Home careLoneliness

How do you help a lonely elderly person?

Loneliness in later life is common, and it is not just an unhappy feeling: research links it to a higher risk of dementia, stroke and depression. The way to tackle it is rarely one big gesture. It is a week with no day left empty, built from family and friends who visit or call, a free helpline or local group that fills the days nobody else can, and a companionship carer where the gaps are still there.

By James Bowdler, founder of PrimeCarers  ·  Updated September 2026  ·  13 min read · See an example week

An elderly man smiling as he points to a wall calendar of visits, with home-grown vegetables hanging by the kitchen door

Part of our guide to companionship care.

Why it matters

What loneliness does to health, and why it is worth acting on

Feeling lonely sometimes is ordinary. What matters here is the kind that does not lift: an older person who has gone from a working week and a full house to long stretches with nobody to talk to. Age UK's most recent research puts a number on what that does to health.

940,000

people over 65 in the UK are often lonely

About 1 in 14.

25%

higher risk of dementia

For people who are often lonely, against those who rarely are.

32%

higher risk of stroke

Loneliness is also linked to a 29% higher risk of coronary heart disease.

9 in 10

often-lonely older people are also unhappy or depressed

Against 4 in 10 of those who are hardly ever lonely.

Age UK, 'You are not alone in feeling lonely', December 2024.

Not everyone who lives alone is lonely, and not everyone who is lonely says so. Some people are content with their own company and see fewer people from choice, and that is worth respecting rather than fixing. The signs worth noticing are a change from how someone used to be: they stop mentioning the things they used to do, the same television programme is on every time you call, or they ring you several times in an evening for no particular reason. That last one is common, and it usually means the evenings are the hard part, not that anything urgent is wrong.

If loneliness has gone on for months rather than weeks, the physical and mental health risks above are the reason to treat it as seriously as any other symptom your parent might have. The link between isolation and dementia risk specifically is covered in more depth in can a lack of social interaction cause dementia?

Plan the week

Filling a week so no day is left empty

A single long visit at the weekend leaves six other days uncovered, and those are usually the days that feel longest. The more reliable approach is to look at the whole week and put something, however small, against most days, then let family, services and a carer share the load.

Monday

Family visit

A short visit or a call before the day starts.

Tuesday

Befriending call

A weekly call from an Age UK befriending volunteer.

Wednesday

Local group

A lunch club, a u3a group or a day centre session.

Thursday

Companionship carer

A visit for company: a chat, a walk, a game of cards.

Friday

Family or neighbour

A grandchild, a neighbour or a friend drops in.

Saturday

An outing

A walk, a garden centre or a trip out with company.

Sunday

Family visit

The main family visit, or a longer call.

This is one way a week could be covered, not a template to copy exactly. The pattern that matters is the mix: a short daily point of contact does more for loneliness than one long visit a fortnight, because the gaps in between are where it sets in. A phone call is a real visit if a face-to-face one is not possible, whether that is because family live a distance away or because someone cannot get out that day, and companionship for someone who is housebound covers the weeks when getting out is not possible at all. Where a stroke has taken somebody's words, the telephone is the part that stops working first, and how to talk to someone with aphasia covers what helps in a conversation instead. Hearing loss can cut off the telephone too, and hearing loss and care at home covers amplified phones and ways of talking that help.

Groups and helplines

Free helplines and local groups worth calling

Family cannot always be there, and that is not a failure to plan around. A number of charities and NHS services exist for exactly the gap, most of them free, and a single phone call is usually enough to start.

A 24-hour helpline for a chat

A free, confidential phone line for anyone aged 55 or over who wants someone to talk to, day or night.

0800 4 70 80 90

A weekly call from a volunteer

A charity matches an older person with a volunteer for a regular phone call, and local branches also arrange in-person befriending visits.

Tea parties and befriending calls

A national charity runs monthly tea parties, a telephone befriending service and gentle activity groups, aimed at people 75 and over who are isolated or lonely.

Local groups to learn something new

Community groups for anyone not in full-time work, meeting locally to learn a skill or share an interest, from languages to walking.

Community workshops, mostly for older men

Older men are more likely to end up isolated after retirement and less likely to join a typical social group. Workshops built around practical projects give a reason to turn up.

