Despite all we know about collaborative working, why do we still get it wrong?

Abstract

There is a fund of practical and theoretical advice on how to work effectively in collaboration, but in reality outcomes are often disappointing. This paper explores aspects that frequently derail wellintentioned collaborative endeavours, drawing on research on integration in health and social care in Wales to highlight four particular areas of concern: motivation and meaning, capacity and capability, learning, and conceptualising and measuring success. Arguing that better management of these factors should improve overall effectiveness, it concludes with a plea for greater understanding of the complex interplay between structural factors and the influences of individuals. Show more