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

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.

As a specialist healthcare agency, with vast expertise across a range of medical professions, CRG supports public and private organisations. In 2021, CRG merged with HCL Workforce Solutions, with its clinical services arm being acquired by Polaris Medical.

Sugarman Group is a London-based recruitment agency specialising in sourcing outstanding staff for outstanding organisations. With over 23 years of experience within the sector, the Sugarman team are on a mission to fill every role with passionate and purpose-driven people.

As specialists in the healthcare recruitment sector, Twenty20 Capital saw the Sugarman Group as a complementary fit for the HCRG family of brands. With shared values and a healthy market stake, the acquisition bolsters Twenty20’s position in the ​​health and social care service sector.

In 2021 the Education division of Sugarman Group was hived across to a fellow subsidiary of HCRG; Affinity Workforce Solutions.

Allied Healthcare began life in 1972 as a one-branch home nursing service in Staffordshire. Allied provided basic personal care, through to more intensive support, for individuals with learning disabilities, autism and issues around mental health.

Twenty20 Capital Support

We acquired Allied Healthcare in 2018 when it was on the brink of financial collapse. Following a swift turnaround, considerable investment in people, and a programme of order-book protection we stabilised Allied’s ability to service clients.

We later merged Allied with an existing homecare brand; increasing its CQC rating and quality, whilst growing the overall group profitability. As a result, the two brands grew to become one of the top five home care businesses in the UK with revenues of £75m.

The business was later sold to Ceracare.

Investment Focus

• Financial stability
• Management team nurturing
• Organisational restructuring
• Operational consolidation
• Corporate governance
• Cash control support

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.

Medicare First is an established specialist locum social work recruiter; partnering with local authorities, private organisations and charities throughout the UK. Set up in response to a growing shortage of skilled professionals, they now maintain an enviable reputation for high standards, professional partnership and a personalised approach to recruitment.

Engaged in a wide variety of specialist areas they offer immediate employment opportunities across the country; constantly meeting expectations and delivering unsurpassed, tailored solutions for clients and candidates.

Team24 is a nationwide healthcare agency providing flexible temporary and permanent staff in medical environments. From doctors and nurse practitioners to nurses and carers, their dedicated team work closely with both NHS and private clients, working hard to match the best candidates with the right jobs.

As part of our commitment to offering leading services to the health and social care community, we merged Team24 with HCL Workforce Solutions in 2021.