Bespoke Healthcare

What Bespoke Healthcare does

Bespoke Healthcare Ltd. is an independent UK healthcare provider founded in 2006 by Gwam and Sara Rajiah and headquartered in Preston, Lancashire. The company delivers two core outsourced clinical service lines: neurophysiology diagnostic testing (Nerve Conduction Studies, Electromyography, routine and sleep-deprived EEG, melatonin sleep EEG, and ambulatory EEG) and intraoperative neurophysiological monitoring (IOM) during complex spinal, ENT, neurosurgical, orthopaedic and vascular procedures. Customers are primarily NHS Trusts (Foundation, Acute and Primary Care Trusts), independent private hospitals, and insured patient pathways through approved supplier status with healthcare insurers including BUPA; named anchor relationships include Alder Hey Children's Hospital and Robert Jones and Agnes Hunt Orthopaedic Hospital.

The technology stack is centred on state-of-the-art portable intraoperative monitoring equipment with multimodality capability (Brainstem Auditory Evoked Potentials, Somatosensory Evoked Potentials, Transcranial Motor Evoked Potentials, D-Waves, EMG, cranial nerve monitoring, Selective Dorsal Rhizotomy, and micro-electrode recordings for deep brain stimulator implantation). Bespoke owns the latest portable neurophysiology equipment, granting flexibility to operate clinics at any location and to integrate with NHS systems via an HSCN connection. Clinical delivery is led by named specialists including Dr Alan Forster (Consultant Clinical Neurophysiologist with 25+ years of IOM development).

The business model is professional services revenue earned through enterprise field sales targeting NHS procurement and clinical commissioning groups, private hospital procurement, and insurer networks. Delivery is structured flexibly as either one-off clinics or retained contracts with full patient booking and chaperoned service; pricing is not publicly disclosed and is negotiated within NHS framework agreements and private healthcare contracts. Headcount is 11-50, ownership remains founder-controlled under Gwam and Sara Rajiah with no disclosed external investors, no funding rounds and no M&A activity, positioning the company as a specialist clinical services firm rather than a scaled platform.

Name

Bespoke Healthcare

Legal name

Bespoke Healthcare Ltd.

Website

https://bespokehealthcare.co.uk

Company type

Private

Founded year

2006

Operating status

Operating

Headcount range

11–50 employees

Short description

Bespoke Healthcare is a UK-based independent clinical neurophysiology services firm delivering outsourced diagnostic testing (NCS, EMG, EEG) and intraoperative monitoring to NHS Trusts, private hospitals, and healthcare insurers including BUPA.

Ownership category

akta.pro rank

Headquarters

HQ city

Preston

HQ country

United Kingdom

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Outsourced Neurophysiology Services: Providing neurophysiology diagnostic tests on an outsourced basis for NHS and private hospitals. Services include one-off clinics and retained contracts with flexible delivery models from full patient booking and chaperoned clinic service to supplying leading consultants for direct patient delivery.
2. Intraoperative Monitoring (IOM) Services: Real-time surgical monitoring services provided during complex operations. The company delivers a complete package including portable equipment, consumables, electrode application/removal, and clinical reporting.
3. Healthcare Insurance Services: Approved supplier to healthcare insurance providers including BUPA, providing neurophysiology diagnostic services to insured patients.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels3 records

Core offering

Bespoke Healthcare provides outsourced neurophysiology diagnostic testing (NCS/EMG, EEG including routine, sleep-deprived, melatonin sleep, and ambulatory EEG) and real-time multimodality intraoperative neurophysiological monitoring (IOM) during complex surgeries. Services are delivered on a one-off clinic or retained contract basis to NHS Foundation Trusts, Acute Trusts, Primary Care Trusts, private hospitals, and approved healthcare insurance networks throughout the UK, using the company's own portable equipment.

