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. 2011 Nov 24;11:320. doi: 10.1186/1472-6963-11-320

Table 9.

Barriers to integrated working

Barriers to integrated working
1. Difficulty of NHS staff gaining the trust of care homes and NHS cynicism of care home expertise

2. Lack of access to NHS services

3. High staff turnover and lack of access to training

4. Lack of staff knowledge and confidence

5. Care homes were professionally isolated

6. Lack of teamwork in care homes