inTouch
Market opportunity · 2025

The European home-care opportunity.

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

🇫🇷 France🇬🇧 UK🇩🇪 Germany🇪🇸 Spain🇮🇹 Italy
🇫🇷 France · 01a

Top 10 home-care operators.

1ClarianePrivate group (ex-Korian)
2DomusVi DomicilePrivate operator
3Groupe Oui Care / O2No.1 home services
4ColiséePrivate operator
5Domaliance (a2micile)National network
6VitallianceDependency home care
7Petits-filsNational mandate network
8ADMRNon-profit network
9UNANon-profit union
10DestiaAgency network
🇫🇷 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
2Cera CareDigital-first, AI
3Helping HandsNational network
4Home Instead UKFranchise
5Bluebird CareFranchise
6Right at Home UKFranchise
7The Good Care GroupPremium live-in care
8CaremarkFranchise
9ElderLive-in care marketplace
10Prestige Nursing & CareHome care & nursing
🇬🇧 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.

🇩🇪 Germany · 03a

Top 10 home-care operators.

1Home Instead DEAmbulatory market leader (franchise)
2advita PflegedienstNo.2 ambulatory
3Bonitas HoldingPrivate care group
4Korian DeutschlandAmbulatory & residential
5Promedica2424-hour live-in care
6CaritasNon-profit (leader)
7DiakonieNon-profit
8Johanniter-Unfall-HilfeNon-profit
9German Red Cross (DRK)Non-profit
10Arbeiter-Samariter-BundNon-profit
🇩🇪 Germany · 03b

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 · 04a

Top 10 home-care operators.

1QidaSociosanitary leader
2Clece CuidaHome care (Clece Group)
3Sanitas MayoresHealth & care group
4Eulen SociosanitariosCorporate private
5Sacyr SocialDiversified operator
6CuideoHome caregivers (leader)
7AiudoHome caregivers
8Vitalia HomePrivate operator
9AsispaNon-profit
10AtenziaTelecare & home care
🇪🇸 Spain · 04b

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.

🇮🇹 Italy · 05a

Top 10 home-care operators.

1KOS GroupCorporate healthcare group
2Korian ItaliaInternational group
3Sereni OrizzontiPrivate operator
4Gruppo GheronResidences & services
5CoopseliosCooperative
6Cooperativa OSALarge cooperative
7Cooperativa CadiaiCooperative (Bologna)
8PrivatAssistenzaFranchise network (No.1 home)
9Assistiamo GroupHome care
10UGOCaregiver / companionship
🇮🇹 Italy · 05b

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.

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
🇩🇪 Germany — ~€12B+ ~+9%/yr
🇪🇸 Spain — ~€7-9B +7.3%/yr
🇮🇹 Italy — ~€9-10B ~+13%/yr
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