inTouch
Market opportunity · 2025

The European home-care opportunity.

Seven markets where inTouch can layer AI companion calls and wellbeing monitoring on top of existing home-care operators: France, UK, Italy, Germany, Spain, Switzerland and Finland.

🇫🇷 France🇬🇧 UK🇮🇹 Italy🇩🇪 Germany🇪🇸 Spain🇨🇭 Switzerland🇫🇮 Finland
Why now

Winter is the loneliest season for older people.

The summer heatwave was an intense episode for home-care providers. As winter sets in, the risk shifts from dehydration to isolation: prolonged loneliness has real health consequences, and keeping contact between visits is fast becoming a duty of care that families and operators cannot ignore.

IsolationDuty of carePresence between visits

The human problem first: inTouch keeps a warm, human thread of contact with every senior. The market opportunity that follows is the scale of that need.

🇫🇷 France · 01a

Top 10 home-care operators.

1ADMRNon-profit network~724kserved
2UNANon-profit union~512kserved
3Groupe Oui Care / O2No.1 home services~74kall svc
4Domaliance (a2micile)National network~30kall svc
5VitallianceDependency home care~25kclients
6Petits-filsNational mandate network~20kclients
7DestiaAgency network~14kclients
8ColiséePrivate operator~12kclients
9DomusVi DomicilePrivate operator~8kclients
10ClarianePrivate group (ex-Korian)n.c.
🇫🇷 France · 01b

Market & key trends.

~€8B
+7%/yr
senior home care (personal-services market: €22.8B)
Shift to home

Preference for home over nursing homes (reinforced post-scandals), backed by the Bien Vieillir law.

Staff shortage

Recruitment and turnover remain the sector's number-one brake on growth.

Consolidation

Large groups (Oui Care, DomusVi, Clariane) and franchise networks expanding fast.

Digitalisation

Remote monitoring, public funding (APA) and tech to track and secure home care.

🇬🇧 UK · 02a

Top 10 home-care operators.

1City & County HealthcareNo.1 UK home-care group~2.5Mvisits/mo
2Cera CareDigital-first, AI~60kvisits/d
3Bluebird CareFranchise~20kclients
4Home Instead UKFranchise~18kclients
5CaremarkFranchise~10kclients
6ElderLive-in care marketplace~5k+families
7Helping HandsNational networkn.c.
8Right at Home UKFranchisen.c.
9The Good Care GroupPremium live-in caren.c.
10Prestige Nursing & CareHome care & nursingn.c.
🇬🇧 UK · 02b

Market & key trends.

£6.7B
+6.8%/yr
domiciliary care market (2025) - residential market: £18.3B
Home-first policy

The NHS pushes home care to ease pressure on hospitals and residential settings.

Workforce crisis

Large vacancy rates, heavy reliance on overseas hiring, tightened by visa rules.

Funding under strain

+£880M to the Social Care Grant 2025-26; a growing share of self-funders.

Tech & quality

Digital models (Cera) and CQC quality standards accelerate tool adoption.

🇮🇹 Italy · 03a

Top 10 home-care operators.

1Cooperativa OSALarge cooperative~50k/day
2PrivatAssistenzaFranchise network (No.1 home)~40kfamilies
3Cooperativa CadiaiCooperative (Bologna)~16kusers
4KOS GroupCorporate healthcare group~9kbeds
5Sereni OrizzontiPrivate operator~7kbeds
6CoopseliosCooperative~6.8k/day
7Korian ItaliaInternational groupn.c.
8Gruppo GheronResidences & servicesn.c.
9Assistiamo GroupHome caren.c.
10UGOCaregiver / companionshipn.c.
🇮🇹 Italy · 03b

Market & key trends.

~€9-10B
~+13%/yr
home healthcare (2024) - excl. informal 'badanti' market
Among the oldest populations

Italy has one of Europe's highest 65+ shares: massive need.

The 'badanti' market

~1M informal private carers dominate, largely paid out of pocket.

Recovery funds & reform

EU recovery funds (PNRR) and the long-term-care reform push home care.

Fragmented & digitising

A fragmented sector going digital (UGO, Prontobadante); the panel's fastest growth.

🇩🇪 Germany · 04a

Top 10 home-care operators.

1Home Instead DEAmbulatory market leader (franchise)~35kclients
2Promedica2424-hour live-in care~30kclients
3Korian DeutschlandAmbulatory & residential~23kplaces
4advita PflegedienstNo.2 ambulatory~5.5kpatients
5Bonitas HoldingPrivate care groupn.c.
6CaritasNon-profit (leader)n.c.
7DiakonieNon-profitn.c.
8Johanniter-Unfall-HilfeNon-profitn.c.
9German Red Cross (DRK)Non-profitn.c.
10Arbeiter-Samariter-BundNon-profitn.c.
🇩🇪 Germany · 04b

Market & key trends.

