title: Changing to a client-focused quality service through more effective team work.
abstract: The Mary Marlborough Disability Service, a specialist NHS unit providing non-acute support which enables people with physical disabilities to lead independent lives, established an inter-disciplinary team which addresses any problem of relevance to an individual which might affect their daily existence, social life, work, education or leisure pursuits. Identifies three areas of change: the style of service; its effectiveness; its efficiency. Finds, although the unit perceived itself to be working as a team, there were major operational difficulties which led to lack of cohesion and communication. As the unit was resistant to change, a clinical co-ordinator experienced in the field of disability was seconded to to the unit to guide the necessary changes, and a number of lessons were learned.
authors.affiliation: Mary Marlborough Centre, UK.
authors.forename: A
authors.initials: A
authors.lastname: Stead
authors.forename: M C
authors.initials: MC
authors.lastname: Leonard
mesh_terms: D006233:Persons with Disabilities / Q000523:psychology; D017598:Efficiency, Organizational; D006801:Humans; D008330:Management Audit; D010348:Patient Care Team / Q000458:organization & administration*; D017060:Patient Satisfaction; D018802:Patient-Centered Care / Q000458:organization & administration*; D011474:Prosthesis Design; D012047:Rehabilitation Centers / Q000458:organization & administration*; D013222:State Medicine; D006113:United Kingdom; D016526:Workload