Operose Health

Fast Facts

  • icon £118m turnover
  • icon 70 locations across UK
  • icon Employ 1,500+ health care professionals
  • icon 97% of services rated as good or outstanding by the CQC

Operose Health is the UK’s largest provider of primary care services, operating practices with more than 640,000 patients. It is Operose Health’s purpose to deliver great primary care by improving access, outcomes and patient experience.

Their people, operating models, growth ambition and values led culture means that they can offer a unique level of support to each practice and service that we run.

Operose Health are committed to being lifelong partners to their patients and the NHS. It is their ambition to be the first primary care provider to support one million patients.

Twenty20 Capital Support

With primary care such a crucial part of the NHS, we recognised Operose Health’s model was one which could increase access for communities while providing safe services and affordability for the taxpayer and the NHS.

On acquisition, the business had key challenges recruiting permanent clinical staff, ensuring consistent models of care were operating across the entire business and developing one united culture.

We supported the management team and broader workforce to develop and implement a plan which has improved staffing within practices, reduced agency spend allowing investment in permanent staff, and consequently improved patient access.

We also supported a wider business review, empowering the business to focus on its core product: providing primary care services.

The changes are already having an impact: the business now operates within a more commercially sound framework, while communities and commissioners are benefiting from continually improving services.

Austin International

Fast Facts

  • icon Located in 9 fast-growing tech hubs worldwide
  • icon 3500+ businesses supported
  • icon 200,000+ tech and med tech candidates in the database
  • icon 200+ multilingual team members
  • icon £70+m group revenue

Austin International is the mother brand to two specialist recruitment powerhouses, Austin Fraser, specialising in technology, and Austin Vita, specialising in medical technology. Together, they’re on a mission to be the leading challenger brand in recruitment, delivering the best talent across the most exciting and top-developing technology and medical technology hubs and communities in the UK, Germany and the USA.

Twenty20 Capital Support

In a demanding, ever-advancing market, where talent attraction and retention are increasingly important, we strive to ensure that aligning a shared vision bolsters Austin International’s growth capabilities whilst enhancing its industry-leading service.

This significant milestone strongly positions Austin International’s enhanced growth and success, whilst pushing the boundaries, uncovering new opportunities, and levelling up their game.

Blue Arrow


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.

Medacs Global Group


Medacs Global Group is a leading global healthcare workforce solutions provider providing a range of services, including staffing, managed services, staff bank, occupational health, workforce consulting, social care and homecare through their specialist brands; 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, the Medacs Global Group ensure the delivery of outstanding care wherever clients are in the world.

Medacs Group is formed of Medacs Healthcare, Litmus and Global Medics.


Twenty20 Capital Support

As the world of work keeps changing, we recognised the exciting opportunities Medacs Group 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.

Chadwick Nott

Fast Facts

  • icon 281 lawyers place in roles in 2022
  • icon 188 interim roles were filled in 2022
  • icon 156 professional service clients
  • icon 54% of employee service is between 5-20 years

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.



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.

Career Teachers


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.


Fast Facts

  • icon £106M Group Revenue
  • icon 1075 Multilingual Colleagues
  • icon 2384 Innovative Clients
  • icon 12 Global Offices

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.

“The support of Twenty20 Capital allows us to create one of the strongest and most competitive companies within the global IT Solutions, Smart Services and Recruitment market. There is limitless potential and multiple possibilities that arise from the financial backing of Tristan, Ian, and Jamie. We’re excited for the journey ahead”.
Stuart Fry, Halian CEO


Fast Facts

  • icon £3M Turnover
  • icon 7 Divisions
  • icon 600% Growth

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

"Working with T20 has been invaluable as we took guidance from Ian, Tristan and Jamie from the outset as to how best build a scalable model that would encourage organic growth and allow us to further maintain our reputation across technology recruitment in the UK. We’ve been given a few pieces of critical business advice that with hindsight, have proven crucial to the growth of CRG TEC, and without that advice, we could have found ourselves in a different situation to what we are currently looking at – which is a profitable company, debt free, having seen YoY growth since the outset".
Neil Crudden, Managing Director

HCRG Workforce Solutions

Fast Facts

  • icon 72% organic increase in turnover over the last 3 years
  • icon Over 3x organic increase in EBITDA over last 3 years

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.

“Through the support of Twenty20 Capital, and their undoubted passion for the healthcare sector, we have been able to stabilise these businesses, drive significant growth across all arms, increased profitability and market share whilst delivering sustainable solutions aligned to our clients’ needs and objectives. This deal allowed us to proudly continue supporting the UK health service and local community and a vast number of service users”.
Gary Taylor, CEO , HCRG Workforce Solutions