What Cloud21 does

Cloud21 Limited is a UK-based digital healthcare consulting and services company founded in 2009, headquartered in West Malling, Kent. The company delivers integrated solutions to NHS Trusts and other health and care organisations across the UK, with recent expansion into German-speaking countries for Epic implementations. Its core product is the BDS Directory Manager, an NHS Digital DTAC-approved identity management solution that integrates with the Electronic Staff Record (ESR) to automate creation, update, and expiration of Active Directory and NHSmail accounts, managing 500,000 NHS user accounts across 71 organisations. The company complements this software asset with a proprietary Integrated Data Service (IDS) platform for data migration, warehousing, and analytics, and offers UiPath-based robotic process automation.

The business operates three revenue streams: professional consulting services (strategic advisory, EPR implementation, programme management), managed services (including identity management and infrastructure support), and subscription/recurring data and AI solutions. Distribution is through direct enterprise sales to NHS CIOs and Digital Leaders, supplemented by listings on multiple NHS procurement frameworks including Crown Commercial Service Technology Services 3, NHS Shared Business Services, NHS London Procurement Partnership, HealthTrust Europe, YPO, and Digital Outcomes and Specialists 5. Following a 2022 investment from US healthcare consultancy Tegria, Cloud21 operates as a UK subsidiary within a 1,500+ professional group, having acquired Integris Solutions (2022) and BDS Solutions (2024) to expand its data migration and managed services capabilities.

Name

Cloud21

Legal name

Cloud21 Limited

Website

https://cloud21.net

Company type

Private

Founded year

2009

Operating status

Operating

Headcount range

101–250 employees

Short description

Cloud21 is a UK-based digital healthcare consulting and services company delivering EPR implementation, NHS identity management, data migration, and managed IT services to NHS Trusts and healthcare organisations across the UK and Europe.

Ownership category

akta.pro rank

Product category

Healthcare IT Consulting Services

NAICS

Computer Systems Design and Related Services (54151), Computer Facilities Management Services (541513), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)

SIC

Services-Computer Programming, Data Processing, Etc. (7370), Services-Computer Integrated Systems Design (7373), Services-Prepackaged Software (7372), Services-Computer Processing & Data Preparation (7374)

akta.pro primary industry

Cloud Security (CSPM/CWPP/CIEM) for Health IT (HLACAJAG)

akta.pro secondary industries

Healthcare Data Lakes, Lakehouses & Cloud Warehouses (HLACAIAA), Enterprise Application Modernization & Upgrades (incl. S/4HANA, cloud migrations) (BPAEAGAG), Cloud Data Platforms & Analytics Migration (BPAEACAI), Cloud Strategy, Assessment & Roadmap (BPAEACAA)

Keywords

• Healthcare IT consulting
• EPR implementation services
• NHS identity management
• Healthcare data migration
• Managed IT services

Headquarters

HQ city

West Malling

HQ country

United Kingdom

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Professional Consulting Services: Strategic consultancy, programme management, EPR implementation support, change management, and advisory services for NHS digital transformation programmes. Delivered by former NHS CIOs, COOs, CMOs and Transformational Directors with real-world healthcare experience.
2. Managed Services: Ongoing managed IT services for NHS organisations including identity management, infrastructure support, and system optimisation. Revenue generated through service contracts with NHS Trusts.
3. Data & AI Solutions: Analytics services, AI implementation support, data migration, and intelligence solutions. Includes advanced analytics, patient flow analytics, data products, and integration services.

Pricing tiers

Go-to-market motion3 records

Distribution channels2 records

Marketing channels5 records

Core offering

Cloud21 is a digital healthcare consulting and services company that delivers integrated solutions to NHS health and care organisations. Its core offerings include strategic advisory and EPR implementation support, data migration and analytics services, managed identity management through the proprietary BDS Directory Manager, infrastructure and cloud services, NHSmail migration, and pathology/LIMS digitalisation. The company also operates RPA and AI-driven automation services for clinical and administrative workflows.

