Companionship and home help for older people

Offer visits, errands, meals and company to older neighbours, without the personal care that needs regulation.

Startup cost£300 to £2k
Monthly revenue£400 to £1.8k
Time needed10+ h/week
First incomeWeeks
  • £300-2k
  • Side hustle
  • Out and about

Estimates for a small start in the UK, not guarantees.

Official data

11,112 UK companies in this field, 32% registered in the last 2 years

SIC 88100 “Social work activities without accommodation for the elderly and disabled”. Source: Companies House, November 2026.

What it is

A small non-medical support service: companionship, shopping, light housework, meal preparation, lifts to appointments and help with post. It does not include washing, dressing or other personal care.

Your first three steps

  1. Write a clear list of what you will and will not do, so it stays outside personal care
  2. Get public liability insurance, an enhanced DBS check and a first aid certificate
  3. Introduce yourself to local community groups, GP surgery noticeboards and churches, and offer a first visit
Who pays

Older people living alone, and their adult children who live far away and want reassurance.

How it makes money

Hourly rate per visit, often with regular weekly clients. Rates vary by area, so check what local services charge. You can add paid helpers as demand grows, which is how income rises beyond what you can earn alone.

Skills that help
  • Patient and good listener
  • Reliable and trustworthy
  • Basic organisation and record keeping
Watch out for
  • Personal care is a regulated activity in England and needs registration with the CQC; check the rules for your nation before offering anything close to it
  • Public liability insurance, plus employer's liability once you hire
  • Handling clients' money, keys and bank cards: agree clear written rules and keep receipts
  • Safeguarding duties if you have concerns about a client's wellbeing

Deep research report · UK

Everything you need to start: companionship and home help for older people

Researched with live web search for United Kingdom: real startup prices, the licences and rules, what others charge, a break-even example, how to find your first customers and a 30-day launch plan. With sources.

  • Startup costs with real prices
  • Licences, registration and rules
  • Pricing: what others charge
  • Break-even example
  • Finding your first customers
  • 30-day launch plan
  • Risks and how to reduce them
Ready in about 2 minutes · one-off payment, tax included

See a full sample report

Questions people ask

How much does it cost to start a companionship service for older people?

Estimates suggest startup costs are typically around £300 to £2,000, depending on insurance, equipment, marketing and how you travel to clients. Compare these figures with your own plans and local prices before you commit any money.

Do I need to register to offer home help for older people?

Personal care is a regulated activity in England and needs CQC registration, so check the rules for your nation before offering anything close to it. Also check insurance, including employer's liability once you hire, and your safeguarding duties.

How much can a companionship and home help service earn?

Estimates suggest monthly revenue is typically around £400 to £1,800, depending on how many clients you take on and the hours you work. The idea assumes at least about 10 hours a week to get started.

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