1. Managing Health Service Performance in Northumberland, Tyne and Wear

2. Trust / PCT Service Level Agreements

3. Measuring Performance  Weekly management information – waiting times & emergency care  Monthly detailed information – waiting times (hospital & GP), hospital activity, cancer waiting, finance etc  Quarterly – mental health, CHD, older people, etc  Yearly – NSF progress etc

4. Assessing Performance  Weekly & monthly comparison to targets  Quarterly “traffic light” against targets in trust and PCO Annual Delivery Agreements – Board reports  Yearly - Star ratings - qualitative assessment NSF progress etc  Ongoing – routine & ad hoc contact to discuss underlying issues, plans to improve performance, sharing good practice etc

5. Star Ratings Based on key targets plus balanced scorecard of indicators Local NHS Trusts July 2002  Newcastle Hospitals     NNN Mental Health Trust   Next ratings due July 2003 – include PCTs & Ambulance Trusts

6. SHA Annual Delivery Agreement 2002/03 Performance “traffic light” assessment  Green = target being achieved  Yellow = marginal under-achievement  Red = problems to be resolved

7. Managing Performance  Use of performance assessments to develop and improve services  Meeting targets is vital but there is more to NHS performance  Links to SSI  Devolution of day to day performance management from SHA to PCOs  Style = facilitative, developmental & supportive, but recognises national targets are a “bottom line”

8. Weekly Access Report Week ending 7 th February 2003

9. Monthly Access Report March 2003

10. Monthly Cancer Report March 2003