Box 1.

What is known about the topic and what remains unclear

What is known

What remains unclear

Effective team communication matters, huddles are an example of this in practice Sustainable team culture matters — development of interoperability and cohesion, achieved through stable teams Clarity of individual roles and responsibility within the team through education is essential Roles should be flexible and staff willing to take on new responsibilities Affiliation to the wider practice team should be retained or a feeling of responsibility for all patients may be lost

Does continuity offered between a patient and individual or patient and team differ? Does it matter which individual in the micro-team offers continuity? The applicability of international findings to the UK practice setting Patient experiences and outcomes Financial and economic implications for the sustainability of the model The impact on patient access to a preferred clinician and appointments more generally Distinctions between models of care for acute and chronic problems, and the interface between the two Would a patient prefer to consult separate individuals for these?