Honestly, the star ratings do reflect real differences, higher-star nannies at Confinement Angels generally have more experience and completed more training hours (they do 88 hours covering both traditional and modern practices), so the 6-star ones tend to handle newborn care more confidently, especially if your baby arrives early or unexpectedly like around CNY. My friend booked a 6-star nanny through Confinement Angels and said the agency matched her quite quickly even with a tight timeline, which matters a lot during the festive period when availability is tight. Between Confinement Angels and PEM, both are established agencies, but some mums felt Confinement Angels was more responsive in finding a replacement if something fell through, though a few others have had mixed experiences depending on which nanny they were matched with, so the individual nanny still matters more than the agency name alone. My lean would be to go higher-star if your budget allows, and make sure you communicate your specific requirements clearly upfront so the matching works in your favour.