Pilot — cohort 1
L&D Lead facilitates everything
L&D Lead runs all sessions
DCM co-facilitates session 4
All materials created and tested
Day-30 data collected manually
Not yet scalable — intentionally
Scale — cohort 2–3
Internal SME takes session 1
Train-the-trainer for session 1
Session 1 scenario sort runs async
Session 2 brief clinic peer-led
Facilitator guides complete
Cohort 1 graduates as mentors
Scaled — cohort 4+
Programme runs without L&D present
Internal SMEs facilitate all sessions
Sessions 1 and 2 self-paced
DCM runs session 4 independently
Day-30 data automated
L&D reviews and iterates only
Global — year 2+
Localised and self-sustaining
Scenario banks localised per region
Regional SME facilitator network
Community gap assessment drives iteration
L&D owns design standards only
DCM owns community and cohort rhythm
The design principle behind the scalability model
A programme that requires the L&D Lead in the room to function is not a programme — it is a series of workshops. The goal from day one is to design something that can be handed off. The pilot is where you earn the right to hand it off. Cohort 1 exists to build the materials, test the scenarios, and train the people who will run cohorts 2 through 10.