System aims, at scale solutions

At scale providers are well-placed to contribute to key national policy ambitions set out in publications such as the Fuller Stocktake, including the development and co-ordination of integrated neighbourhood teams, increased patient access and the expansion of multidisciplinary team working.
Working at scale provides a natural platform for engagement with other parts of the NHS. The examples below indicate some of the benefits that can only come from working at scale, although they do not represent the full diversity of models of at scale primary care that now exist.
More locally, at scale primary care providers have sought to work innovatively with other system partners and within their own organisations to tackle longstanding challenges like workforce resilience, the introduction of technological solutions and to improve interface between primary and secondary care.
Working at scale contributes to building integrated and blended primary and secondary care services, and to helping reduce pressures on secondary provision by helping people with conditions such as gambling addiction or diabetes before they require hospital treatment.
These approaches can advance policy development around at scale provision in light of the commitment to explore models of general practice ahead of the next iteration of the GP contract.