“…This pattern of services in Croydon, Nottingham, Portsmouth, Plymouth and York was admired and copied (Macmillan, 1956;Carse et at, 1958). These 'extended' or 'transplanted' hospital services sought to show that by integrating the resources of the hospital and the local authority serving the same population they could provide effective and continuous care for the mentally ill patients of the district (May, 1965). However, when Brown et at (1966) studied the clinical condition and outcome of care over a period.…”