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 feels the strain most sharply, and where targeted support can make the biggest difference.

Our Campaign Overview

At Scale have identified Four Pain Points of Primary Care, highlighting the most pressing challenges facing leaders today. Our support demonstrates how At Scale can help to ease these pressures. Developed through years of collaboration with NHS organisations, PCNs, and provider collaboratives, this framework reflects At Scale’s deep understanding of current primary care realities. Each pain point explores a key area of systemic strain and sets out the practical support we offer to help you stay ahead of change, lead with confidence, and secure the future of your organisation.

• Reading Not Leading — Managing Information Overload - Keeping up with NHS guidance can feel like a full-time job. Primary care leaders are overwhelmed by the volume and pace of policy change, with a constant stream of updates, frameworks, and plans — often overlapping or even contradictory. Our ‘Insight Advantage’ programme provides short, practical briefings and leadership mentoring, helping you make policy manageable and actionable so you can lead with confidence, not just react.

  
  

• Getting Neighbourhoods Working — Making Integration Real - Everyone agrees neighbourhood working is vital, yet putting it into practice is tough. Blurred boundaries, unclear accountability, and daily operational pressures can make meaningful collaboration difficult. At Scale helps build essential structures, relationships, and plans, we help turn system intent into genuine neighbourhood impact.

  
  

• Staying Ahead of Scrutiny — Building Continuous Assurance - With CQC inspection now an ongoing reality, practices and PCNs are under constant pressure to demonstrate quality, safety, and value. The shift from periodic inspection to continuous oversight means providers must evidence assurance every day. At Scale helps you stay inspection-ready, so your teams to feel confident in their data, governance, and outcomes, maintaining assurance under scrutiny.

  
  

• Winning Support and Securing Investment — Building Credible Propositions - Transformation funding is now awarded to the most credible, data-led proposals — those aligned to system priorities and demonstrating measurable impact. Our ‘Proposition Support at Hand’ service blends hands-on business case co-development with expert mentoring, building both your immediate case for investment and your team’s long-term organisational capability.

To explore each pain point in more detail and see how At Scale can help, click BOOK NOW

to arrange a free discussion. Together, we can turn today’s challenges into tomorrow’s opportunities.