13 care employers in City of London could find you

Working in care in City of London

Is there care work in the Square Mile, with so few people living there?

Some, but not much, and it helps to know why. The City of London is the smallest local authority area in England, about 1.12 square miles, and only around 8,600 people live among the offices. Most residents are concentrated in a few places, chiefly the Barbican Estate, while Portsoken ward on the eastern edge is the most diverse part of the City and among the most deprived fifth of areas in the country.

There are no care homes, nursing homes or supported living services inside the City at all. People who need residential care move out, and the CQC's 2026 assessment found most placements are within five miles, in neighbouring boroughs. So care work for City residents means home care, and the City of London Corporation commissions a single home care agency for most of it, with specialist support bought in from outside. The care employers registered at City addresses are home care services, and an office in the Square Mile does not necessarily mean the visits are there, so ask where a round actually is.

The Corporation offers direct payments, and the CQC heard that staff use them creatively, including helping people employ their own personal assistants and arrange culturally appropriate care. With so few residents, PA roles here are rare, but they do come up. The Corporation also runs a rapid response service giving up to 72 hours of support at home to avoid a hospital stay.

On the NHS side, St Bartholomew's Hospital at West Smithfield, part of Barts Health NHS Trust, is a specialist heart and cancer centre inside the City. The nearest college courses are just outside: Capital City College's King's Cross centre teaches Health and Social Care at Levels 1 to 3.

100% of the inspected care employers in City of London are rated Good or Outstanding by the CQC, above the 88% across London and above England as a whole (85%).