Product overview

Bespoke Healthcare is a UK-based independent healthcare provider offering two core service lines: Neurophysiology Diagnostic Services and Intraoperative Monitoring (IOM). The Neurophysiology service provides the full range of outpatient diagnostic tests (NCS/EMG, EEG variants, Ambulatory EEG) delivered flexibly as outsourced clinics or retained contracts for NHS and private hospitals. The IOM division provides real-time surgical monitoring during complex procedures using multimodality techniques. The company operates as a single unified service offering with flexible delivery models rather than a software platform.

Differentiator

Problem solved

Functional benefit

Products and services

• Neurophysiology Diagnostic Services

Quantifiable outcome

• 80,000+ patients seen from leading nationwide healthcare establishments
• +3 more outcomes

Named customers6 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Five partnerships are on record, tiered core and minor.

• NHS TrustscoreStrategic or Co-development PartnerOngoing service relationships providing outsourced neurophysiology and intraoperative monitoring services to NHS Foundation Trusts, Acute Trusts, and Primary Care Trusts throughout the UK. Working side by side with NHS partners to ensure smooth and seamless patient pathways.
• Private HospitalscoreStrategic or Co-development PartnerPartnerships with independent hospitals around the country providing neurophysiology diagnostic services. Business model designed to integrate seamlessly with independent hospitals ensuring textbook patient experience.
• BUPAcoreStrategic or Co-development PartnerApproved supplier to BUPA and other healthcare insurance providers, enabling insured patients to access Bespoke Healthcare's neurophysiology diagnostic services through their insurance coverage.
• Greater Lancashire Private HospitalcoreStrategic or Co-development PartnerFeatured as a partner hospital on the Greater Lancashire Private Hospital website, indicating a collaborative relationship for delivering healthcare services in the Lancashire region.
• British Society for Clinical Neurophysiology (BSCN)minorOthersBespoke Healthcare's business model and service follows the guidelines recommended by the BSCN (www.bscn.org.uk), the professional body for clinical neurophysiology in the UK.

Scale indicators6 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• InHealth Group: UK's largest independent provider of diagnostic and imaging services to the NHS using an outsourced service model. Comparable as a private clinical services business delivering diagnostics and outsourced capacity into NHS Trusts, overlapping in the way it commercialises outsourced clinical capacity though operating across different diagnostic specialties.
• Totally plc: UK provider of outsourced clinical services to the NHS including urgent care, planned care and diagnostics. Comparable outsourced-services business model serving NHS commissioners, though operating across different clinical specialties rather than neurophysiology specifically.
• Medinet Clinical Services: UK clinical services provider delivering NHS-insourced and outsourced capacity across multiple specialties. Comparable B2B model where external clinical teams deliver services inside NHS hospital settings, similar to how Bespoke provides IOM and neurophysiology services on NHS sites.
• Synlab UK: Major European diagnostics provider operating in the UK, offering outsourced diagnostic testing services to NHS and private customers. Comparable as an outsourced clinical diagnostics business, though focused on pathology rather than neurophysiology.
• HealthHarmonie: UK provider of community outpatient services to the NHS, including specialist clinical delivery. Comparable as an outsourced clinical services provider working with NHS commissioners on waiting list reduction, though not specifically in neurophysiology.

Broad incumbents

• Practice Plus Group: Larger UK independent healthcare provider offering NHS insourcing, diagnostics and secondary care services. Broader incumbent that overlaps with Bespoke's outsourced clinical delivery model but at significantly greater scale and across more specialties.
• HCRG Care Group: UK NHS community and outpatient services provider (formerly Virgin Care). Broader incumbent delivering outsourced clinical services into NHS contracts, with overlapping customer base but a much wider service portfolio than Bespoke's neurophysiology focus.

Others

• Natus Medical Incorporated: Global manufacturer of neurophysiology monitoring equipment (EEG, EMG, IOM). Adjacent technology supplier to the same clinical neurophysiology space that Bespoke serves, rather than a direct services competitor; included because it shapes the equipment ecosystem Bespoke operates in.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

• Xx.com/bespokehc
• Facebookfacebook.com/profile.php
• LinkedInlinkedin.com/company/bespoke-healthcare

Compliance5 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Bespoke Healthcare