About

Operose Health is the UK’s largest provider of primary care practices, serving more than 640,000 patients from communities around 60 practices.

The company has developed a unique model of primary care delivery ‘at scale’, tackling increasing demand, increased cost and static budgets to deliver 5 times the capacity of a traditional GP practice.

Acquiring new practices both through short term contracts offered through procurement processes as well as working with traditional GP partners looking for additional support, the business continues to grow its practices, welcoming new patients, and through expanding into new geographic areas.

Twenty20 Capital Support

With primary care acting as the gateway to the NHS and with challenges across the country with limited access, we recognised Operose Health’s model could provide safe services, affordability for the taxpayer and increase access for communities.

The business hadn’t fully completed the integration of previous acquisitions, leaving it operating two models of care and inconsistent cultures, which were affecting staff retention.

With the business’ previous owner seeking to divest its UK-based assets, we worked with the management team to transfer the business back to UK ownership and to maintain confidence of commissioners across the country.

Since our investment

• Immediately upon acquisition, we undertook a wide-ranging review of the business empowering it to focus on its core product: primary care service provision.
• With hands-on support and expertise, we supported the management team to improve staffing within practices, reducing agency spend to invest in permanent staff and consequently improve access.
• We invested in a single aligned management team for the whole business, with a new Chief Executive in Samatha Kane and a skilled operational leadership team working together across the country while maintaining strong clinical leadership from professor Nick Harding.

About

Blue Arrow is one of the UK’s most popular and well-known specialist staffing agencies with a reputation built over six generations of relationships with job seekers and employers in transport, logistics, call centre, hospitality, manufacturing, retail and the public sector.

Blue Arrow helps clients compete to attract and retain the best available talent, placing tens of thousands of people in temporary and permanent jobs each week. Understanding their talent communities is at the heart of how Blue Arrow helps its clients succeed.

As an award-winning employer, recognised as a Platinum Investor in People and frequently among the Top 100 Best Companies to Work For, Blue Arrow is powered by its 400+ staffing experts and market-leading technology. Blue Arrow’s vision is to lead the way in creating innovative and inclusive workforce solutions for its clients, candidates and staff.

Twenty20 Capital Support

With the growth of multi-sector, multi-skill, 360° recruitment outsourcing, we recognised the lucrative opportunity Blue Arrow presented.

With clear scalability opportunities, including client base development, footprint expansion and attraction of the best recruitment talent – Blue Arrow is a business with the potential to grow rapidly.

About

MGG Health supports a wide range of global organisations to deliver more health and care services, improving health outcomes across 15 global locations and safeguarding the delivery of over 10 million hours of care every year. MGG Health is the parent company of; Medacs Healthcare, Global Medics and Litmus Workforce Solutions.

With an enviable reputation for providing high-quality locum, temporary and permanent doctors, nurses, allied health professionals, clinical assessors and care workers, they are the largest provider of locum doctors to the NHS, and the largest supplier of specialist healthcare managed services outside of the United States.

With operations across the United Kingdom, Ireland, the Middle East, India, Australia and New Zealand, MGG Health ensure the delivery of outstanding care wherever clients are in the world.

MGG Health is formed of Medacs Healthcare, Litmus and Global Medics.

Twenty20 Capital Support

As the world of work keeps changing, we recognised the exciting opportunities MGG Health presented. With shared ambitions for the future, we resonated with a team that prioritised partnership, innovation and service excellence.

The acquisition represented a significant milestone. Joining forces allows space for growth and to build on the heritage of some of the most well-known and well-respected healthcare brands in the staffing and workforce solutions sector.

About

With the culture of a boutique legal recruitment agency but the expertise and reach of a multi-national, Chadwick Nott provide clients and candidates with full market coverage. With over 25 years of experience, they have countless long-standing client relationships and continually offer job seekers the support and platform to find sustainable employment.

Twenty20 Capital Support

We resonated with the passion of the people; bright individuals who pride themselves in being supportive, consultative legal sector experts, working with integrity and pride in all outcomes.

As a niche legal recruitment business with impressive profit margins, low overheads and impressive staff retention, the brand creates opportunities in the market, whilst also expanding our sector reach.

About

Tate is an award-winning supplier of temporary and permanent staff for head-office support and specialist roles. Their vision is simple: to be the best, everywhere, all the time.

Recognised as an ‘Investor in People’ employer, Tate has helped businesses build teams of talented people across various sectors, including Financial Services, Retail, Real Estate, Technology & IT, Healthcare, Education and Government. Their experienced network of recruitment consultants offer a personalised service to clients and talent communities. Meanwhile, their National Service Delivery Centre ensures a high-quality service experience for clients with national workplaces and high-volume talent attraction, screening and onboarding requirements.

Twenty20 Capital Support

With low overhead costs but considerably high service demand, Tate presented an attractive, recession-resistant option in an economy where office personnel services remain constant. As businesses continue to grow, we recognise the impact this niche brand has in the space and in meeting the market demand for recruitment services.

