CareOS

20X is now part of CareOS

20X, the staffing, scheduling and recruitment software for nursing and care agencies, is now part of CareOS. Both are built by Byte River Ltd, and 20X's staffing tools now sit within CareOS Staffing.

Already a 20X customer?

Nothing changes for you. Sign in at your usual address (yourcompany.20xapp.com) and keep using your apps as normal. Your data, logins and support contacts stay the same. Questions: hello@careos.uk.

Why agencies choose CareOS Staffing

  • Booking to invoice and payroll in one flow

    A shift entered once carries through to the signed-off timesheet, the client invoice and the pay summary, with charge and pay rates set per client, role and time band.

  • A portal for your client homes

    Homes request shifts, see who is coming, approve timesheets and message your office in their own portal, branded to your agency.

  • Only compliant workers get offered shifts

    Training, DBS, right to work and document expiry are tracked per worker, and anyone out of date can be left out of shift offers automatically.

  • Recruitment built in

    Applicants, references, onboarding and compliance run in the same system, so a new starter moves from application to bookable without re-keying.

  • Care delivery in the same system

    If you also deliver care, care plans and eMAR sit alongside staffing in CareOS, with shared staff records and clash checks across services.

Platform comparison

CareOS vs care staffing software

How CareOS Staffing compares with Bullhorn Sirenum, Access Vincere Evo and Panther, three of the platforms UK nursing and care agencies use most.

Capability
RecommendedCareOS
SirenumVincere EvoPanther
Shifts & Fill
Shift booking & fill tracking
Worker mobile app with shift acceptance
Availability & scheduler dashboards
Clients & Billing
Client / employer portal
Digital timesheets with client e-signoff
Charge & pay rate rules (client/role/time-band)
NHS framework rates & caps
Per-client rate cards
Invoicing from timesheets
Payroll in-platform
Compliance & Recruitment
Worker compliance gating (DBS/RTW/training)
AWR 12-week parity tracking
Per-worker parity rates
Built-in recruitment ATS
Beyond Staffing
Care delivery in the same system (care plans, eMAR)
Capability review compiled July–August 2026 from publicly available product information.Book a demoSwitching from another platform? We migrate you — free →
Category-defining — where CareOS leads
Full support
Partial or paid add-on
Not publicly documented
Not available

Comparison based on publicly available product information at the time of writing (July 2026; Florence, AsanWork, Carionex and the framework, AWR and care-delivery rows October 2026). A dash means the capability is not publicly documented by that vendor — it may exist; verify in a demo. Products evolve, so always confirm current capabilities with each vendor.

Want the wider picture? Our comparison of the best care staffing agency software in the UK covers seven systems, including marketplaces and newer tools.

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