The hospital should organise this on discharge. I work for Greenwich social services, and in that borough, they will complete a financial assessment to judge what contribution a person makes towards their care plan. In terms of the actual service, feedback varies. My advise would be to complain if you're not happy, and have the carer changed, as some of them do take the p!ss a bit... However, some people get on great with the carer and there are no problems, it's sort of luck of the draw. If you want to sort it for yourself, call Southwark and ask for disability care management, and they'll be able to give you a list of approved agencies. Good luck, hope all goes well!