A referral through the GP

A GP or practice nurse can refer someone to a social prescribing link worker, who helps find local groups and activities that suit what a person enjoys.

To put names to those: The Silver Line, Age UK's befriending services, Re-engage, u3a and the UK Men's Sheds Association are all free to try, and a shed is worth mentioning to an older man who turns down company but might say yes to something to do. NHS England's social prescribing service explains how a GP referral works, and what a GP link worker can connect your parent to covers what happens after it. None of these need a diagnosis or a crisis to ask for, and what each free route costs, how you get it and how long it takes to start sets them beside a paid companion.

Phone and video calls

Using a video call when a visit is not possible

A phone call is better than nothing, and a video call is better still, because seeing a face does more for someone's mood than hearing a voice alone. It works best when it is set up once by someone else and left simple from then on.

What tends to work

  • A tablet or smart display set up once with one or two contacts saved as a single button
  • A fixed time each week, so the call is expected rather than a surprise
  • A large-button phone with photos instead of names, for anyone who finds a screen confusing
  • Someone nearby the first few times, to show what to press until it becomes familiar

What tends to fail

  • Handing over a new device and a login and expecting it to be used alone
  • A different app for every relative, so nothing is ever in the same place
  • Treating a video call as a replacement for every in-person visit rather than a fill-in for the ones that cannot happen
  • Assuming a bad first attempt means the technology will not work; a second try with someone patient often does

What technology helps an older person live alone covers alarms and monitoring as well as calling, if safety at home is the bigger worry.

Activities that build friendships

Choosing hobbies that lead to company, not just fill time

A hobby done alone still helps, but a hobby done with other people does more for loneliness specifically, because it is the company rather than the activity that matters. The aim is to pick things that put your parent in the same room as other people on a regular basis.

A companionship carer

When a companionship carer covers the days nobody else can

Where family, friends and local groups do not add up to enough days, a companionship carer fills the rest. The visit is built around spending time with your parent rather than a list of chores, though most carers will help with light tasks while they are there.

A single weekly visit is enough for some families, filling the one day nobody else can cover, and where your parent is newly on their own after a husband or wife has died, the first year alone and what helps covers that stretch in particular. If loneliness is constant rather than occasional, because your parent is alone for most of every day, live-in companionship is worth reading about too: the carer lives in, so there is company throughout the day rather than for an hour at a time.

Questions

Questions families ask about elderly loneliness

Look for a change from how they used to be, rather than a single bad day. Signs include mentioning the same few things on every call, giving up hobbies they used to enjoy, ringing you repeatedly in the evening for no particular reason, or seeming flat when you visit even though nothing specific has happened. A GP can help if low mood alongside the loneliness looks like depression rather than just isolation. Mental health in later life covers the difference.

No. Plenty of people live alone by choice and are content with their own company, especially if they still see people regularly. The concern is a change: someone who used to be sociable and now rarely leaves the house or speaks to anyone for days, not simply the fact of living alone.

This is common, and it is usually about pride rather than a genuine preference for isolation. Frame any suggestion as something for you rather than a judgement on them, such as a carer visit that gives you peace of mind, and let them choose who comes rather than presenting it as decided. How do you get someone to accept care? goes through this in more detail.

Yes, and it is worth trying them first if cost is a concern. The Silver Line runs a free 24-hour helpline, Age UK and Re-engage both offer free befriending calls and local groups, and a GP can refer to a social prescribing link worker at no cost. A companionship carer is for the gaps those cannot fill, such as a regular visit at a fixed time each week.

Yes, and consistent company is one of the more useful things a family can arrange, provided the carer understands the diagnosis and the household has told them what helps. Dementia care covers what to look for in a carer and how routines and familiar activity help day to day.

Carers offering companionship on PrimeCarers typically charge £15 to £20 an hour, with our fee included, a little below the rate for personal care visits. How much does a companion carer cost? has the full breakdown.

Usually yes, if someone sets it up for them the first time and keeps it to one button for the contacts they call most. A smart speaker or display with a call feature removes the need to dial at all. Using a smart speaker to make life easier is a good starting point.

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