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Team Evaluation and Assessment Measure - quality improvement (TEAM-QI)

TEAM-QI is an evidence-based, assessment and feedback quality improvement process that has been co-designed and developed by leading experts in healthcare teamwork working in collaboration with healthcare teams.

Start date

01 February 2021

End date

30 June 2024


  • Multi-disciplinary team (MDT) working is the cornerstone of health and social care services, however the MDT structures and effectiveness are variable, and failures in teamwork are often reported when poor outcomes occur.
  • TEAM-QI has been developed by leading experts multidisciplinary in teamwork and builds on the success of the award-winning MDT-FIT, an evidence-based team improvement programme for cancer.
  • TEAM-QI has been developed to provide a process by which health and social care teams can assess and improve their MDT working.
  • Informed by our previous work, TEAM-QI is designed by academic and clinical leaders in healthcare workforce and teamwork. It has been co-designed through cycles of testing and refinement with healthcare staff. 
  • It is designed to require minimal time and organisational resources and is a team-owned process (developmental not judgmental), enabling anonymous honest feedback from every team member about their strengths and areas for improvement.

Aims and objectives

We are currently recruiting partner organisations to test our enhanced TEAM-QI process.

If you are interested in learning more about how TEAM-QI could help your organisation or team please contact Dr Jenny Harris ( or Professor Cath Taylor (

Why use TEAM-QI?

  • It works! Most MDT members (74%) are positive about MDT-FIT and its capacity to facilitate improvements to team-work and want to use it again (it is designed to be used annually).
  • On average MDTs set 8 actions for improvement, with 90% being implemented/or in the process of being implemented 9-months later.
  • Team-based assessment can be used as evidence for revalidation and appraisal processes.
  • TEAM-QI is both diagnostic and interventional, for example it could be used to identify team training priorities to meet the ‘staff training and working together’ essential action arising from the Ockenden Report (2020).




Multi-Disciplinary Team Feedback for Improving Teamworking

Watch our video about MDT-FIT and why cancer MDTs should use this assessment tool.

Selected publications 

Harris J, Beck MS, Ayers N, Bick D, Lamb MB, Aref-Adib MM, Kelly T, Green JS, Taylor C (2022). Improving teamwork in maternity services: a rapid review of interventions. Midwifery, Feb 13:103285.

Taylor, C., Harris, J., Stenner, K., Sevdalis, N. and Green, J.S. (2021), A multi-method evaluation of the implementation of a cancer teamwork assessment and feedback improvement programme (MDT-FIT) across a large integrated cancer system. Cancer Med, 10: 1240-1252.

Jenny Harris, Cath Taylor, Nick Sevdalis, Rozh Jalil, James S.A. Green, Development and testing of the cancer multidisciplinary team meeting observational tool (MDT-MOT)International Journal for Quality in Health Care, Volume 28, Issue 3, June 2016, Pages 332–338,

Taylor, C., Brown, K., Lamb, B. et al. Developing and Testing TEAM (Team Evaluation and Assessment Measure), a Self-assessment Tool to Improve Cancer Multidisciplinary TeamworkAnn Surg Oncol 19, 4019–4027 (2012).