The Need

A GP Federation needed support to help member practices build resilience and explore at scale working in response to system requirements and efficiency pressures.

As part of a commissioner-led programme, the Federation commissioned At Scale to support twenty practices to develop collaborative and merger options that strengthened sustainability and improved patient care.

What we did

We worked with practices to explore at scale configurations, develop collaborative and merger pathways and coordinate delivery across the federation, aligning clinical expertise and practice engagement into consistent, practical plans.

Outcomes

Practices increased collaboration, driving efficiencies and improving patient care. The Federation now has coordinated plans supporting at scale working, demonstrating how primary care can respond to resilience requirements while maintaining focus on quality and patient outcomes.

At Scale helped us turn ambition into practical action. Their coordination and collaborative approach enabled our practices to work together more effectively and build sustainable plans for the future.

Federation CEO