Product overview

Cloud21 is a digital healthcare consulting and services company offering integrated solutions across multiple service lines. The core product portfolio includes BDS Directory Manager for NHS identity management (integrating with ESR and Active Directory), complemented by professional services including EPR Solutions (supporting Oracle Health, Epic, SystemC Graphnet, Meditech, and Altera), NHSmail Migration Services, Pathology Solutions, Data/Analytics/AI services with IDS data warehousing, System Services for system transitions, System Optimisation, and Infrastructure & Cloud services. The company operates as part of Tegria and has grown through acquisitions including BDS Solutions (2024) and Integris Solutions (2022).

Differentiator

Problem solved

Functional benefit

Products and services

• BDS Directory Manager Comprehensive NHS identity management solution that integrates with the NHS Electronic Staff Record (ESR) to automate creation, update, and expiration of user accounts for Active Directory and email systems. Manages 500,000 NHS user accounts across 71 NHS organisations and supports NHSmail and Exchange mailbox management with audit and security features.
• NHSmail Migration Services Comprehensive migration services to help health and care organisations transition to NHSmail securely, backed by over 25 years of Microsoft messaging experience and PRINCE2 project management methodology.
• EPR Solutions End-to-end support for Electronic Patient Record transformation programmes, including strategic consultancy, system readiness, implementation, and go-live stabilisation. Supports Oracle Health, Epic, SystemC Graphnet, Meditech, and Altera systems.
• Pathology Solutions Expert guidance and support for pathology digitisation, including LIMS and Order Comms systems implementation, Digital Histopathology, and pathology network consolidation.
• Data, Analytics & AI End-to-end data services including Actionable Intelligence as a Service, Patient Flow Analytics Hub, Advanced Analytics and AI, data migration, integration, and data warehousing products including Integrated Data Service (IDS).
• System Services Strategic consultancy and implementation services for safely transitioning clinical care and operational services between systems, from strategic consultancy through go-live and stabilisation.
• System Optimisation Services to optimise and maximise digital system capabilities, workflows, and system/data integrations post-EPR implementation, including workflow analysis, benefits realisation, and continuous improvement.
• Infrastructure & Cloud IT infrastructure and facilities optimisation services including health check, digital strategy, AI and data readiness, user access management, technical infrastructure build, endpoint management, and governance risk and compliance.
• NHS Vulnerability Cyber Security Solution Cyber security solution launched in partnership with Qualys, providing vulnerability scanning and security assessment services for the health sector.

Quantifiable outcome

• 500,000 NHS staff managed through automated identity management system
• +5 more outcomes

Named customers24 records

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

AI capability8 records

Feature4 records

Partnerships

Eleven partnerships are on record, tiered acquisition, technology partner, parent company, core technology partner and implementation partner.

• BDS SolutionsacquisitionStrategic or Co-development Partner · 1 May 2024Cloud21 acquired BDS Solutions, a Microsoft Gold Partner specialising in healthcare IT. The acquisition added BDS Solutions' Directory Manager product managing 500,000 NHS user accounts, enhancing Cloud21's managed services offerings for NHS organisations and strengthening identity management capabilities.
• Integris SolutionsacquisitionStrategic or Co-development Partner · 1 September 2022Cloud21 acquired Integris Solutions, building upon Cloud21's position as a leading healthcare IT consultancy and expanding capabilities in data migration and system integration services for NHS organisations.
• UiPathtechnology partnerTechnology or Integration · 1 July 2019Cloud21 partners with UiPath, using their end-to-end hyperautomation platform for robotic process automation (RPA) implementations at NHS trusts. Cloud21 supports Dartford and Gravesham NHS Trust in proof of concept deployments using UiPath technology.
• Tegriaparent companyStrategic or Co-development PartnerCloud21 is part of Tegria, a global healthcare consulting services company. This partnership provides Cloud21 with access to a combined team of 1,500+ professionals serving 650+ clients across North America and Europe, enabling delivery of digital transformation at scale.
• Microsoftcore technology partnerTechnology or IntegrationCloud21 operates as a Microsoft Solutions Partner with deep expertise in Microsoft technologies. BDS Solutions was a Microsoft Gold Partner. The company specialises in Microsoft-based solutions including Exchange migrations, Active Directory management, NHSmail, and Azure cloud services for healthcare organisations.
• Epicimplementation partnerImplementation/ SI/ Consulting PartnerCloud21 serves as an implementation and consulting partner for Epic EPR deployments in the UK and German-speaking countries. The company has supported implementations at Great Ormond Street Hospital, Guys and St Thomas', Children's Health Ireland, HSCNI, and Insel Gruppe.
• Oracle Health (formerly Cerner)implementation partnerImplementation/ SI/ Consulting PartnerCloud21 serves as implementation partner for Oracle Health (Cerner) Millennium EPR deployments, supporting data migrations and system implementations at multiple NHS trusts including Royal Free London and Chelsea and Westminster.
• System Cimplementation partnerImplementation/ SI/ Consulting PartnerCloud21 partners with System C for Medway EPR implementations at NHS trusts. Supported Brighton and Sussex University Hospitals and Colchester NHS Foundation Trust deployments.
• IMS (Irish Medical Systems)implementation partnerImplementation/ SI/ Consulting PartnerCloud21 partnered with IMS for Maxims EPR deployments at Taunton and Somerset NHS Foundation Trust and Wye Valley NHS Trust, providing data migration expertise for first-of-type UK implementations.
• Cambio Healthcareimplementation partnerImplementation/ SI/ Consulting PartnerCloud21 partnered with Cambio to deploy COSMIC EPR at Princess Alexandra Hospital as a first-of-type UK implementation, providing deployment methodology and implementation services.
• InterSystemsimplementation partnerImplementation/ SI/ Consulting PartnerCloud21 partnered with InterSystems to deploy TrakCare EPR at Yeovil District Hospital, providing deployment team and configuration services for the SmartCare programme.

