CQC Practice Healthcheck At 9:17 on a perfectly ordinary Tuesday morning, the phone rings. The conversation is polite, professional and entirely expected. Yet somehow the effect is remarkably similar to…
Stakeholder mapping alone changes nothing. Excellence means translating population diversity into explicit service requirements, holding all providers accountable, and allocating resources where they actually work. You have done brilliant stakeholder mapping. You understand…
At Scale works across a wide range of organisations involved in health and wellbeing, including NHS providers, primary care networks, GP federations, local authorities and voluntary sector organisations. That cross-sector…
If you work in primary care, place-based partnerships, or local authority health integration, you may have spotted a new acronym emerging from NHS planning documents: OPIC, or the Office of…
Mike Gill BBC Radio 4's recent series Magic Consultants didn't pull its punches. Management consultants were portrayed as overpriced illusionists, revealing savings that were "always there" while obscuring their methods…
After yet another stint with Radio 4, I found myself grumbling about GIRFT and marvelling at the genius of those who repackage 1970s quality control as ground-breaking in the public…
Mike Gill is Director at At Scale Limited and author of “How to Survive Austerity: A Field Guide for Public Sector Managers” Every generation thinks they’re living through the apocalypse.…