One carer across a condition that varies person to person
Stroke, Parkinson's, epilepsy and brain injury each affect people very differently. A consistent carer learns exactly how this person is affected, rather than working from a generic protocol.
✧ Our services
Specialist Neurological Care at Home
Neurological conditions affect movement, communication, thinking and energy in ways that change over time. Live-in neurological care gives one experienced carer at home who understands the condition and works alongside the specialist team.
- Condition-specific carers Matched to the diagnosis and its stage
- From £1,300 a week Or two carers from £2,600 for complex needs
- Works with specialists Neurologists, nurses and therapists
- Care that changes with you Reviewed as the condition progresses
What is neurological care?
Neurological conditions affect the brain, spinal cord and nerves. They include progressive conditions such as Parkinson's, multiple sclerosis, motor neurone disease, Huntington's disease and progressive supranuclear palsy; sudden-onset conditions such as stroke, brain injury and spinal cord injury; and others such as epilepsy, functional neurological disorder and Guillain-Barré syndrome.
Neurological care at home is support tailored to how a condition affects an individual: their movement, energy, communication, thinking, swallowing and mood. Live-in neurological care means a carer who lives in and gets to know the person and their condition deeply, rather than a series of short visits.
What neurological home care involves
- Mobility and falls prevention — walking, transfers, wheelchairs and hoists, with strategies for weakness, stiffness, tremor or poor balance.
- Personal care — washing, dressing and continence care, paced around fatigue and fluctuating symptoms.
- Medication management — many neurological medicines must be taken at precise times; the carer keeps the schedule.
- Eating and swallowing — texture-modified food and drinks as advised by the speech and language therapist.
- Communication — time, patience and support with communication aids.
- Cognitive and emotional support — routines and reminders for memory and planning difficulties, and noticing changes in mood or behaviour.
- Therapy carry-over — daily practice of exercises set by physiotherapists and occupational therapists.
Progressive and fluctuating conditions
With progressive neurological conditions, care needs increase over months or years. With fluctuating conditions, a person may need very little help one day and a great deal the next. Live-in care handles both, because the carer is already in the home and can simply do more or less as needed. Care plans are reviewed regularly, and we tell families honestly when a condition has reached the point where a second carer or nursing support is needed.
Neurological care at home or in a care home?
Specialist neurological care homes and units exist, but places are limited and often far from home. For many people, particularly younger adults, the best outcome is to stay at home with the right support: close to family, in an adapted home they know, and with one-to-one care. Live-in neurological care makes that possible, alongside the community neurology team.
Paying for neurological care
Live-in neurological care starts from £1,300 a week. Depending on age and needs, PIP or Attendance Allowance, council support after a needs assessment, and NHS Continuing Healthcare for complex, health-related needs may all help. See our funding guide.
Huntington's disease and progressive supranuclear palsy
Some neurological conditions are less well known but have profound effects on daily life. Huntington's disease is an inherited condition that affects movement, thinking and emotions, often beginning in mid-life. People may develop involuntary movements, difficulty swallowing, and changes in mood and behaviour, and families may face the condition across generations. Progressive supranuclear palsy (PSP) affects balance, movement, eye movements, speech and swallowing, and falls are often an early problem. Both need carers who understand the condition, stay calm and consistent, and work closely with the specialist team.
Epilepsy and functional neurological disorder
For people with epilepsy, the key is a clear seizure plan: what seizures look like for that person, what to do, when rescue medication is used, and when to call 999. Carers are briefed on the individual plan before starting. Functional neurological disorder (FND) causes genuine symptoms, such as weakness, tremor or seizures, due to a problem with how the nervous system functions rather than damage to it. Understanding, patience and following the therapy plan are essential, and a carer can support the person to gradually rebuild everyday activities.
Swallowing difficulties in neurological conditions
Many neurological conditions affect swallowing (dysphagia), which raises the risk of choking and chest infections. A speech and language therapist will assess swallowing and may recommend modified textures for food and drinks, particular positions for eating, and techniques to make swallowing safer. Carers follow these recommendations exactly, prepare food to the right consistency, and watch for warning signs such as coughing during meals, a wet-sounding voice or recurrent chest infections, which should be reported promptly.
