In the previous article we reviewed research evidence which pointed to the difficulty of achieving effective teamwork. This article illustrates and further explores some of these themes by reference to the findings of a study of six general practices. To many, the problems highlighted will, sadly, come as no surprise. However, it is important that they are identified in order that we may focus on finding ways to overcome the difficulties. They may sap the energy and lower morale of those providing primary health care services, and thus reduce the effectiveness of services provided for patients.