The Department has an established system of local delivery planning over the past decade that establishes trajectories for delivery of the key national targets set out in the planning and priorities framework ‘National Standards, Local Action’ (2005).
To support this, monthly and quarterly returns from the national health service are collected which report local progress against these plans. Under the performance regime established in ‘Shifting the Balance of Power’ (2001) and ‘The NHS Improvement Plan’ (2004), the Department performance manages strategic health authorities, and SHAs performance manage delivery by NHS trusts and primary care trusts.
The monthly and quarterly returns are routinely revised to ensure that the data tracks the most significant issues that drive delivery.
‘Health Reform in England’ (2005) signals developments in the performance regime over the next few years, especially an emphasis on early warning of potential poor performance.