In Stream Six, Professors James Dunbar and Prasuna Reddy undertook a project called “The contribution of approaches to organisation change in optimising the primary health care workforce”. They followed through in Stream Ten with a travelling fellowship to the United States. During Stream Six, the team visited New Zealand, Canada, Netherlands and the UK. In this project, Professors Dunbar and Reddy will investigate further questions relating to clinical leadership, team development, change management and implementation that would benefit from organisational development.

They have collected a number of case histories of facilitators and barriers in Australia and overseas which are relevant to change management in primary care. The highly successful introduction of the UK’s Quality Team Development has many lessons, as does the impressive ability of health organisations in the United States to take up the latest research into clinical practice. Factors such as performance measurement and remuneration go along with leadership, culture, climate and collaboration to make for effective change management.