Grespi

What Grespi does

Grespi Limited is a London-based specialist provider of occupational mental health services, organisational consultancy, and return-to-work services, operating since 2000 as a private limited company registered in England and Wales. The company delivers services through a medically-led multidisciplinary clinical team comprising consultant psychiatrists, psychoanalysts, clinical psychologists, occupational therapists, CBT therapists, and psychotherapists, all registered with the relevant UK professional bodies (GMC, HCPC, BACP, British Psychoanalytical Society) and operating under CQC registration. Its core clinical offering spans psychiatric consultations, clinical psychology, psychotherapy, CBT, occupational therapy, independent medical examinations (IME), and in-house doctor services, supplemented by medico-legal reports and organisational consultancy addressing workplace dysfunctional dynamics.

The business serves four primary customer segments — insurers (independent medical examinations, claims triage, clinical file reviews), employers (occupational mental health assessments, fitness-for-work reports, return-to-work planning, training), individuals (psychiatric consultations, treatment, executive coaching), and employment lawyers (medico-legal reports, expert witness services). Revenue is generated almost entirely through professional services fees on a quotation basis, with the only publicly disclosed price point being the MHR+ training course at £500+VAT per delegate. Go-to-market is direct B2B enterprise field sales, supported by content marketing (blog, webinars, professional publications) and partnerships with major law firms (CMS, Doyle Clayton, Cole Khan), the Employment Lawyers Association, the Health Claims Forum, and International SOS. The company is founder-led by Medical Director Dr Lorenzo Grespi and operates from London consulting rooms at The Stanley Building, 7 Pancras Square, with a registered office in Barnet.

Underlying technology is clinical rather than digital: the differentiator is an in-house integrated service delivery model with triage within three hours and 48-hour guaranteed consultation availability, rather than any proprietary software platform. All services are delivered directly by Grespi clinicians with no outsourcing, ensuring accountability and clinical governance under GMC Good Medical Practice guidelines.

Name

Grespi

Legal name

Grespi Limited

Website

https://grespi.com

Company type

Private

Founded year

2000

Operating status

Operating

Headcount range

51–100 employees

Short description

Grespi is a London-based, doctor-led specialist provider of occupational mental health services, organisational consultancy, and return-to-work support, serving insurers, employers, individuals, and employment lawyers through an in-house multidisciplinary clinical team.

Ownership category

akta.pro rank

Headquarters

HQ city

London

HQ country

United Kingdom

HQ region

Europe

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Clinical Assessment Services: Fees charged for psychiatric independent medical examinations (IME), occupational mental health assessments, and fitness-for-work evaluations provided to insurers, employers, and legal professionals.
2. Treatment Services: Revenue generated from psychiatric consultations, psychotherapy, CBT, clinical psychology, and occupational therapy services delivered to individuals, employers, and insurers.
3. Training Programs: Fees charged for Mental Health Responder Plus (MHR+), Mental Health Responder (MHR), and bespoke training programs for employers and insurers. Training delivered in partnership with employment lawyers.
4. Vocational Rehabilitation: Return-to-work planning, employment mediation, and workplace support services for employees with mental health difficulties.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

Grespi is a one-stop specialist provider of occupational mental health services, organisational consultancy and return-to-work services. Its medically-led in-house clinical team delivers psychiatric consultations, clinical psychology, CBT, psychotherapy, occupational therapy, independent medical examinations, medico-legal reports, vocational rehabilitation, employment mediation and training programmes (MHR+, MHR, bespoke) to employers, insurers, employment lawyers and individuals in the UK.

Product overview

Grespi is a specialist provider of occupational mental health services, organisational consultancy, and return to work services. The company operates through a multi-module service model consisting of Clinical Services (psychiatric consultations, clinical psychology, occupational therapy in mental health, CBT, psychotherapy, IME, and in-house doctor services), Training programmes (Mental Health Responder Plus, Mental Health Responder, bespoke training, and training for insurers/employers), and Management Consultancy (medico-legal reports, occupational mental health assessment, specialist coaching, and organisational consultancy). Additional services include vocational rehabilitation, employment mediation, telephone consultation, and executive coaching. All services are delivered by a medically-led clinical team working in partnership with employers, insurers, and employment lawyers.

