City & County Healthcare Group

Name

City & County Healthcare Group

Legal name

City and County Healthcare Group Ltd

Website

https://candchealthcare.co.uk

Company type

Private

Founded year

2009

Operating status

Operating

Headcount range

5,001–10,000 employees

Ownership category

akta.pro rank

Product category

Home Health Care Services

NAICS

Home Health Care Services (62161), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

Personal Care / Non-Medical Home Care (Private Duty) (HLAFAEAB)

akta.pro secondary industries

Live-In & 24/7 In-Home Care (HLADAGAI), Care Management & Care Coordination (Home & Community-Based) (HLAFAEAL)

Keywords

• Home care services
• Complex care services
• Live-in care
• Supported living services
• Adult social care

Headquarters

HQ city

Wembley

HQ country

United Kingdom

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Others

Revenue model

1. Government and Local Authority Contracts: Majority of revenue comes from contracts with local authorities, integrated care systems, and NHS commissioning. Services are provided under framework agreements for social care provision.
2. Private Pay Clients: Direct billing to private individuals and families for homecare, complex care, live-in care, and extra care services.
3. Healthcare Staffing: Through Hamilton Cross and SCP Recruitment, providing agency staff to the health and social care sector across the UK.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

City & County Healthcare Group is the UK's largest home care provider, delivering approximately 1.5 million hours of care each month through 32 operating companies and 260+ branch locations. The group provides homecare (domiciliary), complex care, live-in care, extra care, learning disabilities support, and supported living services to elderly and disabled adults across all four UK nations. Services are predominantly commissioned by local authorities and the NHS under framework agreements, supplemented by direct private-pay arrangements and healthcare staffing placements through Hamilton Cross and SCP Recruitment.

Product overview

City & County Healthcare Group operates as the UK's largest home care provider, delivering 1.5 million hours of care monthly through a network of 32 operating companies across 260+ locations. The core technology offering is the Model Branch digital platform—a proprietary system that digitizes care management workflows, enabling real-time care monitoring, automated scheduling, and paperless documentation. This platform is complemented by CCH Connect, an internal communications platform for the 14,000-strong workforce. The service portfolio spans six core offerings: Homecare, Complex Care, Live-in Care, Extra Care, Learning Disabilities support, and Supported Living. The operating company portfolio includes both organically grown and acquired brands (MiHomecare, Complete Care Amegreen) that operate under unified governance while maintaining local market identities.

Differentiator

Problem solved

Functional benefit

Brands

• Model Branch: Digital platform transforming the way care is delivered, enhancing quality of care and giving care professionals more time with clients.

Products and services

• Homecare Services Domiciliary care services providing personal care, medication management, domestic support, companionship, and specialised care for individuals with age-related, chronic illness, or disability-related impairments in their own homes.
• Complex Care Services Comprehensive continuous care for individuals with serious illnesses or disabilities, including brain injuries, spinal cord injuries, neurological conditions, dementia, and palliative/end-of-life care, delivered by highly qualified professionals.
• Live-in Care Services 24/7 continuous care where a care professional resides in the individual's home, providing personal care, medication management, domestic support, companionship, and daily schedule support for those needing continuous assistance.
• Extra Care Services Housing schemes with on-site care staff providing 24/7 support for medication management, personal care, and mobility assistance while residents maintain independence in private flats within a community setting.
• Learning Disabilities Services Specialised support for adults and children with learning disabilities including autism, ADHD, Down syndrome, and profound multiple learning difficulties, delivered through one-to-one care, education assistance, and community integration.
• Supported Living Services Flexible care enabling adults with mental health conditions, learning disabilities, or physical impairments to live independently in their own homes or shared housing with scheduled or 24/7 support as needed.
• Healthcare Staffing (Hamilton Cross and SCP Recruitment) Agency staffing placement services providing temporary and permanent health and social care staff to care providers and NHS partners across the UK via Hamilton Cross and SCP Recruitment.

Quantifiable outcome

• 1.5 million hours of care delivered monthly across UK operations
• +2 more outcomes

Named customers3 records

Segments5 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability1 record

Feature2 records

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Helping Hands Home Care: One of the UK's largest dedicated home care and live-in care providers, offering visiting care, complex care and live-in services through regional branches. Highly comparable to CCH's homecare, complex care and live-in care service lines and similar target customer base of private-pay families and local authority contracts.
• Home Instead UK: National UK home care franchise network specializing in relationship-led personal care for older adults in their own homes, including dementia and Alzheimer's support. Directly comparable to CCH's core homecare service, addressing the same elderly homecare segment through multi-branch UK coverage.
• Bluebird Care: National UK home care franchise providing personal care, dementia support, live-in care and reablement across a wide branch network. Comparable to CCH's homecare and live-in care offerings with similar local authority contracts and elderly/disability client base.
• Right at Home UK: UK franchise network delivering personal care, dementia care, respite and live-in support to older adults at home. Directly comparable to CCH's homecare service line targeting the same elderly homecare segment with similar local authority and private-pay customer mix.
• Acacium Group (parent of Allied Healthcare): UK-based healthcare staffing and home care group combining homecare services with agency staffing to the NHS and social care sector. Closely comparable to CCH's blended homecare + staffing model via Hamilton Cross and SCP Recruitment and similar commissioner/customer mix.

Broad incumbents

• Care UK: One of the UK's largest independent providers of residential care, nursing care and home care, operating across hundreds of locations. Comparable to CCH as a large-scale operator of community-based and residential services with overlapping elderly care customers and local authority contracts.
• HC-One: The UK's largest nursing and residential care home operator with several hundred homes across England, Scotland and Wales. Comparable as a large UK elderly care provider with overlapping local authority commissioning relationships, though CCH operates predominantly in home-based rather than residential settings.
• Bupa UK: Globally diversified healthcare group with a significant UK elderly care business (residential, nursing and specialist dementia homes) alongside health insurance and clinics. Comparable as a major UK care provider with overlapping elderly customer base and healthcare ecosystem, though Bupa's UK care arm is residential-focused rather than home-based.
• Sodexo UK (Healthcare & Seniors segment): Global services group with a significant UK presence in healthcare facilities management and seniors services including home care and supported living. Comparable as a broad-based UK health and social care operator serving institutional and community clients alongside public sector contracts.
• MHA (Methodist Homes): One of the UK's largest charitable providers of older people's care, operating care homes with nursing, retirement living and community-based support services. Comparable as a large UK elderly care provider with overlapping local authority commissioning model, though primarily residential rather than home-based like CCH.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat6 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xtwitter.com/candchealthcare
• YouTubeyoutube.com/channel/UClvIcQKzryULVBlqiYnrENA/videos
• Facebookfacebook.com/cityandcountyhealthcare

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Subsidiaries32 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A11 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about City & County Healthcare Group