Nurses are key to building effective teams in primary care, but it has proved difficult to develop 'teams' in a service based on a small-business model. Current organisational arrangements fragment the different clinical professionals into tribes who have different employers and managers. This book brings together the work of pioneers in the field, to provide models for the future. As the need to define the primary care team becomes more urgent, this book is essential reading for all nursing professionals in primary care, nursing management, general practitioners, and primary care leaders at health authorities and Primary Care Organisations. 'The authors present an understanding of the context within which change is taking place, the elements to be addressed in the change process and a challenge for the future direction and pace of change.' From the Foreword by Marion Bull, Chief Nursing Officer, Welsh Office