Differentiator

Problem solved

Functional benefit

Products and services

• Psychiatric consultations Mental health consultations with consultant psychiatrists providing diagnostic formulation, prognosis, review of treatments and recommendations on optimal treatment including pharmacological and psychological approaches. Offered to individuals, employers and insurers.
• Clinical psychology Psychological formulation services using psychotherapeutic techniques to address symptoms, suffering or promote personal development, including psychometric testing where needed. Targeted at individuals requiring specialist psychological input.
• Occupational therapy in mental health Specialist occupational therapy helping individuals optimise engagement in meaningful and productive roles, identify goals and work towards objectives within agreed timeframes. Targets individuals and (via employers/insurers) return-to-work pathways.
• Cognitive behavioural therapy (CBT) Talking treatment helping individuals identify typical ways of thinking and behaving, linking these with feelings and symptoms, and working towards goals through supported exercises. Targeted at individuals presenting with mood and anxiety-related difficulties.
• Psychotherapy Introspective talking treatment linking present difficulties with their origins in childhood, using the treatment relationship to move individuals towards healthier psychological positions. Suitable for individuals requiring deeper psychotherapeutic work.
• Independent medical examination (IME) Medico-legal assessments providing independent expert opinions on mental health for insurance claims, employment tribunals and compensation claims, with particular attention to medico-legal aspects. Primarily purchased by insurers and employment lawyers.
• In-house doctor service GP-focused health assessment as it relates to work, including medical records review, online video consultations and facilitation of specialist referrals. Sold to employers seeking an in-house medical point of contact.
• Medico-legal reports Specialist occupational mental health assessments providing clinically and medico-legally sound reports addressing fitness to work, reasonable adjustments and organisational dynamics. Used by employers, insurers and employment lawyers.
• Occupational mental health assessment Specialist assessments determining fitness for work and identifying reasonable adjustments needed for employees affected by organisational change or mental health difficulties. Purchased by employers.
• Specialist coaching Coaching services for key individuals facing challenges from organisational change or dysfunctional dynamics, helping them adapt successfully to role changes. Targeted at senior stakeholders in organisations.
• Organisational consultancy Consultancy services identifying the nature of organisational impasses arising from restructuring, culture, personality interplay or external circumstances, with detailed reports and remedial recommendations. Sold to employers.
• Vocational rehabilitation Structured support for individuals with severe or chronic mental health difficulties to return to work and remain in work through careful evaluation and employer dialogue. Commissioned by insurers for claimants.
• Employment mediation Independent third-party mediation services to unblock stuck situations where claimant–employer relationships have become difficult or conflictual. Commissioned by insurers and legal professionals.
• Mental Health Responder Plus (MHR+) training Comprehensive training for HR professionals and senior managers covering mental health promotion at work and effective management of mental-health-related situations, including communication skills and legal considerations. Delivered jointly by Grespi consultant psychiatrists and CMS employment law partners.
• Mental Health Responder (MHR) training Training for selected staff members to become mental health responders who can identify signs of distress in colleagues and provide information on accessing psychological help. Sold to employers.
• Bespoke training Customised training programmes for managers or employees on topics including healthy lifestyle, psychological difficulties, workplace challenges, emotional intelligence and leadership skills. Sold to employers.
• Training for insurers Training packages helping insurers handle complex mental health-related claims, including medico-legal areas such as confidentiality and diagnostic uncertainties. Sold to insurer clients.
• Training for employers Training programmes for employers including MHR+ and MHR packages, plus bespoke training to promote mental health at work and deal with identified problems. Sold to employer clients.
• Coaching (Individuals) Executive coaching with psychological insight and commercial acumen to maximise the professional, interpersonal and leadership potential of individual clients. Sold to individuals (often via employer or insurer referral).

Quantifiable outcome

• Triage conversations available within 3 hours of request
• +2 more outcomes

Named customers2 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Five partnerships are on record, tiered core and minor.

• CMS (Law Firm)coreStrategic or Co-development Partner · 8 October 2021Grespi and CMS teamed up to present a series of three lunchtime webinars for HR professionals and senior managers targeting problematic mental health situations at work. Training programs including MHR+ courses are delivered jointly by Grespi consultant psychiatrists and CMS employment law partners, offering a unique clinical-legal approach.
• Employment Lawyers Association (ELA)coreGTM or Marketing PartnerGrespi teamed up with the ELA and legal firm CMS to present a webinar for employment lawyers interacting with vulnerable parties. This partnership positions Grespi as an expert resource for the employment law community.
• International SOScoreGTM or Marketing PartnerGrespi was selected as an approved partner of International SOS, a medical organisation providing worldwide medical services to 80% of FTSE 100 companies, for providing remote specialist mental health assistance to employees stationed internationally.
• Doyle Clayton (Law Firm)minorGTM or Marketing PartnerGrespi partnered with Doyle Clayton for a one-day workshop on effective management of mental health at work at the Royal College of Physicians, alongside Alison Garrow and Jennifer Nicol from the firm.
• Cole Khan SolicitorsminorGTM or Marketing PartnerGrespi teamed up with Emilie Cole, Partner Cole Khan Solicitors as part of the ELA webinar presentation for employment lawyers.

Scale indicators2 records

Recent moves6 records

Expansion highlights4 records

Direct peers

• PAM Group: UK occupational health and wellbeing provider delivering mental health, physiotherapy, and return-to-work services to employers. Comparable occupational mental health focus and employer-segment customer base.
• Health Assured: UK's largest EAP provider offering mental health, wellbeing, and occupational support services to employers and insurers. Directly comparable as a B2B provider of mental health services targeted at the same employer/HR buyer.
• Validium: UK EAP provider offering counselling, mental health support, and wellbeing services to corporate clients. Direct overlap in employer-segment mental health delivery.
• Premex: UK provider of independent medical examinations and medico-legal reporting across multiple specialties including psychiatry. Direct overlap on the insurer-facing IME and medico-legal report work that Grespi performs for insurance and employment tribunal cases.
• Carefirst: UK provider of EAP, mental health, and wellbeing services to employers. Comparable B2B mental health service model serving similar HR and people-team buyers.
• CiC (Confidential Care): Provider of workplace mental health support, critical incident response, and counselling services to organisations and insurers. Comparable in delivering employer-facing mental health services and complex case support.

Broad incumbents

• Bupa UK: Major UK private healthcare and insurance provider with growing mental health and workplace wellbeing offerings. Comparable as a buyer-facing mental health provider but at much larger scale and as part of a broader health portfolio.
• Priory Group: One of the UK's largest private mental health providers offering inpatient, outpatient, and occupational services. Overlaps with Grespi on outpatient occupational mental health but operates across a much wider service portfolio.
• AXA Health: UK private health insurer and provider with mental health, EAP, and wellbeing products offered to corporate clients. Comparable buyer base (employers and individuals) but operates at significantly larger scale.

Emerging players

• Unmind: Digital workplace mental health platform serving UK and global employers with self-serve content, coaching, and therapy. Comparable employer-segment focus but delivered via a technology-led model rather than clinical specialists.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/groups/13717547
• Xx.com/grespi

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 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 Grespi