Coordinating a complex care team
People with neurological conditions often have many professionals involved: a neurologist, specialist nurse, GP, physiotherapist, occupational therapist, speech and language therapist, dietitian and sometimes palliative care. It can be exhausting for families to keep track. A live-in carer who is there every day helps hold it together: keeping a record of symptoms and changes, attending appointments, following each professional's recommendations and making sure important information reaches the right person.
Fatigue in neurological conditions
Fatigue is one of the most common and least understood symptoms of neurological conditions, affecting people with MS, Parkinson's, brain injury, stroke, MND and many others. It is often not relieved by rest, and it can make everything harder, from walking to concentrating. Managing it usually means planning the day around energy, doing demanding tasks when energy is highest, building in rest before exhaustion sets in, and handing over tasks that drain energy without adding value. A live-in carer makes this practical, freeing energy for the things that matter to the person.
Planning ahead with a progressive condition
With a progressive neurological condition, it helps to think ahead while the person can take a full part in decisions. That might include lasting powers of attorney, an advance care plan setting out wishes for future care and treatment, adapting the home before it is urgently needed, applying for NHS Continuing Healthcare as needs increase, and thinking about where the person wants to be cared for in the later stages. These conversations are difficult, but they mean the person's wishes guide their care, and families are spared making decisions in a crisis.
Why consistent carers matter in neurological care
Many neurological conditions affect communication, and symptoms can be subtle and change from day to day. A carer who knows the person well notices small changes in speech, swallowing, movement or mood that a stranger would miss, and understands the person even when speech becomes difficult. That is why we aim for a small, stable team of carers rather than frequently changing faces.
Further reading and sources
Why families choose it
What live-in neurological care gives your family
Changes are spotted early
Neurological conditions can shift gradually or suddenly — a new tremor, a change in speech, more frequent seizures. Someone present daily notices these far sooner than an occasional visitor.
Support for cognitive and physical needs together
Many neurological conditions bring both physical and cognitive effects. Live-in care can support both at once, rather than splitting them across different services.
Familiar surroundings support recovery and stability
Whether recovering from stroke or managing a long-term condition, staying in a known environment with a known carer generally supports better outcomes than a move to a facility.
One-to-one attention where safety is a real concern
Seizures, falls or sudden mobility changes are safety risks that one-to-one care manages far better than shared staffing ever can.
Is it right for us?
When families arrange neurological care at home
If one of these sounds familiar, neurological care at home is worth a conversation.
Coming home after a stroke or brain injury
Recovery is often slow and uneven. Live-in care provides consistent support through rehabilitation at home rather than a hospital or care home stay.
A progressive condition like Parkinson's is making daily tasks harder
As symptoms increase gradually, live-in care can be introduced in stages rather than as one abrupt change.
Epilepsy makes living alone unsafe
The risk of an unwitnessed seizure is one of the most common reasons families decide someone should not be alone at home any longer.
Visiting carers are not enough to manage a fluctuating condition
When needs vary hour to hour, scheduled visits stop being adequate and a present, consistent carer becomes the practical answer.
A family carer is struggling to manage alongside their own life
Neurological conditions are often long-term. Handing daily care to a professional protects both the person and the family carer.
What a carer does
How a live-in carer helps with a neurological condition
Every care plan is built from these, weighted to whatever matters most in your household.
Personal care adapted to the condition
Washing, dressing and daily support shaped around exactly how this person's neurological condition affects them.
Safety and mobility
Falls prevention, seizure awareness and steady support wherever physical safety is the main concern.
Communication and companionship
Patience with speech, memory or cognitive changes, plus the daily company that keeps someone engaged.
A stable home environment
Meals, housework and getting to specialist appointments, so daily life stays as familiar and settled as possible.
Related services
Other types of live-in care we arrange
Live-in care is not one fixed thing. These are the variations families most often need — and we will tell you which one actually fits.
24 hour live-in care
For people who need attention repeatedly through the night. Covers waking nights and, where nights are consistently broken, two carers in rotation.
Respite care
A professional steps in so a family carer can rest, from a few days to several weeks. Also the easiest way to try live-in care before committing.
Emergency home care
For a hospital discharge, a fall, or a carer suddenly unable to continue. We can often have someone in place within 24 to 48 hours.
Overnight care
Cover through the night only, where days are manageable but nights are not. Useful after a hospital stay or while a diagnosis settles.
