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Table 9 Barriers to integrated working

From: A systematic review of integrated working between care homes and health care services

  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