D2C Healthcare is acquiring and consolidating quality home care businesses across England and Wales, creating a CQC-rated platform that elevates care standards, empowers carers, and delivers sustainable growth.
The UK domiciliary care sector is one of the largest and most fragmented healthcare markets in Europe, with over 10,600 CQC-registered providers across England alone. D2C Healthcare is building the platform to professionalise and scale the best of these businesses.
The UK's 65+ population will grow by 40% over the next 20 years. NHS discharge pressures, local authority budgets shifting to community-based care, and rising private-pay demand are accelerating sector growth.
Hospital discharge backlogs and delayed transfers of care are driving urgent demand for domiciliary provision. Integrated Care Boards (ICBs) increasingly contract with scaled providers who offer reliability across geographies.
Over 10,600 registered providers, with the vast majority operating single locations. Most lack technology, recruitment infrastructure, and governance to compete for NHS framework contracts at scale.
The new CQC single assessment framework raises compliance standards and costs. Smaller operators face growing difficulty maintaining Good or Outstanding ratings without professional management and investment.
With 130,000 vacant roles, independent operators are struggling to recruit. Many founders are burnt out and seeking exits. D2C offers a dignified path forward with centralised recruitment and career development infrastructure.
Consolidation unlocks 500-800bps of EBITDA improvement through shared technology, centralised recruitment, group insurance and procurement, NHS framework contracts, and professional governance.
A disciplined, repeatable process that preserves local identity and care relationships while unlocking platform-level efficiencies, growth, and CQC quality improvement.
Source quality CQC-registered domiciliary care businesses. Prioritise providers with Good/Outstanding ratings, established client bases, and committed care teams.
Fair, transparent valuations with flexible structures. Cash, earn-outs, and equity participation. Typically 4-7x EBITDA for quality rated assets with NHS/LA contracts.
Onboard to the D2C platform: shared rostering and ECM technology, centralised recruitment, group compliance frameworks, and CQC quality management systems.
Improve CQC ratings, win NHS framework contracts, expand private-pay, and drive operational efficiency through technology, training, and professional management.
Expand into adjacent services: complex care, learning disability, live-in care, and NHS Continuing Healthcare. Build regional density for ICB framework contracts.
You've built something meaningful in a demanding sector. Our approach respects your legacy and offers a compelling path forward for you, your team, and the people you care for.
Fair multiples reflecting your CQC rating, contract mix, and growth profile. Flexible structures: lump sum, staged payments, earn-outs, or equity participation in the wider platform.
Full TUPE compliance with equivalent or improved terms. Our investment in recruitment, training, career pathways, and better working conditions means your people gain more than they give up.
Non-negotiable. Existing carer-client relationships are preserved. We enhance the service with better technology, clinical governance, and backup capacity that a single location cannot provide.
Our dedicated compliance and quality team supports every location towards Outstanding. Professional governance, audit frameworks, and electronic care management elevate standards across the board.
As a scaled platform, D2C can bid for ICB and local authority framework contracts that individual providers cannot access. Your business benefits from larger, more reliable revenue streams.
Want to continue as Registered Manager or Regional Director? Or prefer a clean exit? We support both paths with structured transitions tailored to your personal plans and timeline.
We seek CQC-registered domiciliary care businesses at various stages of maturity. Our criteria are flexible and we welcome conversations with any owner considering their options.
Active CQC registration with a current rating of Good or Outstanding. Requires Improvement considered where clear improvement pathway exists
Minimum 2 years operating with a stable or growing mix of private-pay, local authority, and/or NHS-funded clients
Annual turnover from £250K to £10M+. We consider businesses of all sizes with quality fundamentals and growth potential
Established team of care workers, support workers, or nurses with reasonable retention and a named Registered Manager in place
DBS checks current, staff training up to date, policies and procedures in place, professional indemnity and employer's liability insurance active
We are acquiring across all regions of England and Wales, with priority focus on areas with strong ICB contract pipelines
Confidential Discussion — An initial, no-obligation conversation to understand your business, CQC history, and motivations
Indicative Valuation — Based on high-level financials and CQC rating, we provide a preliminary range within 2 weeks
Due Diligence — Respectful, thorough review of operations, finances, CQC compliance, contracts, and care records
Deal Structuring — Tailored to your needs: timing, TUPE, Registered Manager transition, payment terms, and legacy considerations
CQC Notification & Completion — We manage the CQC provider registration transfer and onboard your team to the D2C platform
Typical timeline from first conversation to completion: 10-16 weeks including CQC registration transfer. All discussions held in the strictest confidence.
We are building regional density to secure ICB framework contracts and operational efficiency. Priority regions are identified, but we welcome conversations from quality providers in any area.
All boroughs
PriorityKent, Surrey, Sussex, Hampshire, Berkshire, Oxfordshire
PriorityEssex, Hertfordshire, Suffolk, Norfolk, Cambridgeshire
PriorityBristol, Somerset, Devon, Cornwall, Dorset, Wiltshire
ActiveBirmingham, Coventry, Wolverhampton, Staffordshire, Worcestershire
ActiveNottinghamshire, Leicestershire, Derbyshire, Northamptonshire
ActiveManchester, Liverpool, Lancashire, Cheshire, Cumbria
Target 2027Leeds, Sheffield, York, Hull, North & West Yorkshire
Target 2027Newcastle, Durham, Sunderland, Northumberland
Target 2027Cardiff, Swansea, Newport & CIW-registered providers
Target 2027Buckinghamshire, Bedfordshire, Hertfordshire
PriorityQuality providers welcome from any region
OpenWhether you're ready to sell today or just exploring future possibilities, we'd welcome a confidential, no-obligation conversation.
If you own or operate a CQC-registered domiciliary care business in England or Wales and are considering your exit options, succession planning, or growth partnership opportunities, we would be delighted to hear from you.
We welcome enquiries from investors, strategic partners, and healthcare professionals interested in joining or supporting the D2C Healthcare platform.
D2C Healthcare also operates an acquisition platform across the Republic of Ireland. If you own a home care business in Ireland, please contact us.