How we work

We introduce. You decide.

Witho is an introductory agency. That is a recognised way of arranging care at home, and it is different from a managed care agency in one important respect: your helper works to your instructions, not ours. This page explains exactly what that means, including the things we are not allowed to do.

What we can do

  • Introduce you to a helper suited to your household
  • Check identity, address, right to work, references and DBS before any introduction
  • Show you the helper’s own profile, rate and availability so you can choose
  • Help you find another helper whenever you need one
  • Give you the tools to arrange and keep track of your own visits
  • Insure visits booked and paid for through Witho
  • Act on safeguarding concerns and remove helpers from the platform

What we cannot do

  • Provide personal care — washing, bathing, dressing or toileting
  • Administer medication (helpers may remind and prompt only)
  • Lift, hoist or help someone transfer
  • Carry out any nursing or clinical task
  • Write or manage a care plan, or give care advice
  • Direct or supervise how a helper does their work

These are not gaps in our service. They are the line between an introductory agency and a managed care agency, and we stay firmly on our side of it.

So who directs the care?

You do. Your helper is self-employed and works to your instructions, not ours. That is what an introduction agency means, and it is why the arrangement stays flexible, personal, and far less expensive than a care agency.

How medication works

Helpers can remind and prompt — “have you taken your tablets this morning?” — and nothing more. Taking a tablet out of a box and giving it to someone is administering medication, which is regulated care, and no Witho helper does it. If that is what is needed, it needs a registered provider and we will say so.

Introductory agency or managed agency?

With Witho

  • You choose your helper from real profiles.
  • The same familiar face, not a rota of strangers.
  • You agree the routine directly with your helper.
  • Your helper keeps the full hourly rate.
  • No contract, no notice period, no management fee.

With a managed agency

  • The agency assigns whoever is available.
  • The agency writes and reviews the care plan.
  • The agency supervises and trains its care workers.
  • A margin is taken from every hour worked.
  • Regulated and inspected by the CQC.

Both are legitimate. If you would rather someone else took responsibility for managing the care, a regulated agency is the right choice and we will say so.

Where to read more

Our trust and safety page sets out every check a helper completes before an introduction. Our safeguarding policy explains what happens if you raise a concern, and our terms set out the arrangement in full.

Ready to arrange support?

Send us a message and we will come back to you within one working day.