Why a book written in post-2008 cuts still speaks to NHS and local government leaders navigating neighbourhood health transformation today.   "How to Survive Austerity" was Mike Gill's field guide for public sector managers who suddenly found the ground shifting under their feet. Written in the aftermath of the 2008 financial crisis, it shot to number one on Amazon in its category for both paperback and Kindle, tapping straight into the anxiety and uncertainty many managers w

Let’s start with the good news. Despite everything you hear, primary care isn’t in decline. It is busy, yes, and stretched, certainly, but it is also full of ambition and creativity. Across the country, practices and PCNs are adapting, testing new ways of working, and shaping what better looks like. And strangely enough, the pressures we feel most acutely are actually signs that primary care is becoming more central, not less.   Take the feeling of being left out of neighbour

Our 3rd Neighbourhood Webinar focused on Data sharing & digital infrastructure and Measuring and Demonstrating Neighbourhood Impact Alongside catching up on what we had covered in the last 2 months, any changes and welcoming new attendees we had the opportunity to really delve into Data Sharing and all it's complexities and how, step by step, we can move towards safe, effective and shared data. With quantitative data metrics, improvements in health condition and other social

Primary care is feeling the strain. At Scale have broken down the Four Pain Points every practice, PCN and federation faces:   1.              Managing Information Overload  2.              Making Integration Real  3.              Building Continuous Assurance   4.              Building Credible Propositions  To find out more, or to discuss how At Scale can support you or your organisation, visit our website www.atscale.co.uk , book a discussion with our team CLICK HERE  or e

Primary care is feeling the strain. At Scale have broken down the Four Pain Points every practice, PCN and federation faces:   1.     Managing Information Overload  2.     Making Integration Real  3.     Building Continuous Assurance   4.     Building Credible Propositions  To find out more, or to discuss how At Scale can support you or your organisation, visit our website www.atscale.co.uk , book a discussion with our team CLICK HERE  or email our team on info@atscale.co.uk

In the evolving landscape of health and social care, the need for cohesive, patient-centred approaches has never been more pressing. We find ourselves at a pivotal moment where integrated care frameworks offer a promising path to improving patient outcomes. By bridging gaps between services and fostering collaboration, these frameworks enable us to deliver more effective, efficient, and compassionate care. This article explores how integrated care frameworks can transform pat

Introduction The evolving ambition for neighbourhood working seeks to bring services closer to home and within communities, foster collaboration, and promote wider health and wellbeing. These interventions support key health ambitions; prevention not sickness, increase self-management and therefore reduce hospital admissions and support access through referring people to digital skills support. Social prescribing roles exist within local authorities and the voluntary sector a

Primary care is under more pressure than ever. Between shifting NHS policies, regulatory demands, and the drive towards neighbourhood-based care, GP practices and PCNs are expected to adapt faster, prove more, and collaborate better — often with fewer resources and less time. At Scale has spent years working alongside practices, networks, and system leaders across England. Through that work, we’ve identified four consistent ‘points of pain’ — the areas where primary care feel

In today’s rapidly evolving public sector landscape, particularly within health and social care, the need for effective leadership has never been more critical. Organisations face complex challenges that demand not only operational excellence but also visionary leadership capable of steering teams through change. We believe that adopting robust leadership growth methods is essential to fostering resilience, innovation, and sustainable improvement. By focusing on these methods

In today’s complex environment, especially within the UK public sector and health and social care, the ability to manage projects effectively is crucial. We often find that success hinges not just on individual effort but on how well teams collaborate. By adopting proven teamwork project strategies, we can navigate challenges more smoothly, improve service delivery, and foster sustainable, positive change for communities. This post explores practical approaches to enhance tea