Healthcare
Supporting NHS Transformation with Scalable, Smart Solutions
The NHS is under immense pressure, from financial restructuring and workforce burnout to rising cybersecurity threats and fragmented digital systems. At Trustmarque, we understand these challenges and deliver tailored, scalable solutions that help NHS organisations respond with confidence, clarity, and measurable impact.
Delivering Healthcare Solutions to the world’s biggest names





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Benefits
Why NHS Organisations Choose Trustmarque
Trusted by over 220 NHS bodies, Trustmarque delivers cost savings, digital maturity, and frontline impact through tailored licensing, AI, and security solutions.
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220+
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NHS Organisations Supported
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by Trustmarque.
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80%
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Trustmarque-supported NHS Trusts
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are actively engaging with our Copilot enablement programmes.
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£470k
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Saved and Counting
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PRISM has helped an NHS organisation save by removing unused licences
Benefits
Addressing NHS Priorities with Practical Innovation
Trustmarque’s healthcare strategy is built around the six core NHS priorities:

Financial Pressures & Restructuring
We help NHS bodies optimise spend through licensing audits, procurement simplification, and Smart Spend frameworks. Our work with one Trust alone has delivered over £4 million in cost savings through licensing optimisation.

Access to Care
By deploying intelligent automation and AI-driven tools like Dragon Copilot, we reduce administrative burden and free up clinical time, helping Trusts tackle the elective care backlog and improve patient throughput.

Workforce Shortages and Burnout
Our Copilot enablement programmes, including the ALB Copilot Community, support NHS staff with tools that reduce repetitive tasks and improve wellbeing. We’ve helped an NHS Trust deploy Copilot to streamline HR, training, and pharmaceutical workflows.

Evolving Health Needs
Trustmarque supports NHS bodies in adapting to complex care demands with scalable data platforms and predictive analytics. Our Fabric-based solutions unify siloed data and enable smarter, faster decisions.

Data Fragmentation & Digital Maturity
We simplify complex estates and integrate legacy systems into modern platforms. Our work with Digital Health and Care Wales (DHCW) spans over 15 years, delivering continuous optimisation and digital maturity.

Cybersecurity and Resilience
Trustmarque’s SecureXpert and Zero Trust workshops help NHS organisations defend against ransomware and emerging threats. Our hands-on guidance supports the development of resilient security frameworks.
Supporting Central Tenant NHS Customers
Why Trustmarque?
Trustmarque has deep experience supporting central tenant NHS customers. We understand the nuances of shared infrastructure, governance, and licensing models—and we tailor our services to maximise value within these environments. Whether you're navigating tenant-wide Copilot deployment, security configuration, or data platform optimisation, our team is ready to help.
We currently support over 220 actively buying NHS organisations across 359 agreements, totalling more than 5.7 million licences. Our dedicated healthcare team, including Sales Managers, Account Managers, and Client Directors, work collaboratively to ensure NHS organisations and Trusts get maximum value from their investments.
We offer our Central Tenant customers:
- Central tenant-aware licensing and optimisation strategies
- Shared governance and security alignment
- Scalable enablement programmes for multi-Trust rollouts
- Dedicated support for NHS England, ALBs, and regional bodies
Tailored Support for Central Tenant NHS Customers
Trustmarque understands the complexity of central tenant environments. From PRISM-driven licence optimisation to Sentinel security integration, multi-tenant licensing guidance, and advanced analytics enablement, we help NHS organisations maximise value, maintain compliance, and accelerate transformation, securely and at scale.
What We Offer Central Tenant Customers
Opportunity
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PRISM Enablement for Central Tenant - Our proprietary licensing intelligence platform, PRISM, has already saved one NHS Organisation £470k by identifying and removing unused licences at renewal. We’re now enabling PRISM for central tenant customers.
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Security Integration and Sentinel PoCs - Trustmarque has successfully delivered Microsoft Sentinel Proof of Concepts for central tenant customers like Royal Cornwall Hospitals NHS Trust. These projects demonstrate how we can ingest Defender for Endpoint alerts from the central NHS Digital tenant into local environments, giving Trusts visibility and control over their own data.
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Support for Multi-Tenant Licensing Models - We provide clarity and guidance on complex licensing scenarios, such as Entra ID P2 sharing across central and local tenants. Our team works closely with NHSE and Microsoft to ensure compliance while maximising value.
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Migration and Change Management - We’ve helped NHS organisations accelerate their central tenant migration roadmaps, unlocking Microsoft funding and simplifying transitions to Windows 11 and cloud-native management.
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Data and Analytics Enablement - Trustmarque helps NHS bodies build intelligent data workflows, from acquisition and transformation in Fabric to advanced analytics in WatsonX.
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Cybersecurity and CSOC Collaboration - Our work with NHSE’s CSOC team positions us as a strategic partner in evolving NHS-wide security services. We’re actively involved in piloting multi-tenant monitoring, ASIM blueprints, and virtual CSOC models that empower Trusts to manage their own feeds while benefiting from central oversight.
Want to learn more about how we can help your Trust?
What is NHS Smart Spend? Trustmarque explains
The NHS is under huge financial pressure right now, and James Mackey has been really clear in his ask to the system: we need to cut corporate costs by 50%, and we need to do it fast, but without compromising care. That’s a tough ask.
The Smart Spend Initiative is our response to that. Working closely with NHS organisations and partners, we’ve identified real, practical ways to save money across three key areas: technology, people, and operations. It’s about reducing duplication, simplifying systems, and helping NHS teams do more with what they already have. This isn’t just theory. It’s grounded in real NHS use cases, and it’s designed to take pressure off the frontline.

