Primary care teamwork—making it a reality

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Abstract
Although Primary Health Care Teams have been part of the NHS for twenty years, not all teams have developed a satisfactory level of professional collaboration. Review of the research shows that interprofessional collaboration is not to be taken for granted and that there are many influences which adversely affect teamwork. A recent small survey of teams in Northumberland mirrored the national picture. Findings included accommodation problems, professionals with a considerable number of colleagues with whom to relate and there was clear evidence of difficulty in understanding the role of others. On the other hand, records were being shared and many respondents did feel part of a functioning team. The Northumberland Primary Care Forum used the results of the survey to stimulate debate among professionals and managers. Members of all 51 teams were provided with a workbook which identified some of the major constraints on teamwork, and offered suggestions for resolution. This work has formed the basis for a realistic attempt to enhance teamworking in Northumberland.

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