Skip to main content

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

NHS and public sector consultancy: Strategy into delivery

We work with the NHS and wider health systems, Neighbourhood Health, local authorities, and community, voluntary and faith sectors. From programme and project management to business cases, bid development, facilitation and workshops, we translate complexity into action, policy into practice, and ambition into delivery.

From ambition to delivery. We help primary care, NHS trusts and systems, local government and community partners build the leadership, governance and practical ways of working needed to deliver neighbourhood health. Through leadership development, facilitation and hands-on support, we help teams work confidently across organisational boundaries and turn shared plans into action.

Sign up now and stay ahead of the curve – tools, insights and peers at your fingertips.

Join our Transformation Hub

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

Find out more

NHS Trusts & Systems

NHS Trusts, ICBs, Integrated Care Systems

Find out more

Local Gov & VCFS

Local Authorities and Community Sectors

Find out more

Private Sector

Healthcare Providers, Pharma and assets

Find out more

Why work with us?

Real system experience. Practical support. A clear focus on delivery. We help you turn complex requirements into action, prove value, win funding and build partnerships that last. Our hands-on approach helps you respond to scrutiny and move forward in a tougher, more competitive system.

See how our system knowledge and hands-on support translate into delivery for clients.

Read about our Projects
Contact our sector experts today
Bid Management for a NEL GP Federation

Bid Management for a NEL GP Federation

Leadership Development for NEL PCN

Leadership Development for NEL PCN

Training Hub Facilitation Workshops 

Training Hub Facilitation Workshops 

Cranbrook PCN
SWL Training Hubs
Youth Custody Service
Ashford Medical
London Borough of Hounslow
NELFT NHS
Sutton Training Hub
PELC
NHS Digital
H&SH
Healthbridge Direct
PHD
Heartbeat Alliance
The Heron Practice
Aurora Medcare
client
client
client
client
client
client

Need help with a project?

Need additional capacity to move a project forward? We support programme and project management, business case and bid development, and facilitation and workshops. If your requirements are still taking shape, we can help you explore what is needed.

Book a FREE discovery call

Not ready for a discovery call? Join the Transformation Hub for tools, insights and connections to support your next steps.

Client insights...

“

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
“

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
“

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
“

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