Imperial College London


Faculty of MedicineSchool of Public Health

Research Fellow in Public Health



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BibTex format

author = {Morton, S and Igantowicz, A and Gnani, S and Majeed, A and Greenfield, G},
doi = {10.1136/bmjopen-2015-010224},
journal = {BMJ Open},
title = {Describing team development within a novel GP-led urgent care centre model: a qualitative study},
url = {},
volume = {6},
year = {2016}

RIS format (EndNote, RefMan)

AB - Objective: Urgent care centres (UCCs) co-located within an Emergency Department were developed to reduce the numbers of inappropriate emergency department admissions. Since then various UCCmodels have developed, including a novel general practitioner (GP)-led UCC that incorporates bothGPs and Emergency Nurse Practitioners (ENPs). Traditionally these two groups do not workalongside each other within an emergency setting. Although good teamwork is crucial to better patient outcomes, there is little within the literature about the development of a team consisting of different healthcare professionals in a novel healthcare setting. Our aim was therefore to describe staff members’ perspectives of team development within the GP-led UCC model.Design: Open-ended semi-structured interviews, analysed using thematic content analysis.Setting: GP-led urgent care centres in two academic teaching hospitals in London.Participants: Fifteen UCC staff members including six GPs, four ENPs, two receptionists and threemanagers.Results: Overall participants were positive about the inter-professional team that had developedand recognised that this process had taken time. Hierarchy within the UCC setting has diminishedwith time, although some residual hierarchical beliefs do appear to remain. Staff appreciated interdisciplinarycollaboration was likely to improve patient care. Eight key facilitating factors for theteam were identified: appointment of leaders, perception of fair workload, education on roles/skillsets and development of these, shared professional understanding, inter-disciplinary working, EDcollaboration, clinical guidelines and social interactions.Conclusions: A strong inter-professional team has evolved within the GP-led UCCs over time,breaking down traditional professional divides. Future implementation of UCC models should proactivelyincorporate the eight facilitating factors identified from the outset, to enable effectiveteams to develop more quickly.
AU - Morton,S
AU - Igantowicz,A
AU - Gnani,S
AU - Majeed,A
AU - Greenfield,G
DO - 10.1136/bmjopen-2015-010224
PY - 2016///
SN - 2044-6055
TI - Describing team development within a novel GP-led urgent care centre model: a qualitative study
T2 - BMJ Open
UR -
UR -
VL - 6
ER -