It is difficult. Its one of the reasons I don't work at the moment to be honest - that's not a dig at you for working - but so many, particularly on here, say "I just cant understand people who don't go to work once their kids are at school" - is if it's somehow easier once they are at school than when they are younger and can go to nursery 8-6 5 days a week including school holidays. That is much easier than covering after school and holiday hours!
Our school has 2 childminders that do pick up and drop off to it, and are fully booked always with waiting lists. No breakfast club, some after school clubs which run for an hour and which you have no guarantee of getting your child into - some are more popular than others so they will draw names from a hat to decide who goes.
There are some holiday clubs around here but hard to get into and pretty expensive so you'd have to be super organised and have the money set aside.
We have no nearby grandparents, one lot are 7 hours away and the other lot are literally on the other side of the world.
So I don't work, which is fine really, it makes for a much more relaxed family life, homework is done, no juggling, but you do get asked for a lot of favours from the parents who do work. Which is fine really, I try to help when I can.
But it's all a big faff really.