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Sell-side

Who Actually Buys a Home Care Agency, and Which of Them Pays Most

Jess CookJess Cook, Business AgentJess CookBusiness AgentJess works with the owners of home care agencies and aesthetic clinics who are starting to think about selling, and she is usually the first person an owner speaks to at Stone & Co. She has spent the past two years in healthcare business sales, first with one of the UK’s largest brokers, and joined Stone & Co to work more closely with a smaller number of owners than a large firm allows.13 October 2026Updated 23 October 20268 min read

Five kinds of buyer are active in UK home care, they value the same agency differently, and the one you already know is rarely the one who pays best.

Key highlights

  • Home care agencies in the UK are bought by regional groups, national providers, franchise networks, investor-backed groups and, at the smaller end, experienced operators buying an agency of their own.
  • LaingBuisson values UK home care and supported living at more than £15bn a year, and the four largest providers hold 8.1% of it, so the buyer for most agencies is another independent or a group that is still being built.
  • Recruiting care workers from overseas closed to new applicants on 22 July 2025, which made opening a branch from scratch much harder and buying an agency with settled carers much more attractive.
  • Each kind of buyer pays for something different: clients clustered in towns it already serves, cover for a contract area, an established franchise territory, or evidence that the profit will keep growing.
  • The local competitor who has already approached you tends to make the lowest offer, because they believe they could win your clients without buying the business.

Our figures are updated regularly. Last updated October 2026.

Who would actually buy your agency? Most owners answer with one name, usually the group two towns over or the competitor whose manager they sit next to at the council's provider forum, and a sale with a single buyer in it is a negotiation the owner usually loses on price.

Five kinds of buyer are active in UK home care. Regional groups buy agencies in towns next to the ones they already serve, national providers buy to cover counties where they are missing, franchise networks handle resales and new territories, investor-backed groups buy agencies to build something larger, and below about £1m of turnover the buyer is often an experienced operator, a registered manager or a former owner buying a business of their own. They look at the same agency and reach different prices because each of them is paying for something different, and which of them pays most for yours depends on where your clients are, how your hours are funded and how settled your carers are.

Starting a branch in today's market means a year or more of recruiting, so groups buy agencies whose carers already turn up.

01—Why Groups Buy

Why Groups Buy Agencies Instead of Opening Their Own

Home care is still a market of small owners. LaingBuisson values UK home care and supported living at more than £15bn a year, delivered to around 915,000 adults in England, and the four largest providers hold 8.1% of it between them. Our own register shows the same picture from the ground up: it holds more than 13,400 registered home care services in England and the 17,000 owners behind them, and most of those owners run one or two branches. A group that wants to grow in a market shaped like that can open its own branches one at a time, or it can buy agencies that already exist.

For most of the last decade opening was a realistic choice, because a group could register a branch, recruit carers from overseas on the care worker visa and be delivering hours within months. That route closed to new overseas applicants on 22 July 2025. Providers can still sponsor care workers who are already in the UK until July 2028, but only once the worker has been with them for three months, so the pool that staffed most new branches has largely gone. Skills for Care's 2026 workforce report puts turnover among domiciliary staff at 23.5% in 2025/26, which is lower than it has been for years and still means close to one carer in four leaves within a year.

Starting a branch in that market means a year or more of recruiting before it pays its way. Buying an agency means taking over a working team, with its clients and its relationship with the council, from the first day of ownership. When buyers say they are buying the team, this is what they mean, and it is why an agency with settled carers draws several interested parties to the table.

The price you accept is set by how many serious buyers wanted the agency at the same time.

02—The Five Buyers

The Five Buyers and What Each One Pays For

Regional groups are usually the keenest buyer for a smaller agency, because your hours make their existing rotas cheaper to run. If they already deliver care in your area, adding your clients means shorter journeys between visits across the whole patch, so the margin improves on work they already had. They pay for where your clients are, which is why an agency with its hours clustered in two or three towns a group wants can be worth more to them than a larger agency spread thinly across a county.

National providers buy to fill gaps in their coverage and to support contracts they hold or are bidding for. The largest home care deal of 2025 was Cera buying Care at Home Services in November, adding more than 5,500 people across the South, South East, East Midlands and London, and deals at that size are the visible end of a steady stream of smaller ones. A national provider looks harder than anyone at your management, because it will run your agency through an existing head office and needs a registered manager and coordinators who can carry on without you. A small agency interests them mainly when it sits in a place a contract needs covering.

