The Need

A regional urgent care provider needed a clear, evidence-based proposition to support a potential NHS 111 contract direct award.

As commissioners considered a PSR direct award during system restructuring, the provider commissioned At Scale to develop a compliant, compelling narrative addressing value for money, integration, equity, innovation and financial sustainability.

What we did

We reviewed documentation, interviewed senior leaders and built a PSR compliance matrix, shaping a strategic narrative that demonstrated provider specific characteristics, integrated care, quality measures, workforce and digital innovation, and system stability that could be sustained through direct award.

Outcomes

The proposition met PSR evidential requirements and was recognised for its clarity and structure, reducing commissioner workload and building confidence in direct award. For the provider, it created a unified strategic narrative supporting future commissioning and organisational development.

”At Scale brought clarity and structure to a complex process. Their evidence-based approach translated our strengths into a compelling case and gave commissioners confidence at a critical decision point.

Transformation Director