DomCare

  • Research type

    Research Study

  • Full title

    The Benefits and Costs of Domiciliary Care

  • IRAS ID

    331932

  • Contact name

    Florin Vadean

  • Contact email

    f.vadean@kent.ac.uk

  • Sponsor organisation

    University of Kent

  • Clinicaltrials.gov Identifier

    57595, NIHR Clinical Patient Management System

  • Duration of Study in the UK

    2 years, 11 months, 30 days

  • Research summary

    Background
    Care provided in peoples’ own homes (called domiciliary care) is an increasingly important part of social care. There are a variety of services, including home visits and live-in care. Some people directly employ Personal Assistants (PAs). Services vary in quality, price, and availability, and there is currently little evidence of the value these services provide to local authorities or individuals.

    Aims
    The main aim of this 3-year study is to help fill an important gap in what is known about peoples’ experiences of using homecare, and the value homecare has in improving peoples’ lives, both for those accessing care and their unpaid carers. We will also compare the value for money of domiciliary care to that of care in institutional settings, like care homes.

    Methods
    In the first half of 2026, we will survey 1,850 people accessing domiciliary care either from a homecare agency, a housing with care scheme or by directly employing a PA as well as (where available) their unpaid carers (400). We will recruit widely, getting the opinions of a variety of people in a range of locations, and irrespective of whether they self-fund their care or their care is funded and/or commissioned by a Local Authority (LA).

    We work with a company that specialises in surveys (Ipsos) and people with lived experience of social care services to make sure survey questions are fit for purpose. To avoid duplication and reduce costs, data on care home residents will be from a study that piloted a minimum data set on care home residents in 2023 (HS&DR NIHR127234).

    Expected impact
    Project findings are expected to inform policy decision-making to support people with care needs live more independent lives for longer, provide guidance about homecare options, as well as support individuals and families to make more informed decisions about their care.

  • REC name

    London - Camberwell St Giles Research Ethics Committee

  • REC reference

    25/LO/0652

  • Date of REC Opinion

    28 Oct 2025

  • REC opinion

    Further Information Favourable Opinion