Who are Totally plc's primary NHS and private healthcare customers?
Totally plc targets NHS trusts and private hospital groups facing elective-care backlogs; this matters as NHS waiting lists remained above 7.4 million in 2025, making outsourced capacity a structural need. Recent 2025 contract renewals underscore this shift.

Focus on procurement leads and service-line heads; winning them speeds onboarding and contract scale. See Totally BCG Matrix Analysis
Who Is Totally Trying to Win?
Totally plc primarily targets institutional commissioners and public health authorities, especially the 42 Integrated Care Boards in England and the HSE in Ireland, with procurement leads and clinical directors as key buyers; secondary demand comes from NHS Foundation Trusts and a niche of corporate and private elective patients.
The core Totally Company target market comprises the 42 Integrated Care Boards (ICBs) across England and the Health Service Executive (HSE) in the Republic of Ireland. These institutional commissioners control local urgent care, elective surgery, and community health budgets and drive procurement decisions that generate the largest contracts and recurrent revenue streams for Totally plc; winning procurement leads and clinical directors is critical.
NHS Foundation Trusts use Totally plc for insourcing to increase theatre utilization and cut waiting lists; these trusts represent a meaningful secondary revenue channel. A smaller but growing segment includes corporate clients and private individuals paying for elective procedures via specialist clinics to bypass long public-sector wait times.
Totally plc mainly serves institutions – public healthcare commissioners and hospital trusts – while also operating a mixed model that accommodates B2B contracts and direct-to-patient elective services. This hybrid approach lets Totally plc convert institutional volume into clinic-level throughput and fee income.
The most valuable segment is clearly the 42 ICBs and the HSE: they control population-level budgets and award multi-year contracts that accounted for the majority of Totally plc's public-sector revenue in fiscal 2025. Targeting procurement leads and clinical directors yields the highest contract value per account and largest long-term utilization gains; see related context in Mission, Vision, and Values of Totally Company.
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What Do Totally's Customers Care About Most?
Commissioners and health boards buying from Totally Company prioritize cutting Referral to Treatment (RTT) times, clinical safety, and operational throughput to relieve the NHS elective backlog; they need scalable, plug-and-play clinical capacity that avoids long-term public-sector liabilities and shows measurable innovation in community care.
Buyers want partners that materially cut RTT waiting lists; with the NHS elective backlog still a policy focus in 2025, commissioners track RTT reductions, CQC ratings, and complication rates as primary KPIs.
Procurement favors scalable, short-notice capacity that integrates with existing pathways, reduces peak-season bottlenecks, and avoids pension and estate overheads tied to permanent hires.
Health boards seek visible proof of community-based care innovation to meet modernization mandates and political scrutiny; adopting partners signals proactive system reform.
Customers value services rated Good or Outstanding by CQC, measurable RTT cut percentages, and low readmission/complication rates – outcomes that directly affect funding and public trust.
Repeat demand hinges on documented RTT improvements, consistent CQC performance, and flexible contracting that scales seasonally without adding permanent liabilities.
Totally Company wins where it can credibly show rapid, compliant expansion of clinical capacity that reduces RTTs and maintains CQC standards; see Sales and Marketing Strategy of Totally Company for tactical positioning and customer segmentation.
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Where Is Demand Strongest for Totally?
Demand for Totally plc services concentrates in Urgent Care and Elective Care, strongest in dense urban centres and regions with older populations; Northern England and the Midlands show the highest unmet need and service volume.
Totally Company target market is concentrated in high-density urban areas where NHS 111 and Urgent Treatment Centre volumes remain largest; these contracts drove the bulk of urgent-care throughput in 2025 as A&E overcrowding persisted.
Northern England and the Midlands show the widest supply-demand gap; elective demand is strongest in ophthalmology, orthopedics, and diagnostic imaging where Totally Company can deliver high volumes at lower cost-per-case versus acute hospitals.
Totally Company core customers are driven by NHS 111/UTC referrals and elective pathways; in 2025 these contracts represented the largest revenue and usage share, with UTC activity accounting for an estimated ~40% of urgent-care visits in key contracts.
Elective volumes grew fastest in 2025 in ophthalmology and orthopedics (diagnostic imaging referrals up >10% year-over-year in some regions); the Republic of Ireland is a high-growth market as policy shifts decentralise care into community settings. See Competitive Landscape of Totally Company for context: Competitive Landscape of Totally Company
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How Does Totally Keep Its Audience Growing?
Totally plc grows its audience by keeping >90 percent contract retention, adding bolt-on services like dermatology and physiotherapy, and expanding insourcing into NHS facilities to reach adjacent segments and deepen partner relationships.
Totally plc wins new ICB contracts by proving clinical outcomes and cost savings with data-driven case studies, and broadens its Totally Company target market by offering bolt-on services that convert elective and urgent-care pathways into cross-sell opportunities.
Retention exceeds 90 percent in the 2025 fiscal year due to long-term contracting, measurable clinical KPIs, and contractual SLAs; tight ICB budgets increase focus on verified savings, so proving value reduces churn.
Repeat demand comes from non-discretionary 24/7 urgent care and elective backlog services that form a defensive revenue floor, while bolt-on dermatology and physiotherapy deepen revenue per ICB and increase renewal propensity.
The biggest growth lever is the capital-light insourcing model, which grew an estimated 12 percent in 2025 as Totally plc clinical teams used NHS downtime – this drives scalable expansion into Totally Company core customers and reduces capital intensity.
For strategic context and figures underpinning market positioning see Growth Outlook of Totally Company
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Related Blogs
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- How Does Totally Company Reach Customers and Turn Demand into Sales?
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Frequently Asked Questions
Totally's core customers are institutional commissioners and public health authorities. The main buyers are the 42 Integrated Care Boards in England and the HSE in Ireland, with procurement leads and clinical directors playing a major role in contract decisions. NHS Foundation Trusts are an important secondary group.
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