HCRG Care Group

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