The Referral Process: A Study of Working Relationships between Antenatal Clinic Nursing Staff and Hospital Social Workers and their impact on Asian Women

P. A. lles. Open Business School, Open University School of Management, Walton Hall, Milton Keynes MK7 6AA. Summary A Study of an intervention in a Bradford hospital antenatalclinic designed to improve working relationships between nursingstaff and hospital social workers is described. A statisticalanalysis indicated that referral rates from the antenatal clinicwere rather low, especially for women of Asian origin. Questionnaireand interview survey data established the importance of nursingstaff perceptions of both the social work role and of Asianwomen clinic users as important determinants of whether nursesmade a social work referral. Survey feedback to social workstaff led to the physical placement of a social worker at theclinic booking-in sessions, in order to improve working relationshipsbetween nurses and social workers and thereby hopefully improvereferral rates. This intervention was relatively unsuccessful,and this relative failure is related to the literature on interorganizationaldevelopment and inter-agency team building in order to identifyfactors which might make for success in inter-agency collaborativeprojects.