Box 2.

Summary of practice implications

Implementation level	Principles to encourage	Watch points
Organisational level	Information sharing of staff availability, staff skill set, and patient medical histories among healthcare professionals. Appropriate communication of staff roles to patients to encourage patient receptiveness. Integration of all staff members into practice.	Unnecessary limits/restrictions placed on staff with clinical skills and the ability to make clinical judgements. Continuity of care for patients with complex needs. Organisational cultures that do not foster environments for interprofessional trust and collaboration.
Professional level	Interprofessional dialogue and communication. Preparedness, autonomy, and respectful relationships. Establishment and management of patient expectations.	Ineffective feedback loops and deferred workloads. Staff frustration, despondency, and professional isolation. Patient reluctance to see a different healthcare professional.
Policy level	Sustainable, long-term management of delegation processes. Enhancement of opportunities for clinical supervision, training, and preparation.	Evaluation of long-term patient health outcomes and cost implications. Balance of staff between primary and secondary care/staff retention.