Vision
Most models of organisational change stress the importance of formal and informal philosophies used to guide
the strategic direction of the organisation. The findings suggested that this organisation was not working
towards a cohesive vision as there seemed to be lack of agreement on what integration meant in practice. The
service's philosophical objective of better client service through HSI may have been impeded by an underlying
focus on increasing centralised control. Many participants openly acknowledged this incongruence between
explicit and implicit service goals. For instance, one participant stated: