MACH Health: workforce optimisation for nursing

A global crisis

The world is 5.8 million nurses short. Every nurse who stays counts.

MACH Health is a workforce optimisation platform, built by nurses. It supports every nurse through the shift and shows leaders where strain is building, before it turns into sick leave, incidents or resignations.

Source: WHO, State of the World's Nursing 2025 (2023 shortfall).

How teams are arriving

Last 7 shifts · de-identified · groups of 10+ only

Medical
Surgical
Critical Care
Paediatrics
Midwifery
RestedOkayTiredExhausted
Illustrative view, not pilot data · Explore the live demo
A nurse in a surgical mask tying on her scrub cap

Support for the whole shift, from the moment it starts.

The cost of strain

It's already on your balance sheet. And your risk register.

Every nurse who leaves costs money. Every extra patient a nurse carries costs safety.

  • US$61k

    to replace one hospital nurse.

    NSI (US), 2025
  • +7%

    risk of a patient dying for every extra patient a nurse carries.

    The Lancet, 2014
  • £3.2bn

    spent by the NHS on agency staff to fill nursing gaps in two years. Enough for almost 31,000 permanent nurses.

    RCN, 2020–2022
  • +3

    extra hospital infections per 1,000 patients for every 10% rise in burnt-out nurses.

    Am J Infection Control, 2012

Every nurse who stays counts.

How it works

Support through the whole shift. A clear picture for leaders.

1 · Check in, then support all shiftA quick check-in starts the day. Personalised prompts follow at the busiest periods.

MACH Health · Nursing overview · This week
Check-ins this week412
Arriving tired or exhausted31%
Teams on alert2
Weakest dimensionPhysical

How teams are arriving

Medical
Surgical
Critical Care
Paediatrics
RestedOkayTiredExhausted

2 · Leaders see the patternBy ward, specialty and band, before it becomes sick leave or resignations.

An illustrative shift

  1. Before shiftCheck in
  2. Start of shiftFocus prompt
  3. Peak demandFatigue & safety prompt
  4. BreakRecharge prompt
  5. After shiftRecovery prompt

Tailored toRoleShift lengthShift patternSkill level

Focused onSafetyFatigueHealth & wellbeing

Illustrative design, not real data.

Proven and peer-reviewed

Built on evidence. Tested in a leading healthcare system.

  • 122nurses in our live pilot, 19 weeks
  • 55%used it voluntarily
  • 150peer-reviewed journal articles behind WHIP®
  • 20nurses in the global peer review
Explore MACH Health

Everything in one place.

Whether you lead a health service, work the shifts, or want to see the evidence, start here.

A nurse smiling with an older patient

Look after the nurse, and the nurse looks after the patient.

Mark Carter, founder of MACH Health
Built by a nurse

Mark Carter, RN, MBA

23 years in healthcare across Australia, Singapore, China and the UK.

Meet the team

Built for trust

Nurses only tell the truth if they trust where it goes.

  • No individual answer ever reaches a line manager
  • Never used for performance management
  • Leaders see groups of 10 or more only

How we protect staff data

Latest

News and views on the nursing workforce.

This week in the workforce

From our LinkedIn

Phase 2 partners are being selected now.

Twenty minutes: what we found, what we learned, and what a 12-month programme looks like for your organisation.