Another comment made this point and it's a good one, I hadn't thought about it before. I think when it comes to equipment you could provide that through the NHS (essentially doctors could be in a position to prescribe it). Same goes for a carer. If you need it for health reasons the NHS should be able to prescribe it. I guess then you run into moral issues (e.g. this person doesn't NEED a carer but it would make their life much easier).