Protecting continuity of care
NHS infrastructure must support clinical services without interruption. We minimise clinical downtime, strengthen availability, and reduce the day-to-day IT burden.
Resilient, secure, infrastructure built for clinical safety
NHS IT Infrastructure
Littlefish Group delivers NHS infrastructure services that support secure, always-available patient care – protecting critical systems, reducing clinical risk, and enabling modernisation without disruption.
Solving everyday NHS infrastructure challenges
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Overstretched teams pulled into reactive work
When infrastructure issues escalate, internal teams are drawn into firefighting. We take ownership of stability and monitoring, freeing NHS teams to focus on transformation and improvement.
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Modernising legacy and hybrid cloud estates without increasing clinical risk
Many Trusts need to modernise carefully while supporting ageing platforms. We deliver incremental, governed change that protects live clinical services.
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Rising cyber and compliance pressure
Infrastructure underpins patient data protection. Our services embed security and compliance throughout the estate, supporting DSPT and NHS cyber expectations.
Supporting our healthcare clients
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Through a highly integrated approach, Littlefish Group has brought together the core service pillars that underpin NHS Supply Chain’s digital operations. These include Service Integration and Management, Modern Workplace solutions, a 24/7 Service Desk, and a dedicated Service Management Office. Together, these services enable us to deliver meaningful improvements that boost operational efficiency, enhance end-user experience, and ensure consistent, high-quality service delivery.
Matt Wynn
Data and Technology Executive Director, NHS Supply Chain -
“Littlefish Group provide a dependable and professional out‑of‑hours and weekend service desk service, which is critical to maintaining continuity of our NHS services. Their team understands the demands of a 24/7 healthcare environment and responds promptly and effectively to support clinical and operational staff when it matters most. The service they deliver is reliable, well‑managed, and aligned with the high standards required to support patient care and frontline services.”
Kev Fisher
Assistant Director of Digital Technical Services, University Hospital of Derby and Burton Trust -
“Since the rollout of the solution, Muiríosa continues to transform what once was a static repository of information into a dynamic tool for communication and learning. Key documents, data and systems are now consolidated across Muiriosa’s 200 locations, ensuring information is accessible to everyone and maintaining transparency across the organisation.”
Deborah Gleeson
Information Officer, Muiriosa -
“We don’t see Littlefish as an ‘at arm’s length’ organisation, but as a partnership that works closely with us and that’s really important. We’ve really had great engagement in how they wish to understand our unique business and the way we operate and we’re starting to really reap the rewards of that engagement now.”
Nigel Hall
Director of IT and Analytics
Why NHS trusts choose Littlefish Group
Safe, governed change that reduces clinical risk
Modernisation must be controlled. We deliver infrastructure change through structured work packages, CAB-aligned processes, and carefully managed transitions into live environments.
Alignment with NHS and cyber standards
Infrastructure underpins patient safety and data protection. Our services align to NHS England requirements, cyber expectations, and recognised standards including NCSC guidance, supporting DSPT compliance across complex hybrid estates.
A true partner, not a distant provider
We work as an extension of your organisation. Embedded within your teams, we prioritise empathy, collaboration, and long-term value, building trusted relationships that support resilience today and modernisation over time.
