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Case study: Better partnership working

A trust asked RCOG to help improve joint working and the interpersonal relationships between a wide range of staff including Trust executives, obstetricians and midwives. 

Following a site visit and interviews with all grades of staff, the assessors were reassured by the Medical and Nursing Directors’ insight into these issues. However, they confirmed that poor inter-professional relationships and the lack of effective working between teams was indeed a significant weakness in the working of the unit.


The assessors recommended that the Trust:

  • Create a vision and plan for immediate change and long-term service redesign
  • Create a structure to allow for multidisciplinary input into the management of the unit and to provide assurance on good governance to the Board
  • Seek external facilitation to overcome the barriers between groups of staff and silo working

Elsewhere on the site

Audit & quality improvement
Find out about the College’s national audits and other projects aimed at improving the quality of women’s health services
Guidance for commissioners
Resources to support commissioners and health service managers with responsibility for commissioning high-quality women’s health care