Scale indicators10 records

Recent moves8 records

Expansion highlights6 records

Broad incumbents

• Deloitte: Big-4 consultancy with a large UK healthcare practice covering NHS strategy, EPR advisory, and large-scale transformation. Competes with Cloud21 for senior advisory mandates and board-level business case work, particularly on flagship Trust and ICS programmes.
• Accenture: Global professional services firm that delivers large-scale NHS digital transformation and EPR implementation programmes. Directly comparable to Cloud21 on NHS digital consulting and SI work, but with vastly broader scale, deeper pockets, and a global delivery footprint.
• Capgemini: Global SI with deep NHS and healthcare credentials, including EPR implementations and managed services. Overlaps with Cloud21 on NHS data migration, cloud, and application services, but competes across a much wider portfolio and geographies.
• CGI Group: IT consulting and systems integration firm with a substantial UK healthcare practice serving NHS clients on digital transformation, EPR programmes, and managed services. Directly comparable to Cloud21's NHS SI work and competes on similar framework agreements.

Direct peers

• BJSS: UK-headquartered IT and digital consultancy with a sizeable NHS and public sector practice delivering EPR, data, and cloud programmes. Closest UK mid-market peer to Cloud21 in terms of size, NHS focus, and end-to-end delivery capability.
• Channel 3 Consulting: Boutique UK health-tech consultancy focused exclusively on NHS and healthcare digital transformation, EPR implementations, and IM&T strategy. Highly comparable to Cloud21 in vertical focus, NHS pedigree, and senior ex-NHS leadership team.
• System C Healthcare: UK EPR vendor supplying Medway and other clinical systems to NHS Trusts; Cloud21 is an implementation partner. Comparable in that both target the mid-market NHS EPR segment, though System C is product-led and Cloud21 is services-led.

Others

• Epic Systems: US-based EPR vendor whose software Cloud21 implements for NHS and European clients (Great Ormond Street, Guy's & St Thomas', HSCNI). Both a key partner and an indirect competitor: Epic's own services arm competes for implementation work on the same platform.
• Oracle Health (Cerner): Major EPR vendor whose Millennium platform Cloud21 supports via data migrations and implementations at multiple NHS Trusts. Functions as both a partner (certified implementation consultancy) and a competitor (Oracle Health's own UK services team).
• NHS England (NHS Digital): Public-sector body that sets NHS digital policy, runs the Frontline Digitisation programme, and procures frameworks on which Cloud21 is listed. Not a competitor, but the dominant counterparty shaping demand for Cloud21's services.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/Cloud21Health
• LinkedInlinkedin.com/company/cloud-21-ltd

Compliance8 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Subsidiaries2 records

Funding overview

Funding rounds

Investors

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

M&A1 record

Investments

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

Frequently asked questions about Cloud21