About Us : NeedAnOptom Healthcare: The Clinical Talent Partner

Have you ever felt like just another row on a recruitment agency’s spreadsheet?
It’s a frustrating feeling. You’re a professional: a clinician who has spent years mastering your craft: yet the person trying to “place” you has never stepped foot behind a phoropter or managed a surgical list. They talk about “targets” and “headcounts,” but they don’t understand the nuances of a clinical day or the pressure of a back-to-back clinic.
At NeedAnOptom Healthcare, we’ve always believed that the people who place clinicians should actually understand clinicians.
We started as a boutique recruitment agency specialising exclusively in the optical sector. We were founded by award-winning opticians who knew the industry from the inside out. We weren’t just recruiters; we were your peers. But as the healthcare landscape changed, so did we.
Today, we are evolving. We are now NeedAnOptom Healthcare: The Clinical Talent Partner.
From Boutique Optometry to Healthcare Powerhouse
Let’s have a look at where we’ve been and where we’re going.
NeedAnOptom was built on a foundation of deep, niche expertise. We connected optometrists and dispensing opticians with independent practices and hospital trusts because we knew what made those relationships work. We knew that a “good fit” wasn’t just about salary: it was about clinical equipment, patient demographics, and professional culture.
But we saw a gap in the wider healthcare market. The same generic recruitment problems we solved in optics were happening everywhere. GPs, nurses, Consultants, and surgeons were all being treated like commodities by agencies that didn’t know a scalpel from a stethoscope.
That’s why we’ve expanded. While our heart remains in optometry and ophthalmic surgery, NeedAnOptom Healthcare is now the go-to partner for the broader clinical world. We focus on permanent placements that help practices, clinics, and healthcare organisations build stable clinical teams that support better patient care and stronger profitability.

The Visionary Behind the Pivot: Krishna de Gruchy
In the summer of 2024, Krishna de Gruchy joined us as CEO with a very specific mission: to transform NeedAnOptom into the UK’s leading healthcare recruitment platform.
Krishna isn’t your typical corporate suit. He brings over 30 years of raw, front-line experience in the optical and healthcare sectors. We’re talking about a career that spans retail management at Specsavers, serving as a Senior General Manager at Europe’s largest high-street eye surgery centre, and holding CEO roles in private healthcare and cosmetic medicine. He’s even driven operational excellence at The Westover Medical Group.
When Krishna talks about clinical excellence, he’s not reading from a script. He’s lived it.
His vision for NeedAnOptom Healthcare is simple: Built by clinicians, for clinicians. He believes that recruitment should be an extension of the care we provide to patients. If the clinician is happy, the patient receives better care. It’s that simple.
The Profit Playbook: “Built to Care”
Krishna is so passionate about this clinical-first approach that he literally wrote the book on it. In his free book, “Built to Care: Free Clinic Profit Playbook,” he shares the blueprint he’s developed over three decades of running multi-site surgery centres and private clinics.
It’s not some dry academic text. It’s a practical, in-the-trenches playbook for anyone looking to understand how clinical quality and business profitability actually work together.
The key here is recognising this: we aren’t just filling seats; we’re building sustainable clinical ecosystems. You can grab your copy of the playbook right here.
The Manifesto: Why We’re Different
We’re not a faceless agency. We’re not a call centre in a city you’ve never visited. We are opticians, healthcare leaders, and industry insiders.
When you work with us, you’re talking to people who have managed the very clinics you’re applying to. We’ve handled the HR headaches, the equipment failures, and the 17:00 emergencies. This perspective allows us to offer something no one else can: True Clinical Matching.
We don’t just look at your CV; we look at your career trajectory. We don’t just look at a client’s job description; we look at their clinical identity.

What We Offer
We provide a full suite of innovative recruitment solutions designed to make your life easier, whether you’re a candidate looking for your next role or an employer looking to make the right hire:
- Permanent & Resident Placements: We find the long-term matches that last. No more revolving-door staffing.
- Pre-reg Placement Assistance: Helping the next generation of clinicians find the perfect starting point for their careers.
- Complimentary CPD Training: We don’t just place you and forget you. We provide training to strengthen your career prospects and help you make a meaningful impact in your new role.
- Flexible Payment Options: For our clients, we offer innovative campaign payment structures that make high-quality recruitment accessible for every practice size.
It’s Time to Demand Better
It’s important to recognise that the old way of recruitment — the cold calls, the mismatched CVs, the lack of follow-up — is outdated. Or at least, it should be.
Why settle for a recruiter who doesn’t know the difference between a dispensing optician and an optometrist? Why trust your surgical staffing to someone who has never seen an operating theatre?
True. It’s easier to go with a big, generic agency. But is it better? It’s not.
The worst-case scenario of a bad hire isn’t just a lost fee; it’s a damaged reputation, a stressed team, and compromised patient care. We’re here to help prevent that.
We care about your long-term success because we care about the profession. We’re not just filling positions; we’re strengthening UK healthcare, one placement at a time.

Let’s Chat
Whether you’re a clinician looking for a new challenge or an employer looking for the perfect addition to your team, we want to hear from you.
No corporate jargon. No high-pressure sales. Just a conversation grounded in clinical understanding.
Let’s find the right match.
Contact the NeedAnOptom Healthcare Team today
