Discussion
Without adequate measures of health outcomes or patient satisfaction with the service, it is difficult to
objectively assess whether this organisation's integration was successful. Canvassing the views of consumers
was outside the scope of this project. It is clear from the data gathered from managers and staff that the service
integration was seen as largely unsuccessful. Three years after the process was first initiated, divisions and
conflict and lack of knowledge seemed to be continuing, and the implementation was perceived as having
largely reached a plateau which few considered acceptable. Little other than the organisational structure was
found to have changed.