The new Neighbourhood Health Framework doesn’t rewrite the future for general practice, but it certainly sharpens it.
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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…
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Alice Benton People sometimes ask why we are called At Scale. The short answer is that we spotted the NHS Long Term Plan (2019) used the phrase a lot, but…
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Alice Benton First, Penny Dash has spoken openly about NHS England’s concern over the rigour of management behind neighbourhood working. That resonated. Across the country there are committed teams doing impressive things…
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Mike Gill In 2016 I wrote a book called How to Survive Austerity. What briefly outsold political memoirs in 2016 now reads like a manual for 2025. This series updates…
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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…
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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…
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The private sector has partnered with our health and government sector for many years, innovation in technology, estates functions and state of the art asset and equipment through to GP…
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The NHS and social care workforce crisis is often described as a vacancy problem. But at neighbourhood level, it’s something more fundamental: the loss of experience, relationships and judgement as people quietly leave, while…
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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…
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