Confidence in demand management capability continues to creep up, according to the latest Barometer survey of primary care trust chief executives. This month's figure stands at 6.95, compared with September's score of 6.20 out of 10.

Also nudging upwards is confidence that a greater plurality of providers will improve the quality of primary care, having risen to 6.4, up on September's 5.36 out of 10.

This optimism has also spread to the national IT programme, which has achieved a score of 5.15 compared with September's 4.50.

However, confidence in the operating framework's model contract has dipped this month to 5.57 from September's 6.33.

This is the last Barometer survey in the current series. It is based on a panel of 90 primary care trust chief executives giving a score of 1-10 against key indicators. Our thanks go to everyone who has taken part.

Confidence scores out of 10

Elective activity: 6.95

Emergency activity: 6.6

Breaking even at end of 2007-08: 9.26

National IT programme: 5.15

GP contract: 5.55

Negotiating with acute trusts: 7.85

Workforce - nursing and health visitors to deliver care: 7.6

Demand management capability: 6.95

Plurality improving quality of care: 6.4

Model contract: 5.57

Confidence over time: issues

Negotiating with acute trusts: 7.85

National IT programme: 5.15

GP contract: 5.55

Demand management: 6.95

Plurality: 6.4

How confident are you that your trust is providing a comprehensive out-of-hours service?

1-3 0%

4-5 0%

6-7 25%

8-10 75%

How much of the service provision you currently undertake would you estimate will still be in your direct control by the end of 2007-08?

Will still have most 85%

Will still have a small amount 10%

Will have none 5%

How confident are you that greater plurality of providers will improve the quality of primary care?

1-3 10%

4-5 20%

6-7 40%

8-10 30%