Attain Health Management Services

Working in partnership with the NHS and local authorities to transform health and wellbeing

289 High Holborn, London, WC1V 7HZ

Healthcare Hospitals Social Care

The largest independent health advisory and delivery organisation in the UK and invest our expertise in planning, design and delivery of health and social care to make the NHS and patients better off

Team Size 50 - 75
Gender Diversity 42% Female employees
Last 10 years
Established 2010

The largest independent health advisory and delivery organisation in the UK and invest our expertise in planning, design and delivery of health and social care to make the NHS and patients better off

We are the largest independent health advisory and delivery organisation in the UK. We only work with the NHS and its partners.

We invest our expertise and energy into making the NHS and patients better off. We deliver in partnership; 75% of our clients have been with us for over 12 months. Our team of 80+ UK healthcare experts brings together the best of the public, private and not for profit sectors.

We work in partnership with the NHS by providing capacity and capability from short term advisory to longer term delivery roles in:

  • Strategy, system design and analytics
  • Service and pathway transformation
  • Finance and commercial support
  • Programme and project management

We have a powerful combination of clinical, management consulting, analytical, transformation and commercial expertise.

Founded in 2011 by three professionals with deep health, consulting and industry expertise, Attain’s purpose has always been to transform health and care services. With a deeply held vision of a values driven organisation with an ethical commercial model, Mark, Martin and Struan have focused on delivering real change for the sector.

Building on a foundation and reputation for rigorous and impactful delivery of tangible transformation and outcomes, we:

  • care passionately about delivering tangible results through effective partnership working
  • share a willingness to take on delivery responsibility for implementing real and lasting change
  • are open, good humoured and honest
  • work across the spectrum from system and care economy design to transformation of individual services
  • work to make person-centric integrated care a reality
  • deploy mixed customer and Attain teams
  • are committed to providing value to our customers and cap our profits at 12%
  • are owned by staff, with wide employee share ownership

Founders & Leaders

Mark Carmichael Photo

Mark Carmichael

Managing Director

Attain was launched in January 2011 and has grown rapidly, working for a range of health and local authority organisations across England and Wales. We have worked with organisations with a combined budget of £25 billion and covering a population in excess of 20 million. Attain brings together people with public and private sector backgrounds, including a high proportion of clinicians, to unite the core values of the public sector with private sector commercial insight and good practice. We have a clear vision and sense of identity and are delighted to be a place where talented people want to work. We are committed to providing value to our customers and cap our profits at 12%. The company is owned by staff, with wide employee share ownership.

Helen Pyecroft Photo

Helen Pyecroft


Helen started her career as a civil servant and has since spent 18 years as a public-sector management consultant working with numerous high-profile government clients. She has delivered large scale programmes and projects and has a strong track record in advising clients on strategy, change, business planning, service transformation and delivery and organisational design and development. Helen won the Sunday Times and Management Consulting Association’s Change Management Consultant of the Year award in 2007. Since joining Attain in 2012, Helen has supported her clients to operate as effective and robust organisations - including developing strategy, designing effective organisational structures and governance arrangements, integration and partnership working across health and social care and designing and delivering organisational development strategies to build effective teams.

Struan Coad Photo

Struan Coad


We work across the spectrum from system design, transformation of individual services through to commercial advisory and delivery. We work to make person-centric integrated care a reality. We support customers to deliver on their care and wellbeing responsibilities through partnership working and mixed customer and Attain teams. We are at the forefront of supporting the design and implementation of New Models of Care across the country, developing services that are: joined up, integrated and are sustainable, avoiding unnecessary admissions.

Chris Walker Photo

Chris Walker


Chris, a Director of Attain, has extensive commercial experience both in the private and public sectors. Chris is a proactive, forward thinking individual, highly motivated to achieve outstanding results. He has a track record of delivering successful outcomes in challenging environments. Since joining Attain at its inception at the beginning of 2011, Chris has worked on a number of assignments working with commissioners and providers to help to support the delivery of improved health and wellbeing. Chris has also worked on a variety of system wide projects and is currently leading the Attain team supporting the development and implementation of the South Yorkshire and Bassetlaw Sustainability and Transformation Plan (STP).

Attain Leadership and Motivation
Our leadership team talking about their motivation, what makes them proud, Attain's impact and values and our fantastic team #leadership #impact #culture


  • Our values are at the heart of what we do, how we make decisions and how we behave. Our customers and people consistently cite our values as the key factor that sets Attain apart.
  • Impact: The delivery of tangible results that make a real difference.
  • Transparency: Achieving value through a clear, cost effective strategy.
  • Wellbeing: Being open and honest in all that we do with our customers and staff, providing a collaborative and sustainable work-life balance.
  • Community: Working together with shared interests. Listening and engaging with internal and external parties.
  • Responsiveness: Flexibility to respond to specific and changing requirements.
  • Rigour: An evidenced based approach that leads to confidence and conviction in outcomes. A willingness to constructively challenge and develop solutions rather than simply highlighting problems.


  • CIPS: Supply Management 2018: Shortlisted
  • Attain shortlisted in four major categories in the National GO Awards 2018
  • HFMA Innovation Award: January 2017
  • HSJ Value in Healthcare Awards 2015: Highly Commended
  • HSJ Efficiency Award 2013: Customer Award
  • Outstanding Procurement Initiative for the Public Finance Innovation Awards: Highly Commended
  • National GO Awards 2012 – Winner – Collaborative Procurement Initiative of the Year Award in Health and Social Care
  • Health and Social Care Awards 2010 – Finalist – Excellence in Commissioning
  • MCA Management Awards 2010 Winner
  • Regional Excellence Special Category Award 2009 – Finalist – Lean Efficiency
  • Sunday Times and Management Consulting Association 2007 – Winner – Change Management Consultant of the Year
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