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Almost every disappointing companion booking has the same cause. Nobody wrote down what the person was supposed to do. The family pictured a careful, patient helper who would manage the whole day; the booking was taken as a few hours of accompaniment; and both sides were acting in good faith on different assumptions.
The fix is unglamorous and reliable: decide which role you actually need, then write a short scope of work before you ask anyone for a price. This guide covers both.
Companion, Personal Assistant or Nurse?
Three distinct roles get bundled under the same search, and confusing them is the root of most problems.
A companion is there for presence and reassurance. They accompany, they talk, they keep an eye on things, they raise the alarm if something changes. For an older traveller who is fundamentally capable but should not be alone all day, this is often exactly right.
A personal assistant is a practical role. Pushing a chair, carrying bags, navigating, queuing, managing tickets, helping with transfers within their training, dealing with taxis and being a second pair of hands. This is what most families are picturing when they say "companion".
A nurse performs clinical tasks: injections, wound dressing, monitoring, post-treatment care and other regulated procedures. Nursing is not a more attentive version of companionship; it is a different qualification, and it is booked as a hotel nurse rather than as accompaniment.
The decisive question is simple. Does anything in your list require a clinical qualification? If yes, that part is nursing regardless of how it is described, and it must be booked as nursing. If no, you need a personal assistant or companion, and you should say which of the two.
Write the Scope of Work Before You Ask for a Price
Five lines. Written down. Sent with the enquiry.
1. Hours and dates. Which days, from when to when, and whether the hours are continuous or split across a morning and an evening. Split shifts are a different arrangement from a single block and should be stated rather than assumed.
2. Tasks, listed plainly. "Accompany to a museum, push a wheelchair on paved routes, carry a bag, help order food, be present during a two-hour rest at the hotel." Plain verbs beat job titles. If a task is not on the list, do not expect it on the day.
3. Language. Which language the older traveller actually speaks comfortably — not the family's second language. This is the most common mismatch in the whole arrangement and the easiest to prevent by stating it.
4. Location and movement. Where the day starts, where it goes, and whether the companion is expected to travel with the traveller in a taxi or meet them at each place. Also say whether the companion's own transport or entry tickets are part of the arrangement.
5. Handover and reporting. Who the companion reports to at the end of the day, how, and what they should do if something changes. For families in another time zone this matters more than anything else on the list.
What to Ask the Provider
Once the scope is written, the questions to the provider are short and specific.
- Who exactly will attend, and is it the same person each day? Continuity matters enormously for an older traveller, and a rotating cast undoes much of the benefit.
- What language do they speak, at what level?
- What is and is not within their role, in their own words? The answer should match your list, and any gap should be named now rather than discovered later.
- What happens if they are ill on the day, and is a replacement covered?
- What is the cancellation and change arrangement?
- What is included in the fee — travel, tickets, meals, waiting time, overtime — and what is charged separately? Ask for a written quotation, because the difference between two quotes is usually in what they exclude rather than in the headline rate.
No prices appear in this article deliberately. Rates depend on hours, duration, language and the tasks involved, and a figure printed in a guide would mislead more people than it helped. A written quotation against a written scope is the only comparison that means anything.
Preparing the Traveller, Not Just the Booking
The arrangement also has to work for the person it is for, and this is where families sometimes get it wrong with good intentions.
Tell the older traveller in advance rather than presenting a stranger at breakfast. Frame the role honestly — practical help for the day, not supervision. And let them meet the companion briefly with a family member present on the first occasion where that is possible, since a short introduction makes the following days much easier.
Give the companion the practical information they need and no more: the plan for the day, the pace that suits, what to do if the traveller wants to stop early, and who to contact. Medical history is not a companion's business unless the traveller chooses to share it, and the decision belongs to them rather than to the family member paying the invoice.
Where Companionship Stops
A companion is not a safety net for a medical situation, and the arrangement should not be treated as one.
If the traveller becomes unwell, the companion's role is to raise the alarm, not to assess or treat. An assessment can be arranged where the traveller is staying — CNR Medicare coordinates care around the clock with an English-speaking medical team and can arrange an in-person visit at a hotel, Airbnb or residence — and a nursing procedure is a separate booking from accompaniment. Anything potentially life-threatening means calling 112 in Türkiye or going directly to a hospital emergency department.
Related Services
- Personal Assistant / Companion — the non-clinical accompaniment arrangement described here.
- Hotel Nurse — for anything requiring a clinical qualification.
- Accessible Services — the hub, including transfers and equipment that may be booked alongside.
Frequently Asked Questions
- What is the difference between a companion and a nurse?
- A companion provides presence and practical, non-clinical help. A nurse performs regulated clinical procedures. If any task needs a clinical qualification, it is nursing and must be booked as nursing.
- What should I include when making the request?
- Hours and dates, the tasks in plain verbs, the language the traveller actually speaks, the locations involved, and who receives a handover at the end of the day.
- Will it be the same person every day?
- Ask directly, because continuity makes a large difference for an older traveller. It should be confirmed in the booking rather than assumed.
- Can a companion help with medication?
- No. Anything involving medication is a clinical task and belongs to a qualified professional, not to accompaniment.
- How are these arrangements priced?
- By hours, duration, language and tasks, which is why a written quotation against a written scope is the only meaningful comparison between two providers.
- What should the companion do if the traveller becomes unwell?
- Raise the alarm and contact the agreed number. Assessment is a clinician's job, and a potentially life-threatening situation means calling 112.