NHS Smart Spend: Maximise Value, Minimise Waste
Trustmarque’s NHS Smart Spend initiative helps organisations reduce costs without compromising care. We focus on three key areas:
- Technology Savings: Cut 10–25% from Microsoft licensing and up to 30% from Azure spend using our PRISM platform. We also optimise contracts with major vendors like Oracle, SAP, and IBM.
- Workforce Efficiency: Deploy AI tools like Dragon Copilot and HR automation to reduce admin burden and free up clinical time.
- Strategic Optimisation: Support central tenant migrations, streamline procurement, and enhance cyber resilience with modern, cost-effective infrastructure.
Every recommendation is NHS-proven, impact-driven, and aligned with national priorities, helping you reinvest savings where they matter most.
NHS Health Bodies Copilot Community
NHS Health Bodies Copilot Community: Peer-Led Enablement
Trustmarque is proud to co-lead the NHS Health Bodies Copilot Community, a peer-driven initiative designed to accelerate safe, effective AI adoption across NHS Arm’s Length Bodies (ALBs) and national organisations.
This community brings together digital leaders, IT professionals, and executive sponsors to share best practices, co-develop use cases, and drive measurable impact through Microsoft 365 Copilot and related AI tools.
Microsoft Copilot
Human+ AI: Empowering NHS Staff with Copilot and Dragon Copilot
At Trustmarque, we believe technology should amplify, not replace, the human touch in healthcare. That’s why our approach to AI is rooted in Human+: empowering NHS professionals with intelligent tools that enhance productivity, reduce burnout, and give time back to care.
Copilot for Microsoft 365 helps NHS teams streamline everyday tasks, from drafting emails and summarising documents to automating meeting notes and managing workflows. It’s not just about efficiency, it’s about freeing up time for what matters most: patients.
Dragon Copilot, built for clinical environments, uses ambient AI and real-time transcription to reduce documentation time and improve accuracy. Clinicians can focus on conversations, not keyboards, leading to better care and better outcomes.
As part of our NHS Copilot enablement programme, Trustmarque offers:
- Peer-led learning through the NHS Health Bodies Copilot Community
- Use case libraries tailored to NHS roles
- PRISM-based licence monitoring and adoption tracking
- Dedicated support for central tenant deployment and governance

Microsoft Fabric for the NHS
Turn Data into Decisions
Trustmarque’s Microsoft Fabric offering helps NHS organisations unlock faster, integrated, and more insightful intelligence across clinical, operational, and strategic domains.
With Fabric, NHS teams can unify fragmented data sources, streamline reporting, and enable real-time decision-making—all within a secure, scalable platform. Paired with Power BI, it delivers actionable insights that support smarter care, better resource planning, and improved outcomes.