About

Career Teachers is an established and trusted education recruitment company specialising in providing teachers and support staff to primary, secondary and SEND schools throughout the UK. The team provide an excellent, individualised service to find job seekers the type of work they want.

Career Teachers do not simply do ‘the recruitment bit’. They believe in supporting education staff throughout their career with a wide range of personalised CPD programmes, ensuring the staff providing are trained to deliver the best results.

Twenty20 Capital Support

With already established expertise in the sector we recognise that education is a key driver of economic growth. We champion the teaching profession and purposefully support the ongoing investment in education. We are passionate about developing a skilled and knowledgeable workforce, which is essential for a thriving economy, and therefore believe that Career Teachers is a great fit for our portfolio.

About

Halian has many years of experience in transforming IT and tech companies. By sourcing talent from across the world, they match candidates to roles with the most innovative global businesses. Their experienced consultants work to place talent in Cyber Security, Infrastructure, Software Engineering, Next-Gen, Digital, Renewables and Property & Construction.

Twenty20 Capital Support

We supported CEO, Stuart Fry with a management buyout in 2022; a collaborative venture which demonstrated clear signs of quick growth and development opportunities within the global tech recruitment space.

The ongoing aim is to provide investment capital, as well as guidance and expertise, to support the business’s expansion across Europe, the MENA region and beyond.

We recognise the significant value and potential Halian has to offer, and believe that our expertise, paired with the passion and ambition of Stuart and his team, will create accelerated international growth.

About

CRG TEC is a technology, engineering and connectivity focussed recruitment consultancy specialising in FTTP Telecoms Networks, Wireless Telecoms Networks, Smart Cities, IT, Engineering, Facilities Management and public sector recruitment.

Their highly-experienced team are experts in their sectors and have the knowledge, skills and network to make recruitment easier for both clients and candidates alike.

Twenty20 Capital Support

We identified CRG TEC as an agile, entrepreneurial tech business which was already making waves in the sector but needed support in the way of senior management structuring and corporate governance. Through a collaborative approach, we were able to embed experience and influence the business’s growth strategy, operational alignment and financial health.

“Having always had a strong entrepreneurial ambition, partnering with Twenty20 Capital and industry leaders Ian Munro, Tristan Ramus and Jamie Webb allowed us to realise our ambitions and launch CRG TEC LTD. As a start-up, their expertise, support and backing have helped us achieve strong organic growth, scalability and profitability, even during challenging global markets as a result of COVID-19”.

– Stephen Morris- Operations Director

About

HCRG Workforce Solutions is an amalgamation of a number of well-known brands, including but not limited to HCL, Sugarman and CRG.

They provide a range of services, from fully outsourced staffing solutions and staff bank management services to outsourced healthcare, including but not limited to complex care, mental health services and occupational health.

As experts in large-scale workforce deployment both at domestic and overseas, HCRG has an impressive track record of managing far-reaching international campaigns across various sectors, offering bespoke solutions to distinct needs and challenges whilst improving spending efficiency without compromising patient care.

Twenty20 Capital Support

As part of our investment strategy, we supported the management team through a transformational journey, challenging strategic and operational decisions to create a highly attractive, scaled and profitable brand.

Multiple complementary mergers created radical movement in the business’s turnover and allowed us to build one of the UK’s biggest and most recognised health and social care solutions providers.

About

HCRG Care Group is the UK’s largest specialist provider of community health services, contracted by local authorities and NHS commissioners across England & Wales to deliver more than 1.2m patient contacts each year.

The company operates from more hundreds of venues in and around communities as well as in people’s homes, delivering vital services which keep people out of hospital and living independently for as long as possible.

With dedicated offers in Child & Family services and Adult Community Services and a unique, high-street and online Sexual Health service, the company is supporting the NHS and local authorities to deliver the Government’s priorities for health.

Twenty20 Capital Support

Twenty20 Capital acquired the business at a challenging time: fresh from the coronavirus pandemic, the business was loss-making and had been struggling to attract and onboard sufficient frontline staff in the face of significant shortages of key professionals.

With many contracts now in a ‘mature’ state following transformation and a need to retain existing work as well as secure new contracts, we worked closely with the management team to ensure a good fit before completing the transaction in 2021.

Since our investment

• Within the first six months, we worked with the management team to deliver a sustainable operating model more suited to the needs of the mature contracts held by the business
• We supported the management team to implement a “healthcare first” approach to support teams, driving back-office costs to an industry-low of 8% with a scalable model fit for the future and prioritising high quality clinical services
• Our workforce expertise allowed us to support a refresh of the employee value proposition, recruitment and retention – delivering 95% vacancy fill rates, an industry high
• The business has doubled its overall profitability, facilitating responsible investment in new products and supporting health and care commissioners with new challenges
• Our expertise and support has enabled the management team to secure renewed contracts and significant extensions to existing contracts for the first time in its history
• With our expertise and further investment, we have returned the business to growth with new contracts commencing in April 2025 adding 3,200 new colleagues and more than £150m annual revenue
• With a renewed focus on responsibility through our hands-on support and commitment to ESG goals, the business has scored highly in social value submissions and reduced its carbon emissions by 55% per £m of revenue