2003
DOI: 10.1108/14769018200300013
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Factors Promoting and Obstacles Hindering Joint Working: A Systematic Review of the Research Evidence

Abstract: This article reports the findings of a systematic review of the factors promoting and obstacles hindering joint working at the NHS/social services interface. The review provides robust, research-based evidence about different models of joint working across the interface at the strategic, commissioning and operational levels and describes the factors known to have an impact on the success of joint working.

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Cited by 131 publications
(167 citation statements)
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References 11 publications
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“…A strategic perspective that not only recognised the need for institutional partnerships within and between government and civil society support agencies, but also provided the resources for their establishment. As a newly integrated service the three member agencies-DAPL, Clued-Up, and Fife NHS Addiction Service-face difficulties across a range of organisational and operational issues: establishing clear joint aims and objectives; overcoming organisational differences; identifying roles and responsibilities; establishing strategic support and commitment; setting up communication systems; providing physical space from which to work and meet as a team; recruitment of specialist personnel; putting in place appropriate professional support; overcoming professional stereotypes; establishing trust and respect; and undertaking joint training (Cameron and Lart 2003). Integration and cooperation between the three services, all accustomed to working on their own with their own routines and targets, has been identified as one of the main operational difficulties and there is ongoing work between the management of the three services and the DAAT to coordinate and define roles within the new service Through the difficult early months of establishing working practices and relationships, front-line staff and managers have remained committed to the ideals of the project in focusing on establishing care pathways for clients that recognise and address the complex linkages between health and homelessness.…”
Section: Fife Homelessness and Substance Misuse Servicementioning
confidence: 99%
“…A strategic perspective that not only recognised the need for institutional partnerships within and between government and civil society support agencies, but also provided the resources for their establishment. As a newly integrated service the three member agencies-DAPL, Clued-Up, and Fife NHS Addiction Service-face difficulties across a range of organisational and operational issues: establishing clear joint aims and objectives; overcoming organisational differences; identifying roles and responsibilities; establishing strategic support and commitment; setting up communication systems; providing physical space from which to work and meet as a team; recruitment of specialist personnel; putting in place appropriate professional support; overcoming professional stereotypes; establishing trust and respect; and undertaking joint training (Cameron and Lart 2003). Integration and cooperation between the three services, all accustomed to working on their own with their own routines and targets, has been identified as one of the main operational difficulties and there is ongoing work between the management of the three services and the DAAT to coordinate and define roles within the new service Through the difficult early months of establishing working practices and relationships, front-line staff and managers have remained committed to the ideals of the project in focusing on establishing care pathways for clients that recognise and address the complex linkages between health and homelessness.…”
Section: Fife Homelessness and Substance Misuse Servicementioning
confidence: 99%
“…This can lead to a relativisation of the perspective of midwives and to a promotion of mistaken role expectations. In contrast, successful cooperation requires a clear understanding of the roles involved (Cameron & Lart, 2003). Further research is necessary in the future to present the midwives' perspective correctly.…”
Section: Discussionmentioning
confidence: 99%
“…According to the study findings, identifying services from different professional groups in one particular location, overcoming a perspective in which solely one's own interests are prioritised as well as maintaining the existing relationships all contribute to the success of cooperation. This leads to the discovery made by Cameron and Lart (2003), according to which, the future challenge for health and social services lies in the support of factors promoting cooperation and in restricting those hindering it. The question of competencies for interprofessional cooperation shows that there is no consensus within the midwifery profession as to which specific skills are required for an effective cooperation (Murray-Davis et al, 2011).…”
Section: Discussionmentioning
confidence: 99%
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“…Similar outcomes (few empirical studies on the effectiveness of integrated care) are presented in recent studies on the effectiveness of jointly provided health and social services for other target groups. In this respect, Glendinning [9] mentions a study of [27] who conducted a systematic review of research into the effectiveness of jointly provided health and social services. They identified only four studies which met the review's inclusion criteria and even these failed to provide conclusive evidence of the benefits for users of joint working.…”
Section: Discussionmentioning
confidence: 99%