"We didn't attempt to have any differentiation in how services were delivered".
Ideally, physical and mental issues should be addressed concurrently, he said, but the way services were delivered in separate hospitals by different professionals mitigated against this.
The revenue was previously booked at the time of the initial sale, he said, though it should have been recorded as services were delivered.
They were regularly out there where services were delivered, and had the experience and wisdom to be able to judge for themselves what was and was not working well.
The NHS Plan 2000 allowed the break-up and commercialisation of NHS services because the government claimed it didn't matter how services were delivered so long as they were publicly funded.
Managers did make clear their full support for the principles behind the move to integration, as well as their belief in its potential to provide a more co-ordinated approach to the way services were delivered, but they also flagged concerns and our leaders must take note.
The report's author, Lord Carter, boss of a private healthcare company and chairman of the NHS Co-operation and Competition Panel (CCP), argued the £2.5bn spent by the NHS on pathology could be reduced if services were delivered by standalone pathology service providers" – and removed from the hospitals they were based in.
More water mains broke, the streets were dirtier, the backlog of broken hydrants increased and the time it took to arrange for a home health attendant doubled to 26 days, according to the administration's report card on how city services were delivered.
To achieve this, it called for a rethink about the way services were delivered.
And a government spokesman said "most" public sector workers had reported for work and "nearly all key public services" were delivered as normal.
