
Turning down a promotion to care: what it costs in the UK

Bruno Ceccolini
Co-founder · Care Consultant · Updated 6 October 2026
Key Takeaways
Turning down a promotion to care keeps you employed and still costs the next grade, plus the pension on the extra pay. Unpaid carer's leave is one week. A named visiting slot is usually cheaper than staying on the old band.
Acas already named the promotion
Acas is blunt about unpaid carer's leave. It is against the law to treat you worse for taking it, or for asking. Their examples of detriment include being overlooked for promotions and having training turned down without a good reason.
That protection is for the unpaid week. Most people never get that far. They see the internal advert and decide not to apply.
Reducing hours cuts the contract. Turning down a promotion to care leaves Friday in place and still costs the climb.
Quitting to care is the whole salary. This is the quieter cut: the grade you do not take.
Should you turn down a promotion to care?
No, not as a first move. Apply if you can do the work. Ask for a later start, or home-working on clinic days, as a statutory flexible working request from day one. Put a visiting carer in the morning slot that collides with the extra hours. Use unpaid carer's leave for the assessments and the first week of settling someone in. Old age counts. You do not have to prove the diagnosis.
Employees in England, Scotland and Wales can take up to one week of carer's leave in any 12 months, from day one, as half days if they want. Notice for a single day is at least three days. Employers cannot refuse it. They can postpone it if your absence would seriously disrupt the organisation. Northern Ireland has its own employment law.
You can make two statutory flexible working requests in any 12-month period. Your employer must handle them reasonably and can refuse with a business reason. Talking to your employer does not have to use the word carer. You do have to name the hours.
Caring itself is not a protected characteristic. Age and disability are. If someone treats you worse because the person you care for is disabled or older, that can be discrimination by association. Carers UK has asked for caring to be added to the list. The government's Make Work Pay consultation on employment rights for unpaid carers closed on 1 September 2026. GOV.UK currently says it is analysing the feedback. Do not hang Friday's closing date on that.
The hours that keep the next grade
Sian is 41. Band 6 physiotherapist, University Hospital of Wales. Mum is 79, Canton, Parkinson's. The 8am tablets already prescribed. A shower that now takes 40 minutes.
The musculoskeletal lead is advertised internally. Band 7. Two extra clinic days and some teaching. She has been acting up since March. Closing Friday.
A 9.30 start twice a week, plus someone else in the bathroom at 8am, keeps the extra. Declining it does not make mum safer. It just leaves the acting-up money on the table.
Call the council where they live and ask for a care needs assessment. Ask for a carer's assessment for yourself on the same call. Being in paid work does not disqualify you.
The NHS still puts help at home from a paid carer at about £15 to £30 an hour. Five weekday hour-long visits at £26 is about £6,760 a year. Hourly rates in 2026 wander by borough. Attendance Allowance, if she qualifies, can put some of that back. It will not replace a band 7.
Arranging care while you work is the logistics version. Use the unpaid week to sit in on the first visits. Do not spend it being the 8am rota for a year.
A People partner in a 40-person law firm on Deansgate had two associates decline an internal senior-associate round this year. Both said "timing". Neither had used the unpaid week. She is rewriting the intranet after CIPD's 2025 flexible and hybrid working survey found 52% of organisations had a carer's-leave policy and only 15% had seen more requests since April 2024. If you are her, eldercare employee benefits is the employer page.
I was annoyed, the first time I watched someone decline a grade they were already doing. The shower is the collision. The advert is not.
The 12% who already said no
On 16 September 2026, Carers UK published Balancing work and unpaid care, from Opinium polling of 4,000 UK adults in July. Among people in paid work with caring experience, 12% had turned down a promotion. 13% had declined training. 13% had taken a lower-paid or more junior role. 12% had changed employer. 15% of working carers had cut their pension contributions.
State of Caring 2025 surveyed more than 10,500 unpaid carers. Among those who were employees, 69% said they had not focused on their career as much as they wanted. 61% said caring had affected the type of work they took. 21% had already moved to a lower-paid or more junior role.
Joseph Rowntree Foundation, using Understanding Society, put the pay penalty for unpaid social-care givers at £414 a month on average, nearly £5,000 a year, rising to £628 a month after six years. By the end of year six they had foregone over £30,000 in gross pay. Leaving and cutting hours drove most of it. Staying on the old grade is the same mechanism, smaller.
The closing date is still Friday. Apply. Name the hours. Put someone else in the bathroom at 8am before you write that the timing is not right.
How Match with Care can help
The next grade holds if a named person is in the house for the slot that collides with it.
Match with Care is a managed introductory care marketplace. We interview carers, check enhanced DBS, right to work, and references, then show you profiles so your parent can meet someone before they have a key. We are not a traditional domiciliary care agency, and we are not CQC-registered as a care provider. Introductory matching does not work that way.
What we can do is keep the first ask small: weekday mornings, or a clinic afternoon, often around 20 to 30 per cent below typical agency quotes, with a care advisor if the match is wrong. Hours go in the app. You get a weekly invoice. You keep the grade that still has a pension attached.
If you want to talk through the slot before anyone closes the advert, call +44 7962 657635 or email hello@matchwithcare.com.
Frequently asked
questions
Not as a first move. Apply if you can do the work. Ask for a later start or home-working on clinic days as a statutory flexible working request from day one. Put a visiting carer in the morning slot that collides with the extra hours. Use unpaid carer's leave for assessments and the first week of settling someone in. Old age counts.
Acas says it is against the law to treat you worse for taking or asking for unpaid carer's leave. Their examples of detriment include being overlooked for promotions and having training turned down without a good reason. Caring itself is not a protected characteristic. Association with a disabled or older parent can still be relevant under the Equality Act. Contact the Acas helpline if you need that route.
No. The Equality Act lists age, disability, sex and several others. Caring is not on that list. You can still be protected from direct discrimination by association if you are treated worse because the person you care for is disabled or older. Carers UK has asked for caring to be added. That is a campaign, not the current law.
Unpaid carer's leave is one week in any 12 months, from day one, taken as half days if you want, to give or arrange care for a dependant with a long-term need. Time off for dependants covers an unexpected emergency. Holiday is yours if you choose to spend it that way. None of those is a reason to stay on the old grade.
Often, once you count the extra pay and the pension match on it. The NHS puts help at home from a paid carer at about £15 to £30 an hour. Five weekday hour-long visits at £26 is about £6,760 a year. A band 7 or team-lead bump of £4,000 to £6,000 a year, plus employer pension, is the other column. Hourly rates wander by borough. Ask the council for a care needs assessment even if you expect to pay some of it yourself.
Sources
5 sourcesCarers UK
View source“Balancing work and unpaid care: a critical issue”
2026
Carers UK
View source“State of Caring 2025: The cost of caring”
2025
GOV.UK
View source“Unpaid carer's leave”
2026
Acas
View source“Carer's leave”
2024
CIPD
View source“Flexible and hybrid working practices in 2025”
2025


