Caremark
A United Kingdom-based home-care services company operating through a network of franchise offices.
Last updated October 29, 2026
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Overview
Caremark is a British home-care services company headquartered in Worthing and operating through a franchise network. Its business combines privately paid care with services funded or arranged through public-sector bodies, including local authorities. The company provides care in customers’ homes rather than concentrating on residential facilities, with services intended to support older people, people with disabilities, and individuals requiring assistance with daily living. The business was founded in 2005 by Kevin Lewis, who became its chief executive. Its origins are connected to Lewis’s earlier experience in social care: he established a care home in Brighton in 1987 and later identified an opportunity to expand independent home-care provision following the United Kingdom’s National Health Service and Community Care Act 1990. That legislation helped shape a system in which local authorities could finance community-based support, creating conditions for private providers to deliver care in people’s homes. Caremark’s service portfolio can include companionship, live-in care, overnight care, respite care, and other forms of personal assistance. Live-in care places a care worker in the customer’s home, while overnight and respite services are designed to support customers and family caregivers with continuous or temporary coverage. The franchise model allows local offices to deliver services within their communities while operating under the Caremark brand and broader network structure. By 2020, Caremark had 128 offices and approximately 6,000 employees. Most offices were located in the United Kingdom, with additional operations in Ireland, Malta, and India. Its Indian operation in Cochin provided free care in a home serving 180 people described in the reference material as having been abandoned. In 2022, the company reported more than 7,000 remote caregivers working through 115 franchise offices, indicating a substantial network even as the number of offices differed from the 2020 figure. The company expanded recruitment during the COVID-19 pandemic. In April 2020, it sought to recruit 3,000 additional staff in the United Kingdom in response to increased demand for home care, and it was also recruiting in Ireland. Caremark’s frontline workforce received public recognition during the pandemic, including an incident in which a staff member from the Guildford and Woking franchise was given free petrol and applauded by people at a filling station. Caremark has also explored technology intended to help people remain connected and supported at home. In 2021, the Gloucestershire franchise trialled a voice-activated device called Genie. The system was designed to provide video calling, welfare monitoring with alerts, entertainment, online shopping access, and remote medical support. This initiative reflected an attempt to supplement human care with tools that could support communication, social contact, and remote oversight. The company’s franchise network has received both criticism and recognition from regulators and care-sector organisations. In 2019, the Care Quality Commission rated the Bradford franchise inadequate and placed it in special measures after a high number of safeguarding alerts. In the same year, the Plymouth franchise received an outstanding rating. Two employees from the Huddersfield franchise were nominated for the Great British Care Awards. These mixed outcomes illustrate the importance of local operating standards and oversight within Caremark’s decentralised model. Caremark’s positioning is therefore based on community-based, flexible, and person-centred care delivered in customers’ homes. Its scale comes from franchised local offices rather than a single centrally operated chain of care facilities. The company remains an active provider in the United Kingdom and has an international footprint through smaller operations in Ireland, Malta, and India.
History
Caremark’s development is rooted in the career of Kevin Lewis, who established a care home in Brighton in 1987. His later work was influenced by changes in British community-care policy following the National Health Service and Community Care Act 1990. The legislation supported a greater role for local authorities in arranging and funding care outside traditional residential settings, helping create an opportunity for independent organisations to provide care in people’s homes. Lewis founded Caremark in 2005 and served as its chief executive. The company developed as a home-care provider using a franchise structure. Rather than operating only a centrally managed group of branches, Caremark built a network of local offices that could recruit staff and deliver care within defined communities while using the common brand. The model supported a mixture of private-pay work and publicly funded or commissioned services. Caremark’s services expanded beyond basic scheduled visits. Depending on the local office and customer’s needs, care could include companionship, personal assistance, live-in care, overnight support, and respite care. This range allowed the network to serve customers requiring occasional help as well as those needing continuous support at home. The home-based model also positioned the company as an alternative or complement to residential care. The network grew substantially in the United Kingdom and also established a presence outside the country. In 2020, Caremark was reported to have 128 offices and around 6,000 employees. Most offices were in the United Kingdom, while 12 were in Ireland, one was in Malta, and one was in India. The Indian office in Cochin provided free care in a home for 180 people described as abandoned, giving the company’s international footprint a charitable and social-care dimension in addition to its commercial franchise operations. The COVID-19 pandemic placed considerable pressure on home-care providers and increased demand for staff. In April 2020, Caremark sought to recruit 3,000 additional workers in the United Kingdom and continued recruitment in Ireland. The work of frontline staff also attracted public appreciation, including a reported incident involving an employee from the Guildford and Woking franchise who received free petrol and spontaneous applause at a petrol station. Caremark subsequently reported a large distributed workforce. In 2022, it had more than 7,000 remote caregivers across 115 franchise offices. The differing office counts reported in 2020 and 2022 should not be treated as a direct measure of simple expansion or contraction, because franchise-network totals and reporting definitions may have changed. Technology became another area of experimentation. In 2021, Caremark Gloucestershire trialled Genie, a voice-activated robot or care-support device. It was intended to enable video conversations with relatives and friends, provide welfare monitoring and alerts, offer entertainment, give access to online shopping, and assist with remote medical support. The trial reflected the growing use of digital tools to complement, rather than replace, in-person care. The record of the franchise network includes both positive recognition and regulatory criticism. The Care Quality Commission rated the Bradford franchise inadequate in 2019 and placed it in special measures after numerous safeguarding alerts. By contrast, the Plymouth franchise received an outstanding rating from the regulator in April 2019. Two workers from the Huddersfield franchise were nominated for the Great British Care Awards in the same year. These events demonstrate that performance was assessed at local-franchise level and could vary considerably across the network. Caremark’s history is consequently one of growth through franchising, diversification of home-care services, and adaptation to changing public policy, demographic needs, workforce pressures, and technology. It remains an active United Kingdom home-care brand with smaller operations in Ireland, Malta, and India.
