Working At Scale in primary healthcare

At Scale Services focuses on the delivery of at scale working, integration of primary care services, system resilience and new models of care.We have a proven track record of successfully supporting and enabling transformation.

The growing momentum to provide primary care and general practice within new models of care offers both challenges and opportunities for commissioners, providers, partners and stakeholders responsible for the delivery of services to their populations.

Developing new models of care within the emerging health landscape and the commissioning arrangements will be a radical shift in the way services are designed, managed and delivered. We will work with you to ensure you are ready to both deliver and drive the transformation of primary care services at scale.

This can include the integration of services, greater collaboration and the introduction of Accountable Care Organisations (ACOs) and Multispecialty Community Providers (MCPs). We work to support you throughout the process.

The At Scale approach

At Scale works with key stakeholders, Clinical Commissioning Groups (CCGs), federations, individual providers and emerging ACOs to define the right primary care model for your population-based services.

We support you to develop a bespoke model for your local population, build resilience and sustainability, improve quality of patient care, provide continued programme assurance for stakeholders and deliver the programme in as little as 12 months. There are several key stages included within our approach:

Stage Description Typical Timescale
1 AT SCALE Readiness Self-assessment tool. Provides overview of readiness and state of maturity towards At Scale working 1-2 weeks
2 AT SCALE Diagnostic Detailed assessment of readiness for transition to At Scale working. Provides gap analysis and action plan 2-4 weeks
3 AT SCALE Design Facilitation of decision making and journey planning. Provides care model, programme plan and resource requirement assessment 2-8 weeks
4 AT SCALE Assure Application of the At Scale Framework to provide assurance of existing work, identifies gaps, late actions and provides an action plan. Used by practices moving to At Scale working and by CCGs for assurance purposes 1-3 months
(extendable for ongoing use)
5 AT SCALE Accelerate Application of a pre-populated At Scale Framework, on-line access to the tool tailored to client-specific circumstances. Provides full on-line suite of At Scale programme management and reporting facilities 6-18 months
6 AT SCALE Operate Provision of At Scale on-line Fulfilment Tool plus programme support and advice to assist drive At Scale working towards meeting clinical and organisational objectives. On-going and as required

Using our At Scale approach we work with you to transform primary care services in your area and to help you deliver the benefits of true collaborative working.

Ensuring a successful transition

To support you through the development, implementation and the longer term management of your defined model, we have developed an At Scale Accelerator programme.

This programme is powered by Qorex, a comprehensive cloud-based business management tool. Our tool supports you in a range of tasks from objective setting and delivery management to benefits management and risk management. It is quick to set-up and intuitive to use. The key benefits are that it:

  • Quickly draws together a complex set of interdependent tasks into one place.
  • Monitors progress online in real-time.
  • Provides assurance to stakeholders on progress towards the aims.

It brings together an array of measures, targets, outputs and KPIs, which can be from multiple practices, and connects these to your transformation drivers and objectives. The At Scale Accelerator programme provides 12 months of hands-on support and delivers:

An example of the At Scale Accelerator
  • A structured programme pre-populated with the required work streams and actions needed to create MCPs.
  • Required actions, timescales and project delivery structures that can be customised to meet local need.
  • Template documents to serve as models for the MCP which can be replaced by your own specific documents if required.
  • Consistent governance.

The Challenges

  • Continued pressures on primary care - an ageing population, recruitment and retention and delivering more for less
  • Organisational readiness
  • Collaborating and forming new models
  • Public expectations of GP practices
  • The transition process
  • Achieving increased targets and outcomes

About At Scale

At Scale

At Scale Services provides wide ranging and bespoke support services tailored to your needs. Our team has extensive experience of delivering change in healthcare and the wider public sector. We have undertaken service and organisational reviews and we have considerable project and programme management expertise. We have expertise in:

  • New models of working
  • Organisational formation
  • Change management - particularly in primary care
  • Primary care resilience
  • Primary care integration
  • Resilience programmes
  • Cost improvement and lean
  • Bid support and mobilisation
  • Tenders and contract mobilisation
Rachel Edwards

Contact At Scale

Rachel Edwards
Tel: 07771 608 773
Email: rachel.edwards@at-scale.co.uk