere in England, for one person with a carer who rests at night. That includes our care team's management (the assessment, care plan, reviews, supervision and the on-call manager) and the carer's food; break cover and the carer's travel are extra. For a couple it is from £1,800 a week, where one carer can safely meet both partners' needs. You receive a written quote after a free assessment.

Can the council help pay for live-in care in Hackney?

Yes, if the person's care needs meet the national eligibility criteria and their savings are below £23,250 (2026/27). Adult social care in Hackney is arranged by London Borough of Hackney. Ask for a care needs assessment; if you are eligible, council funding can usually be taken as a direct payment and used for live-in care from us.

Can live-in care start when someone leaves Homerton University Hospital?

It can. Tell us the expected discharge date as early as you can, and we will work with you and the ward's discharge team on when live-in care can start. We can often start within 24 to 48 hours of the assessment, depending on carer availability, and we confirm the start date once a carer is arranged. We have provided Discharge to Assess (D2A) care since 2014.

Sources and further information

Show the 20 official sources for this page

Local information checked 31 October 2026. Links go to the official council, NHS and charity pages.

Live-in care in Hackney