Franchise networks are the route owners most often forget. If you run a franchised agency, the network usually has a say in who can buy your territory, and your franchise agreement sets out how a resale works, so the pool of buyers is shaped before you start. If you run an independent agency, a franchisee who wants to grow can be a serious bidder, and converting an independent agency to a franchise brand is more straightforward than most owners expect.

Investor-backed groups are the buyers most owners have never met. They are home care businesses funded by private equity or family investors, built by adding agencies one at a time, and they pay the strongest prices where the evidence supports them. They also ask for the most evidence: weekly hours going back two or three years, carer retention, funding broken down by each council and private client, and a clean CQC position. Nearly two in five home care agencies in England have never been rated by CQC, and for this kind of buyer an unrated agency is a much harder purchase to approve.

Experienced operators account for many sales at the smaller end. They are registered managers ready to own a business, owners of a neighbouring agency, or people who have sold one agency and want another. They usually fund the purchase with a bank loan and their own money, and often ask for part of the price to be paid over a year or two from the agency's profits. Their offers can be lower in total, but they tend to value continuity, they are often happy for you to stay on for a handover period, and for an agency turning over a few hundred thousand pounds they are frequently the most likely buyer of all.

A computer keyboard with a Buy key
Different kinds of buyer value the same agency differently.

03—The Local Competitor

Why the Competitor Who Approaches You Rarely Pays Most

The local competitor is the buyer most owners hear from first, and the one least likely to pay well, because they believe they have another option. They can bid for your clients when the council's contract comes round again, recruit your carers after a difficult month, and wait to see whether you tire of it. Whether or not that is realistic, the belief sits underneath every offer they make and keeps the number down.

Talking informally to a competitor also carries the risk owners worry about most. If the conversation starts over coffee and ends without a deal, a rival has seen your rates, your funding mix and the names of your carers, and there is no way to take that back. This is why we never name an agency to a buyer until that buyer has been checked and has signed a confidentiality agreement.

None of this makes the local group the wrong buyer. They know the area, they will often look after your clients and staff well, and the handover can be simple. What decides the price they pay is whether they are bidding alongside two or three other buyers or talking to you alone.

04—Funding and Buyers

How Your Funding Mix Changes Who Will Buy

The way your hours are funded narrows or widens the list of buyers. Councils in England paid an average of £25.37 an hour for home care in 2026/27, according to the Homecare Association's October 2026 fee rates report, against its Minimum Price for Homecare of £34.42, and no contract in its research paid the minimum. The Department of Health and Social Care's own return for 2025/26, which our Market Index uses, put the council average at £24.30 an hour. An agency that delivers most of its hours for one council at that council's rate is valuable mainly to a buyer who already holds a place on the same council framework, can fold the work into a dense rota and accepts the margin.

An agency with a strong share of private clients is a different proposition. Private rates are higher, clients choose to stay, and no single commissioner can change the business overnight by re-tendering a contract, so investor-backed groups and national providers will look at it seriously as well as the local groups. Spreading the funding across private clients and more than one council keeps every type of buyer in play, which is why it sits in the top band on our domiciliary valuation table.

05—Before You Sell

What This Means If You Are Thinking of Selling

The first step is a wider picture of who might want the business. We run every agency we value against our own register of every regulated home care business in England, which shows us who already operates within twenty miles, which groups have bought recently and where a group is missing from your area. Most owners are working from a much shorter list, usually built from local reputation and the occasional approach letter.

It also helps to know what each kind of buyer will ask for. Regional groups want to see that your clients are clustered and your carers will stay. National providers want a management team that does not depend on you. Investor-backed groups want three years of evidence. Experienced operators want to know you will help with the handover. Preparing to the standard an investor-backed group expects covers what all the others need too, so it is worth doing even if you expect to sell to the group next door. If you would like a first view of what your agency might fetch, the valuation calculator takes a few minutes.

The price you eventually accept is set by how many serious buyers wanted the agency at the same time, and owners who sell to the only buyer who ever called them rarely find out what a second one would have paid.

If you are starting to think about selling, or a buyer has already been in touch and you would like a view before you reply, we offer every owner a free full valuation and are always glad to have that conversation.

Jess Cook, Business Agent

Jess Cook

Business Agent. Jess works with the owners of home care agencies and aesthetic clinics who are starting to think about selling, and she is usually the first person an owner speaks to at Stone & Co. She has spent the past two years in healthcare business sales, first with one of the UK’s largest brokers, and joined Stone & Co to work more closely with a smaller number of owners than a large firm allows. Before that she spent three years in investor services at Starling, and she studied at the University of Warwick. She writes our articles on the home care and aesthetics markets.

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