Four Pain Points of Primary Care

Primary care is under more pressure than ever. Shifting NHS policies, rising regulatory expectations, and the move toward neighbourhood-based care mean GP practices, PCNs and federations are expected to adapt faster, prove more, and collaborate better, often with fewer resources and less time.

After years working with primary care and system leaders across England, At Scale has identified four consistent “points of pain”, the areas where primary care feels the strain most sharply. Our aim is to help highlight these challenges and show you how targeted, practical support can turn pressure into progress.

1. Reading for Leading - Managing Information Overload

Keeping up with NHS guidance can feel like a full-time job. Leaders face a relentless stream of policies, frameworks, and updates, many overlapping or contradictory.

At Scale turns information into insight, translating complexity into clear, usable intelligence. Through our Insight Advantage programme, we deliver short, practical briefings and leadership mentoring so you can act with confidence instead of constantly reacting.

2. Getting Neighbourhoods Working - Making Integration Real

Developing neighbourhood working is clear, national priority, but delivering it is challenging. Blurred boundaries, unclear accountability, and frontline pressures make collaboration difficult.

At Scale helps turn good intentions into genuine neighbourhood impact. We support PCNs, federations, provider collaboratives, and system teams to establish governance that works, build shared priorities, and create practical delivery models that move integration from aspiration to action.

3. Staying Ahead of Scrutiny - Building Continuous Assurance

CQC inspection is no longer episodic, it’s continuous. Clear and demonstrable governance is essential to evidence assurance, safety, and quality every day.

At Scale strengthens your governance, evidence, and confidence under scrutiny. Our support combines compliance diagnostics, improvement planning, and leadership coaching so teams stay inspection-ready all year round.

4. Winning and Securing Investment - Building Credible Propositions

Transformation funding increasingly goes to organisations with credible, data-led, system-aligned proposals that clearly show impact.

At Scale help you develop persuasive, commissioner-ready business cases while strengthening your team’s capability for future bids.

We blend expert mentoring with hands-on co-development to help you secure investment and build long-term organisational strength.

Turn Today’s Challenges into Tomorrow’s Opportunities

To find out more, or to discuss how At Scale can support you or your organisation, book a discussion with our team CLICK HERE or email our team on info@atscale.co.uk

For more information, contact one of our consultants for an informal chat info@atscale.co.uk