Dementia care
Carers experienced in memory loss, sundowning and changes in behaviour. Familiar rooms and one consistent face matter more here than anywhere.
Palliative care
Comfort-focused support at home, working alongside district nurses and the GP so symptom control and dignity come first.
End of life care
Support for the final months, weeks or days at home, for the person and for the family around them.
Companionship care
Where the need is company and daily structure rather than personal care. Often the first step, before anything more is required.
What you get
What neurological care includes, and what it doesn't
Being straight about the boundaries saves everyone a difficult conversation later.
Included in the weekly fee
- Personal care adapted to the specific neurological condition
- Medication prompting and administration, including timed Parkinson's medication where needed
- Seizure awareness and safety support for epilepsy
- Mobility support and falls prevention
- Liaison with the neurologist, GP and therapy team
- Meal preparation, light housework and laundry
- Getting to specialist and therapy appointments
- Companionship and support with communication or cognitive changes
Not included
- Nursing tasks requiring a registered nurse — the neurology team and district nurse continue to visit
- Clinical diagnosis or changes to prescribed treatment, which stay with the specialist team
- The carer's own food — the household provides everyday meals
- Two-person or hoist transfers where two carers are required (that is our Advanced plan)
Compared honestly
Neurological care at home, a specialist unit, or visiting carers?
The three realistic options, side by side. We will tell you if one of the others suits you better.
| Live-in care | Residential care home | Visiting care | |
|---|---|---|---|
| Typical weekly cost, one person | From £1,200 | £1,100 – £1,600 | £300 – £900 |
| Typical weekly cost, a couple | From £1,200 (one carer) | £2,200 – £3,200 (two places) | Varies by hours |
| Staff-to-person ratio | One-to-one | Shared across residents | One-to-one, but only during visits |
| Same carer each day | Yes | No — shift rota | Rarely |
| Stay in your own home | Yes | No | Yes |
| Overnight cover | Yes | Yes | No — unless booked separately |
| Couples stay together | Yes | Often not possible | Yes |
| Pets can stay | Yes | Almost never | Yes |
| Visitors any time | Yes | Visiting hours | Yes |
Care home figures are typical UK ranges for 2026 and vary considerably by region and by whether nursing care is included. We quote our own prices exactly; always confirm a care home's fees directly with them.
Our carers
Who will your neurological carer be?
The single biggest worry families raise, and rightly. You choose the carer from matched profiles, and you can speak to them by video call before deciding anything.
Enhanced DBS
On every single carer, checked before introduction
In person
Every carer is interviewed, not just screened on paper
You choose
Profiles sent to you — including a video call first
24–48 hrs
How fast we can move in an emergency
Our carers
The carers who provide neurological care
Our carers are spread across the UK, supported by regional care managers. Every one is interviewed in person, enhanced DBS checked and reference-checked before they are ever introduced to a family — and you choose who moves in.
- Interviewed face to face, never hired on paperwork alone
- Enhanced DBS checked, with references verified
- You meet and approve your carer before they start
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Gladys
Live-in carer
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Monica
Live-in carer
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Refiloe
Live-in carer
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Vistorine
Live-in carer
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Brenda
Live-in carer
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Patience
Live-in carer
How it works
Arranging neurological care in three steps
Tell us what you need
A friendly, no-obligation call to understand the situation, explain how the care works and give you an estimated weekly cost.
Choose your carer
We send profiles of available carers matched to your needs. You can speak to them on a video call before deciding.
Care begins at home
Your carer moves in and support starts, with a named care manager checking in regularly to make sure it's working.
Free callback
Prefer we call you?
Leave your number and a care manager will call you back — usually within an hour, and always free.
- No obligation. A conversation, not a sales call — and never a call centre.
- A real care manager. Someone who arranges care every day, who can answer properly.
- Just two details. Your name and number — we don’t need an email address.
Or call us now on 0800 368 8558 Lines open 8am–10pm, seven days a week
Common questions
Questions about neurological conditions care
What families ask us before arranging care.
Not seeing your question?
Our care managers answer these every day. A no-obligation call takes about ten minutes.
0800 368 8558Lines open 8am–10pm, seven days a week See all questionsWhat neurological conditions do you support?
Parkinson's, MS, MND, Huntington's disease, PSP, stroke, acquired and traumatic brain injury, spinal cord injury, epilepsy, FND and other conditions. We match carers with experience of the specific diagnosis.
