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Parent caring

Sandwich caring

Many people care for both a parent and a child. The number of so-called "sandwich carers" is growing, as people are generally living longer than in the past.

What is a sandwich carer?

All families are different. A sandwich carer might have a disabled child and a stepfather who is frail and elderly. Or they may care for a mother with dementia as well as their adult daughter, who misuses drugs. Whatever your situation, it's important to get as much support as you can.

Sources of support

One of the best ways to get practical help with caring is through your local authority. If you care for an adult, you may be able to get more support for them by asking for a community care assessment.

There’s a different assessment process for children, if you’re responsible for a disabled child.

An assessment for someone you care for should consider your needs as their carer. Most carers can also have their own carers' assessment. This identifies support that could help you balance caring with other aspects of your life, including work, education, family and social relationships.

Local voluntary organisations may be able to provide practical help, such as shopping for an elderly relative, accessible transport or activities for disabled children. They can also provide someone to talk to for emotional support. Many people find it helpful to share their feelings with other people in a similar situation. To find voluntary organisations for carers in your area, search the directory of local services or call the Carers Direct helpline free on 0808 802 0202.

Your friends and family members can be a valuable support network. Think about whether other people you know could take some of the strain off you by helping you regularly. Making a list of tasks that you need to do in a typical day or week could help you identify how others could help.

Family Lives is a national charity that provides help and support in all aspects of family life. They work with First Stop, which gives independent advice on care and housing for older people and is expanding its services to help people with sandwich caring responsibilities. You can call the Family Lives helpline on 0808 800 2222 any time of day to talk about any problems you’re experiencing with family life.

Your working life

Caring for more than one person in your family is likely to put many demands on your time, and your ability to work may be affected. Carers have specific rights in the workplace. Find out more about your rights at work, flexible working and combining caring and study.

Your caring responsibilities might mean that you’re unable to work or you don’t earn enough to pay National Insurance contributions. This might leave gaps in your pension record, which could affect your state pension. Find out how to protect your state pension entitlement.

Money matters

Make sure you get all the financial help you’re entitled to. You can do this by getting a benefits check from a Citizens Advice Bureau, a local welfare rights organisation or carers’ centre. If you care for a disabled child, you may also be able to get help through the Family Fund.

Further information

Find out about caring for more than one person. If you look after a child, see the section on parent carers.

Last reviewed: 04/05/2011

Next review due: 04/05/2013

Call Carers Direct on 0808 802 0202

Free, confidential information and advice for carers.

Lines are open 9am to 8pm Monday to Friday (except bank holidays), 11am to 4pm at weekends. Calls are free from UK landlines and mobiles or you can request a free call back.

You can also ask for a call back in one of more than 170 languages including ربي, বাংলা, 中文, Français, ગુજરાતી, Polski, Português, ਪੰਜਾਬੀ, Soomaali, Español, Türkçe and .اردو.

You can talk to an adviser live online or send a query by email.

Find out more about the Carers Direct helpline.

Caring for more than one person in the family

Viewing video content in NHS Choices

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John and Beth both care for their mothers and their son Nathan, 17. The couple represents what's commonly known as 'sandwich carers' – people who care for a younger- and older-generation relative. Follow a day in Beth's life to find out how she copes and where she finds support.

'My daughter and Down's syndrome'

Monica Rivers describes family life with her six-year-old daughter Ayesha, who has Down's syndrome.

Caring for an older disabled relative

Financial, practical and emotional support is available for those who care for an older relative