- 2022
Network reported more than 7,000 remote caregivers
[1]Caremark was reported to have over 7,000 caregivers working through 115 franchise offices.
- 2021
Genie technology trial began in Gloucestershire
[1]The local franchise tested a voice-activated device for communication, welfare monitoring, entertainment, shopping, and remote medical support.
- 2020
Caremark expanded pandemic recruitment
[1]The company sought 3,000 additional UK workers as demand increased during the COVID-19 pandemic.
- 2019
Franchise network received mixed regulatory and sector recognition
[1]The Bradford franchise was rated inadequate and placed in special measures, while the Plymouth franchise received an outstanding rating and Huddersfield staff received Great British Care Awards nominations.
- 2005
Caremark was founded
[1]Kevin Lewis established Caremark as an independent home-care company.
- 1990
National Health Service and Community Care Act changed the policy context
[1]The Act helped create opportunities for independently operated, publicly financed care delivered in people’s homes.
- 1987
Kevin Lewis established a care home in Brighton
[1]This earlier care-sector activity formed part of the professional background from which Caremark later developed.
Products and positioning
Community-based home care delivered through a local franchise network, serving both privately paying customers and people whose care is funded or arranged through public authorities.
Home-care service
Companionship and home-care visits
Caremark local offices provide in-home assistance that can include companionship and support with everyday activities. The service is intended to help customers remain in familiar surroundings while receiving practical and social support. Availability and precise scope can differ between franchise offices.
Continuous home care
Live-in care
Live-in care places a care assistant in the customer’s home to provide continuing support. It is aimed at people whose needs are not adequately met by occasional visits and can also provide reassurance to relatives. The service is delivered through the local Caremark franchise network.
Home-care service
Overnight care
Overnight care supports customers during nighttime hours. It forms part of Caremark’s broader range of flexible home-care arrangements and may be used alongside daytime visits or live-in support, depending on individual requirements.
Caregiver support
Respite care
Respite care provides temporary assistance so that family members or other informal caregivers can take a break. It can be arranged as part of a wider home-care plan and is delivered locally through Caremark offices.
Assistive care technology · 2021
Genie
Genie was a voice-activated care-support device trialled by Caremark Gloucestershire in 2021. Its proposed functions included video calling, welfare monitoring with alerts, entertainment, online shopping, and access to remote medical support. The reference material describes it as a trial rather than a confirmed network-wide commercial product.
Controversies
2026
Pennsylvania sues insulin makers and PBMs over alleged insulin price collusion
Pennsylvania filed a lawsuit against Eli Lilly and Co., Novo Nordisk Inc., Sanofi-Aventis US LLC, and several pharmacy benefit managers (PBMs), including Caremark, alleging that they colluded to raise insulin prices. The suit seeks structural changes, restitution, and financial penalties. The allegations concern the pricing of insulin and the roles of the manufacturers and PBMs named in the action.
Brand decisions
2021
Genie care-technology trialProduct launchBackground
Older people receiving care at home could benefit from easier contact with relatives and additional remote welfare support.
Action taken
Caremark Gloucestershire trialled a voice-activated device offering video calling, welfare alerts, entertainment, shopping access, and remote medical support.
Aftermath
The available reference material confirms the trial but does not report a network-wide rollout or commercial outcome.
2020
Pandemic recruitment expansionStrategyBackground
Demand for home-care services increased during the COVID-19 pandemic, creating additional staffing requirements.
Action taken
Caremark sought to recruit 3,000 extra staff in the United Kingdom and continued recruitment activity in Ireland.
Aftermath
The recruitment drive demonstrated the workforce pressures affecting the company’s home-care network during the pandemic.
Recent events
- Unconfirmed
Pennsylvania sues insulin makers and PBMs over alleged insulin price collusion[2]
Pennsylvania sued Eli Lilly and Co., Novo Nordisk Inc., Sanofi-Aventis US LLC, and several PBMs, alleging that they colluded to raise insulin prices. The lawsuit seeks structural changes, restitution, and financial penalties.
Reported
Lackie Drug Store sues pharmacy benefit managers over alleged anticompetitive practices[3]
Lackie Drug Store Inc. filed a case in Lonoke County Circuit Court alleging that pharmacy benefit managers, including CVS Health Corporation and Caremark entities, used reimbursement methodologies and practices that were anticompetitive. The allegations include withholding Maximum Allowable Cost information and conspiracy regarding pricing rates; the source reports allegations, not a determination.
Sources3 sources
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