It promised to be a very important resource to the primary care setting, but at present, the performance has not been considerable and there have been lack of funds and local consensus, which thwart its implementation (Pidd).

Shared Care Between GP Practices and Community Health Teams

This initiative aimed at developing cooperative partnership between these teams as well as establishing systems for proactive, structured care at the practice level (Pidd 2004). Implementation has similarly been problematic. When effected, it would insure the engagement and involvement of the key staff in GP practice and local community mental health teams; a participative, facilitated process for the shared care conceptual framework; joint working groups to develop shared care agreements; and a shared understanding of priorities for improvement. Meanwhile, pilot studies conducted on personal medical services identified five factors, which could enhance successful quality improvement. These were effective collaboration with community and secondary care,...
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