~€12B+
~+9%/yr
home care services (broader home healthcare: €22-26B)
Long-term care insurance

Mandatory Pflegeversicherung structurally funds ambulatory care.

Care worker shortage

Acute shortage; heavy reliance on 24-hour carers from Eastern Europe.

Non-profit weight

Caritas, Diakonie, DRK, AWO dominate; private/franchise (Home Instead) rising fast.

Out-of-pocket & digital

Rising co-payments and digitalisation driven by care reforms.

🇪🇸 Spain · 05a

Top 10 home-care operators.

1CuideoHome caregivers (leader)~40kfamilies
2Clece CuidaHome care (Clece Group)~25kusers
3QidaSociosanitary leader~20kserved
4Vitalia HomePrivate operator~11kplaces
5Sanitas MayoresHealth & care groupn.c.
6Eulen SociosanitariosCorporate privaten.c.
7Sacyr SocialDiversified operatorn.c.
8AiudoHome caregiversn.c.
9AsispaNon-profitn.c.
10AtenziaTelecare & home caren.c.
🇪🇸 Spain · 05b

Market & key trends.

~€7-9B
+7.3%/yr
elderly / home care (home healthcare: ~$9.4B in 2025)
Record longevity

Spain on track for the world's highest life expectancy by 2040: structural demand.

Family to professional

The family-care culture is shifting to professional home care.

Market formalising

The informal 'live-in carer' market is structuring via platforms (Cuideo, Aiudo).

Dependency & telecare

Dependency Law funding and the rise of telecare and digital platforms.

🇨🇭 Switzerland · 06a

Top 10 home-care operators.*

1Non-profit SpitexPublic non-profit network~333kserved
2Spitex ZürichLargest municipal Spitexn.c.
3Senevita Casa1st private Spitexn.c.
4Home Instead SwitzerlandPrivate franchisen.c.
5SpitexCarePrivate Spitexn.c.
6Private Care AGPrivate (Zurich)n.c.
7Spitex privée (ASPS)Private orgs networkn.c.
8CareanesthPrivate nursing at homen.c.
9Spitex BernMunicipal Spitexn.c.
10Spitex BaselMunicipal Spitexn.c.

* Indicative list. Swiss home care is dominated by non-profit Spitex (600+ local organisations); only the aggregate Spitex figure is official, the private operators are illustrative.

🇨🇭 Switzerland · 06b

Market & key trends.

~CHF 3B
+7%/yr
Spitex home care; 476k people cared for at home (2024)
Spitex-dominated

Non-profit Spitex serves ~70% of home-care clients (605 organisations, ~333k clients).

Private surge

Private Spitex care hours up +43% vs 2016; 732 recognised private organisations.

Home-first

Home-care costs grow ~+7%/yr while nursing-home stays stagnate.

High willingness to pay

Among the world's highest health spending: a strong private-pay market for premium services.

🇫🇮 Finland · 07a

Top 10 home-care operators.*

1MehiläinenHealth & social care leadern.c.
2AttendoNordic care leader~30kserved*
3TerveystaloLargest private healthcaren.c.
4PihlajalinnaPrivate health & socialn.c.
5Esperi CareElderly care (230 homes)n.c.
6CoronariaPrivate care & home servicesn.c.
7Mainio VireHome & assisted livingn.c.
8DeboraHome care (100 municipalities)n.c.
9ValidiaDisability & home caren.c.
10Wellbeing services countiesPublic kotihoito (dominant)n.c.

* Indicative list. Home care in Finland is mostly public (21 wellbeing services counties); private operators are real but per-company client figures are not public, so ordering is by market prominence.

🇫🇮 Finland · 07b

Market & key trends.

2×
over-75s by 2040
420k → 950k over-75s; elderly care underfunded by €1B+
Public, county-led

Home care (kotihoito) is organised by 21 wellbeing services counties; financial strain, uneven reform.

Severe staff shortage

+30,000 care FTEs needed by 2030; foreign-worker permits down 94% in early 2025.

Ageing fast

Over-75s double to 950k by 2040; home-care coverage slipping despite a home-first goal.

Tech-friendly

Rising adoption of client-centred models and technology in home care.

Summary

Five markets, one thesis.

Ageing populations, a policy shift toward home care, and chronic staff shortages: every market needs a scalable layer of presence and monitoring between visits.

🇫🇷 France — ~€8B +7%/yr
🇬🇧 UK — £6.7B +6.8%/yr
🇮🇹 Italy — ~€9-10B ~+13%/yr
🇩🇪 Germany — ~€12B+ ~+9%/yr
🇪🇸 Spain — ~€7-9B +7.3%/yr
🇨🇭 Switzerland · ~CHF 3B +7%/yr
🇫🇮 Finland · 2× by 2040 demographic
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