Our Services

At Scale provides services and systems that deliver our sophisticated and integrated project support with successful business outcomes. Our services range from standalone projects to system-wide change and integration programmes. We focus our help on the needs of each project and our support can be applied rapidly and flexibly.

Below we highlight the services and projects we undertake. If you have something that falls outside this framework, please contact us.

Programme and Project Management

  • Project and Programme Management; scope, define, deliver, optimise
  • Strategy Development; objectives, results and enablers
  • Project Analyses and Evaluation
  • Project Maturity Assessment and Realisation
  • Project Review and Recovery
  • Facilitation and Engagement
  • Project and Programme Workshops

Change projects that require immediate capacity, expertise and project management and lead to the successful delivery of health and social care projects and programmes.

We bring previous experience, project management skills and sector knowledge and blend these with client resources. Projects involve change and transformation such as practice mergers, new organisational forms including PCNs. Some projects involve filling client capacity while others involve service redesign, operational resilience and business turnaround.

We use tools to support us including the At Scale Accelerator and PCN Accelerator which simplify complex projects.

Efficiency and Cost Reduction

  • Service Redesign
  • Finance Review
  • Business Development
  • Bid Support and Funding Applications
  • Compliance Support including CQC review and improvement strategies
  • Business and Contract Optimisation
  • Transformation and Service Turnaround
  • Benefit Realisation

Efficiency projects that require at scale working expertise and understanding of reducing costs through greater collaborative working. Projects often focus on achieving service improvements and reduced costs and help you meet the challenges of the NHS’s Long-Term Plan.

We bring our experience and knowledge of health and wider public services. We undertake financial and operational reviews that help you develop new sustainable ways of working, identify beneficial partnerships and optimise your processes and procedures. 

Organisational Development

  • Mentoring and Coaching Individuals and Teams
  • Nurturing and Developing Leadership Teams
  • Business and Commercial Development and Realisation
  • Resource Planning and Redesign OD and HR specialisms
  • Facilitation and Engagement across systems, partners and stakeholders
  • Developing and Designing Commercial and Business Opportunities

Business development projects that require knowledge of at scale working, commercialisation, how to grow organisations and realise business opportunities.

Projects that tackle at scale plans for primary care and integration with a more extensive health and social care market.

Our support includes team facilitation, mentoring and coaching leaders and workforce development in connection with the shift to population-level health and integrated care. It also includes identifying new ways of working and use of technology.  


  • Financial Analyses and Financial Planning
  • Risk Review, Planning and Management
  • Regulatory Compliance including CQC
  • Bid Support and Funding Applications
  • Compliance Support including CQC review and improvement strategies
  • Contract Compliance Review and Development
  • Review and Development of Governance Arrangements
  • Board Facilitation and Development

Projects that require the application of risk, governance and finance expertise to ensure effective control and management of client organisations. We can support you assure the future of your organisations through active risk, governance and financial management systems. 

Projects include reviewing current systems, procedures and  practical arrangements, and support in developing systems that meet the needs of your business and improve your relationships with stakeholders.