The Effectiveness of Health Care Teams in the National Health Service

• There was a significant relationship between Jarman score and number of
managers; teams with fewer managers had a higher Jarman score.
• Teams with a higher Jarman index also had significantly more ‘other’ types of
staff in the team. This may reflect the fact that the range of services required
is much greater in socially deprived than socially enriched areas.
• There was a higher proportion of Professions Allied to Medicine (PAMs) in
teams with a larger list size.
Jarman index / location
73 teams provided a Jarman index score of more than 0%. The mean score was
15.52 and the standard deviation 22.72. These were distributed across locations as
follows:
City – 18
Urban – 39
Urban / rural - 5
Rural – 6
Unclassified - 5
• The Jarman index for city practices was significantly higher (mean = 32.6%)
than for urban practices (mean = 11.9%) 4
Qualitative Research Methods
Research in the second stage of the research programme explored in depth, and
using a variety of consultation and qualitative research methods, all issues of team
functioning and effectiveness. The methods used are shown in Fig 2.12.
4 The data collected as part of this research can be subjected to much further analysis and
information extraction. The researchers are committed to working with others to ensure the
maximum exploitation of this hard won data set. If there are analyses readers wish to conduct
the researchers would urge them to contact the first author of this report.