How much does neurological care at home cost?
Live-in neurological care starts from £1,300 a week. Where two carers are needed for complex day and night needs, it starts from £2,600 a week.
Can carers work with our neurologist and nurses?
Yes. Carers follow the plans set by neurologists, specialist nurses and therapists, attend appointments where helpful and report changes promptly.
Is neurological care suitable for younger adults?
Yes. Live-in care lets younger adults with neurological conditions live at home with their families rather than in a care setting designed for older people.
Can care change as the condition progresses?
Yes. The carer adapts day to day, and the care plan is reviewed regularly so support keeps pace with the condition.
What funding is available for neurological care?
PIP or Attendance Allowance, council funding after a needs assessment, direct payments, and NHS Continuing Healthcare for complex health needs.
Do you support people with Huntington's disease?
Yes. We match carers experienced with the movement, swallowing, cognitive and emotional changes of Huntington's disease, who work closely with the specialist team and support the whole family.
Can carers support someone with epilepsy?
Yes. Carers are briefed on the person's individual seizure plan before starting, including what their seizures look like, what to do, any rescue medication and when to call 999.
What is dysphagia and how do carers help?
Dysphagia means difficulty swallowing. Carers follow the speech and language therapist's advice on food textures, positioning and techniques, and report warning signs such as coughing when eating or repeated chest infections.
Can you support someone with functional neurological disorder?
Yes. Carers understand that FND symptoms are genuine, follow the therapy plan and support the person to gradually rebuild everyday activities with patience and encouragement.
Transparent pricing
How much neurological care costs
One weekly fee covering the agreed care plan. No hidden charges for everyday care.
Read next
Guides for families arranging neurological care
Parkinson's Care: Comprehensive Support for Living Well at Home
Read guide →
Multiple Sclerosis Care Guide: Providing Compassionate Support
Read guide →
Stroke Recovery and Live-in Care: Comprehensive Support for a Smooth Recovery
Read guide →Related care
Care often arranged alongside neurological care
Parkinson's Care
Having someone you love with Parkinson’s disease is hard. And no matter how much you love the person, the one thing that you will need is elderly live-in care for them.
Multiple Sclerosis Care
Multiple sclerosis or MS is a nervous system pathology characterized by nerve fiber damage. With a debilitated nervous system, the person suffers from physical disabilities and a wide range of other symptoms such as mobility problems, vision loss, fatigue, numbness and tingling sensations, weakness, muscle stiffening and spasms, and cognitive function loss.
Motor Neurone Disease Care
Motor neurone disease, or amyotrophic lateral sclerosis (ALS), is a progressive and fatal neurodegenerative disorder. These diseases are characterized by the death of motor neurons in both the brain and spinal cord, leading to muscle weakness, atrophy and paralysis.
Stroke Care
A stroke happens when a blood vessel supplying the brain or an area of the brain is blocked and ruptures. Due to the unavailability of blood to the brain tissue, the cells begin to die. A stroke is a medical emergency. But patients, once recovered from the emergency situation, need constant care and attendance depending upon the severity of the symptoms.
Brain Injury Care
Brain injuries can be acquired brain injuries or traumatic brain injuries. Acquired brain injuries (ABIs) are caused by stroke or brain tumor, while a traumatic brain injury (TBI) results from physical trauma. Either way, the patient needs live-in care that specializes in brain injury, especially if the disability is life-long. The worst form of body damage that could happen is an injury to the brain. Head injuries are the leading cause of disability and death in adults. Brain injuries acquired or traumatic result in brain tissue damage and hence swelling of the tissue. Since the skull cannot accommodate by increasing in size, there is a buildup of pressure in the brain.
Near you
Neurological care in your area
Local pages cover how care is regulated and funded where your relative lives.
Where we work
Neurological Conditions Care across the UK and Ireland
We arrange care in 850+ towns and cities. Choose your area for local pricing, funding and how care is regulated where you live.
- Carers travel to you — they move into the home rather than driving from a local branch, so rural and coastal areas are covered too.
- The same weekly price everywhere — care is priced on the support needed, never on your postcode.
- Care can start in 24–48 hours in most areas, and often the same day after a hospital discharge.
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Can’t see your area? Call 0800 368 8558 — we almost certainly still cover it.