Analysis of a unit management team's first year of business.

Worcester and District Health Authority met various difficulties in its efforts to form a mental health services unit management team. The district contains two separate mental illness services, and the health authority decreed that these should form one unit thereby perpetuating the sector tier of management which the 1982 reorganisation was intended to abolish. The psychiatrists objected to this and wanted the district services at the Newtown branch of Worcester Royal Infirmary and at Powick Hospital (which together comprise the Worcester development project) to form one unit while the regional rehabilitation service at St Wulstan's Hospital formed another. The district enforced its decree and the resulting structure (three hospitals, two services,