Transformation. Made Real.

At Scale is a management consultancy with public services at its core.

We work with the NHS and wider health systems, local authorities, community, voluntary and the faith sectors. We translate complexity into action, policy into practice, ambition into delivery.

Every Sector Matters

At Scale brings clarity, credibility and practical delivery to our clients. Work with us for our unique blend of system knowledge, delivery experience and hands on support.

Primary Care

PCNs, GP Practices, Primary Care Federations

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NHS Trusts & Systems

NHS Trusts, ICBs, Integrated Care Systems

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Local Gov & VCFS

Local Authorities and Community Sectors

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Private Sector

Healthcare Providers, Pharma and assets

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Why work with us?

At Scale filters the noise and delivers hands-on support grounded in real system experience. We help you prove value, win funding, build partnerships that last, and stay ahead of scrutiny in a tougher, more competitive system.

You ask, we deliver. But that is only part of the journey.

Read about our Projects

Contact our sector experts today

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Foundations for Integrated Neighbourhood webinars

GP Federation Competitive Tender Bid Support

Training Hub Facilitation Workshops

Need help with a project?

Seeking additional capacity across programme and project management, business case and bid development, facilitation and workshops – including exploratory support where requirements are still being shaped.

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Client insights...

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The At Scale team worked closely with our own people and those of our collaborating partners to develop a winning service proposal. They gave us the confidence and capacity to complete this challenging project to a demanding timescale.
Trust Transformation DirectorIntegrated Urgent Care Services

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Our SARC project is amongst the most complex we have undertaken. At Scale has provided flexible support and continuity to a project that has needed us to build the collaborative governance to deliver a multidisciplinary programme across health, the justice department and multiple police forces.
Head of NHS Health and Justice Commissioning

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The At Scale team undertook two complex reviews relating to our Children and Young People Services. Those reviews delivered clear pathways that we will now use to drive improvements in our services and reduce costs.
Local Authority Programme Director

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We have repeatedly drawn on At Scale’s flexible support models to develop our PCN and set a clear strategy for this collective way of working in general practice. At Scale’s input has helped us to focus on strong leadership and achieving our targets.
PCN Clinical Director