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Interdisciplinary working within urgent community response and intermediate care services.
Abigail Brooks1, Ulrike Gillon2
1Senior Lecturer, University of West London, London, UK.
Urgent community response services require effective interdisciplinary teamwork. This review highlights facilitators like shared records and barriers such as unclear roles for healthcare professionals in these vital NHS teams.
Area of Science:
- Healthcare Management
- Community Health Services
- Interdisciplinary Collaboration
Background:
- Urgent community response (UCR) services are key to the NHS strategy of reducing hospital admissions by providing intermediate care.
- These services depend on interdisciplinary teamwork, but healthcare professionals' experiences, especially nurses', are not well understood.
Purpose of the Study:
- To explore the evidence on healthcare professionals' experiences within interdisciplinary UCR teams.
- To identify facilitators and barriers to effective collaboration in UCR services.
Main Methods:
- A scoping review guided by the PRISMA-ScR framework was performed.
- Searches were conducted across major databases (CINAHL, EMBASE, PubMed, Cochrane Library, Open Grey) from 1999 to 2025.
Main Results:
- 42 sources, primarily UK-based, were included.
- Key themes identified: role flexibility, shared decision-making, and flatter hierarchies.
- Facilitators included joint visits and shared records; barriers included unclear roles and limited interdisciplinary training. Paramedics were underrepresented.
Conclusions:
- Effective interdisciplinary working is crucial for UCR success.
- Further research is needed on workforce experiences with collaborative models and new roles in UCR.
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